94-101031 AdOO 311d
...43.r frbt ?),/," 31tlO - -, ter, 11430V HO 83NM0.
0
'I3W 38 11IN SIW3W3HI0038 ON 1UH3H3J JO A1I3 318tl3Ilddtl 3H1 ONU 39031NON1 AW JO 1S38 3H1 01 133HI03 ONU 3fH1 SI 3W A8 O35INHAJ NOIIUWHOJ HI IUHI AJI1833 I
'33NUASSI JO 31UO H3IJV 8tl3A 3110 3HIdX3 SIIW113d 9NIOMES ONU 1VIIN30IS38 "031IUIS SI HON ON iI 33NtlfSSI 831Jtl SA,0 081 3HIdX3 SIIW83d
0 :"ONfOH983ON0 0 :W33 000`01 ( 0 :'"S901 SO
0 :• 'SI1100 HHSN WAtll 0 :ONf10N9 3A08tl 0 :WJ3 000101:> 0 • 39Ntla
0 :"531101XIJ H3H10 0 :'"SH31tl3H 8IN 3313 SXNtll 13113 SUINA 9NI1ONUH HIv I :'"a3A80 SO
0 :Sd311NIadS WW1 0 • SH3HSUM HSIO 0 - dH +5 0 - 3SIW 0 - 988
0 • SNIUHO 0 - SXNIS 0 - dH OS-0F 0 - 1001<NHAJ 0 :011108 AN03
0 :"'•SH3Ntl3d8 3VA 0 • S3I80IVAtl1 0 - dH OF-Si 0 :"' S3AOIS 000N 0 - INH SO
0 • SdWOS 0 • S83NOHS 0 - dH 51-F 0 - MOM Imo 0 :-"X001>NHOJ
0 :'1NOOJ 9WIININ 0 • S0A1 H08 0 - dH F-0 0 - 000H 11 0 :'9NIdId SUS
Si"8S1 $ S331 1tl1O1 0 - S1VNIaf1 0 • 5135013 113IVM S80SS31fdW03/SH31I08 F - SNVJ C 4:'S3dA1 130J
1:"CStl3HU 3AIIISN3S 1S 0 :33tl38OS AH3dWI I 1S`O4t. :0 .'101 :0 :0 :0 :6Z :
0/12/5o: U3Ai3:J3 s:0 G :1143 Otl01 INtldf1330
C:"-33IA113S H3N3S 11:00'0 . 8tl3H is:0 :0 :X330 : a: c: N5:
L:" 33IA11:5 831VN 11 00'ti ,,Id Js:r. :0 :iits8 W0I13f1111SN03 J0 3dA!
00'01 $ *'5333 33NVIldd'$ 33W 4 "; 1J Or 0 .-'"."-" NOB.: i 0 :r ISIX= i5:0 :0 :111110 : L: i,: b: 18:
05"t $ * 398UH3Hf1S 338S g. t `1101 313 91tl813S 0.-.11.1133b 1 NOI1tl114A 15:0 :0 :'OHF df10a9 A3111df1330
00"18 $ x'-''1I11113d 9NIOlif8 e. 4 "-*'ssotifazetoi I 1.1 00.0 :•.-'"1H911N 1s:0 :0 :-ONZ at- Ad0931tl3 SOSN33
S9'ZS $ x'1I50d30 133H3 Ntlld c- cSH311NI8dS 0 9NIX8tld 03NIO03N I 0 - 'ARILS 1s:OOPT :0 :"151 W03:3511 Wal:X80N JO 3dAI
:533J L. Ntlid 4103 Ji1Nf1 5NI'.13X0 ---dONd--1SIX --813 :iW1d :,33W X:i,018
d3£ I lS809
6Stt-18t ttL8-ttZ 0052-8'l
11086 01 113H!08 91186 UM 3111tl3S
35 3Atl H1St L08T1 NS 3Atl H19 ODE
1300W38 GNU 11Itld3H 311OH 5,808 AI13WNO3 U3338326
H3ON31 — 8OI3UHINO3 113NNO
SINN ,8 11tl1SNI - Ii:NOI1dI2:10S30 103fObd
L6Z6-170TZ60 : 'ON
3 :-4 Luft IS 1-11032 S OZOZ:SS3210G
176/20/3T :S3IdX3 00017-T99
03 :JIB 017117-T99 sqsanbab uoTioadsul 5uTpiTnq 20086 VM `ARM TeAaPa3
8Zi70�i76O90 3 :ONn1IWb3d IIIAIllad DNICIlifIti H�AVM 1Hci3033 jJOOAII0
/ .'a/o( - 1,t)
AdOO a1310
0 ) , .
