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94-100752 ��- ��a7�a � __ � 33530J�irst Way South � V � ���1 \� ����� . ISSUED: 04/29J94' i� �@C{6t"c�: d1'. Ftt'`' �t`��� .' ". -� "'�rr'^_ .. , -f'.l_ _ � . .., __ . . , tt. . ...� ._ _. . , � �, `, :.` v,j _-r f;... R� '=t^ bbi-aa�::;:� ��t��=����-.�; _ ::�.�/«,/�� , �``�ftEVISED PfRMIT **`� �":� ADDRES: , .� � ..� . � ,��� �=,-� _;�-�� � << . :, �10. = 7ti224�-0010 PROJECT DESCRIQTION:TI - NEM DIVIDIN6 OOALL TO DECREASE SIIE Of TENANT SPACE. OqNER CONTRACTOR LE�IDER — — PHOTD MAX 8 6 C CDMPANY x=x OEINER/TEkANT tY� 1402 S SEATAC MAII 1 58 5222 - 158TH PL S� FEDERAL OOAY MA 98003 EDMOMDS EEA 98020 839-2644 143--3620 � BCCDM�#134PH �� BLD?:X I�fC?: PLM?: fiR--�XTS?—�PG?--- , D�ELLI#6 1�Ii.�� ; � COMP PLAlI.........:B FEES: � TYPE OF OEORK:TEN USE:COM iS?.: 9U�J: 45v:Sf S'kGK1ES......,�,: 1 . . RE9UIRED PARKIN6..: Q SPRINKLERS?......:? PLAN CHEC!( DEPDSIT.t ; 46.80 .�. CENSUS CATE60RY.....:437 2kD.: i}: 0',�s# ''.i6NT,....: 0.00 ft �.".'.""" CiASS...:" � FINAI PLAR CHECK...; = 0.00 OCCUPANCY 6ROUP---- - 3RD.. 0° 0;5f Y4i.UA3I0'5------=-- �' R£t�UIRFJ SF?RAC�S -- -� �'.rc� Fl€lK .,.• ^ �p� BUILDIN6 PERl9IT....� = 72.60 :B2 :? :? :? ,�.:, iiTHR: 0: O:sf EXIST..S^ � t FRO�T..,-.....- ?t�..0 ft PICK-FIR coul only# t 3.b0 TYPE DF CONSTRUCTION -- ��� BSMT: 0: O:sf �PR�)P...���. � 5Q4U ��� �<SID€�. � .. _: � �.QU �t ;r � ��RVI��...tEC . � ,. ���URCRAR6E.....t f 4.50 :5N :? :? :� ��� ��T�K��: tt': 0:5f REAR..........: �.Gz:f� aE�,�, S:R4ICE..:FED FIMAI PLAN CHECK...x S 30.00 � OCCUPANT LOAD----------- " £AR,. 0: U:sf ;£CFiVEG,:D4f1?J44 : 14: 0; 0: 0: T�TL. r00: 450:sf i�4PERV SUR�ACE: 0 sf SENSITIYE AREAS?.:k FUEL TYPES.: �A��>..........; 8 BOILERS/COMPRESSORS EOATER CIOSETS......: 0 URINALS........: 0 TOTAL FEES S 156.90 6AS AIPIN6.: 0 ft ;!COD..........: '0 0-3 HA......: 0 BATN TUBS..........: 0 DRINKIN6 FOUNT.: 0 FURN<100K..: 0 DUC7 bEOR�.....: 0 3-15 NP.....; 0 SHONERS............: 0 SU19PS..........: 4 6AS NE�T....: 0 aDOD STOYES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VRC BREAKERS...: 0 CO�V BURNfR: 0 fURN>IOdK.....: 0 30-58 NP....: 0 SINKS..............: 0 DRAINS...,...:.: 4 BBQ........: 4 MISC..........: 0 5+ HP......,: 0 DISN MASNERS......,: 0 LA�N SPRINKIERS: 4 6AS DRVER..: 0 AIR HAkOLIN6 UkITS fUEL TANKS--------- ELEC MTR HEATERS...: 0 OTHER FIXTURES.: 0 RAN6E......: 4 <=10,000 CFM: 0 ABQVE 6ROUND: 0 LAUk �SHR OUTLTS...; 0 6AS L06S...: 0 > 