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BUILDING DIVISION
G REC E%V J' 33530 First Way South
____ Federal Way,WA 98003
FiY 4 X99 (206)661-4000
�� Fax(206)661-4129c
CI t RLIILDING DEPTr
APPLICATION FOR BUILDING PERMIT
°LEASE PRINT APPLICATION#
regloompoilingimiiiiiiiii Address ] 3:34.,tt nacre,
Tenant(if known) Lot# Assessor's Tax#
3 066231-OOaO
Building Owner's Name Quadrant Corporation AddressP.O. Box 130
City Bellevue _State WA zip 98009 Phone(425) 455-2900
Nature of Work New Single Family Residence
11)C `: :::T<:\:iii':':?%t :::s::?:sd:>:}`:}8:>.?:::::::<;<: ;:
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 Fax(425) 6468363
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.edoiCih�&a:�::%;:;:::i:::;�;::42r;t::; ::::: ::;3�: :�:�:�::�i::; ::::::?:
Muj-j,Et,''„•'',.,J 1; rea. O R.4iY;7a:7#aii: :}i%:::iii:i=i::i:::ialN
Company Name
Quadrant Corporation
Address
P.O. Box 130
City Bellevue State WA mp98009
Contact Person Phone Fax
Katrina Toole (425)646.837; (425) 646-8363
Contractor's #(card must be presented) Expiration Date Verified Xfl Yes 0 No
QUADRC*2210F 9-6-98
Name
Robert Galarneau & Associates
Address
19529 8th Avenue NW
City Seattle State WA zip98177
Contact Person Phone Fax
Quadrant Corporation/Katrina Toole (425) 646837: (425) 646-8363
EGAL DESCRIPTION Bel l acari no Woods Div. 2 Lot ,3
• Please Complete Reverse Side
I
:i;: i}:No-,'ii+M,\\7?'.4,'€Qc:C*.:**,,a`:���ii::*- ti:t `�; iE,..t:*wt��ti{ r
-' es k.04 �'?•h x i ,:a.'a ge Existing Use
Proposed Use
Permit Includes: XCX Building XIX Plumbing XX] Mechanical ❑ Other
Type of Work: Xai Residential )FX New 0 Remodel 0 Number of Units 0 Deck
0 Commercial 0 Addition 0 Garage ❑ Shed ❑ Other
69
Enter 1st Floor 12_93 sq ft 2nd Floor 15sq ft 3rd Floor ----sq ft Existing Floor Area�_sq ft
Area Basement -- sq ft Decks — sqft Garage
if �}�',;,7 sq ft Proposed Total Are -i.i�•� sq ft
Water Availability IXI Sewer AvailabilityK] On-Site Septic System Availability 0 Project Valuation $
Zoning SFR I Lot Size
'73)(j •_, {• Existing Bldg Valuation $
V.•.i:>::;i;< ::::•.::i:ii :.:•:;:;::iw::.:i.:i.:ii•:: :...,i:.:iir: .4.m.]i
ENA:::::«<<><v< >>:::::>::::: ::�<:> ::<; ::-<,::>::>:•::.>:.:
Name N/A
Address
Sibr I
State Tap
:.i: i::..iiiyF:::::ii:iix:iiii�iiftii,{,{:iiiii::i:K::i:}iiia:?iii :?::yiii�[i,�i}}:t>.}:iii:i:};`:iYj:
•1I♦M.MF tANICALOONEF:MCOTOR R._:...:"ivy::i}iti:'t::
Contractor Name
Pacific Heating Address
825 7th Avenue
ty Ki rkl and state WA Zlp 98033 1
Ci
Contact
Bill Lockman Phone Fax
(425) 889-9345 (425) 889-0630
License # PACIFHA09306 Expiration Date Verified 0 Yes 0 No
PLUMBINGOlififfiliTerdEtkENEIM
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
a`•laU',.'t�•:':'°' •t�oo5;,::c:�:;::#t::#+:%S::::w$:::}i :;;i�••;••r::8::::.`;;r: i ;ti:: '
Water Closets 3 Sinks Z Urinals --- Lawn Sprinklers ---
Bathtubs 2 Dish Washers 1 Drinking Fountains --- Other ---
Showers 2 Electric Water Heaters --- Sumps ---
Lavatories 5 Washing Machine 1
Drains
1NiiiiififiktriftirVitifitiiinigiiiiiiiagiM
,A�....,,>'¢`i�',Sir3;,tx':C::�G::?f%:::.:;i:':#:%,:: ::r. :::::::: :;y'%'`:::?:::: :2�:
�ldt. Ni '>.'>: i�..'-<<`r`�<€ 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 1_ 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 --- Underround ---
BBQ's ––– Wood Stoves --- 3-15 Tons
DISCLAIMER:I certify under penalty of pei ury 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
Owrer/Ager • d . lOi Date: r3/1,4ri
auanEE°.Avr
REVISE°17/11/76
• •