fri;71-7� /jf(t . 31".17 f r , +, r , 717:1- 80 d3NMCd
1311 38 1110 S110383419038 AtlN 1083831 JO 1113 1188111d48 3111 ONV 39O31N0N1 kW 10 1538 3111 01 1338803 (1111/ 3081 SI 3W 18 O3SINdAJ 11011881101111 301 18111 0311833 I
'3311V0SSI 10 3100 83110 dV:IA 3110 31114X3 S11W834 9NIOV89 ONO I8111430IS38 0118V1S SI 1710* ON II i:1NVASSI 831JV SAVO 081 3iIdX3 S1IW83d
_.....-,,....,_........'.-....._,....,, .,_n..,......_-.-._.....W..___�...x�.-..._.._..,y,...._. ,- .-....- ..- --...«............-.-.....-.- _ .l; .._.. _.z;....m.__.. ,.. _.. .............«. -.. ..._.,,,° .-.,a:.:...._.._. .. -_
0 : 011008983000 o :1133 000'41 ( o :"'"sso1 Sag
0 !°-"511100 BNS* NAV1 0 :0110089 3A088 0 :W13 000'of ) o • 391108
0 :'538f1XI3 831110 0 ' 'S8318311 d1N 3313 ----- _ _SIINtll 13(11 S11NA 9NI10i 1 SIV I :"83080 SOS
0 :5831111184S 10181 0 : "."'S83NSVN HSIO 0 - dN tS 0 - 3S1$ 0 • 088
0 • S11I88Q 0 : SIINIS 4 : '"'d1 0S-Of 0 • 1001(118111 0 :8311808 ANO3
0 :' 'S8318388 3VA 0 :°•""•-'.531801VAV1 4 - 411 Of-SI 0 :"'S3A01S 0000 0 • INH SOS
0 • Sd1111S 0 S83NONS 0 • dN SI-f 0 • 1800 1300 0 :"1001411111
0 :'1N001 9W11NI80 0 - SSRI H!VB 0 • dN f-0 • 000N 11 0 :'901dld SVS
WWI 8 S33i 18101 u • S1VNIdA 0 - S13S013 831011 SdOSS3110103/S831108 "''SNtli i Z:'53dA1 1303
i:'iStl38V 3AIlISN35 1� 0 :33V18AS 0834111 ryx�� m�M I � •4 'i� •0 6t
:
.11 �a .11'''
-QVOI 111040330
i:'"3310835 83N3S 11:40"0 • 8V :::::: w � i= 115:i:'"33IA83S 8310 11 00'0 + S ++' .08d :'0 � ' "" a�II NOI130d1SWO3 i0 3401
00'42 $ :'S33i 33NtlI1, �, •' - , X3 j0 :0 : lO is 4: is l8:
OS't 398VH38AS 3385 . . V ,.
A r4 :'� >. ---40089 0311040330
00.18 $ t- 1'1183d 90101108 �'. S , � 4.,` V - w + �, I3N 0 : '4fiL Lft• A80931tl3 SASN33
S9"ZS $ t"11S0d30 133N) NVId i.". "iSd311N184S 0 •911111114 03810034, ., .� , ,,, + V' ,�� 00t1 :° 1S1 1103:3S0 N31:1181H1 10 3411
:S331 a NV1d d10� i -
.._.s,�,e__...e..-...n,.....r..•n+,.n-.+_m•.-------_..•.,. ......_.....�r-...,�,. '� o .�a m.sa..� .�....�. q.__.�.@_._
. � `- 4084 'ti-�8i1 :iWld :b3311 X:1018
6511-ISt ttL8-141 005E-8t1
12086 VN 11311108 41186 VN 3111835
IS 3AV NISI 10111,= 05 3AV HIR 0ft0I
13001138 ONV 818d3d 311011 S C 808 111311103 V123838
__,.T.`:. .._,. ..,_..__ _._:.___ _. 838N31
.,__.,......__ _ __-__.ay,._,.�,, _. 8013011103
Sliul is 11015111 - 11=NOI Id Iti3S10 1.03fO8d
L2Z6-iOIZ6O : 'ON
3 :1 Lull IS HIOZ2 S OZOZ:SS311{IOt/
1'6/£0/ZT :S3JIdX3 000$-199
:)3 :A8 Ot• <' .' saSanbal .�
uO��T33adsuI 6urtpittnc 20086 t1/43/M `A?M Te,aapa3
831 O-PoJ18 :O4 1IW83dt76/90/q0 :031ISSI Ii • (� �. I�� 1 1( 1 t.1 yiAVM �1ti�13a33 T 0
AO A113
j 4
vi/A)
roAJ
Gia
cn
0
0
•
„
..