10,000 CFM: 0 UNOERGRDUND,: 4 PER�ITS EXPiRE 18Q DAYS AFTER ISSUANCE IF MO OIORK IS STARTED. RESIDENTIAL AND 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY TNAT THE INFORl9ATION fURkISED BY ME IS TRUE AND CORRECT TO �NE BEST DF PfY KkDOdIEDGE A�D iH� APPLICABLE CITY DF �ERERAi �EAY REQUIRER�EK;S �'Il� BE PS��T. �,,,,.F OR ASENT ��---�---���--- `'�'t"' �H'� ����/ �� . � ------------------- -----------------�---�------------------- ------------------ - a FILE COPY � f 33530OFi rst��Way South B U I LDING P EI�;MI T ��RISSUED: 04J29/9412 Federal Way, WR 98003 Building Inspection Requests 661-4140 8Y: FLF 661-4000 EXPIRES. 10/26/94 RDDRESSa1902 S SEATAC MALL Unit: #58 �lO. = 762240-0010 PROJECT �ESCRZPTIO�I:TI - NEM DI4IDIN6 MALL TO DECREASE SIZE OF TEMANT SPACE. OMNER CONTRACTOR LEIIDER PHOTO MAX B b C COMPAN7 ;Ex OaNER/TENAkT =ix 1902 S SEATAC MAIL # 58 5222 - 158TM PL S41 FEDERAL IdAY MA 98003 EDMDNDS I�A 98020 839-2844 74;--;G24 S�CL'M��130PH BLD?:X MEC?: PLl9?: fLR--EXISi--PR�P--- DiiEtiiR'6 ili4IT5: � C0�4P PLAN.........:B FEES: TYPf OF �ORK:TEN USE:COM 1ST.: 400: 450.5f STCRIES:......:: 'i ��;Li��E'� �ARKIk6..: 0 ��R��Ki_ERS?......�? PLAN CHECK DEPOSIT.x = 46.80 CENSUS CATE60RY.....:437 2kD.: 0: O�sf hEI6NT.....: 0.04 ff - HAI.ARU CLASS.:..? FINAL PLAk CHECK...= = 0.00 OCCUPAIiCY GROUP---------- '3RU.: 0: O:sf VAI.UATIAIO---------- RE9UIRED SE�Bt�CKS------- �If�E f�_�?�...,: ; 0 g�r BUILDIM6 PERMIT....t ! 72.00 :B2 :? :? :? :' D?HR: 4: O:s# f_XISl..�: 4 �R011T........,; �fi.�Q' ft � �1,G�-fIR co��l only� 3 3.60 � ,� .. � TYPE OF CONSTRUCTION----- 8S°�T; Q: 0'�s# PROt�...$: 50fl0 S'JE.....,.,.,: O.�i;� ft �ATER SERVTCE..:fED SBCC SURCHAR6E...,._ = 4.50 :5M :? :? :? : DEC�: 4; 4.sf REAR..........: 0.40:ft SEMER SERYICE..:FED OCCUPAMT LOAD------------ ' 6AR.: 0: O:sf REGEIYED.:04/19/94 : 14: 0: 0: 0: Tfl�t: 94Q: +t50:sf IMPERY SURFACE: 0 sf SENSITIYE AREAS?.:M FUEI TYPES.: fAP�S..'........: 0 BOIIERS/COMPRESSORS MATER CIOSETS..,...: Q URIHALS........: 0 TOTAL FEES = 126.40 6AS PIPIN6.: 0 ft H00D..........: 0 0-3 HP,.....: 0 BATN TUBS..........: 0 DRINKIM6 FOUNT.; 0 FUR19<100K..: 0 DUCI IEORK.....: 0 3-15 NP.....: 0 SHOOOERS............: 4 SUMPS..........: 0 6AS NEET....: 0 MOOD STDVES...: 0 15-30 HP....: 0 LAYATORIES.........: 0 YAC BREAKERS..,: 0 COMV BURMER: 0 FURN>100K.....: 0 30-50 HP...,: 0 SINKS..............: 0 DRAINS.........: 0 BBQ........: 0 MISC..........: 0 5+ NP......,: 0 DISN l�ASHERS.......: 