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APPLICATION FOR BUILDING PERMIT PLEASE PRINT APPLICATION # - l 1'N 39 Site address Tenant name vv �,j ,,, , Lot# i/2 Assessor's Tax# y�5�j..r n0/e4 'f') MO•'7 't D22 I? Building Owner's Name 117 40,-,, ,-) Address 3c 8 i /7,4 ei. �' // // /rig/7)4i ) Cr�-'� ,�,yy 4 �L City 11 e,ci Lr State L� ei Zip lire o7 3 ),,- n.A I Phone =76-3• c?3,k SO5 Description of Work Ao �o�� t�ill� 5e... -FD k odyn ............................................................................................ ........................................................................................... .................................................. ..................................... .......................................................................................... ................................................. ..................................... APPEICANTMEmammoimmimmi Name (F,M,L) // 14'4 0'114 /7 "") Address �h i City t/✓ id , 4)4 State /64 Zip led 3 Cont,1ta�t Jperson Ji S3 838 5 55 Day Phone _ Other Phone Fax reel �) �r iiiiiLD1k. IFS. . .. R.. .. ........ .. ....... Federal W yBu Business License # Company Name eel 'le- b/ a�n e-7 Address (fi City State Zip Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No 10160` `>s<>« 111 < >':? " [«[11'1111»«'[1111 Name (54VC' /7 1V. 7;i/it Address /6 6 // /�, /1, /7/,a), Sti) /./ City 4tfbr.ii r) , A)r7 ehr e 0 / State k Zip 'nes 0 / Contact PersonPhone Fax s1�e✓e �t/ : S3' r4. 33S/ a S-3' (7'6,4 ' 3311 LEGAL DESCRIPTION �U�S d " """ 1, �� /g'"c' Please Complete Reverse Side • TAuCTU E.:: >:__<>.<a:>s> iN,1.s iOil.; .>i::: Existing Use Proposed Use C Permit includes: Building ❑ Plumbing 0 Mechanical 0 Other Type of Work: Residential 0 New 0 Remodel lam#of bedrooms :1 12-"Deck 0 Commercial B`Addition 0 Repair Or'Garage 0 Shed Enter 1st Floor .11.,/A3 ysq ft 2nd Floor .'4 43L1q ft 3rd Floor_ sq ft Existing Floor Area i 70 / sq ft Area Basement sq ft Decks,�4 }` (_ sq ft Garage sq ft Proposed Total Area AI //, 6-4 sq ft Water Availability 5IV Sewer Availability I' On-Site Septic System Availabili y 0 Project Valuation $ b . OC Zoning , i i Lot Size 0 Existing Bldg Valuation $ (,0 C.) 6 LENDER`` > >>]a.:iM ::i is «« ........ ....................................... .... ............... For new residential only - Proposed selling cost: $ Name t Address /+ u • S , ��5/►V7 City State Zip MECHANICAL..0 ......iACTOR.......::,:>`:::>:>`. Contractor Name Address i ' %: Q ct)h C'./ City State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No P..LUIVIl31NGtONTRACT SR:;::<::: >.;:.;;::::::::: Contractor Name Address C1Clye oil' Gc,,?),7eq/ C%� State Zip Contact Phone Fax License # Expiration Date Verified 0 Yes 0 No •)(N f'LU.IVIBIIV.G:FIX..TIRE: ii.6.4::i`:'''>'::;:.::;::::'.::. Water Closets Sinks Urinals Lawn Sprinklers Bathtubs 2.,. Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories d Washing Machine Drains Total FtxttfreCount s MECHANICALMECHANICALMNIECOUNTMEMN MECHANICAL EVALUATION ONLY $ J . Fuel Type (gas/electric/other) /) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping C-1 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 1 Hood Boilers Above Ground Cony Burner Duct Work 0-3 Tons Underground .............................................................. .............................................................. BBQ's Wood Stoves 3-15 Tons Tatil UnitGotfrrt' 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: - I Date: 6 - 41 - '19 tow � � v-nom RFvis+O 5/1E1199 . , 1 :r'44' 9 JD.))3 . , . ., ir"'* CITY dr FEDERAL WAY \ 4I3 FA t rum I T Pt1;11lJr'i;'!'oi341/ H :)-43 31-)1,57.4First Way SoutP h DUI L VI — , 3 (61 /140 BY: EC • F9 dderal Way, WA 8003 Buildincj Ew.:;pection Reque2 sts -) - J - I- „ 21 -661-4000 ExPIRES: 02/16/00 ;1)DRESS:34814 17114 CT 'w 542350-0220 'PROJECT DESCRIPTION:R[5MM - wasmAisleftauto HEW CAFTLt !Ilgit=1)10T211!!!!!.2.4,11!TIT.41nrIWG T212!".CAL x!”' 821.111Eir.!!!1 A" 81 OWNER ,..........MOBX210G.