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A Or w v cc: } Q 6 94 W V f 6 � Ln 6n I. - 3.d u Ln I H1 n� Z r W S aLn ,� l f� V Lw O� / ¢ Q I= LIj a� 1••i i O S N r d�yC S z a0.e r a w Y W C.W.1 V z 3 C. 1••N p B UII.DING DIVISIO crr-ror•4— • • 33530 First Way Sout Federal Way, WA 9800 Fr .. (206) 661 400 Fax (206) 661-41? A ION FOR BUILDING PERMIT jam,� PLEASE PR/N �. I ` � I TIO # c^ r j ' ddres I...CA.. Xtf....................................:: :... Tenant (if known) Lot #Z T 11 Building e ' Na9141& ' ' Addressj�" Cit Statc Zi �qJJ 66 Ph / Nature of Work l� ............................................................................................ A Company Name IJ dJ K Address City State Zi Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No A HCTZ .:....:..............;'> >' '» Name Address City State Zi Contact Person Phone Fox LEGAL DESCRIPTION Please Complete Ravers =ggM MW TRU..T11E�.............................................,...... Ur Existing Use s Dr Proposed Uso Su Washing Machine Per it includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Fans Miscellaneous Fuel Tanks Tpt of Wo;k: ❑ Residential ❑ Commercial ❑ Now ❑ Addition ❑ Remodel ❑ Garage ❑ Number of Units ❑ Shed ❑ Deck ❑ Other Enter 1 st Floor Area Basement sq It sg It 2nd Floor Docks sq it 3rd Floor sq It sq It Garage sq It Existing Floor Area Proposed Total Area sq It 76 It where such clainn arises o t do liar c ' Water Availabilit Sewer Availabilit On -Site Septic System Availability❑ Project Valuation Asp$w '70 Zonin Lot Size ExistingBldgValuation s Name Citv Contractor Name City Contact License # Contractor Name City _ Contact Showers Sinks Ur Dish Washers Dr Electric Water Heal rs Su Washing Machine Dr Address State Phone 111071m, Address State Phone on Date Fax Verified O Yes ❑ N: IL Fax Verified ❑ Yes ❑ N MECHA111LCAL1N1 . C:QtNT,, <<;;:s MECHANICAL EVALUATION ONLY S Fuel Type (elec c/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons -Length of G21_4piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <1 QdK BTUs Gas Log Unit Heater 50+ Tons 400 BTUs Fans Miscellaneous Fuel Tanks IFurn Ga Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Total'Unit Count DISCLAIMER: I certify under Penalty of perjury that Ute information furnished by me is true will correct to the best of my knowledge, and further, that I am authorized by the oR lllc abovc premises to preform tllc work for which permit applicalion is mlade. I fndier agree to save harndcss the City of Federal Way as to any claim (including costs, expenses, r attomevs' Fees incurred in inv tigati n and Terse o such claim}, ivlricIt may be made by any person, including f)e undersigned, and filed against the City of Federal Way, but e- where such clainn arises o t do liar c ' Ute cit , including ils ofl' ens and crap) ccs, upon the accuracy of the information supplied to lie cit asap t of this application. , Owner/Agent: ! j� t i.c/ pats: a�' - 11: 56 /j7f r�Ha�ry rr��r rraii y (WOfT "A" V. OLSCRlt'Tltitf: Lot 2 it designated 00 Xfnq County Snort flat ha. VOW recorded Aupust 10. 1910 under a►tordsog oto. 71106180104, records of ting (aunty, Washington; Ming a portion of Via following described tract; All that real protwrty being a sortion of the Southwest quarter of Section 11. lomship 21 North, Range 4 cat, W.M,, to acne County. NKhlnalon. awe partitolariy described as follows; tonvtWail at the Northwest turner of the Southwest quarter of Isis Section 11; theac0 Southerly along the Most tint of said section. sold Mist line alto h being the evAterllnt of 1st Avenue South. South 1'01'3$' Wast 201113 feet; thence Ieartna said tient line South !4'51':2" Last 42.00 feet to the Sovt"st corner of thei certain short Mot as retarded under 110. 