0 LAIGM SPRIAKLERS: 0 6AS DRYER..: 0 AIR HANDLIN6 UMITS fUEI TANKS--------- ELEC MTR HEATERS...: 0 OTHER FIXTURES.: D RAN6E._....: 0 <=10,000 CFM: 4 ABOYE 6RDUND: 0 LAUA �03MR OUTLTS...: 0 6AS L06S...: 0 > 10,004 CFM: 0 UNDER6ROUND.: 4 PERMIIS EXPIRE 180 DAYS AFTER ISSUAMCE IF p10 MORK IS STARTED. RESIDENTIAL AND 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIfY THAT 7NE IRFOR�IATI Y ME IS TRUE A CORRECI TD TNE SESi Of ISY KPE0141E'J6E �1i4D THE APPI?CA$LE �iTY vF �ERfRAt kAY Rf9UIRfMfNTS #IiL BE P4ET. OWNER D AG�N' � ---- --- ---------------- '-'�T� --���"s�/---�� FtLE COPY . � , , .� _ ;: c�; t�,:,: f�t,< : , .. � ir�t Way South � � � ����� �� ` � � ; ; 'ISSUEG: UQ/2�:�j�+d . �.c3�ra� Way, WA 96GQ3 Suilding In��ection Requests 661-414Q BY - �,� f)1—'�Y00� . � � . . , i.Ji.�}����Ci.. ; "r <aC,�''��� ��k Fl�Y�!�!� Pf�RMTT ?K�Ic� ADURESS: 1902 S SEATAC MALL Unit: #58 NO. : 762�d0-0�14 PROJECT DESCRIPTION:tI - REM OIYIDIN6 NALI TO DECREASE SIIE OF TEMANT SPACE. �OIfMER CONTRACTOR LEI�EN -�~~--� ntmlq MAX 8 � C COMPAMY si� ONiIER/tEfiANT =;_ S SEATAC 14N1i ! 58 S22? - 158TH PL SM �AL NAIf NA 48�03 EDl10lIDS MA 9�070 • 2841 7�3--3b?A �COIIti 134FH �-��� a�� � e � ���. ���wr�° BLb?:X MEC?: PLM?: ���=-fl(YST--�RbP--�° �L��t���� ���� CtMM PIRM.........:8 FEES: Tl'PE OF MORK:TEN ttSE:CWI IST.• �"�: 45a�'f a�f��.�� ��,��,���ma���. �tFt�IiRED PARKIM6..:� � S!►�iMKIERS?......:? 'lAN CNfCX Df.�SiT.� 3 45.80 � CENSttS CATE60RY......437 21�.: :�': Q� �•`NfI6H, . , : 4.OQ ft -�f �;iASS...�� FliiAl. PIAN CNECif.,.i 3 O.QO OCCIiPA1�T 6RWP---- -- .�Rt�.: � • ��9�f ��d�l.�"��ri� � - � �,������"�°�����, ��*�i� �=-�=� �_°� ��.�It � � s�� �tlILDIN6 PEi�4�T....� � 72.Q�t :�� �" •? •' : +�t�. �� Q�f ��"g��1..���� �f � I�its - °" � ��� �� m„ �'�'��� Ptr,f(-f[R ��1 only� f �.64 � TYPE Uf COMSTIll1ClIQiI - ��ilt�, i�����w� ���fi ����P...�� Si�! ����-���E����. ,���r ���� �� �;nsk.F . �� ��..:�it� , °�����1RCNAR6E.....� f �i.5t! :5N :? :� :'� � �Il"�� � ��.+�' � ........... �;fMER SERYICE..:fED � FI�AI PIAM CNECI(,..� ; 34.00 . � OCCU�l1MT LtiAD------ --- r�, !",�; 4. s�,f ; ���f I;:u�:��'�'��+� u, : 14: 4. 0: 0: A�Tf; �c�Q. �:� IMPERII SURf1�E: 0 sf SfNSITtYE AREAS?.:N � ��—.��-��; _ .. FUE� i1fPES.: F►�l�S��,� .. �� BOIIERs!CONARfsSQRS IMIrER C�OSETS....,.: 0 URtNAIs........: 0 torAL FEES t t5�.90 6AS PI�IN6.: 0 ft I�..........: 0 4-3 NP......: 0 BATN TUBS..,.......: 4 DRIM1tfMC fOUMT.: 0 �._ { FURM<140t..: 0 DlICT pORK.....: 0 3-15 tlP.....: 4 S�IERS............: 4 S{IMPS..........: 0 6AS fNlT....: 0 MQOD �TOVfS.... 