The URL can be used to link to this page

06-106106F ,1 t City of Federal Way, BuilAg g - Single Family PermA: 06 -106106 -00 -SF Community �'evelopment Services . P.O. Box 9718 ' Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 � s Project Name: LAKOTA CREST LOT 23 ,, s Project Address: 31054 1ST AVE>G"ft. Parcel Number: 416680 0230 Project Description: NEW - Construct a new 2533sgft, 2 -story, single-family residence with a 28sgft covered entryway and a 617sgft attached garage, includes plumbing & mechanical. ***4 bedroom/Proposed sale price: $400,000*** BASIC #06-100434 Census Category: 101 - New Single Family House Includes: #1 #2 #3 44 Occupancy Class: Owner Applicant Contractor Lender LAKOTA CREST LLC KATHY BRAY LYLE HOMES, INC HOMESTREET BANK 325 118TH AVE SE SUITE 300 LYLE HOMES INC LYLEHI*954MM 7/15/07 2000 TWO UNION 601 UNION ST BELLEVUE WA 98005 1601 114TH AVE SE SUITE 100 1601 114TH AVE SUITE 100 SEATTLE WA 98101 BELLEVUE WA 98004 BELLEVUE WA 98004 Census Category: 101 - New Single Family House Includes: #1 #2 #3 44 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: New / Additional Sq. Feet - Garage .......................617 Dishwashers................................... 1 Floor Areas . ft. 2,505 617 0 0 Additional Permit Information New / Additional Sq. Feet - 1 st Floor....................1448 New / Additional Sq. Feet - 2nd Floor ................... 1085 New / Additional Sq. Feet - Other.........................0 Plumbing to be Included? ...................................... Yes New / Additional Sq. Feet'- Total .......................... 3150 Occupancy # 1 - Use ............................................... Residence (1 or 2 Occupancy #2 - Use...............................................Private Garage New / Additional Sq. Feet - 3rd Floor...................0 RS 7.2 Occupancy #2 - Area (Sq. Feet).............................617 Hot Water Tank............................. 1 BasicPlan?........................................................... No Occupancy #2 - Construction Type ........................Type V - B New / Additional Sq. Feet - Garage .......................617 Dishwashers................................... 1 Occupancy #1 -Class .............................................R-3 4 Mechanical Fixtures Fans................................................ family) Zoning Designation ............................................... RS 7.2 Occupancy # 1 - Area (Sq. Feet).............................2505 Hot Water Tank............................. 1 New / Additional Sq. Feet - Basement...................0 Occupancy #1 -Construction Type .......................Type V- B New / Additional Sq. Feet - Deck..........................0 Dishwashers................................... 1 Mechanical to be Included?...................................Yes 4 Occupancy #2 - Class.............................................0 Water Closets ................................. Mechanical Fixtures Fans................................................ 5 Furnaces......................................... 1 Gas Pipe Outlets ............................. 7 Hot Water Tank............................. 1 Plumbing Fixtures Bathtubs ......................................... 2 Dishwashers................................... 1 Lavatories...................................... 4 Showers.......................................... 1 Water Closets ................................. 3 Hose Bibbs..................................... 2 GasLogs ....................................... 1 Laundry Washer Outlets ................ 1 Sinks.............................................. 1 PERMIT EXPIRES Thursday, December 18, 2008 Permit Issued on Monday, December 18, 2006 hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent. /I;?