“01.81113USA.Mii....V.Triett.*14;fil4A,M116 . OWNER IS CONTRACTOR -ALAMU AH HON 34814 17TH CT SW LUENSTANK FEDERAL WAY WA 98023 253-838-5055 N/A ,zt,...nm,,x...,Alc..t......lomunm - 'It CONINACIORS, PLEASE 1...--..........,...--,.., USE Loom Ciliiii4i7"--"T'I'''''''''''4---WI;;;IIINIA lit City 01 FEDERAL WAY. TAX AI,ITE:..11!1:::..................,! 1411!, 14MIIIGti SALES TA' Wit - ............T.........- ,...,..............,--..,c,7--.47 1," coo PLAN •SFHD FEES: -;;;;7" '"'-l'"A*"* K IXIcI..-P08P--- ,;-,' PWLIPb--1 - * ,- ‘-' RARKING..: 2 XNEC?:XPLM?:X FS- '' - : ', . STOOTO .: .t' " REQUIREDSPRINKLERS/ 1 PLAN CHECK FEL $ 548.59 I E WORK:ADD USEIES 1ST.: iNi Ulf, ST __ .., , ,,,,0,_ tm HAZARD CLASS...:EXT PW - ROW MOD REQUEST $ 54.00 1 TYPE IF US(: ' ' °:sf") 111!"T"._. 75.* 4W40404dkS(404ST7r Itli, ?f.:er0A001,;, ,, Porit:%cTE:g!:!! $ 87i:90 COECI:IPSANC4T=P-----:4-.3.4-. 2".. " r ,, 4 '-,-;; ' 75 '1'; '-4t''1--1m64,. 4A2 " , 1- 7;Tii IN .4.464111""" 3".: ''''''' '7'::- 15!'''' 'Z''171777,716m7 ''- ' FP°144T00 .ML.,, 1?%7-,,, .iIidi' 1; it.pccomacr, * $ 4.50 :01 :R3 :? :? : TYPE OF CONSTRUCTION----- 4=0-,-A*--At „..-#, E$ :%L :::77,?,16fitOlk4 ,,-,,„3..,1*ff lEvut surtleA,AK 4 111,74:11ixE ru ,sit .., :? • DECK: u: 1004. ..„-- au tril 199 $ 2947:3215 :054ii-L00.0: ' t -.1:.E7106:::* 0: 0: 0: 0: TOlt: 8 CO '', INP(RV SURFACE: 4254 sI SENSITIVE AREAS?.:? PLUMBING RUM CHECK $ 344.0, TOFALE $ 1854.0 • 0 Additional fees not shown here., KW"I'YZ4::i172-? 770"17.1WWW;*S-OW ZI-1CLOSETS • 1 URINALS GAS PIPING.: 0 ft HOOD. • 0 0-3 100 0 BATH 1 SUMPS. • 0os 0 DRINKING FOUNT.: 0 • FURN<IOOK..: 0 DUCT WORT....,: 1 3-15,1011 • 0 SHOWERS ' GAS HST • 1 WOOD SIOVES • 0 15-30 ION. • 0 LAVATORIES 1 VAC BREAKERS...: 0 CONY BURNER: • 1 hRAINS • 0 : GAS DRYER..: 0 FURNAOOK • 0 MIS( • 0 50TON 0 DISH WASHERS AIR HANDLING UNITS 30-50 TON. • 0 SINKS. . # • _FUEL TANKS , FLEE MIR HEATERS...: '60 LAWN SPRINKLERS: 0 OTHER FIXTURES.: 0 —,-144.1,23,.S. ... ....sfm.grmt.-II RANGE......: 0 <:10,000 CFM: 0 - -71470---14714 "IR 017—:1 OWE0YEAR AffER BATE OF ISSUANCE. OS tOGS...: 0 ') 10,000 CfM: 0 UNDERGROUND.: 0 ItN'ffiii.S"iiiiiii-ifiii-D;;;A;;WiSSUAli'ii NO WORK IS MARTEN, RESIDENTIAL All WINS PERMS EXPIP 1 cuoury TWAT INt nreummt MESHED NY NE IS 11111 ARO CORRECT TO INE BEST OF NY KIP' ' AND TUE APPLICANtE CITY 01 BARU MAY REQUIREMENTS Mitt RE NET. ONER OR AGENT :11:(7_21 ___ _ _--- .-- DATE _..... ..L.S2/L.2.2 - 0 -, • I 1 FIELD COPY 1 O. ETBA�KS it iF0 Date -z3- 2 3 P...L IIII RING 00.NLIWO i :::>::::>::<::::«::>::»:10111::::>:: ::::> Date9 : .;:. :::g :.;:.;:.:By:.;:.: .L ::::::..... -7 4 BLAB IN3ULAY tON Date By 5 FOOT NG/DOWNSPOt.wOrm1l«: :.. ::`: Date By 6 MtNG> > >> < < Date By 7 SHEAR WALLS �� S 4L to - 2.2 `� t Date //- Z2 7T" By C� J ...: .;:.;:.; 8 :::::::::::::::::::::::::::.:::.:::::.:..:....................................................... Date /l-Z�/ �Tr By Date By 10 MEDHA (CAL_,RflUQH.:R.:.::::.<:.:::.,::.:::::::::.:.:;.::2r.:: Date //-T 4_ By C 4 ) 11 Date/Il:.;. .:`. .:.By::.;:.;.:. ........... . .:::::.....::::................. Date //-Zg- 9 q By C-�J ................................................................................................. 13 ..:::,:....:.:.::::::: .... ...:.:.. 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