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Date By
6
Date By
7 SHEAR WALL$
Date By
8
Date By
Date By
............................
10 MECHANICAL ROUGH-IN
Date By
11 MING:.: wc.!(! oy.(y •
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Date By
12
Date By
13 G11 B - 1ST LAYER
Date4 4C..q,/ By 55
14
Date By
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1
Date By
Date By
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18
pate /- F 5 By 774-7(
19 EUILDING FINAL
Date/7—Z9— q'/ By .:;.
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Date �'�7� ' ?By
CD0193(Rev 4/97)
BUILDING DIVISION
cl"oF 33530 First Way South.
EOEIZAl_ Federal Way,WA 98003
VV RY Coq (253)661-4000
REC IVES Fax(253)661-4129
SEP 21 loAPPLICATION FOR BUILDING PERMIT
CITYOFfA
BUILDING DEeT.
PLEASE PRINT APPLICATION # WO
_el"ISC:0
Site address
2
Tenant name 4 f.2._" ‘,/ vW in f 6. r . Lot # Assessor's Tax #
Building Owner's Name (Kis • r' /6,s ' Address 3 3 / /s r W,�/ S , ,�I rE "'moi
City rts/S tpt..l WA N IState[/ * Zip r WiPh/one 874 -}goo
WA/ � A � B06.3 �
Description of Work
............................................................................................
...........................................................................................
............................................................................................
APPLICANT;R:R;>»;n::::•i: ?
Name (F,M,L)
............................................................................................
�}ELP?< Ata6/4 11` G.1Ujt
Address 3(O,D I , ^ 4`lc r ex cc7"— _
City A' s to, 1/4, Zip O
Contact Person �� �� Day Phoney 5, ci 1 _ai76 7 Other Phone Fax I
..........................................................................................
...........................................................................................
...........................................................................................
........................................ ................ ...............................
ilii igli ON ililkialli Federal Way Business License #
Company Name
1
Address
I
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes Cl No
............................................................................................
AASk LTE ....1:.; ;;:;:;.:; 1 ': »:::><<<«;:::::<:<; ;«
1 7E
Name CO .!. `L 14- — -rc .iF
Address �O I 2.0 S T. Er
City 'T A( /1r IQ. �,,44 State �14 Zip `x 8 L
Contact Person I •
OVA /-H D ut�41""/!� �, �u3 0 3 7 Fax 1
� j"[ ""�Ilr°
LEGAL DESCRIPTION 1
14Ik 3244L, �r- cuvra 13. 1 02 4 $104.
Please Complete Reverse she
, '�UG"[T�;)( :3':'> : Existing Use (� Proposed Use ' /��,=
Permit includes: I../ • C Buildin. ❑ Plumbing. ❑ Mechanical El Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ # of bedrooms ❑ Deck
IIK Commercial ❑ Addition ❑ Repair ❑ Garage El Shed
Entor 1st Floor 9,4.0-0 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 $ i th®t9
Zoning G G -- F Pr :Jr O Lot Size Existing Bldg Valuation $ 11
EMi
fF.I.PE. >< «« <>»« iMOi «»':>s: . - cost: $
li::::::::::.:.>;;:.>:.>- ;:.;..:; ; :;-::.::::::::.::: : . For new residential onlyProposed selling
Name h1 }1 Address
City f (S State Zip
...........................................................................................
............................................................................................
Contractor Name 1'.,,1 fA Address
City State Zip
Contact Phone Fax
License # Expiration Date -- Verified ❑ Yes ❑ No
PLUM>:.: ::
BfIvGO111TfC `CaR<'>' '<<>< > > :>:
Contractor Name Address
A
City ! State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
.............. ........................................................................
....................... ...............................................................
............. .........................................................................
....................... ...............................................................
P:LUMBIIVG.FI3f' Fi . QUNT E ><..._:
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total"Fixture 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 Underzround
BBQ's Wood Stoves 3-1 5 Tons Total::Unrt Golint
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.
Owner/Agent: C—ALW`"1\, vv\ +4-0 Date: Si i Ci Cl
NEVSk°S/IOIOJ
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Cerfificae of Occupancy
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_; This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building
ry'•r'r
NI Code cert fying 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:
ys tt:
Iii;...111.1:1.4
OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0586
TENANT NAME. . : ARMY RECRUITING OFFICE 0.
IA}: ADDRESS • 1414 S 324TH ST Unit: B103 x•
GROUP: B SQFT: 2400 CONSTRUCTION TYPE: 5N -
r . OWNER NAME. . . : JDI TACOMA LTD PARTNERSHIP }
ADDRESS • 29 N WACKER DR
"{' CHICAGO IL 60606
if
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Y:
ii
Building Offic I Date
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The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which F
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 Ciry neither guarantees nor
h '
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance $.r
, 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 >:�.}:<:
rn: . :
AA situated. Such compliance is the responsibility of the owner and/or occupant of the premises. :c
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