—Date: 14 City Of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: LAKOTA CREST LOT 23 Address: 31054 IST AVE SW Permit #: 06 -106106 -00 -SF Includes: 41 42 93 #4 Occupancy Class: R-3 U Construction Type: Type V- B Type V- B Occupancy Load: Floor Area (sq. ft.) 1 2,505 617 0 0 Owner Name: LAKOTA CREST LLC Owner Address: 325 118TH AVE SE SUITE 300 BELLEVUE WA 98005 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most sevedy affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. THIS CARD IS T EMAIN ON -S11 CITY OF �Iw Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06 -106106 -00 -SF Owner: LAKOTA CREST LLC Address: 31054 1 STAVE SW FEDERAL WAY, WA 98023 This card is part of your required inspection documents. Scheduled inspections maybe failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible (read left to right, top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections are logged on the back of this card. ❑ Temp. Erosion Control (4365) ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) To be done prior to breaking ground Approved to place concrete Approved to place concrete By Date By C Date i _ By Dat1/ z ] Drainage/Downspout (4040) ❑ Plumbing Groundwork (4190) Slab/Concrete Floor (4255) Approved to backfill Approved to cover Approved to place concrete By .* ZDate 2// By Date By Date Underfloor Framing (4285) Approved to sheath floor By r, � Date q__ �•-� ❑ Roof Sheathing (4220) Approved to install roofing By Date ❑ was Piping (4125) Approved to release test By j Date - 2.- O ❑ Floor Sheathing (4105) _ Approved to install flooring By �,.�� Date t2).- \13 ❑ Rough Plumbing (4230) .- Approved By Date�7S/ ❑ Fire/Draft Stops (4095) Approved By G c.V Date o ❑ Shear Walls (4245) Approved to install siding By Date ❑ Mechanical Rough -in (4165) Approved By Date 3 b7 NOTE: Prior to scheduling a Framing (4120) inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Framing (4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) Approved to insulate Approved to install wallboard Approved to install mud & tape By G Date _ „ 0 ByG Date 6 �� By ,� Date �/ / A ' ❑ Final - SWM (4375) ❑ Final - Mechanical (4065) ❑ Final - Plumbing (4075) Approved Approved Approved By Date -7-45 By G. fj Date C>*7 By G C,4,-) Date ,(�, - ?- 0'7 ❑ Final - Building (4050) ❑Temp. Erosion Maintenance (4370) Approved Approved By G CJ Date �, .� 7 - p By Date bm L/ju`4_alternative � I a�$.Y Business rr rr TJ -Beam@ 6.25 Serial Number: 7004113051 3 1/8 x 16 1/2 alternative (24F - V4 DF) UserPagel Engin Version: 6.25.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 1 Engine Version: 6.25.71 CONTROLS FOR THE APPLICATION AND LOADS LISTED wer all Dimension: 24' Product Diacpam is Conceptual. LOADS: Maximum Design Control Control Location Analysis is for a Header (Flush Beam) Member. Tributary Load Width: 4' Primary Load Group - Residential - Living Areas (psf): 40.0 Live at 100 % duration, 12.0 Dead Vertical Loads: Moment (Ft -Lbs) 29380 -25229 25139 Passed (100%) Type Class Live Dead Location Application Comment Uniform(plf) Snow(1.15) 475.0 380.0 0 To 12' Adds To Uniform(plf) Floor(1.00) 0.0 80.0 0 To 20' Adds To Point(lbs) Snow(1.15) 2309 1381 0 Tapered(plf) Snow(1.15) 100.0 To 0.0 60.0 To 0.0 12' To 20' Adds To Point(lbs) Snow(1.15) 2175 1305 12' Uniform(plf) Snow(1.15) 25.0 15.0 12' To 20' Adds To SUPPORTS: Input Bearing Vertical Reactions (Ibs) Detail Other Width Length Live/Dead/Uplitt/Total 1 Wood column 3.50" 9.58" 11189 / 8267 / 0 /19455 By Others None 2 Stud wall 5.50" 4.12" 3323 / 2150 / 0 / 5474 By Others None See TJ SPECIFIER'S / BUILDERS GUIDE for detail(s): By Others Bearing length requirement exceeds input at support(s) 1. Supplemental hardware is required to satisfy