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Date By
4 SI,Ap:: h1St LATIC l
Date By
5 FOOT +1G/D41AlI4$PO IT DRAINS>
Date By
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• NDE••RF• LOOR FRAMI°G• '
Date By
7 SHEAN.WALLS
Date By
8 PL MBING`ROUGH•IN
Date By
9 + 'pIPINGI
Date By
10 MECHANICAL;.BOURN=IN
Date 6._ — c g By )L,
11
Date fn_J4% 4)./' By
12
Date By
13 GWB - 1ST;LAYER...
Date(„,-Z 1- GI By C(�
14 t4VR'rlQ LAYER
Date By
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Date By C� G C e lsa 1d4. ✓�$ .
16 PL, N 1 N ': INAL ` :::;> :...... 7-/- ? `7 G G�� c^ K -t 3-C) °I 0 w
Date By
17
Date By
18 1
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CD0193(Rev 4/97)
03/10%99 WED 11:37 FAX 2536614129 CITY OF FEDERAL WAY CO 002
. • • ILD r
BUG DIVISION
q„r� s— 33 530 First Way South
___ Federal Way,WA 98003
rte (253)66100
Fax(253)66140129
RECEIVED
APPLICATION PON'BIa1D1NG PERMIT
Ui 1 r OF FEDERAL WAYAPPLICATION Lh-L�4 rO 1,LIA
PLEASE PR/N '
7 131111 DING JIFF(
{A:1;s - s Address 1523 pAcIPic 16- Al 5o vy"�f
Tenant(If known) Jo-Ah1P( GTC . Lut$ N. Oft2IcyyT1(7y
Building Owner's Nems Address
GoNTE(Z TiZI>S 1 14,0 '701 t}-I HAgBDR o 1./1-E✓A/ b
City rULLE(z"TO N State G-LA _ Zip '12.e 32.. Phone IN. 6,50-
Nature o1 Work 1E44141 1W1el2 0-pi rs17 ;t ' L/„ 11 r.'. I0 I
1\10
,' ' . bul
Name(F,M,L) Jo- ANn( --:7-01,21.1--e"` INC
Address 5 g 5 D4RRoo) gaei b
City ]-IVDSo N State OH Zip L/1/236
Contact Parse Day Phone _ �`7��?� Other Phone Fax y6?
FCKyMc/4I� 7
; ~a‘lw® y ,IAte° ,i .'" FEDERAL WAY BUSINESS LICENSE #
Company Name
Addreea
City _ State Zip
Contact Parson Phone Fax
Contractor's #(card must be presented) Expiration Date Verified G Vas 0 No
war n,
Name MCG A�RccHI-r c-"5 /'
Address 30� L(�1,( FA-0-1 I RA 1 L 1 50%E C
Chy c L e✓E L,4 AI t State kJ Zip Ity/I/7
Contact Person Phone F/16 -52o-
216 510 - / G5i 1567
LEGAL DESCRIPTION G G r�.e, A fr/�'L/'/�6 5 nEc-r� Fc<,, uc Y'L r tel. L E 6-A-L,
7 p 2,Q e l l chi .. .
Elmo.Complete Reverse Side
:�Existin
Use
froposed Use f':Z2f-C4....IS
................
�'�"REI,GT1JR :.. .-..:::::.::.::::::::.:;»1 // g // p
Permit includes: l / uilding VP Plumbing cl;101(lechanical ❑ Other
Type of Work: El Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
� Commerciall/ CI Addition CI Garage ❑ Shed ❑ Other
Enter 1st Floor 4Cf i I J�ft its 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area� / sq ft
Area Basement sq ft -IT Decks_ sq ft Garage sq ft Proposed Total Area V C..., sq ft
Water Availability Y Sewer Availability ICY....' On-Site Septic System Availability El Project Valuation $ 5 51f30049
Zoning l nf..( C.....,(„''.I...., - I Lot Size 1-"1<EcEv, Existing Bldg Valuation $ —
AP 1 �Q Q
R
Name Address
aJTY OF F <
BUILDIR
City State Zip
..........................................................................................
..........................................................................................
............................................................................................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes El No
........................................................................ :::::.................................................... ... .......ii i:a.....
PLUM.
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes El No
............................................................................................
..........................................................................................
............................................................................................
............................................................................................
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
..............................Mi:i:.............................................
...... ...... .. ...................................................................
.................................................................................
...... ...... .. ...................................................................
MfMECHANICA LumrCOUNT.mmimiNg . 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 Total Unit Count
DISCLAIMER: certify under penalty of perjury that the information fumished by me is true and correct to the best of my knowledge,and further,that I am;authorized by the owner of
the above premiss to perform the work for which permit applic. ion is made.I urther agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in investigation and defense. ch cl- ),which macbeNlade by any person,including the undersigned,and filed against the City of Federal Way,but only
where such clai arises o of the reliance of ity,incl ng its o;cern and emplo -es,upon the accuracy of the information supplied to the city as a part of this application.
Owner/Agent I Date: 4/(C47/67 I1
R[vSED 8/28/97 (W1
BUILDING DIVISION
«r.OF G 33530 Fust Way South
Federal Way,WA 98003
vv FlY ��� (253)661 4000
C) Fax(253)661-4129
,
APPLICATION FSR BUILDING PERMIT
PLEASE PRINT APPLICATION #
E-#; Address
::.::......
Tenant (if known) Lot# Assessor's Tax #
Building Owner's Name Address
City State Zip Phone
Nature of Work
A P.ICANtr. .
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
C
E
NE
LIENS #
AY
BUSINESS I S S 1J1[�i31.NC�:t31VTR�+�T. .
FEDERAL
W
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No
AftCHLTECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
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Cerfificae ® Occupancy
.....,
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lit This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building
riin
Code certifying that at the time of issuance, this structure was in compliance with the various p o s �Aii
•`
v. ordinances of the City regulating building construction or use. For the following:
OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0248 DY
ilf
tit
's1 TENANT NAME. . : JO-ANN ETC N
1 . ADDRESS • 31523 PACIFIC HWY S 0
{ GROUP: B SQFT: 45167 CONSTRUCTION TYPE: 5N
OWNER NAME. . . : ALEXANDER HAAGEN OPERATING PRO
ADDRESS • P.O. BOX 131071
{ CARLSBAD CA 92013 •
QH'•
ai
.a ll r
(&ww � q
$'` Building CSfficial 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
Eil
review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor
'%
Al warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance
l' 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 < >} Vii:
s 40-:,
i ksituated. Such compliance is the responsibility of the owner and/or occupant of the premises. a' : : �
:,:::i.:::::::
> >f>?>:.:. POST IN A CONSPICUOUS PLACE " "` i.:!
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