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7111"—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
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
LGWB - 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. c!
Date 1/ --t; �By
r
OTHER
Date By
OTHER
Date By
CDO193
s.
• City of Federal Way •
I "T"3i=rza=1_
N)vAPPLICATION FOR BUILDING PERMIT
PLEASE PRINT
APPLICATION #: ettqCf- 0(03c
SiTB LOCA•TION Address#0 3-0 3A/01 "74,
Tenant (if known) i Lot #
Assessor's Tax #
s #/, /7/0i : _
1 Building Owner Name67 JAddress ✓//f// �''SZy/ 54 -/%% 'N j�' )
eR
.. ,
City 5/yi21 State /1}4 Zip 6/47-/d/ Phone C/X /- ///'J/
/
Nature of Work j 1.- ��� L(ILA,I;t dy jv i
AP::PLICAgi
Name (F,M,L)
7e'OR7to 6'tfli,acai<
Address '
(90e)2(4)/UekiS/04// S,,,/e 2,m)
•
city 5e 4 , l
state00Zip/7 /0
Contact Person- Other Phone Fax
)litv�� dy Phon e� �r/ ,,76e/ -3S /- /.34/3
B IILDTNG COI T OTtiR
Company Name --r---- /J
L J // f i d L'li,,f
Address'_ '1/l3 2-4/Zi-‘1//;7/41/l /S 2 `5J . �/S/✓ ' v�
City le d6 L/ Hy Statezip 7-,',-,.7„),.:
Contact Person Fax
cJ /ill (�Uv c/.. e1` /s426.) `
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
I ARCHITECT`
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4/83(
'RUCTUR ting Use posed Use �_ ,�. l
r l 4 l/�L j 3',c lt�
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: esiden ' ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
C ercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor //�jl�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 ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ ,. Project Valuation $ a
Zoning Lot Size Existing.Bldg Valuation $
Name Address
City State Zip
—
Contractor Name Address
City State Zip
Contact Phone Fax
•
License # Expiration Date Verified ❑ Yes ❑ No
...........................................................................................
YLUMBIN'O +CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
t
PLUMBINGE COUNT
...........................................................................................
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
.................................................................
.................................................................
..................................................................
Lavatories Washing Machine DrainsTotal Fxture:;Caunt
....... ................ .............. ........................................... ..
.............................................................................. ....
1 CRANICAL UNr 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 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 o 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. .
Owner/Agent: - j Date: //�/�'//
• •
•
COUNTY OF KING
BUILDING DEPARTMENT
CERTIFICATE OF OCCUPANCY
NO. 7 9 - 3 4'7 /
STREET NO. IdO S• �`i�- JT' FIRE ZONE :3
OCC
UP
OWNER I�vv i Hive_ ila--. C USE ZONE MIL
TYPE OF BLDG. I� Li S`zi L-a-+ r
BUILDING PERMIT NO. 51-k?` g.
/ PLAN NO. 16— 9 50 t
HAS BEEN INSPECTED AND THE FOLLOWING OCCUPANCY THEREOF IS HEREBY AUTHORIZED:
AREA UNDER MAXIMUM MAX.ALLOWABLE
FLOORS OCCUPANCIES - THIS CERTIF. OCCUPANT FLOOR LOADS
SQUARE FT. LOAD LBS. PER SQ. FT.
5e+00
REMARKS: -ThT\Ai F. ;c-.. '. '`: C;:: U P %10tNeIAL.
BUILDING INSPECT R: / .r DATE /° – 3/ 19 7?
FIRE MARSHAL 7P4,-
KING COUNTY FIRE PREVENTION BUREAU
BY:
DIRECTOR OF BUILDINGS
POSTING: The Certificate of Occupancy shall be posted in a conspicuous place on the premises and shall not be removed
except by the Building Official.
FORM F-129 12/72 146143
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