94-101502 Ad00 31Id
_ �,. _ f_. i � -- N39b a0 a3NM0
'I3N 38 11IN S1N3N38If1038 AVN 1V83 3 3O 113 18V3Ildd0 3H1 ONU 39031$0NX AN 3O 1538 3H1 01 1338803 ONU 3681 Si ' A8 O3SIN8(13 NOIldN803NI 34I IUHI A111d33 I
'33NafSSI JO 3140 831AV HU3A 3NO 38IdX3 S1IH83d 9NI0tl89 ONd 11I1130IS38 'O318U1S SI HON ON 3I 33NUASSI 83134 SAVO 08I 38IdX3 SIIN83d
A8 -- ale0 XO 9NIdId SV9
:saloN uatlaadsul IeatuegaaN N0 aim JaleN pJooad uotloadsuI
()fuel JaleN loN uo paJTnbaJ sl *Uel uotsuedxa Jam mil .saA. II) oN () sal () LaAIeA loa43 JO aotnaJ uatlonpad ainssaid a ugluoo •alsAs Alddns JaleN agl saoo
OS'9Z $ S333 18101
o : f18N1i ,
•
� l;33 �iJ' < 0 :'''5901 S�9 1111
a' :0Nf'ONOOdl O89, 30A08tf - 0 : f33
' 00001OI:> 0 • 391168
- :;--.� 1 1 1 SlIXA 94.110111 IU 0 :-113A80 113A8O Sd9
F- dH �i al* 0 - 088
o dH 0S `t .. "£ o "1{0O€1114fli 0 :H3N8fl8 ANO3
`: ` a° 4 * „ ,,,,,,, ,§3A-j!,,,,1000,
• s O SI O0 - 1NH SV9
OS'9 $ t'S331 33N 1 d =4.”,r . 41t17.; � .' " = H Si :"
0
00'OZ $ ...33Ndt1SS ;�.°� : 1 ;°; ' � ;� ae ' ' - 0 *., :dll t ..-. ....000K 3i 0 :'9NIdId S09
:S333 „s °:d3i8 SNd3 Z Sag 'S3dAl 1363
`� IJOrSNSlduau
4818-9ZZ 9L66-LLZ 6818-9ZZ
65086 UN NOIN38 65086 UN N01N311 le
HILlI 3S 80591 HILVI 3S 80591
• S33IA83S 3WOH S,N3S1413H N3SWII3H 333f
830N31 8013d81NO3 8311110
1d3INWH311:NOIlcIDJOS3G 103.M:id
a 00170-9176ZOS "ON
MS id Nl9Z 8ZL172:SS3800V
S6/17O/Z0S313IdX3 00017-199
0j : A8 017Th-199 slsanba>j uoT1oadsul 6u!pITn8 20086 HM 'AM Lvdapa3
22
170-V6018 : N II 1. ` � ' j IATIT' (d IVDINVHDHIAT ��,WM -1V13UJ3J JOOA113
5190—i,6a�i8 =011 1IWi:i3d ii VV ����(
L
Ad00C1131d
-- w(7 _"--
-------tcy77/7/
06 --1,.//1:).
ig / ,.._...
a '4 38 11IN S103143010038 AUS NV 1 eJO 13 18011188V 3111 OWV 390310001 AM JO 1538 301 01 1330003 ONV 11011 SI AO 03511010J NO110100101 101 1001 A1111133 I
33NVI)4SI JO 1100 83110 1103A 300 301403 S11111138 5410005 ONV 10111130IS38 0111101S SI IS0* 4W 11 330VOSSI 03110 SAVO 081 381813 SIIN113d
10 5111#118 SV9
(
' li :solog uoil3adsul le3plutpag --" -- 10 atm Jalesi pmag uo!laadsol
su ela s ll saog
(!uvi Jolt's loft uo pullobaJ st loll uoisuedxa Imp uatil .s0A. 111 05 () sail () 48811 4=43 JO oa!Aag uo9-Japag aJo suid wuoraisAs AiddnJ01,1* a
•
„„. , ... ..
Øç9 Z $ S331 1VIC!
