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Y U�POUR CONCRETE=UNTIL IE ABOVE i- 109PAI, ... ' ( ) DRAINAGE: Line ( ) UNDERFLOOR ( ) Connection () ROUGH PLUMBING: DWV Water piping O ROUGH MECHANICAL �"' / b �(� Gas piping () SHEATHINGS i/103 Roof Floor () SHEAR WALLSDrcv ELECTRICAL ROUGH -INS" 6-7-0 X- E JR Ditch Cover. () FIRE/DRAFTSTOPS —1.4— () INSULATION: Floors Wal () WALLBOARD NAILING 7 'r ©Z C �''r-ls %cs 2-�- ( ) SUSPENDED CEILING 14 • INSPECTION LOG • PRO]ECT IN TYPE OF PROJECT (This application): PrBUILDING ❑ PLUMBING J% MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM ^ s r PROJECT DESCRIPTION (Provide detailed description): 4e4l /0' Y � 1 PROJECT NAME: �G �•-�3 C v�-, 4 4 �' - • •• 4'k- PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: j DAYTIME PHONE: MAILING AO S (STREET ADDRESS; QTY, STATE, ZIP): .� z 3 I c( S' 2 7 e 5 Y- f'& e -f 'P 1R� �:5 l �' C.' C' NAME: Jam/ _ n1i"u /YtK'I�CM �R C- DAYTIME PHONE: (zou ess - �'O" �' } , MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: — — — — — — — — — — (51/( )<??e -/c14` CONTRACTORS REGISTRATION NUMBER: g EXPIRATION DATE: (roPY of card required) <- NAME: DAYTIME PHONE: MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: 34;.?t Ada Age /ViF- ern . F?, RELATIONSHIP TO PROJECT:/2 �` ` `_ ` FAX NUMBER El ARCHITECT El TENANT OTHER ( DESCRIBE): l e. \ �1-T C (S./ \ ) � 7,r E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT 8,CONTRACTOR EXISTING USE: ■ .flETAILEC BUILDING INFORMATION EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: rr\ PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES DKNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES 0140 WATER SERVICE PROVIDER: 9 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER: KLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) J P& **NEW RESIDENTIAL CONSTRUCTION NUMBER OF BEDROOMS: _ ESTIMATED SELLING PRICE: $" ■ PR03ECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT AIR HANDLING UNIT(S) FIRST GAS LOG(S) REFRIG. SYSTEM(S) 59SECOND FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) THIRD RANGE(S) MISC. ( ) COMPRESSOR(S) FOURTH _ DUCT(S) OTHER FLOORS (DESCRIBE) HEAT SOURCE: ❑ ELECTRIC ❑ SAS ,. DECK BATHTUB(S) GARAGE HOW MANY FLOORS? URINAL(S) WATER HEATER(S) DISHWASHER(S) TOTAL: VACUUM BREAKER(S) jam" 2 DRINKING FOUNTAIN(S) a -%*Qr1 ATMFD ICTf.NATttop Fu C 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, 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 f%city as a part of this application. NAME/TITLE: x�w ti t3 wi +--�'L. DATE: I/-� ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH • PO BOX 9718 - FEDERAL WAY, WA 98063-9718 • 253-661-4000 - FAX: 253-661-4129 Indicate number of each type of fi ure MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. ( ) COMPRESSOR(S) FURNACE(S) _ DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ SAS ,. PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAINWATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINKS) WATER CLOSET(S) MISC ( ) INTERCEPTOR(S) SUMP(S) -%*Qr1 ATMFD ICTf.NATttop Fu C 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, 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 f%city as a part of this application. NAME/TITLE: x�w ti t3 wi +--�'L. DATE: I/-� ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH • PO BOX 9718 - FEDERAL WAY, WA 98063-9718 • 253-661-4000 - FAX: 253-661-4129