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SETBACKS&FOOTINGS
Date By
FOUNDATION WALLS
Date By
..................................................................................
..................................................................................
PLUMBING GROUNDWORK;.
Date. By
..................................................................................
..................................................................................
. ................................................................................
..................................................................................
UNDERFLOOR FRAMING
Date By
SHEAR WAI S
Date By
.................................................................................
..................................................................................
..................................................................................
pwMBING>ROUGH IN
Date By
GAS.p1PING
Date By
MECHANICAL:ROUGH-IN
Date By
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Date By
..................................................................................
FRAMING
Date By
INSULATION
Date By
GWSISTLAYER
Date By
GWB; 2ND::LAYER
Date By
SUSPENDEDCEILING
Date By
PLANNING.F.INAL '
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL `'' ' 'tn: vl1'1^ti/'r7' ✓/ 'c T' rift,
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APPLICATION FOR BUILDING PERMIT 1 itit 1998
CITY OF
BUILDING EPTWAy
PLEASE PRINT APPLICATION #: R(r 030
SITE LOCATION Address 322/Qj (?> et. 3w.
Tenant(if known) Lot # Assessor's Tax #
010451- 019o- o3
Building Owner Name Address
TA.L. CtflreJL 3Z2 /3'teL Pt. S
City rep. wA\/ State WA Zip 98oZ3 Phone 9,5-2_.. ZI 65
Nature of Work (A,JQK Roots A o T/ON - S•O .U
APPLICANT
Name (F,M,L)
1-A'L 0 . CG"4-12K-
Address
32218 (3.14 PL. SW,
City r_ G. 1�, , 7 State VIM Zip 9S oZ3
Contact Person Day Phone ' Other Phone Fax Zab
.2o6- 76S. 40s 9/2• i f Ave. 4-0 55
B:UII,D�tG CONTRI�CTOR
Company Name ,,
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name Svt�
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
tor- /9, A[.0E1282OOK P/VIS/ON .TZ, A-CLOQp/NG TO ThE 77tE OF
RtCOkOen /N i(W-11114E 120 of Pt.A-r5d PAGE / e • '11e43UUM 20)
INC!-VS IVE , (N KIN G Co INTY) WA SItiN6 Tt7N; S l'1/ 7?-/-5 COUNTY
or !4NG , STA-1-6 Fes' vol-ceA/6 TON
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE •ting Use HOME •posed Use
>ro k ROOM —
Permit includes: x- Building ❑ Plumbing ❑ Mechanical 5 Other
Type of Work: EIS, Residential J:K New ❑ Number of Units_ ❑ Deck
❑ Commercial L .Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 3(0 sq ft 2nd Floor sq ft 3rd Floor_ sq ft Existing Floor Area J 471 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area 13 Q, sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ 2,o
oo
Zoning R 5 7, 2 Lot Size 71 Z/ Q icii Existing Bldg Valuation $ 66,900
LENDS
Name Address
City State Zip
MECHANICAL CO ` • CTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE>COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT MECHANICAL VALUA IN ONLY $
Fuel Type lelectric/otherl Gas Dryer Air Handling < = 10,000 CFM 15-'0 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 .ns
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim arises out 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
application.
Owner/Agent: /5/1"4444<. Date: .5/(46
. , I •
RECENED
FINAL INSPECTION AUG 011s
96
.. . 0-LH ROI-- CITY OF FEDERAL WAY
BUILDING DEPT.
UPON COMPLETION
, FILE
OF WORK
, , , I I
i0•ool 45,33 X4.66
-5I Lt r su Pg..-
0 r--1 2 0 OJ4 T 614641,6
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SITE PLAN APPROVAL
Permit Number: /96G.i/6 — 0 S 04.
Approved By: _.,_
Date:
Comments: .0)1.44411±!'i '
_ _.ALDERBRO.OK DIVISION II
SCALE
/: 20
N