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93-103044 CITY OF FEDERAL WAY South BUILDING P PERMIT 72 ISSUED: 12/06/93 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF 661-4000 EXPIRES: 06/04/94 ADDRESS:2205 SW 309TH ST NO. : 416790-0130 PROJECT DESCRIPTION:INSTALL A 65 FOOT TALL AMATEUR RADIO ANTENNA ON SITE ;'11/OWNER -- CONTRACTOR -- LENDER EUGENE SNOW ***OWNER IS CONTRACTOR*** 2205 SW 309TH ST FEDERAL MAY NA 98023-7823 61-1391 NONE BLD?:X NEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN -SR FEES: TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS.' .q PLAN CHECK DEPOSIT.* $ 11.05 CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •7 FINAL PLAN CHECK...* $ 0.00 OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gp. BUILDING PERMIT....* $ 17.00 :M2 :? :? :? OTHR: 0: 0:sf EXIST..$: 103400 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 521 SIDE • 5.00 ft WATER SERVICE..:FED :5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/29/93 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 32.55 GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 Agig(,N(100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS - 0 SUMPS • 0 lip HMT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS - 0 DRAINS • 0 BBQ • 0 MISC - 0 5+ HP - 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 RANGE • 0 (:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR QUILTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMAT URNISED BY ME IS TRUE 'ND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET. OWNER OR AGENT 46>---- ,, ../ ` -= ...s✓ -- - DATE /..,1/0,„,F FILE COPY AdOO Q1313 7l 7 �''. 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Q Q Z Q W LL Z J LL Q U U O F- H O O O Z t/) Z O CI o Q Z LL 3 Z a Z Z z F- N Z Z w _Z Z 'N �Z m W cc m a 4_ _ - -3 w Z Z LL D w w CO ate, -, ate-, _ Y F. W D N w V Cr _ 4-, m F m N Y Q F W 4-, w J _ _ 4-9 tj �v O � J co S-- (8 . m ca ,� co Q ca W m w � � � N cv � > co c� � co Z co � co � co F- cv M- m U) O u. O Q O ::3- 0 () a a.; O C7 0 2 0 2 0 w o Z o t2' O 6 `8 N o a o w O LL o m o O O O O S City of Federal Way • N)`� ElY APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION #: tLPq 3 - / 2-7 SITE LOCATION Address ,51 Q.J ..f ( " ' ACr,/,°,,/,i,,/ Lf,/,74 `77/5 a.3' 79 Tenant (if known) , Lot # Assessd s Tax# Uq ,- ,577e l ' £Gr/ /3 ,L�AcIla Ig 4e f,4/6740—D/8D—DS- Building Owner Name d Address ,,e'1� ? 7e /- J-lC14/ ...1", /7pe Qi- Q'�L Ye City / State 1444, Zip Phone 4 .,47 7 5). ?7 Nature of Work it..77a-/evf_ . Rele L'c -7;57A/fo'r APPLICANT .I Name (F,M,L) iir -- i✓ e --/ Are 4.7 i Address ()/ n20. - ..5—ill S D — City CP�‘,/—G'/"G1/ .. . State /1,,A,- ZipS'rDZ3-7es'_,7.? Contact Person Day Phone Other Phone Fax ��J�JB/7e ,s.,--7civ _lo 61 /3 1 7 - r *405.*G CONTI2ACTOIt Company Name /Ve v--7e // Address City State Zip Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes E No 'ARCHITECT Name Address City ��� State Zip Contact Person Phone Fax LEGAL DESCRIPTION Z � ! 7er6 RECEIVED NOV 2 91993 Please Complete Reverse Side CITY OF FEDERAL WAY BUILDING DEPT. CD0492(Rev 4/93) STRUCTURE Existing Use COfj7/T7U/ZiCr'li4/2S Proposed Use s&/7_7e Permit includes: •uilding ❑ Plumbing Mechanical ❑ Other Type of Work: L1 Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck ❑ 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 ElSewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ } Zoning Lot Size f Existing Bldg Valuation :' (3"a/,%A>_-- ..... ............................................................ ....•..•....•............. ........................................................................ ............. • .... .. .......................................................... ....................... LENN .ER ....; . :;::;: >;;;:::.;;: :.::::< ;; <! . .................................................................................. ... ..... . ....................................................................... . .................. ........................................................................ Name Ad. ass------- City State --- ----- Zip ............ ...........................................:: ::::.........K.,:..... ... ................................... ...................... ................. . .. ... ................................... ...................... ........................ ... 1VMECfANNSTCAL CON:TRACTOR IContraei Larne I Address ' I City State Zip Contact Phone Fax License • `'�� ,..�� Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor NameAddress CityState Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No .......................................................................................... ................................ .......................................................... PLUMBING FIXTURE CO 3N' s> >: >:; Water:—Cla'scts Sinks Urinals Lawn Sprinklers Bathtubs ---->- Dish Washers Drinking Fountains Other Showers ,�--'' ' —Electric Water Heaters Sumps •. r Lavatories i Wasiung iviaciiicia I^,-a;:,, tT3.+ r l=,Ws'.r r„t, s. ............................................................. ............ .............. ..................................... ...................... .............. . . ....... ............................................................. . ......... ..... ....... ..................................... .................... . .. ......... . . ....... MECI-IANICAL><UNIT<COUNT Fuel Type (t& tric/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------ ood Boilers Above Ground Cony Burner Duct Work ....._____—"0-3 Tons Underground BBO'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 claiml,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 :::,t: , �; � t%�`Z te0 Date: /// /�j//q