• I
I ,
-----;„
.,. 1... --, v
___) ,...
TT T T " ? T T T > T ? ? T m m m , .---
m CO›..
m. ,..
CO
m m Y m m m m m m m m m m m
o z z o = z J �^
O .> > aQc C7 O I— w \ CO J J z v
di Z J O. J J \ Q ` U z 1 ,
Y Q z „ 3 z' a z z' ° ►- `- fl\ ° z W Q�
Q °' m a. ceQ m a` Q Q Z V \ w z Z LL w w
N n OLL ° a 0 D ° y ° a'. n Cal: n 5 0 .: ° Z 0 0:: n 0 ° 'N n wLL O_CO CC CO m C O ° O
. a
— — — —
•
N
e •
�,6rCity of Federal Way
�- Frzr�
uv APPLICATION FOR BUILDING PERMIT 9 y,fa / 02/
01p1 1.7 1994
FEDERAL
PLEASE PR/NT CITRI1ILF ILDING DEPT.AY APPLICATION #: Bt rALI-0 -125
SITE LOCATION Address 1lC 0 A
Tend i n /V4 ( POd.�/ F► ���1f.r►bt- Lot # 092.1,,+ -92,77„3-
_Assessor's Building Owner lName / Address (� I - 21o84-12s
Cr3lS‘,,.�l,a,�.� 9rol,e..-f;.� 2az.o So. 320 f. ,d ç l
City Fc..�-r 4 i C� State 1^,i+► Zip 9 d►e 0 J/ Phone 94 / - 3 2 6 4
Nature of Work �, I . 4 /1Tb. v 1n,. 3-,1,,,r► of,t i a1� nut..G'L)
!APPLICANT 1
Name (F,M,L)
e,Lc_c-c.a C,c, vii l rJ
Address
i CD 49, 7 c24-4 Ave . &,t-NJ.
City f�a-tflc__ / Ln./A 9 Of 46 State Zip
Contact Person Day Phone ,., Other Phone Fax
fc.e cal.„...-.__ 246 -3�-v. or244 -F74¢
BUILDING CONTRACTOR
Company Name Bob t s Home Repair & Remodel
Address 21807 ii5th Ave. 9. Z.
City Bothell State Wa. zip 98021
Contact Person Phone Fax
Bob 'Watson 181-4459
Contractor's # (card must be presented) Expiration Dat Verified ❑ Yes ❑ No
BOB3HRR163CP 01-19-95
♦-T I.T--- - f�T.
ICll\L111111i4...
IName gJ t l A»acia, AVE_ C-0-4-/-la,...
Address . S.-4-) k 1
City Fe_.L4.—i( LiJo r State hi A Zip 9 00..3
Contact Person / Phone Fax
KoAby /s•-/,.L_i1--4 &--21- - ` 323 .1'c1,--t_
LEGAL DESCRIPTION
L (DI 4K-: h� t-F P/a •k /c„.77/ 1 ,J
/e. c2,,eo1 , ; 2-,,=>2_-.. So 3 Z-DC-1' .
Fe.e-c-_ z. / war , 9 ci),_, 3
Please Complete Reverse Side
C00492(Rev 4/931
r ___.
�TRUCTURE Exii.Use VA cati4 _tC.r aw4, rp ac{_- Pried U ;,a„;-..,..7 fa l oc..