4 l5-30 NV....: 0 IAVATqRIE5.........: 0 YAC BREAXEBS...: 0 COMY BURNfR: 0 fURN>IflAX...... 0 30-50 NP..... 0 SIMI(S............... 4 ORAINS.......... G BBQ......... 0 MISC.....---.,. 0 5� NP........ 0 DI�N IMS�ER5........ 0 LAMM SPR1KIllERS: 4 &AS ORYER..: 0 AiR bMH�lIN6 iINIiS FUEL TANKS--------- ELEG MTR BEATERS...: 0 OTNER fil(TURES.: 0 Rpi16E......: d <=l0�04G CfM: 0 ABOYE 6RQlINQ: 0 IAUN MSNR OUiCTS..,: 0 �AS Ll16S...: 0 > �0�400 CFM: 4 UI�IER6ROtlMD.: 0 �._� k EXpIRE !80 QAYS AFTER ISSUANCE I� N(1 MFRRK IS STARTED. RESIDEMTIAL AMD 6RAD1M6 PERIiITS EXPIRE 4kE 1fEAR AfTER DATE df ISSiN1MCE. . �FY THAt TNE INf�iRlbATION fURMISED BX !fE [S iRUE AM� CORRECT 10 TNE BEST 0� MY LNiHILED6E Rl�i iHE APPliCABIE CITY OF fERERAL MAY RE9l1IREMENTS iflll 6E 1lET. . , . �.__ ._�,•--'". , 'a.- . .-- �i,1'/'`� _. _. ___ .- _ �. , ; � �,�/c� _ �` y�� _ �, FIELD COPY �/1� r ' _ _ - � _ _ - r 1t St Way ;iUllth .� � �. ���.I 1� �j L����� � iS:.IIt:L): U�f'19/��•i} ' al Way, WA 98�Jd3 Building Inspection Requs�ts 6�1-414Q BY: FLF ,..,c.N s -,ti00 EXPIRES: 10/26/94 AD�RESS: 1902 S SEATAC MALL Unit� #58 NO. : 7b22d0—OQ10 PROJECT GESCRI PT I{?N:tI - NfM DtVID[M6 NAII 10 DECREASE SIZE Of TENANi S�i10E. � �1EER CONTkACtQR lEl�E� r0 1�1X B 8 C COMAAMY i�= Ii11i�RjiE1M1MT �;_ :' � SEATAC llAll ! 58 5222 - 15+�TN PL SM � �RAL MAY MA 98003 EDMONDS MA 9842fl -?.84� 7#s. 3b2� - e = �, �a������a w�e �o, ��Pm� . �, � ,� � � � � � � �� ��.�..�.—.----=— �—_°� =� � °� � �LD?:ff NEC?: PLN?: Ft� £,itt�F �'�' `` �tll�;.iNi�ft��;�t!;:��. � ����ro �C4MP �tRN.........:6 �_ FEES: y TyP� OF MURX:TEN USE:COM lti� : �i9� , .����� ���+Dtr� _: � F� �r�arrasr AARI�TM6..: 4 S('4, ;:+,•; ,^..... �'' P1.AN CNfCit DEPOSIT.= = 48.89 CFlISUS Cs1E60RY,....;437 2MD.'° �`,� t�»� ���h�f���,���A�: .��:���n �'"���'�- „ � ���� ��_�;� �3 �' fIMAI PIAM CNECf(,..� 3 0.90 iICCU�ANCY 6l�---- ----- �.��� �r U;_ �.�r'd►i.t�lTi�ife ��- *�`� I`�s�IX�#�+ � � �t� �" �� ,�w - v ��11 � BUILDII�'i PERMIT....x � 12.44 :�'1 :? :? :? .� "��: � � 0� �EX��,�� � i��.�� t�il�� � �� ����� �a ����� - IR co�wl onl�rx � 3.b!! TYlE (if COIt,RIRUCTION-- � a"I��� �,����� ��PROR �' `�i� `�i : ��",_ "� �AA(�R S�II�..:F�U` _ � RCNAA6E.....z 3 �,5t! .5N :? :' :7 ��: �. s � r ��� �AR........... 0.