bearing requirements. DESIGN CONTROLS: -Deflection Criteria: STANDARD(LL:U480,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 6' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. PROJECT INFORMATION: Lyle Homes Plan #2505 KAPS Job #05121 Copyright R 2006 by Trus Joist, a Weyerhaeuser Business TJ -Beam' is a registered trademark of Trus Joist. K:\Kaa\05\05121\bm 4 alt.sms :BATOR INFORMATION: n Kobayashi pier Architects PS 14311 SE 16th St. Bellevue, WA 98007 Phone: (425) 641-5320 kevink@kapplerhomeplans.com Maximum Design Control Control Location Shear (lbs) 10975 9217 9488 Passed (97%) Lt. end Span 1 under Snow loading Moment (Ft -Lbs) 29380 -25229 25139 Passed (100%) MID Span 1 under Snow ALTERNATE span loading Live Load DefI (in) 0.191 0.207 Passed (2U521) Left OH under Snow ALTERNATE span loading Total Load Defl (in) 0.513 0.776 Passed (U363) MID Span 1 under Snow ALTERNATE span loading -Deflection Criteria: STANDARD(LL:U480,TL:U240). -Bracing(Lu): All compression edges (top and bottom) must be braced at 6' o/c unless detailed otherwise. Proper attachment and positioning of lateral bracing is required to achieve member stability. -The load conditions considered in this design analysis include alternate member pattern loading. PROJECT INFORMATION: Lyle Homes Plan #2505 KAPS Job #05121 Copyright R 2006 by Trus Joist, a Weyerhaeuser Business TJ -Beam' is a registered trademark of Trus Joist. K:\Kaa\05\05121\bm 4 alt.sms :BATOR INFORMATION: n Kobayashi pier Architects PS 14311 SE 16th St. Bellevue, WA 98007 Phone: (425) 641-5320 kevink@kapplerhomeplans.com bm_4__alternative "nber7`0411 "``n�' 3 1/8" x 16 1/2" Glulam (24F - V4 DF) TJ -Beam® 6.25 Serial Number: 7004113051 User: 2 4/2/2007 12:57:36 PM Paget Engine Version: 6.25.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED ADDITIONAL NOTES: -IMPORTANT! The analysis presented is output from software developed by Trus Joist (TJ). TJ warrants the sizing of its products by this software will be accomplished in accordance with current code accepted design values. The specific product application, input design loads, and stated dimensions have been provided by the software user. This output has not been reviewed by a TJ Associate. -Not all products are readily available. Check with your supplier or TJ technical representative for product availability. -PRODUCT SUBSTITUTION VOIDS THIS ANALYSIS. -Allowable Stress Design methodology was used for Building Code IBC analyzing the TJ Distribution product listed above. -The analysis presented is appropriate for Glulam beams. Operator Notes: Beam between Entry and Hall. PROJECT INFORMATION: Lyle Homes Plan #2505 KAPS Job #05121 Copyright ?' 2006 by Trus Joist, a Weyerhaeuser Business TJ -Beam`" is a registered trademark, of Trus Joist. \Kaa\05\05121\,bm a alt.sms OPERATOR INFORMATION: Kevin Kobayashi Kappler Architects PS 14311 SE 16th St. Bellevue, WA 98007 Phone: (425) 641-5320 kevink@kapplerhomeplans.com • 0 bm_4_alternative " 7W411`051 3 1/8" x 16 1/2" Glulam 24F - V4 DF TJ-Beamt9 6.25 Serial Number: 7004 1 1 305 7 ( ) User: 2 4/2/2007 12:57:36 PM Page Engine Version: 6.25.71 THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN CONTROLS FOR THE APPLICATION AND LOADS LISTED Load Group: Primary Load Group 4' 1.75" 15' 6.25" " Max. Vertical Reaction Total (lbs) 19455 5474 Max. Vertical Reaction Live (lbs) 11189 3323 Required Bearing Length in 9.58(5) 4.12(W) Max. Unbraced Length (in) 143 143 72 Loading on all spans, LDF = 0.90 , 1.0 Dead Shear at Support (lbs) -2747 3936 -1852 Max Shear at Support (lbs) -3539 4727 -2098 Shear Within Span (lbs) N/A -666 Member Reaction (lbs) 8267 2098 Support Reaction (lbs) 8267 2150 Moment (Ft -Lbs) 0 -10199 10876 Loading on all spans, LDF = 1.00 , 1.0 Dead + 1.0 Floor Shear at Support (lbs) -3167 5023 -2765 Max Shear at Support (lbs) -4202 6058 -3251 Shear Within Span (lbs) N/A 713 Member Reaction (lbs) 10260 3251 Support Reaction (lbs) 10260 3357 Moment (Ft -Lbs) 0 -11574 15014 Live Deflection (in) -0.056 0.082 Total Deflection (in) -0.102 0.264 ALTERNATE span loading on odd # spans, LDF = 1.00 , 1.0 Dead + 1.0 Floor Shear at Support (lbs) -3167 4024 -1764 Max Shear at Support (lbs) -4202 4816 -2009 Shear Within Span (lbs) N/A 728 Member Reaction (lbs) 9018 2009 Support Reaction (lbs) 9018 2057 Moment (Ft -Lbs) 0 -11574 10197 Live Deflection (in) 0.029 -0.017 Total Deflection (in) -0.018 0.165 ALTERNATE span loading on even # spans, LDF = 1.00 , 1.0 Dead + 1.0 Floor Shear at Support (lbs) -2747 4934 -2854 Max Shear at Support (lbs) -3539 5969 -3340 Shear Within Span (lbs) N/A -681 Member Reaction (lbs) 9508 3340 Support Reaction (lbs) 9508 3445 Moment (Ft -Lbs) 0 -10199 15693 Live Deflection (in) -0.085 0.099 Total Deflection (in) -0.131 0.281 PROJECT INFORMATION: Lyle Homes Plan #2505 KAPS Job #05121 Copyright „ 2006 by Trus Joist, a Weyerhaeuser Business TJ -Beam° is a registered trademark of Trus Joist. K:\Kaa\05\05121\bm-4—a1t.sms OPERATOR INFORMATION: Kevin Kobayashi Kappler Architects PS 14311 SE 16th St. Bellevue, WA 98007 Phone: (425) 641-5320 kevink@kapplerhomeplans.com er4WW / bm_4_alternative "er:70'04113�"``"`' 3 1/8" x 16 1/2" Glulam (24F - V4 DF TJ -Bean* Serial Number: 7004 7 1 3051 ) User 2 Engin Versio7:6. 5. THIS PRODUCT MEETS OR EXCEEDS THE SET DESIGN Page 4 Engine Version: 6.25.71 CONTROLS FOR THE APPLICATION AND LOADS LISTED Loading on all spans, LDF = 1.15 , 1.0 Dead + 1.0 Floor + 1.0 Snow Shear at Support (lbs) -6723 9217 -4287 Max Shear at Support (lbs) -8481 10975 -4831 Shear Within Span (lbs) N/A 1899 Member Reaction (lbs) 19455 4831 Support Reaction (lbs) 19455 4945 Moment (Ft -Lbs) 0 -25229 25328 Live Deflection (in) -0.032 0.231 Total Deflection (in) -0.078 0.413 ALTERNATE span loading on odd # spans, LDF = 1.15 , 1.0 Dead + 1.0 Floor + 1.0 Snow Shear at Support (lbs) -6723 6562 -2085 Max Shear at Support (lbs) -8481 7715 -2359 Shear Within Span (lbs) N/A 1761 Member Reaction (lbs) 16195 2359 Support Reaction (lbs) 16195 2412 Moment (Ft -Lbs) 0 -25229 11982 Live Deflection (in) 0.191 -0.048 Total Deflection (in) 0.145 0.158 ALTERNATE span loading on even # spans, LDF = 1.15 , 1.0 Dead + 1.0 Floor + 1.0 Snow Shear at Support (lbs) -4525 8689 -4816 Max Shear at Support (lbs) -5678 10446 -5359 Shear Within Span (lbs) N/A -2109 Member Reaction (lbs) 16125 5359 Support Reaction (lbs) 16125 5474 Moment (Ft -Lbs) 0 -17026 29380 Live Deflection (in) -0.210 0.332 Total Deflection (in) -0.257 0.513 PROJECT INFORMATION: Lyle Homes Plan #2505 KAPS Job #05121 Copyright c 2006 by Trus Joist, a Weyerhaeuser Business TJ -Beam" - is a registered trademark of Trus Joist. K:\Kaa\05\05121\bm 4 alt.sms OPERATOR INFORMATION: Kevin Kobayashi Kappler Architects PS 14311 SE 16th St. Bellevue, WA 98007 Phone: (425) 641-5320 kevink@kapplerhomeplans.com 4r Feder Way RECE + - � (� � � /-� C_, PERMIT (�3 OSFIF CO> EL L DE EN FP COMMUNAL DEVELOPMENT SERVICES"' 7 �� 33325 8TH AVENUE SOUTH • PO BOX 9718 3� OG FEDERAL 0WAY,7- FAX 98063-9768 TD / / 253.835-2607• FAX 253-835-2609 - p A www.ciluuro of(ederalura.myl FY OF -FEDERAL fir%, BUILDING DEPT. The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type. , //�� PROPERTY• • SITE ADDRESS 3105 / L1 t r -s+,. ///,4 o . � "�J . \\ SUITE/UNIT # '• Z3 lO ASSESSOR'S TAX/PARCEL # d - Q LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) L0T _Ak_ 2-5 eOr- til kxst-14• ex m r - (Attach separate page for lengthy legal desm' tian) MR-1111,131M.111iny• TYPE OF PERMIT BUILDING O PLUMBING p MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) l�Cs( M114- - 5(10(w _r S4M1(__V PROJECT NAME (Name of Business or Owner Last Name) LA P3l A C46 'ST-ol- !ice PEOPLE• • APPLICANT NAME OFFICE PHONE PROPERTY-NAM'E OWNER ^ �--+'tv_0 C.RGST- L.L.L04 PRIMARY PHONE (D% -.0O3�-7 1LB44aj MAILING ADDRESS CITY, STATE, ZIP =11%• h AVE i 300 501-L lr W4 OISOOS E-MAIL ADDRESS _ 2MAILING ADDRESS /� �y.