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95-100565
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W " -.+ •w - aw rM wn M "I' a.s N leer k, n CD -+ (JS Cfl c.) o.a a. w i7 r -v ry ry a C --a sc a ns C? s cn a ts. ca+ w 1{ I CA as G C Cr 6rY c7 to f1 ' ro SFT A ''S 8& FOOTINGS Date By FOUNDATION W• ALLS at Date By PLUMBING i.GROUNDWORK .......................................................................... ... Date By UNDERFLOOR FRAMING Date By SHEAR WA14. Date By PLUMBING ROUGH-IN I' Date S I'-4 49 By.&j2 GAS:PIPING / "' Date4 'fh.� 4 By ilt}f MECHANIGA:L ROU�GHiN 17 Date /"( _G 4 By Wje:cti) /Jtp 41 ,,( �. Vrt-f-A5-L-- rMECHANICAL. (OTHER) Date By FRAMING Date ri 4 -4 tj BY , INSULATION Date "v , 0, 4‘ By G WB<- 1ST LAYER Date CI,,, t1/4..,"4 �, By kvir GWB- 2ND LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE:FINAL Date By ...................................... ..................................... BUILDING FINAL Date / /Qc OTH R Date By OTHER Date By CDO193 • City of Federal Way 0 )11 w APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION #: ap 415 • c22 3 SITE LOCATION Address4f44 v., '3z6W v, Tenant (if known) Lot # Assessor's Tax # Building Op er Name Address V\I KA City ''•'y,`/"'J, State \MCA Zip Phone Nature of Work `" ret APPLICANT Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHITECT Name J(-3 e ' , ^� \ �,?,.„ /-20 Address `�. �) (��.�,� City 1;VC. 72k1- Nal State dl Zip area/S Contact,'�er�on * Phone Fax F-- e 'f4 674-. °10 9)4 'JCa9ai- LEGAL DESCRIPTION Please Complete Reverse Side CD0492(Rev 4/93) STRUCTURE I fisting Use roposed Use Permit includes: Building 0 Plumbing 0 Mechanical ❑ Other Type of Work: 0 Residential ❑ New El Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Pr osed Total Area sq ft i Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ Zoning Lot Size ' Existing Bldg Valuation $ LENDER Name Address City State Zip MECHANICAL CONTRACTOR 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 El 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 Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons 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 pplication. ���n�jjj A caner/Agent: Li. r .LO\I' JT Date: 4121 1q5.