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17 PUKEIG<WQRKSFtNAL >>><»>>> >> <<>
Date By
18 FI
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19 BUILDING.FINAL..;:
...............................................................................................
Date 7 3 By [/�
20 OTHER;.. `
Date 17 -2,2 41,18y to CD
'n( Campo
__ C v_Qak. CD0193(Rev 4/97)
?.ODS. Care 5 2
'i&. COI
/4-1;7 /< :C *y BUILDING DIVISION
«r�or G • 33530 First Way South
-- FI, _ Federal Way,WA 98003
uV FlY (253)661-4000
RECEIVED Fax(253)661-4129
JUL 0 21999
APPL!IcATM ,y,, OR BUILDING PERMIT
BUILDING DEPT. qg I
PLEASE PRINT.........................................................._ _q,11 (0 APPLICATION # 1?)LE -Oi It.?
...........................................................................................
Address
Tenant (if known) 4/1/7&:4W4/11471/ -/-4c f//VANCE Lot# A�' IASSeSSOr's Tax #
Building Owner's Name /4/9/1//a D1-1- Add resV17N/t / �Cc1 U/7 6' /V/. .(
City r V67 1- V 1 4 y State WA Zip Cl B00 !Phone
Nature of Work 1"." ----4/621,/7-- ///,z7/1C %/✓'��,'T`
...................................................gii]ii...........ii::ii .................
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APPLACANTEMEMMEMOMMEW
Name (F,M,L) ,-- n,,,/ ,4///4-L
Q
Address - ,/ / 6 7�
City -e..4Q6"//f4 .State eli44/ Zip 91f5 jO 2-
Contact Person DayPhon /d/ (to, .., z 7 ��7`4 V
%��� !-�i/ � 767) ���- 7!�7� J/7,e� �� _�- � JI � �'
I
Iiiil~ NG. . . TRC. ft..... FEDERAL WA
Y BUSINESSINESS LICENSEE I
#Company Name i //GG e4.N57-ke/C7_ a / (
Address c/ 0 L d fy 6 / 7
City G-- Z44 E--,k7w4State 44(/1C. Zip 7 jZ
c)` -
Contact Person o'f/ ///L Yhone , 1? 7',/5
/57 1"41:)..-
// _L�C`.(L
7 % � )�l�// �DJ Gf
Contractor's #(card must be presented) Expir tion Irte Verified ❑ Yes 0 No
................ .................................................................. .....
......................................................................... ..a:
..... ....... ...................................................... .. . .....
........................................................................ ......
............................................................................................
Name v1/4?
Address /��//
/V/7
City AS/ State )1//19 Zip AO..'
Contact Person /// Phone /0 Fax
LEGAL DESCRIPTION
4 / a/v 6 cc---- IZo ' --7-- G A P Pus 6OL1,4 C--NIA t- f-,� -;7/ G(/A-y
Please Complete Reverse Side
'Proposed Use
xistin Use
s
9
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::..T..y.y..t.�.i./.+.
Permit includes: 0 Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: 0 Residential ❑ New IIE Remodel ❑ Number of Units ❑ Deck
IF Commercial ❑ Addition ❑ Garage ❑ 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 ❑ On-Site Septic System Availability 0 Project Valuation $ `S,on n
Zoning /G J/r0/ti,//Ct9t64G iLot Size Existing Bldg Valuation $
D>:::<B >`: » > > > > < > ? '> E:
Name // c� D, Address
//O G- V "'7? DA/ 77-//5 p20Gl�7T
City State Zip
Contractor Name
/1.0 /V767-4414 Abe/4-e-
BGG /5 �?G�� D/ Address
City �Xl�//�7.-7/7 -?"- /A/ '5,9i GE- State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
Ccntractor NameAddress
//6 Pt c AMM/p/.Vtr o,/ // 17',41 11�c-
d.! L�L,+�._.�,-29P(� Com--/T'i/✓e,- State Zip
Contact / Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
<F'l.U1VIBtNG.FtXTU COUN :::; >:'>.
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains TotaFixture'C
lount
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MECHANICAL UNITCOUN''>i iiii is MECHANICAL 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 <100K 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 Unit Count
DISCLAIMER: I certify under penalty of perjury that nforrnation 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 f. • is 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 investi.,. ..n and de yi.,;;, . 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 ou :'the reliance, e city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application.
-'----
Owner/' ! �.��l.�.r.._ , ...tet 0 C i— .4 (,) - r''11CT' Date: c y Z ' 1
REVISED,4,'•/ /`/
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Cerfificae ®f Occupancy ..... ••?•.
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Ili" This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building
,r Code certifying that at the time of issuance, this structure was in compliance with the various
1: ordinances of the City regulating building construction or use. For the following:
•iiii! OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0414
i.1.1.1.1i::
TENANT NAME. . : AMERICAN GENERAL FINANCE u :
4< ADDRESS • 34910 ENCHANTED PKWY S Unit: 120
,;., GROUP: B SQFT: 1296 CONSTRUCTION TYPE: 5N i..:1::::::..:
IS OWNER NAME. . . : WEST CAMPUS SQUARE, ET AL ?'
ADDRESS • 2001 6TH AVE S 1 #3202
AR SEATTLE WA 98121 m.
}i?
4
Building 0 icial Date
il.f::
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which `,
ft
,4 1'k 1 /- t_________ . _ sv5-/15
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a >k
ill F. and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor '
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance
or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
•i':?::. situated Such compliance is the responsibility of the owner and/or occupant of the premises. ?�?
: <,„:
POST IN A CONSPICUOUS PLACE
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