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98-101384 98'1 13g' CITY OF FEDERAL WAY ll p PERMIT NO: B D9 -0 18 33530 F i rst Way South .1":3111 -1., ?f.... .�.,,h., .. ,l(I,4'"' 1..�f'; ". 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Date By 4 Ski ;�±i�t��l..:CD1'1::::.::.:.....:::........... ........................ ................................................................................................. Date By ... .......................................................................................... .... .......................................................................................... 5 FOOTING/DOWNSUT DRAINS Date By ................................................................................................. ........... ..................................................................................... ................................................................................................. ................................................................................................. 6 UNDERFLt7lRIfrAIlA1NG >>< > <> > > > » >> >< Date By 7 SHEAR :............................................................................................... ............................................................................................... Date By 8 Date By ................................................................................................. Date By 0 Date By ................................................................................................. ................................................................................................. 'ers 11 Date By ............................................................................................... 12 ................................................................................................. ............................................................................................... Date By ................................................................................................ ................................................................................................ 13 ................................................................................................ ............................................................................................... Date By ................................................................................................. 14 Date By ................................................................................................. 15 a> [�{C1ED::DEIt IND Date By ................................................................................................. ................................................................................................ ................................................................................................. .....:::.:...... ........................................................................... Date By .... ............................................................................................ 17 Bf Date By 18 FIRE FINAL Date By 19 BUILDILNG FINAL • Date `7^ Q Z 20 OTHE Date By CD0193(Rev 4/97) BUILDING DIVISION � _/ED33530 First Way South �� Y Federal Way,WA 98003 (253)661-4000 Fax(253)661-4129 201999 Y OIIBUILDINGAPPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # (r)Cr? 10 :<:>:: Address Tenant (if known) Lot # -71( Assessor's Tax # Buildin caner' Name T Address (Lc) � Std City w , State W Zip �� II Phone Nature of Work KO S — I�.(� > (� l O u V Name (F,M,L) Address City State Zip Contact Person Day Phone Other Phone Fax E34.lta.1111dtO1VTAAVT01:.i M.:.... ......:.::: Company Name Address City F/L. \jVG.0 State (ADc- h Zip j`�.v L "3 Contact Person /,I\C, L_.f — ne Pho . Fax � � - F3 X533 Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION • I Please Complete Reverse Side • Existing Use Proposed Use Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical 0 Other Type of Work: 0 Residential ❑ New ❑ Remodel ❑ Number of Units 0 Deck El Commercial El 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 0 Sewer Availability 0 On-Site Septic System Availability ❑ Project Valuation 8 Z- Sue' O9 Zoning I Lot Size Existing Bldg Valuation $ >:ENL?EI > > >> >' >`> > > '> > > .. :. ........................................................................................... Name Address City State Zip ............................ ........ ................................................... ........................... ....... .................................................. ............................ ........ ................................................... MECHANICALTONTRACTORMumm Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No ........... ............................ ............................................. .......................................... .............................................. ........... ............................ ............................................. .......................................... .............................................. ........... ............................ ............................................. ......................... .............................................................. Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes ❑ No ............................................................................................ .................................................................................... ....................................................... ........... ..................... .................................................................................... ..t.S..+.��.*..,.1.y.1.A.....t.Y.(t ....1.C...u...�..y.��.�..�.y......f... .t.�.1.*.�.t.y..!. ..................... ........................................................................................... Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps . . ............................................... ... ......................................................... ............................................................ ... ........................................................... ............................................................... Lavatories Washing Machine Drains TotaLzture titiunY ......................................................::•e ............................. .......................................................................................... ........................................................................................ .......................................................................................... ........................................................................................ MECHANICAL UNIT COUNT > > < > »< 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 `I'eitalljnit Cod##t 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 ofthee 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: V ,c' Vel Date: itilia u' 7 S- R[vstio 8/z©/97 • •