96-100990 9��10a9gD
CTTY UF�� h�CT��RWI_ W�Y f-'El�rll�1� ����1r�� �LD�6 _Q11.4
:.��s�a F�. rs t w�y s a u t r, ::�'.'.��,_,w a:��. �.,.,,,.:',�'��M�:�. $°��,"µ7, ��,a��:w.. ,,.,,��'��:�". �,�,,,. r s s u�:�: o�/�.a/4�
Federal. �nay, WA `��300;� �3uilding Ins�ectian Fte�uests d&:L •.�w.L4C1 BY: FC `�
6��.--�000 �xp�r��s: �.c�/o7/��
F�DDR�SS: . . . . . . . . . . . . . . . . . . . .
tio. : �.���.a��-�ao:��
PFtC�JECT DESCftIPTSUh1:GRADING FOR Proposed 19-lot single family subdivision on 11 acres.
f= OWNER ��������_..:��____�-�_�__����=__--=_=-===_==��.:����_��= CONTRACTOR ::��=.-::�__���__»,�-r-====_::���=-----=-======�= LENDER ==__=====w:;__�_�=�ti-::_�==_=_��=��__�_:�=_::=-==_=�
� UNIVERSITY INVESTMENT CORP DAVLIN CONST INC
� 8549 Ht)NTS POINT LANE 101 S DAKOTA ) . (
� BELLEVUE WA 98004 SEATTIE WA 48134 � '
2-1064 382-6005 �
' DRVLICIG99Q�1
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;#= CONTRACIORS, PLEASE USE LOfATION fqDE 1732 MNEN �EpORTIM6 SALES TAX FOR PROJECiS YIiHIM THE CITY OF FEDERAL itAY. TAX RATE = 8.2� i*=
t=_=-4�:::::-.,-_.:--v,._�::_:,.. _�__.____.._....___ ..�.___._____.--_.--_�..._�__,.._,�____._____________----. - __._.
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___ ___....._�_._ _�._. ._ _ ��-----------------------------
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BLD?:X MEC?:? PLM?:? FLR--EXISI--PROP--- DWELLIN6 UNITS: 0 I COMP PLRN.........:? � FEES: �
TYPE OF WORK:? USE:? 1ST.; 0: O:sf STORIES.,......: 0 � R�QUIRED PARKING..: 0 SPRINKLERS?......:? k BUILDING PERMIT....� $ 0.00 �
CENSUS CATEGORY.....:? 2ND.: 0: O:sf HEIGNT.....: 0.00 ft � NAZARD CLASS...:? � �
OCCUPANCY GROUP---------- 3RD.: Q: O:sf VALUAiION---------- � P,EQ!lIRED SE1BACKS------- F.R� FLO�... .: J gp� � (
:? :? :? :? . OTHR: 0: O:sf El(IST..$: 0 i FRQNT.....,.... 0.00 ft � �
TYPE OF CONSTRUCTION----- BSMT: Q: O:sf PROP,..S� 0 � ' SIDE..........: 0!OQ ft WA1ER SERVICE..:? E (
:? :? :? :? . DECK: Q: O:sf RERR........... O.00:f� SEWER SERVICE..:? � �
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIUED.:04f10/96 � � �
. 0: 0: 0: 0: TQTL: 0: O:sf � IMPERV SURfACE: � sf SENSITIUE AREAS?.:? � (
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FUEL TYPES.:? ? FANS..........: 0. BOILERS/COMPRESSORS WATER CL05ETS......: 0 URINALS........: 0 � TOTAL FEES $ 0.00 (
PIPIHG.: 0 ft HOOD..,........ 0 0-3 HP....... 0 BATN TUBS..,........ 0 DRINKING FOUNT.: 0 � �
N<100K... 0 DUCT WORK.,.... 0 3-15 NP...... 0 SHOWERS............. 0 SUMPS........... 0
� GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 i LRVATORIES.........: 0 VAC BREAKERS...: 0 I
� CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS............... 0 DRAINS.........: 0 � • �.