� \ CITY, STAT�E..,..ZI�P�� , vs7 sq: ml 4. qgnpc CELL yPHONE CONTRACTOR COMPANY NAME 42 L—jr eSl - . APPLICANT NAME - ER -I V- P5 � OFFICE PHONE (AILS )! q42 -(031_4- FAX NUMBER (tij{' 44(o MA LING ADDRESS CITY, STATE, ZIP 3ZS'• t • *-� B�c.c.XVLC W-4, ms' CELL PHONE Zoto ZloI - Z041 a CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Zoo(o I 33-7 17_- 31-0(e (yz,)(aq( -(0313 COPY of evd rcqulrca aIth each application � CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE / Y L� l'T_ -)(•, 4 SL -7 - 1'5. D _ APPLICANT COMPANY NAME L Cz7 komvS APPLICANT NAME OFFICE PHONE 1LB44aj (4zS) (dllo -?031'1 _ 2MAILING ADDRESS /� �y.� \ CITY, STAT�E..,..ZI�P�� , vs7 sq: ml 4. qgnpc CELL yPHONE RELATIONSHIP TO ❑ Architect PROJECT ❑ Tenant ❑ Agent Other 1 FPjft:T" MAoAQM- FAX NUMBER (tij{' 44(o _(W3 PROJECT CONTACT LENDER EXISTING USE NAME o, ----'------ ----••-C • u-mni. AUUKGJJ CeAt— ( ) V o I a NAME Per RCW 19.27.095: �� Lender information is required ifprojec=value eeds $5,000 MAILING ADDRESS CITY, STATE, ZIP ,`,,� /PHONE c/ �Lff; �16� 1�) S' - EXISTING ASSESSED/APPRAISED VALUE $_ SPRINKLERED BUILDING? ❑ YES K NO WATER SERVICE PROVIDER If LAKEHAVEN SEWER SERVICE PROVIDER tXLAKEHAVEN PROPOSED USE RXS1 QCNM A L•,•„ VALUE OF PROPOSED WORK $_ ISd 0454� FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED? ❑ YES NO ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) ❑ HIGHLINE 0 PRIVATE ISEPTICI PROJECT ••• AREAS ............... AREA DESI PTION EXISTI PROPOSED TOTAL SQ. FT. SQ. FT. SQ. FT. BASEMENT o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? FIRST BASIC PLAN? ❑ YES Z� ZONING DESIGNATION SECOND CHANGE OF USE? ❑ YES $� NEW ADDRESS REQUIRED? THIRD UP/SEPA/SU? ❑ YES o NO PLATTED LOT? ADDITIONAL FLOORS (DESCRIBE) DEMO PERMIT REQUIRED? ❑YES o NO DECK (COVERED OR ❑ UNCOVERED?) �(�$ GARAGE }$j CARPORT O NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL E(ISTING Sr TOTAL PROPOSED Sr 3Z {7 TOTAL Sr "*NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL C� 1 1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) Value of Mechanical Work $-3AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS )Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLUMBING (J 2 BATHTUBS (orTub/Sbo— combo) ` LAVS )Bathroom sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS a I I . SHOWERS •� WATER CLOSETS (roaee). ELECTRIC WATER HEATERS I SINKS_ WASHING MACHINES Z-. HOSE BIBBS . SUMPS 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 the permit application is made. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by.any person, including the undersigned, acid filed against the City of Federail 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. NAME/TITLE (Signature) - - RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor DATE (Title) ^ • .� /- ❑ Architect X Other PQC7��C� f�I _A l o NEW ❑ ADDITION ❑ ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES o NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP/SEPA/SU? ❑ YES o NO PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? ❑YES o NO Bulletin #100 —January I, 2006 Page,2 of 4 k\Handouts\Permit Application r ?LAT" c) F- - LA(4-omd, c.2..,`r- L-07 Z.2.) PLAQ ZScx N Ll- : 1.0 ate. n - o, EP T'� E4131�_y 11T' o� sua3r� PRvi'rjr po'.st-,� W Y!ACNZ Xxkk � -i>;y�P C�ostc�.y �.�t-rrt?r>te % Z74. RECEIVED DEC 0 1 2D06 rJTY OF FEDERAL WAY BUILD NG DEPT.