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415.54-/A/ " 66
BUILDING DIVISION '
aTY OF ,C_
�. 33530 First Way South
Federal Way,WA 98003
r V" RY (253)661-4000
Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT131-99115(0
PLEASE PRINT APPLICATION # 3 9]" (j I \
,ff,,,�`+'�<a��. ... :::Site address ,--77--7—t)_;...:-:.c-_, �tcc-� <<.
Tenant/Paque_ _ ,/U/oYl �. Lot # Assessor's Tax #�(�l[�
-)/
�Y• D7�1 "S2 1C)-4-<-- 7 l'
Buildi Owner's_Name Address
Qit�C L U--.12.4-144.1C-./ 2s7 G
City 7�'f-,CVS./1#4-4° C{JjtL<, State et--)A2 Zip Phone ( 7a
Description of Work hoc:
i t <>''i g ' igggn `'''''
Name (F,M,L)
)( Address/7‘/W--
7d�/ . C�^�� S( C
City /'t'ZO)t,/Ldt. Gc " State Zip e'k-2-2 Z
Contact Person Day Phone 4."-45---"IS S°? Other Phone Fax
.54,9-t-t x. 3 6,} i)p rf <C8-73''
BUILDIN:: CN<s<:::< ?T`:`P<. ::>:»::>iNEE `.>"
1VG.�t3NIf3AC7�R........................:.:.. Federal Way Business License #
con"NCa_ge44_47.,.7
144%---'
Addr3ss
City State Zip
Contact Person -2,1.74,-------
,`/ Phone Fax
Contractor's # (card must be presented) 1 Expiration Date Verified ❑ Yes ❑ No
(/LL��2 —i 3.Z C cC20- ")c,(--)v
::;Ati.-0;07.F.E.Q.T.ia: MEM::•.:E ;En /
Name /
zi
Address
z
City / State Zip
Contact Person / Phone Fax
LEGAL DESCRIPTION
/ /
Please Complete Reverse Side
• •
---1
Tii ><<<;RE< >>>«< ''> > > » if ExistingUse
Proposed Use
Permit includes: El Building ❑ Plumbing El Mechanical ❑ Other
Type of Work: El Residential Cl New ❑ Remodel ❑ #of bedrooms ❑ Deck
❑ Commercial ❑ Addition ❑ Repair ❑ Garage ❑ Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existi g Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Pro sed Total Area sq ft
Water Availability ❑ Sewer Availability 0 On-Site Septic System Availability 0 \\Project Valuation $ 7 (1‘) ,3.5••e,.e,Y
Zoning Lot Size Existing Bldg Valuation S //
10 62.1-12
f.I:.��:::::::e;.::::::::::::::::::.:.;;;>:::.::::::.::.>.::.;;:;;.;:.>::.;..;;:.; For new residential only - Proposed sellin 4 cost: $
Name Address
City State Zip
r}'ANIdALC NTRA ' R...................
Contractor Name Address
City Stat, Zip
Contact P one Fax
License # / Expiration Date - Verified ❑ Yes ❑ No
LOVI:<::::;
NT[iA0.77.6R....
Contractor Name `` Address
//
City State
I
Contact Phone Fax
License # Expiration Date Verified ❑ Yes _7 No
P tiMiiii d..F:IJCTUiiti OE/ I`<.>'. > '.:;: /
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs / Dish Washers Drinking Fountains Other
Showers / Electric Water Heaters Sumps
Lavatories Washing Machine Drains TatalFixtuteCount
/
' ` " ' : >:< .... ..VfEC 1V IGiLUNIT,G1,iN7 >:.>..:.>.:.»...<.. .. . MECHANICAL EVALUATIONATION ONLY $
Fuel Type (gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 Tons
Length of Sias Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn 100K BTUs Gas Log Unit Heater 50+ Tons
F rn >100 BTUs Fans Miscellaneous Fuel Tanks
/Gas Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
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.
Ovy r/Agent: Date:
�mtia.nw •
flEvneo snaiae
CITY ° OF FEDERAL- RAL_ WAY
3,3530 First Way South
Federal. Way, WA 98003 I3tlil(jxng Ing .T,ect:ion Re:qUe.,,:,6 L `..►1.40
253,-661--4000
ADDRESS:1822 S 3";'40'1`14'.-31
NO.: 321.075-0210
PROJEC I' 1)ESw.f4 T P1' 10N : REROOf - OSB WI1H 25 SHINGLE
OWNER
HEARTHSTONE CONDO'S
1800 S 3301H ST
FEDERAL WAY WA 98003
253-661-7039
»i CU�t�°„c.iE.aS. t°LlFia
BLD?:X MEC?:? PLM?:?