Permit includes: RI Building ❑ Plumbing E Mechanic. i• ❑ Other
Type of Work: ❑ Residential 0 New 0 Remodel 0 Number of Units_ 0 Deck
,Commercial(j.1> 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor /4'(2c. aq ft(0,11,,,,-..,,) 2nd Floor sq ft 3rd Reef-------- sgft Existing Floor Area sq ft
Area Basements— sq ft Decks sq ft 3arage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On Sita Septic system Availability 0 Project Valuation' t
Zoning Lot Size Existing Bldg Valuation $
LENDER
NameAddress
tv.lin r ii) t-OPILUItait
City State Zip
MECHANICAL CONTRACTOR <'
Contractor Name I Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACTOR
Contractor Name ` Address
0
/ State Zip
P
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains 7,1'01 c.r•M.TS• r'^.•^•
i
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 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 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. ��f�'c'-�-�`—
Owner/Agent: ir� �4 Y Date: _5-25-91i
X1111► qtrrr 1rrrr rr♦ rrr rrr‘ I
t\OMPP ;,��g1f11/�i�,���104PPi�,���I1/11%P ��; X 4/P � gqf4/P , �Ig1111/PP 410010/7/
�� \ 1 #0/ ,Arf X0#0 / \ 040 / \� 0401 � RI* 140#,1;, 1\\ 00 ,/,,!4 � Noll/i/_k1 / ,i
lift.�Nh,\\ / /o"� \�mtItt/w_-' \!mil// .w. 40/,...4":"'t4- \ wI // . \ // \\ ,t. �1\\ Ill rdp
,,00/ •
� � ��.��
. ��� 30V-ld snonoidSNOo V NI 1SOd .40
`=__
Lei/, k�_m r
-��� •sasrura./d ay;fo;uvdnaao.do/pun./aunt°ay; \\�_�
%�� fo rf;rlrgrsuodsda alp sr aauvrldu/oa gong •pa;nn;rs Sr ;r yarr4 uodn punt ay; .ro am;an.gs pros fo asn.lo uor;an./;suoa ay; 8ur;aaffn u°;2urysv '`�Ni,
ft /i1 Jo a;n;s alp do rfjrJ ay;fo uor;vin2a.r do aauvurp./o r.raaa pun liana y;1M aauntldruoa;au;s saauap to a;na r;.raj spy imp uos..rad_law ?fun o; ( 104._
,\\\il� do ;undnaao/..rauMo ay; o; SlUnl.[nhl JOU saa;un.rnn2.ray;rau rf;r- ay; `(suor;v;rrurl lauuosrad pun auu;dGv;aBpnq ury;;M) algrssod rflgvuosna.r Si �,d.
snti
\\�4\` a�Uao-[adxasua�M s.ra;;nW avow St7Maajvul r;.[a�St ;yo a�unnss o;rl�ond��auas alp,la vtuo °uor;aadslurayun Matrtaalp �al;sartaS ur snaooUI rf;u oo�d sou
�//�//���
__ZM y y y D suit y 4 p p y f dui
I ..01 31VO 1VIal3.o 9Nla1Ine \������
I j���
A-6/0 �� �i ] i *9`VI
1=`),A, 9 i'T 8 6 VM Q'ILLVQ S �i///�/4
... (iii/�
MS QAV HS8 0£tOT • SSS2IQQV , ���0
a�P-androv-ii, AZZ2NNOO VDD3 >J : • • •HWVN 2igNMO ��==r
eri
,• NS :jj i NOIDIIHISNO3 o o t T :3 Os . j. L zg :dfQ23O kI‘PI"*\
Mg
�\ \` s :;Tun IS HZO Z£ s o ZO Z • SSg23QQv ► �/
��\�\\ 1�'I'IgNNOO FIODggg)J : W N ZN�'Ngs /i/iAg//��.1
1��:7; 8zto–'v61TIg :2IggHfN szNUaa 6z :QFtoz SNVdnoDO IrAdierl
���`io
i, :'urnao11of azww .[og -asn .ro uot1an.��suoa .utppnq 2ut,vjngaI k�\\\ji
fit,\$ o arji ,fo saauvuzpJo snoi.Intt aril 111141 aouvtldu�oo ur snnl a rnlaniis spy `aaur nssr Jo aU/il anti lo low ,Hop'1 ,0,'O�\\\�� 2uzr ri.ra3 apop gulp/ing ur�rofiuf ai1i fo LO uoyaas fo sivazuacinbat aqi of Juvnsdnd panssr aiva ii.rap szzii � Ar
"����. //////I
.ii \ ...
i'
aunn .LY tai .x� ..\�:.
,IN,p
*kik
p4i.,10),,._.
flokk ?wilt jvaaqa je, la rtilj)
immik of.Adre
®IiZ _�•�+4
0'� ��rOW,I;119
11\\\\\��1%%�/%%I�I111\\\\\��%%///�1�11\�\\��%/�%j'iii1�\\�� ��iii��������%%j��iii�����`�����j�/��ll'l����1�\\\�\_.11; l llkZ1Lr;off/111 t t14�/ 1l4I'1\\\\\,i;/ - #4#I.. \\\\i�f/j�/lll�l�1it74 f//��II�111�1�giti�lirriti�\`�i// 1110 �/����y��o�� eil#0�4**15`.i�#11�%411.40#$ f ,06.4$,$11 Alririj#�111,��tt#0F111016
1101010 44 4404► 4444 4404 ► 44i4 ��� 4 ��� 040