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98-103930
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II -i IS I-� -rn n li n II • •• 1 1 I 44*�-'4 4 13 7! nIr�...1,1 ppb) n 1 n it o m Q W 1i n i u u E9 E9 EA EA. 11 # If i P �` jII i7 n �--' �•�. n f n II i - W H Ch un 1-• O Il 11 11 H CD CD CD CD n n it ' J H it 1I it n n O H ii • • BUILDING DIVISION �'°F C 33530 First Way South �' �rlEl-ZAL Federal Way,WA 98003 uV F-IYRECEIVE (253)66l 40 ') ax(253)661-4129 (VI T 41999 APPLICATION FOR BUILDING PERMIT . HAL WAY ....:.....:.E.;c3 DEPT. PLEASE PRINT APPLICATION # r)LbaZ 0303 Address PAC Tenant(if known) Lot# As ems or's Tax# 10 Building Owner's Name Address City V.c8-e,a.t .:,,,A. State U Cr.. Zip '1,tf) 0 3 d Phone Nature of Work Re_w.,Due, goo 0 t Dtot JE,N-t. Name (F,M,L oN f . s0k40 MI" b+J Address S 10 4 Si-) 3 0 t P(-- City \I-C.dP.v"a 1- t....N C-41 State L..)A Zip 1 Q 0 2,71 Contact Per on Day Phone Other Phone Fax s "2.S 3 CI 1.1 t4 40 4 0 FEDERAL WAY BUSINESS LICENSE S SS C EN S ,Company Name .5/A Address City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCt ITE...» �`Hila : iMi l>> >>>>>: Name N 0 kJ Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side ; 0 -- (1; Existing Use Proposed Permit includes: tr Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck La' Commercial ❑ Addition ❑ Garage ❑ Shed 3 Other Enter 1st Floor sq ft 2nd FloorM)sq ft 3rd Floor sq ft Existing Floor Area -15.".;')'") sq ft Area Basement sq ft Decks sq ft Garage sq ft Pro osed Total Area — .`h')0 sq ft l ' Water Availability Sewer Availability On-Site Se.tic System Availability ❑ >K. » Project Valuation $ O H1,51:)-13 Zoningc_.� 'Lot Size '% '1� I+3#/' 1 '?4if Existing Bldg Valuation $ („e --gOo ) .......................................................................................... ................................. ................................................. .......................................................................................... LEN::,:,. ..€€>< `:`:`:` »» > ' >':>?>< > > >":':':> > ............................................................................................ Name i./ Address ©r"-Y� City State Zip ........................................................................................... ........................................................................................ ........................................................................................... ........................................................................................ ........................................................................................... AltEGRANICAL40.NTE ACTO > ; <; ; Contractor NameAddress I>J o v0-e, City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No .............. ......................................... .......................... ...................................................... ........................... .............. ......................................... .......................... ...................................................... ........................... .............. ......................................... .......................... .......................................................................................... Contractor Name , Address 'loAle City State I Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No ....................................................................... .................. ...... ........................................................ .................. ....................................................................... .................. ...... ........................................................ .................. ............................................................................................ ............................................................................................ OLOMBINGMIXIIIREAXIUNTRumm Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Ai 0 soc.- Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps ............................................................... Lavatories Washing Machine Drains Total Fixture Gaunt ....... ....................... .............. .................................... ........ . ........ ...................... .......... ..................... ....... ....................... .............. .................................... ........ . ........ ...................... .......... ..................... ....... ....................... .............. ..................................... 11 t 'tA VI.eAI+ UI Ii Ctt N ` i MECHANICAL EVALUATION ONLY $ ......................:....:............................................................... 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 `a..../ 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::Uvt Cori#it 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'fe- ' cured 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 suc ,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. 6 Owner/Ag-' ,•a' A Z Date: PCI f ) 4 41.Y wc.Avv REVISED I R[vsEo 8128/97 • . . ,....,.......,...:: ........„....,..: ... .. .,,,,:,..„:„:.::::,....„...„..,,,::::::,.......: :.,,, :.: .............. „„;,,::. . . . .: .. ,... y o:+ 4 :::. . .. .„.... •i. .„.. . . „:-, ... .,- : .,.- --,,..: -.. . ....:... ... :,...„ . .,: ..„„:: ::::.,„ ::0: Q <� o 0 y o o n y .. ° ",:ii y t� ro rxl ZZ ro z n '0- n e. n '� cin z m y it;' c° .- '1:3 -0- "S" • • .• tx.1. ?, t:-.2,?cril. t.zS: (;; (' .6-,. .--'1,,, m m' tii J ',17 W 41 C) H Cn T� Q 'C N VI o "'' c) ° ca, O H 00 ^* Sy ;o h A a ,` H o iv -4. d W (•-', z oc...' g' b �b k% H b <-4.bAo ^o� aR ' HHtil Cl)> O . , 7i- ao' '6. \ ro0x Cro o m o • y d o 2 x H H H lJ A > (n C) �' CrQ c� �' f r �Q .:"....:..:.....!........:;!....!:-. `...... z a § �� � H � r0 H cD cep = A ti �' ...:.. n oo `, oZ ••• Cl) c) CD E, b o • b O �, hn _ A ° •N H Aco^ A A y ry. 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Date By ................................................................................................. ................................................................................................. ................................................................................................ ................................................................................................. 6 INNNfIGOOR E..RAMING ; Date By ................................................................................................. 7 ................................................................................................. ................................................................................................. 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