TYPE OF WOW REP USE:COM
CENSUS CATEGORY.....:555
OCCUPANCY GROUP _-_-------
:?
TYPE OF CONSTRUCTION——
.? :? .? :?
UCCUPANT LOAD -------------
CONTRACTOR -... -,
VICTORY ROOFING ICRC
17618 SE 154TH ST
MONROE WA 98272
.360-794-4815
VICTORIO320
lw':I
PE.RMI I NO: 8L LY19-0611
ISSOED: 09/29/99
RAY : 'r N
CXPIFtE*S: 03/27/00
. _- ,.,,,:' ..v ...,...,,.�.... ,.. __.,. .: _aax'�.mem:ac:.emlkz•.aC:eul�ssaearr.s•.w.waarsm�u aiasensCa:ae�cve:m: x:
L R P4 f 1 '4f;L? a.f fi' l i x R :Axt h AX '.i F . ftj4,C1S NITNIN THE CITY OF FEDERAL NAY. TAX RAIE = 8.6% M
G6"��8➢�A"t�J-Lx.
TNS k':- 45.
URINALS........:
GS:x sIC•JI tiSdtlX:6.::JY�SY�.��b:.yx6`%MYC�YI3AL:14^Yn.'SAwtl::>7L�aA.'G'�SRti1: ^J:X
FLR--EXIST--PROP
FUEL TYPES.:?
---
fmf�tflq(f "Mlc'!
cIMP PLAN.........:?
BOILERS/COMPRESSORS
1ST.:
0
0:
"TOR?IES.,..,,... 0
1EQUIRED PARKING... 0
SPRINKLERS?......:?
2ND.:
3RD..
0:
6:
0:`sf
O:sf
OER'r;fl ,.. �t.uo .ft
`A1IIOf!
J) 1�.��.
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 TOR...:
0
?•
?SM”:
0
�
0: f
� ,.,
"R4p. F. LO,.
� : 0.
`'L........... `; da
GRATER Str „
DECK:
0,
0:0
0
a f; a3?.....>..... 0.0ft
SEWER SERVICE..:?
EAS?.:
0,
0:0
Rr.tsIVEG.:09/29/�'i
FUEL TANKS ---------
0: 0: 0: 0: IVIL: ?: O:Sf IMPERV SURFACE: 0 sf SENSITIVE AREAS).:?
xcaamaxssaa�acammc mRmn.:«rmcut;a:aizarewacivsr
zazaracM .-..:.tVxxa;aciaant:::;•:.:cr.
URINALS........:
acaraszms
-.r.::- :;.xa.
FUEL TYPES.:?
?
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0`3 TON.....:
0
FURNt100K..:
0
DUCT WORK.....:
0
3-15 TORR....:
0
GAS HWT....:
0
WOOD STOVES...:
0
15-30 TOR...:
0
CONY BURNER:
0
FURN>1009.....:
0
30-50 TON...:
0
BBQ.........
0
MISC...........
0
50+ TON......
0
GAS M YER- :
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
010,000
CFM:
0
ABOVE GROUND:
0
GAS LOGS...:
0
10,000 CFM:
0
UNDERGROUND.:
0
WATER CLOSETS......:
0
URINALS........:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
SHOWERS .............
0
SUMPS...........
0
LAVATORIES.........:
U
VAC Bio 0 1RS...:
0
SINKS ...............
0
DRAINS..........
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
LAUN WSHR OUILTS...:
0
------------
FEES:
BUILDING PERMIT. _t S 195.25
,BCC SURCHARGE__* s 4.50
TOTAL FEES $ 199.75
PERNITS EXPIRE 180 DAYS AFFER ISSIIANCE IF NO NORC IS STARTED. RESIIEMTIAt AN GRADING KNITS EXPIRE ONE YEAR AFTER DATE OF ISSWI.
I CERTIFY TNAT INE INFORMATION FURNISHED BY TIE IS TRK AMD CORRECT 10 INE REST OF W 110KEDGE NO THE APPLICABLE CITY OF FEDERAL VAY REOUIRLIR NIS NILt RIE MFT.
OWNER OR AGENT
DATE
a 60
FIELD COPY
1
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SETBACKS &'' FOOTINr`aS
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UNDEfIP.L. a RfA1iA1NG .......
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SHEAF; WALLS :........
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RLUM9.NG ROUGH•IN
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