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BUILDING DIVISION
gr,oF • 33530 First Way South
Fns Federal Way,WA 98003
")N> F1/ (253)661-4000
Fte eIV len Fax(253)6614129
'9
OF FEDERAL APPLICATION FOR BUILDING PERMIT
C Gt.Oti.Dt\s per:.
PLEASE PRINT _ APPLICATION # 51,oqq -0
�'
� :�.��.�}�����;::::::>::>::>::<;;::;<:<
.:<::<:«::«::::>;i<:?:;;gz�;::>;<;: Address I�o�v Sf.�/• ,��/ /�'/ /"�[ .
Tenant(if known) Lot # Assessor's Tax#
at f73070Z1 07ae
Building Owner's Name Address
Tor , t k'A1('i CPS?9,r r4 5& g, v71 f'C
City P9/J/L j, /,4 11 (State Le//X Phone( Vg;V—OY�1
Nature of Work 460/770�
Name (F,M,L) ` G��(i7/YZ.
Address `7
City .State Zip
Contact Person Day Phone Other Phone Fax
FEDERAL WAY
NSE
BUSINESS LICE #
Company Name 6.10/
Address
City State Zip
• Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
Name
Address
City State Zip
Contact Person Phone Fax
. LEGAL DESCRIPTION
Please Complete Reverse Side
STRUC.TllF3E. xisting Use •roposed Use .1..z,'5
Permit includes: >.Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: R Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
0 Commercial 'ti: Addition ` ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor)''r'y 1
sq ft 2nd Floor 3 , 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 Availabilityy Sewer Availability On-Site Septic System Availability 0 Project Valuation ` $
jfi
Zoning %� " �, Lot Size 2S(,I)t Existing Bldg Valuation $
LENDER M:.M::MM: :M:M > >
Name Address
City State Zip
. ........ ....................................... ...............................
.. .............................................................................
. ........ ....................................... ...............................
.. .............................................................................
. ........ ....................................... ...............................
MECHANICA CON:TF ACTORM :
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
... ............. .......................................... ...............
.... ..... .. . .. ...................... ........................... .........
Contractor Name Address
City State Zip
.Contact Phone Fax
i
!License # .Expiration Date Verified ❑ Yes ❑ No
i
:PUN 0.1.00.MMI.:Figi40.0faMin.M. .
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total FixtureCount
........................
..................... ....... ....................
. K: IC I ,..;t111tlTlllllllll MECHANICAL EVALUATION ONLY $
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 TotalUnit 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.
X Owner/Agent: //_ Gti /6� �� Date: 9/57V95'
89,6169 AFT
REVISED 8/26/97 .,
M
f: . . :1
■ ■ City ®f Federal Way
CerfiJicae of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building
Code certifying that at the time of issuance, this structure was in compliance with the various
ordinances of the City regulating building construction or use. For the following.
OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0101
TENANT NAME. . : CHASE MANHATTAN
ADDRESS • 1010 S 336TH ST Unit: 102
GROUP: B SQFT: 2594 CONSTRUCTION TYPE: 5N
OWNER NAME. . . : ASA rxurr,.tiIES INC.
ADDRESS • 8805 148TH AVE NE
REDMOND WA 98052
Th ei 3/97 q q
Buildi Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance
or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is •
situated Such compliance is the responsibility of the owner and/or occupant of the premises.
POST IN A CONSPICUOUS PLACE