� BBQ........, 0 MISC........... 0 5+ NP........ 0 � DISN WASNERS........ 0 LAWN SPRINKLERS: 0 � C
GAS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTNER FIXTURES.: 0 i (
� RANGE......: 0 <-10,000 CFM; 0 ABO'1E GROUND: 0 � LAUN WSHR OUTLTS...: 0 � I
( GAS LOGS.,.: C > l0,OQ0 CFM: 0 UNDERGROUND.: 0 � I �
�-__....,_:.._..,____._�__�____�..__�__-_��.._�..-::_____�___w__._.,-.__,._...,___._-_,_..�___..M�_.__.______w,_:-.-_�__--___.._::��___.._____�_._-_,____.�_.__--___�__���_�_�----------------w____..________�__�._��
PERMITS EXPIRE 180 DAYS AfTER IS5UAIlCE IF MO YORK I5 5TARTED. RESIDENTIRL AMD 6RADIN6 PERMITS EXPIRE ONE YfAR AFTER DATE OF ISSUAMCE.
I CERTIFY THAT TNE FORMATION FURMISNED BY NE IS TRUE AND CORRECT TO 1HE BEST Of MY KNOMLED6E AND iHE APPLICABLE CITY OF FEDERAL YAY REWIREMEMTS YILL BE MET.
� /
ONNER OR AGENT . ._..... . ��e(t{L��4 - _. .._ . _._.__._.. _.__.._ . _... .... .. . .... ..-- DATE ��d����_.______
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' w FILE COPY
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City of Federal Way
• �.,_����d'`�`��
� �� APPLICATION FOR BUILDING PERMIT`��y
t���� 1 , �99�
,��-v �� �-���
PLEASE PR/NT APPL/CAT/ON #: �;�T`t'i;�F FEL�Fi/��.'.�'1'rY �
SITE LOCATION Address S V,� -�� /5�;f�%G�J �� t���,�'� , ,Se'_ , �
Tenant (if known) Lot # A`s�sessor's Ta3 �C,/�,_
(.��-Y CDi7 1� �2��
Building Owne,r Name _ - � - Address �
L/,!���/v�s�4" .-L✓.'G'��,�i�.��������— ��-� ;,� ���/ .�1�-,�-s �'��>.�L ���.�-c_
CitY �-j��<� /�-�` t/�.�� State L�� Zip � ���� �/ Phone � � —/��d l
Nature of Work �C".r"t�.� ' C'"<<�--`.�'�Cl�'l--Q,c,� L-c� � �� � t�.l�.< <.; v-�C� f'72L� .
APPLICANT
Name (F,M,L) ' * •
��'r,i� ��1 E,�l� ����>��,���,�r�f �ts%,,��?
Address � � �/ j � , �
�� l'���f� ��'i�� Ll�l� �i
City J_J'l' �' CJ L-C�--�� State L�J�_ ZiP lJC�(
Contact Person Day Phone � Other Phone Fax �7
���G"r'G� ���C� �L«'c �/ ��-���� � _� �SS-- �,� /(�
BUILDING CONTRACTOR
Compan Name
n �`"
Address
� , U'_
City (� ' ,�f State � Zip
Contact Person Phone Fax
�, 1 �_ �� � � �� �
Contractor's # (card must be presentedl Expiration Date Verified ❑ Yes � No
�^ (.�/ J �D
��� -r�-,���.,� _,
Name _.
. �� �
j C�Li1�'!{ L -J�`',,/i c' �J
Address
����y � /i � � �l _ �_ io �_
City �_� State�� Zip �' �'j��
Contact Person__.-�-- '� Phone / Fax ,
�,_/>i?j �C'cJ;���., �5�—L�l:�i1 �� S �—� b ��
LEGAL DESCRIPTION �� ��
�� C X/-/i/>/% ,�
Please Comp/ete Reverse Side
, CD0492 1Rev 4/931
.
'STRUCTURE g Use Proposed Use �—�
txistin
Permit includes: ❑ Building Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Fioor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability L7 On-Site Septic System l�vailability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER
Name �• ' ' �± �-- �/ Address l ��
`��f� S!�'G''//,�`_-> Jl1ce/C G_� � � !`i!sf-l%t r � {�J�';;�5- t,s� �`
L /+--��i
City �'r.f ,r��' State l�J� _ Zip ���i J��
'MECHA1vICAL CONTRACTOR
Contractor Name �� Address
i
City State Zip
Contact Phone Fax
License # .- Expiration Date Verified ❑ Yes ❑ No
PLUMBTNG CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish W ers Drinking Fountains Other
Showers EleCtric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fi�ctura Count ''
MECHANICAL>iJNIT COUNT MECHANICAL VALUATION 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 Lo � Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv 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 knowtedge 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 lincluding costs,expenses,
and attorneys'fees inc rred in investigation and defense of such claiml,which may be made by any person,including the undersigned,and fiied against the City of Federal Way,
but only where suc cl im arises ou 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; � ��� Date: ��/�� (,�
♦ — F
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