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Date By ................................................................................................ ................................................................................................. ................................................................................................ 3 PLUIII�ING�>:3ROUNQWORI; :<::>::..::.... Date By ................................................................................................. ................................................................................................. 4 SEAS iNSIL/.rto Date By ................................................................................................. .......................................................................... ...................... ................................................................................................. ................................................................................................. 5 FOOT*1GIDOWNSPOUT DRAINS Date By ...................................................................... ............... .......... ................................................................................................. ................................................................................................. ................................................................................................. 6 UNE3ERfLt7OR:FRAMING ....... : ..... ... ................................................................................................ ................................................................................................. Date By ................................................................................................. ................................................................................................. ................................................................................................. 7 $ : >: :::::::::: :�<><..-:i:: : is>>>;` SHJfiRWAt.L........ ................................................................................................. ................................................................................................. Date By ...................................................... ....................................... ................................................................................................. ..................................................... ...................................... 8 PLUMBING:ROUGH IN:> :::::>:<::'.<:<::: :::::: :::::::: Date By ................................................................................................. ...................................................................................... ....... ............................................................................................... 9 AS:PWI.. .::::::::::::::::::€::'€:::€::::<::::::::::::::::::::::::>:::>:::: .............................................................................................. .................................................................................................. Date By ......................................................... . .................... .. .......... ......................................................... . .................... ............. 10 ME:CHANIDAL ROUGH-1N:: Date By ................................................................................................. ................................................................................................ 11 FRAMINf4: ; ;><`,..:,:s:T„:„.•<:::::::::::::>:::>: : Date.,..:;.:::. r BY // �.,: ............................................................................................... ................................................................................................. 12 IfISULATIQN::>::;: ;;::::>:::::>:.>::.:: : .,::::.. . :. Date By ..............................................................................n:___....... ......................................................................... ...................... ........................................................................ ...................... Date By ................................................................................................ ............................ ................... .................... ....................... ......................................................... ....... ...................... 14 t�IWt3:-: NDIA Y`><I3 :i.::<.:.::::>:.;;:;.;:.,,i,, ,: «:<:<: :::::::::::: ................................................................................................. ................................................................................................. Date By ............................................................ .......... ....................... .......................................................... ........... . . .......... .... ........................................................... .......... ....................... 15 SUSFENI:QED:DEILIN:G :::::::::::<: ::::::: :<: << :: ................................................................................................ ................................................................................................. ................................................................................................ Date By ................................................................................................. ................................................................................................ ................................................................................................. ............ ................................................................................. 16 PANNI..N3FI..NAL...<..._:::>.......:::....<.....>...:.:._.:.:. >...>....>....>....>...:.>....>...: ................................................................................................. Date By ................................................................................................. ............................................................................................... ................................................................................................. ............................................................................................... 17 PUBLIC:aIItORKS>FINAL ::::[::::: ::::::::::...? :::: :: ................................. ............................................................ ............................................................................................... ................................................................................................. Date By ................................................................................................. 18 ................................................................................................ ................................................................................................. ........... .................................................................................... ................................................................................................ Date By ................................................................................................ ................................................................................................. ................................................................................................ ................................................................................................. 19 BUILDING:::FINAL:.:... : >::::::>: : :::: :<' : :: >. Date /J By 0‘.. 20 OTHER. . ':: . . ::.::; Date By CD0193(Rev 4/97) T.. 33530 First Way South r1 . _ • ill Federal Way,WA 98003 y (253)661-4000 Fax(253)661-4129 r PR o 8 19cAPPLICATION FOR BUILDING PERMIT qp,t,WAY PLEASE PRINT kk �' `; c�I CL- APPLICATION # 3L Y1 q -03 igiteiztoommillonna Address- w Tenant(if known) ffV Lot# Assessor's Tax# Buil Ow er's Name Address 3 ' /^/- --- ?r7- -riQo� �Lt 1�C�hE�/l� 6,,, v q City �n. 2, �.J41/ State iv - `� ACA3 ! ec.Z2- Phone (4ZS)6'�3-7?q3 Nature of Work r 4c'1�4r� 4" ? C)L i [)V o t SAP..:<> ' :<:::::5::.>:a_:: s EMER <> >'>< > EMi Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax gtllUNb"<�:t)VT4 . .. 1FEDERAL WAY BUSINESS LICENSEE # 70 i __ _ __ Company Name &-A�-7v2.--/ (/1 Address/7 32c) A___ ___ egol- _ City 4, A'—• State j.,/4 Zip 7€i033 Conta t Person // ,Phone Fax ���—'c_i i, 4.2,--i 0105—)d L Z-6665 ~ 5am -'--- Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No �E.�4 e-k ! o zr7 06/Z5-1/ 9 9 Name ,..--77A.--- /pt.-4L�'.- A.1-C./A>✓i�' /' s Vic' Address (.041'.7---Z--) ,t . g-n+ Er. City �/ f z.c-vL-c, State k/4- Zip ?g Oo ContactP-7, PJe.one Fax LEGAL DESCRIPTION Please Complete Reverse Side iLaii :iiK:__::],:._,.:i:i*ii:L.::ilLiWiiiMi:NiMMaiMM:ffliniiiiiiiill -:,-.1....lj. f iii:.;:::.: iii iiii:iii -gi:i] u Existing Use •I Proposed Use Permit includes: ❑ Building 0 Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck ❑ Commercial 0 Addition 0 Garage 0 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 Proposed Total Area sq ft Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation S- 77 . Zoning 1Lot Size Existing Bldg Valuation $ `�5,-/67 Name Address City State Zip MECHANICALCONTRACTORNEMEM........... Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No Contractor Name I Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No PLUM t ''UF :.;CCS A(;1';:;:: K:K::>::>::: Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Total Fixture Count iiii:i: 1 ?:?ii:i:iii:iii::ii`<::i:i:<:.:.i:>iii::fi:i* liiii<>:::>:>«imi MECHAN CAL UNM COUN ` x:iMECHANICAL 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 <1OOK 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:U iit.Couric........ .............:_: 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 application. Owner/Agent: (-77/4_,./9y/cr tom.---- Date: ,4 j2. g,,,, / / 7 BUtDING.APP / REV5EO 0/26/97