A ."000011911301111 0 :1143 eoVoi ( 0 :-"5501 SV9
4
41 :0011010 WOO ° 413 K.* °II') 0 - 35111111
_....._slim 1301 WINO *IWO, OIV 0 :"113A110 SV9
414 4S ° :—...**-31151 0 • 008
0 ...-'4"4411 Oc.05' 0 :..**'1001004 0 :03110110 A1103
0 •• 4OA1 .0 **. ' -A0 IS- 0000'",tOrRa2,1*41:14 A r rv''. ;,...... ., ,, -,g i „,„ ,:a• t•••• 4t -SI -
• 0 . 1011 5V9
...„41 ...4t 4, a„..-",„Iii-kr ,-,'
OS*0 t s'S331 330111:: " :;114 'IV' il.ffri ''''' ""' ".-:,I . 0 :***-88 G1-1' I - -UM 1300 0 : "100D11011.1
4 " .,'W ,'' ILI ,ff., '''A'aPf . ,,,,, ,.,,,.,.., ' , 1 0 ;'.*.4'4.-1411- VO 0 ......-*'-—.00011 li 0 :-9111818 SOS
00-01 $ •"•3311VIISS i a- it f.g, '7,r*.ek gg i444 '.5+ . ,--a, a- ........—• .,.... • .,....:•..-.... -r .
:1,33J SlIOWN044031S011C4 ° * NIVi 4 bVU 113a1.1 Uni
'-'IIMPWW,-; wz-witile- 9Lt6-LLZ *81B-9Z
65086 ON 0011118 65086 ON 0015311
N1LP1 IS 00591 H101 3S 80S91
S311804S 3508 S.11E0010 111988311 133f .1
0013001001 - - - ---------------,-====== Immo
Mi3MMON:NOIldid3S30 1.33£08d
00170-SV6ZOS : 'ON
MS id Hi9Z 8L.P :SS3HOUV
S6/1'O/Z0 :SadIdX3 000P-T99
3d :A8 001v-T99 s4senba8 uovioadsul buTp/Tng 20086VM 'ARM Teiepaj
t6/80/80 :43311SSI J, IIAIllad rIVDINVHDHIN ginos Av. 2s-ATJ OS22
ST90—posale :ON JAWIA3d AVM 1V303A AO A1I3
• a
SETBACKS& FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL,ROUGH-IN
Datee/-' 5'c, By(//)
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
C D0193
a City of Federal Way
v.) APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION#: /
,, '- 6f
SITE LOCATION Address 3 t--) h +.1. ( _)
Tenant (if known) Lot#
a Assessor's Tax#
10, IN.,‘A U -ff(�
BuilFl
ing Owner Name Address
Cityr , i ✓✓' State 1 <.
�� �r i✓� Zip Phone ��/....-7�/L7
Nature of Work
APPLICANT
Name (F,M,L) ,
�E.\ - `�rP{/ r,A.A S-ej/'
Address r'
CityP.�� �1ye)J`-�
State !� ! Zip_./
Contact Person^ Day Phone Other Phone Fax
ae: c-r--)••-•-)(57.; r?..7.9;r7 ,2 f 7, (/-71 V701
BTAIMIS G CONIT OLCTOR
711
.r
Company Name 7ei i.cce'0‹
Address��� / , �� (� ��`\ !
City 1----;,?..4_,,-,-1-n--_-.4-----, State /l`- Zip 9Z'
Contact Person Phone Fax
Contractor's #(card must be resented Expira ion Date Verified 0 Yes 0 No
1✓I . / � ,/7, X i /I'5
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
RECEIVED
AUG 0 81994
AL
C(BUILDING FEDERDEP WAY
• Please Complete Reverse Side
III CD0492(Rev 4/931
STRUCTURE: Existing Use Proposed Use
Permit includes: ❑ Building ElPlumbing ❑ Mechanical IIOther r
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial `4 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 CISewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning Lot Size Existing Bldg Valuation $
LENDER• ii:]:..:: :::.::::]::::
Name Address
City State Zip
MECHANICAL;CONTRA OI
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR;;:`»' ;::
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING•FIXTURE COUNT ... ,
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
..................................................................
Lavatories Washing Machine Drains T..atalJ zctu:re.<Gaunt: ::: ; :::
MECHANICAL UNIT COUNT .'..
Fuel Type (electric/other) ?G c� Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping J5 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 ) 7' t 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 e City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: >a Da ��
t