7603089571, records of Rtng County. INS111090n; thence !long the South lint thereof South 110.57111' Cast 1)7.33 feet; theme tanpAt to the "cedino tourst aleAg the are of a curve to the left having a radius of 1100, feet end a central ahgle of 10'14'04', aA aft Itowl of 199.64 fleet; thence an 4 Mon -tangent ilaa Savth 09.21'26' East W.00 feat; thepte South 37`01`11' Last 1:').46 feet; thence continuing South 37'01'16' (last 344.04 feet to a point OR the horthmsterly lint or Imntvflit .saver Administratfon transmission line easement as recorded under Retarding Moi. $131931 and 516SIb3, records of One County. Wshington; theott along said Uortivoosterly line South 52058144" Welt 1910.01 feet to a point an a Aon-tingont curve (a radial line threfoah said 00int beers South 32'33'29' Most) said point being on the Gsterlr iijyht•of-wey Itnt of.1st Nay South; Monte Continuing along said r!$ht-of-way line, along the art of 5444 Curve to the right having a radius of 7450.00 feet, a Central angle of 190411100 and an arc length of 160 35 foot to the Sout"It cornar of Said north half; thtnet leaving said right -of -war ant eloo4 the Southerly tine of said ao+th half tbrth 74 04'32" East 962.59 feet. Rive or less, to the trot point of beginning. Situate to the County of king. State of ItashlogWn, ISEP 4 _M9 8,36 xst Ams s gIT10 1 i t _ a • dx L� I LIA I� G Liq I �� '' - \j/ (D 409 (� SOB co roQ iog to �•/ 114 ii / r 14 `1 ors r f I •I I - I toot tool C) I — iCr - O toot P tit jle tit_ — %�-- ha / U � ; �E ._I dill-I--i�� • I JI I' "lot - POLI i I �• I ltL i IOtI _a tl V Boll 1 eoL r eoe tog I i � I�I N-- � LOtI e J j , _ I•— I lot tot I I w tri k _ b.. ' Lll L►LI EOl T tt: i KCI CICI - 011 Let �- �__ +,�- Ott , Itt;-rllOtl r r(� Ertl OlCI t tC of oci -r w aol� oil f ' °L Bou r b f— ta sli, � t , tlti ►� j_ 411 Toot vY, 41[1 COLI—i r�s � tOt T --fll may! 9lil ,ML't I I ►LCt I tict LOCI � ���� •r �l lei I 1 ��.! �y' � R / _ c IRW a oz 1 l�Z SINN / IF t__ i t I I • a �� � >`IA T � � i�� I �� a VI 9 I SR 03/16/1998 16:28 206-838-6965 0 COVE EAST 0 PAGE 01' G BL1[ jMNGDIVUWN 33530 First Way South r�XM� Foderal Way, WA 98003 V (253) 661.4000 Fax (253) 661-4129 Affidavit in Lieu of General Contractor Registration State of Washir County of King I, I" ( tJ-- Y* � _ state as follows: 1. I have mad4 application for a building permit from the City of Federal Way, Washington. 2. I understa.0 that state law requires that all building construction contractors be registered with the St#e of Washington. The exceptions to this requirement are stated under Section 18.27.090f the Revised Code of Washington (RCW), a copy of which is printed on the reverse Sidi of this affidavit 3. I unders" that prior to issuance of a building permit for work which is to be done by any contractor, he City of Federal Way must verify either that the contractor is registered by the State of Washington, or that one of the exemptions stated under RCW 18.27.090 applies. 4. In order to rovide verification to the City of Federal Way of my compliance with this requirem I hereby attest that after reading the exemptions from the registration requirem ofRCW. I8�.,17.070, I consider the work authorized under this building permit to be exempt nder No. �. and will therefore not be performed by a registered contractor, I understand tha I may be waiving certain rights that I might otherwise have under state lar ► in any decision to engage an unregistered contractor to perform construction work. tic,�'•� •:oi� 0 Signed orn to before me this L D f►� 19`1e. NOTARY Pmuc in and for the State�of Washington, residing at �) ° County. i My Commission expires: ! LI