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Date By 6 C NI3>ErRFLOQR FRAMING; ::.>:::: :::>::::: Date By 7 SHEAF..WALLS Date By 8 .....L.U.MBN.G.`...RO.UG.H.1N.................................................................................... Date By 9 GAS- Date By 10 MECHANICAL ROUGH-IN Date By ...................... . ..... . 11 PRAMU4G Date r , By -• , . r / 12 INSUL, TIQI+I Y >...,.:` Date .::.olio//:::. .,. ::., :.:.By...A --- 1 3 ................................................................................................ ............................................................................................... Date ._V_ ci q By c iJ.:, ................................................................................................. ................................................................................................. 14 .... ... .......................... ................................................................ Date By ..................................................................................... .......... ...................................................................................... ...... ................................................................................................ ....... . ............ ............. ............................................ ...... 15 SUSPENDED.GEILING. Date By ..... .. ..................................................................................... 16 PLANNINI FINAL'; Date By ..... ......................................................................................... ..... ....................................................................................... 17 PUBLIC WORKS FINAL <. Date By 18 FIRE, FINAL, Date By 19 BUILDING FIN -:': " • » »>': Date 7//171 41`7 < y'>B ' 1 .: Y.�.i't Date By CD0193(Rev 4/97) 0 • BUILDING DIVISION e=c„,o, 33530 First Way South EIZFIL —, Federal Way,WA 98003 y 9� - 7EF,-) (253)661-4000 Fax(253)661-4129 JUL 2 8 199° APPLICATION-602R BUILDING PERMIT PLEASE PRINT APPLICATION # C<Dcj -C�� ,..itaddress e _ �A- W � �� to Tenant name Lot # Assessor's Tax # Z- sseZ. l�-'0c 00•..0 Building Owner's Name // Address x"14/,[ C I/i/d 5aikl _..3IV.Zcz /3— f}v� 5-�J, City 4Y/ L 14,14y State Li1 fI- Zip 9igb 23 PhonezS7,3) 'V -"7q3 Description of Work ,C.:`/"Zi.- .9411/4? ICE/e4.70 ........... .......................... ........ ........... .................... ................. .................. .......... ... .......................... ........... .......................... ........ ........... .................... ................. .................. .......... ... .......................... .............................. .......... ........ ........... .................... ............................................................................................ Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ BALDING 1Wt)NTRA:CTOR :g > :MigME Federal Way Business License # , Company Name /...--74/2,4_ a 4_ 6 e� Address LLQ rCGj /Doi,3 2q s/ , City .Gg_woo c' State 6,./A/• Zip 7 3 3'7 Contact Per nPhone ��p Fax ;) /SeAC%S (.4� '14,06EL 35_3 q '7 6� Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ............................. ............................................................ ........................................................................................... ........................................................................................ .......................................................................................... ......................................................................................... .::........................ ARCHITECT > > NMEN<>> > >`< ': > > .................................................................:.......................... Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION LO•T LZ L 44 T iti'O OS z/ V at4 AC 0 S- Please Complete Reverse Side vv / `: :':;'':.'.; fisting Use KS`Q Eel: S •roposed Use Permit includes: PC. Building El Plumbing ❑ Mechanical ❑ Other Type of Work: Cl Residential ❑ New ❑ Remodel lB # of bedrooms 3 3 Deck ❑ Commercial ❑ Addition 1i. Repair P., Garage ❑ Shed 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 1sJ Sewer Availability ' . On-Site Septic System Availability ❑ Project Valuation $ E", 'tel ) ✓ Zoning I Lot Size Existing Bldg Valuation $ tEN i:i i.0ii::::;: i:'i i.:P1 .:i ilii lii'as i:i:i :? ;is?i:i:�: :M;?;;i;:: - DER ......:..;:;;<.:;.;:.:::: For new residential onlyProposed selling cost: $ Name Address • City State Zip ..................i:::: ....................i::i:? .....i:::. ......... .....::i:: .. ........................ ............................................................ iVIECHANICALCONTRACTORMMEN Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes El No ............................................................................................ nUIVIBINGZ.ONTRA ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ Contractor Name Address Cid State Zip i Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ............................................................................................ .......................................................................................... ............................................................................................ .......................................................................................... :PLUMBING FiXTURVCOUNT.Me e: Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps .. . ... ... ................... ............... .. ...... ........................ ................... ......... ..................... ...... ....... ....... ........................ ...... ............ Lavatories Washing Machine Drains TataI Fixtttre<Count .ii:i .. ................ iiii...ii:i ......';.i: ... i•:i.. ii.i...i i:i ........... ....................................................................... .............. ....................................................................... .............. ......... ............................................................................... MECHANICALMNIT COUNT' <>`< < > MECHANICAL EVALUATION ONLY $ Fuel Type (gas/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 TataL Utttt Cafrit 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. 7_ .--'67.‘��f. Owner/Agent_. .c) _ L 2 Date: BuAu19.3 Aw REVISED 5/1B/99