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SEI'B. ► IfS' FOOTINGS • . -
Date ...Tr Be
FOUNDATION WALLS
Date?„--6,9-g4/ By 4 4
.................................................................................
..................................................................................
.................................................................................
PWNU IN(I:GROUNDWORK
Date. By
UNDERFLOOR FRAMING
............................................................ .. ......
........ . .......................... .............. . ..
Date 3+/V—S'f/ By
SHEAR ALL
Date /� q.:..:.:.:Y By
... J-/r
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Date3';icflf e/
....................... ..
....... ...........
.................................
GAs.„,, ,,...,.::...::_,........•.:.:.„„.„,.::::
f
Date �91-17—,96/ Byy
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ALLRROU: H-IN
Date'I ' .1 - 6 By
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Date By .
FRAM /q,.41 By
INSU ION (,
Date `✓ jq "V/ By
GWB 1 T LAYER
Date c.---v1 t/ By
GWB - 2ND LAYER
Date ..../---- By
SUSPENDED CEILING
Date By
PLANNING FINAL
..
.............................. ...................... . . ..
Date By
.. .. ........................................ .....................
. .. ........................................ . .... ...........
.. .... ...................................... ... ....... ...... ...
ENGINEERING FINAL
Date By
....... . . ............................ ......... .............
FIRE FINAL
Date By
............................................................ ........ ...
BUILio
NG FI
Date "Vi By ()
OTHER
Date By
OTHER
Date By
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City of Federal Way
APP•ATION FOR BUILDING ORMIT
JAN Z '!
ASE PRINT CITY OF D'E: A7W. AY APPLICATION #: N_Dci u 0031
TE LOCATION ,Address "Z 0 r}S 5. 0, f"G► (— 1.J
Tenant (if known) d Lot +7
Assessor's Tex #
oini-;S7 —0 33Z�
Building Owner Name 1 ` Address
Crs.1-W-Y- TICM1i-S
� �3 Z� �3a A,)� r•u'
City State �q_ �g
� Zip °.IS- Phone (.Z-4_ go, -J
Nature of Work 5, ,..,
'PLICANT
1 Name (F,M,L)
I
Address
City -
State Zip
Contact Person Day Phone Other Phone
<TU � Fax
IILDING CONTRACTOR
Company Name C`
3\Zx
Address
City — —
State Zip
Contact Person Phone v_,
Fax
Contractor's I must be presented
Ex iration p ate Verified LI Yes No
N ICA Q N ILr
tCHTTECT
Name
Address
i
1
City
State Zip
Contact Person Phone
Fax
PtrJ At.to ��z Z2 ` 3`l`a
AL DESCRIPTION
Please Complefe_Reverse Side
CD0492 IRev 4/031
RUCTURE Existing Use Proposed Use / RT'�
�r ..... i,icludes: )ding Plumbin L 1 Other
-- � g achanical
Type of Work: ".Residential New ❑ Remodel ❑ Number of Units_ ❑ Deck
• — ❑ Commercial ❑ Addition ❑ Garage LI Shed ❑ Other
Enter 1st Floor q ?psq ft 2nd Floor -7 73sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks /0C.1 sq ft Garage 6)19...g7 sq ft Proposed Total Area_ _sq ft
Water Availability Sewer Availability On-Site Septic System Availability C7 Project Valuation $ COQ COO
Zoning f.— is3-. ,` Lot Size C'1 ( J� Z3 Existing Bldg Valuation $ /": y
.NOER
Name
,04 Address '
City State Zip
JAN 2 7 199
;CHANICAL CONTRACTOR
Contractor Name A FEL;L; ;.
t Address �✓/�Y
,I �? "r.
t�FQAT -..S-Iii./•••V ' i I� V IC JZI-MF c' - +�.
City �� T°
1Ac.o1•AA State Int A Zip CN'yyy
Contact
nn Phone Fax
A. #'-�L1NR\C k ,c (3 -I"1 Z_
License # t�C_s 1Z C� !-k Expiration Date
-�ir"� cj GI'2, Verified ❑ Yes 0 No
UM:BING CONTRACTOR
Contractor Namti
Address n `\
-- \\ t.JL .-4-k1y ST. St..._ J„,cri, 1Oy
City IN„. tisx4 State LkA Zip CITOCa--
Contact _.-- . Phone Fax
I License # a- 1A It * ft C r Expiration Date ZAVA. Verified 0 Yes ❑ No
UMBING FIXTURE COUNT /
Water Closets 3 Sinks Urinals Lawn Sprinklers N!A
Bathtubs Dish Washers / Drinking Fountains Other
'`
Showers 1 Electric Water Heaters NiA Sumps
'Lavatories Washing Machine Drains NA
A:::: Total Fixture Count
'CHAN1CAL UNIT COUNT
Fuel Type felectric/other) GA...s Gas Dryer / Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping St; f r-" Range ,/ Air Handling > = 10,000 CFM 30-50 Tons —
Furn <100K BTUs ' J Gas Log ( Unit Heater —' 50+ Tons „i�
Furn >100 BTUs ape, Fans `5"' Miscellaneous /' /
Fuel Tanks /Ar
Gas Hwt /`W Hood / Boilers Nth\ Above Ground �
f --
t
,Cony Burner Duct Work 0-3 Tons Underground .,........----
BBC's
,........----
BBQ s A. Wood Stoves / 3-15 Tons . — Total Unit Count
LAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge arid further that I em authorized by the owner
a above premises to perform th ork for which permit application Is made.I further agree to save harmless the City of F oder al Way as to any claim(including costs,expenses.
attorneys'fees incurred i i igation and defense of such claim),which may be made by any person.including the undersigned,and filed against the City of Federal Way.
only where such claim • t of the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
cation.
I.P.7Jo7
sr/Agent:
� Date
l .,
113 1
u
L _":_!_:- ....:.:_.3