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• •
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
—
PLUMBING GROUNDWORK
Date By
,
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
............... ..... ..... .......... .........
Date7-/3 4',/ By/4/
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
.- I I a _ I
MECHANICAL (OTHER)
Date By
...................
..................
..................
..................
FRAMING •
............... ..
Date By
INSULATION ----
Date By ,102. ah, t_ ( 4c/ oV? c
7 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 AL /
Date (V & (it By AI If
OTHER
Date By
I OTHER
Date By
CD01 93
r I
a,,, c City of Federal Way
•
*J ' 1ECEIM11CATION FOR BUILDING PERMIT
APR 131994
PLEASE PRINT CITY OF FEDERAL WAY APPLICATION #: Iv��,(--, lX t
�sz€ 5.s,�af. (%oS' ;. 3L k s
SITE L�:1,CATIUN ,sAddress '( -r 5U(T tt- t pb ,wAY good 3
Tenant (if known) Lot# Assessor's Tax #
4141n1r-,UNCI iz sfAruc?-�f.)1 06U-(04[ ' ,.,/,
7
Building Owner Name Address
b4 f ;Gf o o FA (7-1*CJ 01— gay 5 3((0 -Ht S'- S(Al f ( 0 6,
CityL[)4, ,L 'y State w A- zip q a oa3PhoneI��n
Nature of Work ��OJlkA1( i> �Jr V 611&v- -- (I 1' ! ) ! VIII ,Z pie 4)LZ .- .
APPLICANT
Name (F,M,L)
JUNG SOCK PARK
Address 4600 E . 16th St P 107
FIFE
City State WA Zip 9$424
Contact Person JOHN CHONG Day Phone 926-1963 Other Phone Fax
BUILI?TNG oNTAACTOR.
Company Name
PvJN&(z Cok)I'124-(1-
Address
(Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No 1
I ARCHITECT
Name
140 Address
City State Zip
Contact Person Phone Fax f‘j
LEGAL DESCRIPTION
'\ ___I
Please Complete Reverse Side
C00492(Rev 4/931
5'x'RUCTIJRRExisting Use no n-e.. Proposed Use �6.ft4,l4 2A N I
Permit includes: �( Building IIK'' Plumbing El Mechanical ❑ Other r Jr
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
Commercial ❑ Addition LI Garage ❑ Shed ❑ Other
Enter 1st Floor 7,,....i/TO sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area '0-,400 sq ft
Arca Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability Sewer Availability On-Site Septic System Availability ❑ Project Valuation 8 A*fit F ;
Zoning Lot Size ..... . : ::.:.:::.:::.:..:.:.:..:.:.::.::.::.::
•.,:.,,.:E.:Xisting Bldg Valuation $
................... .............................................................
...................... ...........................................................
LENDER: .... >>€> >>'> <>< >> >'>' > > < :
Name Address
City State Zip
11CIIACAI. CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
—
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR :°: ''' '
Contractor Name Address
Cit20� �� State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE''COUNT
Water Closets Sinks /y Urinals 2 Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories � Washing Machine Drains
Total Fixsrre: nt ? _: ::
. -- . :
MECHANICAL:UNIT;;:COUNT •
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 TotaliUnit 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. • S?
Owner/Agent: Goof '��. �� Date:
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