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BUILDING DIVISION
"147 33530 First Way South
1_ Federal Way,WA 98003
RECEIVED (206)661-4000
Fax(206)661-4129c
MAR 0, 4 1998
APPLICATION FOR p. lLDJJNGXPERMIT
BUILDING DEPT. Oiv5
'LEASE PRINT APPLICATION#
}/.y��� }�y*Y '. Address - ±.2.
:%�V k'i`;Kai#i%<•`•:a::'`: '�':':.iiis ?#:'•`'? 'i< "<�:
�� • ... '731 �vJ 3al�— Plans, _
Tenant(if known) Lot# Assessor's Tax#
066.231-0'10
Building Owner's Name Quadrant Corporation AddressP,0, Box 130
city Bellevue State WA zip 98009 Phone(425) 455-2900
Nature of Work New Single Family Residence
t .: •. .. •i:•:i:ti::n�{::.�:{-iii4:ii{ii:•iiiiiiiiiii
Name (F,M,L)
Quadrant Corporation
Address P.O. Box 130
City Bellevue state WA zip 98009
Contact Person Katrina Toole Day Phone (425) 6468373 Other Phone F"(425) 6468363
Company Name
Quadrant Corporation
Address P.O. Box 130
City Bellevue State WA ZIp98009
Contact Person Phone Fax
Katrina Toole (425)646-8373 (425) 646-8363
Contractor's #(card must be presented) Expiration Date Verified Yes 0 No
QUADRC*2210F 9-6-98
WititablUMMMUMMUmm
•
Name
Robert Galarneau & Associates
Address
19529 8th Avenue NW
City Seattle State WA zip98177
Contact Person Phone Fax
Quadrant Corporation/Katrina Toole (425) 646,8375 (425) 646-8363
EGAL DESCRIPTION Bellacarino Woods Div. 2 Lot I
410 Please Complete Reverse Side •
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;<: �. is m.:..�'•of`�4\.�• Existing Use
s� U.�'s.�; ��•.�3i :�4��?>�:w.�\�,.?.�,�. - Proposed Use
Permit includes: XX Building .(Plumbing Xffi Mechanical 0 Other
Type of Work: XI Residential Yti New 0 Remodel 0 Number of Units 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor I092, sq ft 2nd Floor 1441 sq ft 3rd Floor ---- sq ft Existing Floor Area sq ft
Area Basement -- sq ft Decks sq_ft Garage 4}1,s.C, sq ft Proposed Total Area—,Z7---.4 sq ft
Water Availability 14 Sewer Availabilityti On-Site Septic System Availability 0 Project Valuation $
Zoninp SFR I Lot Size -/', 1 Z) -(. Existing Bldg Valuation -$
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+Y�`T.....'.T:i:L`=::'.ti:�i-•-::?:L4?E�Sf:i;:;:j�:;�}:::{:,L:L?:ti:l:ti}:i?::.ii:itin;:iii:%j:?i.:
Name N/A Address
City State Zip
MEMIAMCALAIONTRACZORiiiiiiiigiond
Contractor Name Pacific Heating Address
825 7th Avenue
City. Kirkland State WA zap 98033
Contact Bi 11 Lockman Phone Fax
(425) 889-9345 (425) 889-0630
License # PACIFHA09306 Expiration Date Verified 0 Yes 0 No
Contractor Name Address
Peltram Plumbing 1714 South 341st Place W-8
City Federal Way State WA Zip 98003
Contact Karel Peltram Phonf206)770-8788 Fax
License # PELTRP 15TR7 Expiration Date Verified 0 Yes 0 No
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:viii-•.'.�-- '.�i.�< .••: \'RIk#N?�:::::i::ti:yj'::}:i:::::R:::
Water Closets 3 Sinks 2Urinals --- Lawn Sprinklers ---
Bathtubs 2 Dish Washers 1 Drinking Fountains --- Other -•--
Showers 2 Electric Water Heaters --- Sumps ——— _
Lavatories
5
Washing Machine 1 Drains 1
imxHA C 1 vstxm swiv`€� >>`<>`<`v MECHANICAL EVALUATION ONLY $
Fuel Type(electric/other) Gas Gas Dryer /electric 1 Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 45 Range 1 Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs L Gas Log 1 Unit Heater ___ 50+ Tons
Furn >100 BTUs --- Fans 6 Miscellaneous --- Fuel Tanks ---
Gas Hwt 1 Hood 1 Boilers --- Above Ground ---
Cony Burner --- Duct Work --- 0-3 Tons --- Underground
BBQ's --- ..:......... .................... ...........
Wood Stoves --- 3-15 Tons N
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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 fiuther 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/AQent: / orte.o . Date: ,3/4/41A
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n[VSE9 1 N 11/99
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