�+r;�t SEMER SERYICE..;FEO , ,. =� , .,� ,'; � ti��,,, . ��., � . � � � OCCUPANT COAO------------ 1�; 0- � f .,; 19�� . l4: 0: O: 0: l��"`� �"� tM�fRY SURfACE: 0 �f SfNSITiYE ARfAS?.:N h Fi�l TYPES.: fAN ......: � �ILERS/COMPRESSORR NATER CIQSETS......: 0 URlMALS.......,: O i'OTA! FEE'S ; l2b.90 , 6A5 �TPIN6.: 0 ft �i1Q.........,; 0 4-3 NP......: 0 BAAN 1UBS......,...: 0 ORIMI(iN6 FWMT.: 0 ;FtlRM<l04K.,: 0 DtiCT MORK,..... O 3-15 NP...... 0 Sl�NIERS............. 4 5UIIPS........... 0 6AS iAEi....: 4 I1000 STOVES...: 0 t5-30 1l�....: 8 LRYATI1RIfS.......,.: 0 YAC tRER!(ERS...: 0 CDIFN BURIIER. 0 FURN>100x.....: O 34-5Q k�..,.: fl SIff�S..............: Q QftATNS._.......: 4 88Q.. .. 4 NISC.. 4 5+ NP.. ,... 9 DISN MASHERS.. ... 0 IANM ;P�(M��ER5: 0 . . .. ... 6AS D�YER..: 4 AIR HMIDl1M6 UMITS FUEI TRM�S--------- FLEC MTR NEATER3...: 0 4TNER FIIiTURES.: 0 t�li1GE......: 4 <-14��0 CfM- 0 ABO1tE 6ROU1�: A IAUN IlSltlt iNiTlT5...: Q 6AS 106S...: 0 > 10,ilQO CFM: 4 Ui�ER6R01f1�.: 0 PF�MTTS E1tRIRE I80 bA1fS AfTER ISStMI10E .IF iltl I�RR IS STARIED. RESYDErTIAt AND 6�ADING PERlIITS EX�IRf OME YEAR AFTER DATE OF ISSU�INCE. "`1F1 TNAT THE INffllillATIJy4-ftlitN?SE6'BY ME IS TRilE All� CORRfCT �0 1NE BEST OF MX KMDNI.EUGE AMO TNE APM.ICABIE GITT Of FERERAL MAY ftEQUiRE�IENTS Nli.l. �E MET. . � , � � �F��n / � , - GAtE � c�, �„ � � _- —�.r,,- �, ._. . .-----_...__..__..__ __ _ __.,� � &, , FIELD COPY S�7BACKS & FOOTINGS ' � Daie By FOUNDA►TION WALLS> Date By PLUMBING GROUNDWORK Date By UNDERFl.00R FRAMING Date By SHEAR WALLS Date By PLUMBING ROUGH-IN Date By GAS RIPING Date By MECHANICAL ROUGH-1Nf Date By MECHANICAL (OTHER) Date By FRAMING Date By WSULATION Date By GWB - TST LAYER Date By GWB - 2Nb LAYER Date By SUSPENDED CEtLING Date By PLANNWG FINAL Date By ENGINEERING FINAL Date By FIRE FIIVAL Date By BUILDING'FINAL Date � By OTHER Date By OTHER ' Date By CD0193 �. � � �.,,� G ��� �'��� ���x�, City of Federal Way -�- s-;.=,zQ, �j �`� ;�PPLI.CATION FOR BUILDING PERMIT _ .�t�5'� ;..,1: . .;lF F , �t.�,��s�°��x'�'`'�`� ��D`�1���/c�-- � PLEASE PR/NT APPL/CAT/ON �t: _ � $��;�,,������� Address C C, � ; � S ��Gt �G�� CG Te�a�t(if known) ���.�1 //� ,� Lot# l� Assessor's Tax# /�'� / / Building Owner Name Address ��I r r�� yo.z 5"��+�t�� �ne��c City �- State �/� Zip a g 3 Phone �j ��� Natur of Work ��p �� � �. ' 1�PPLICAIVT Name (F,M,I) `�i�� � a �c�v� , Address , City State Zip Contact Person Day Phone Other Phone Fax __ __ � BCRLllTNG CONTRAC'TOIt ' Company Name /;�, � �. �� �.J ; Address • ��� � .� n � Gr� '��/ �ti' ' City /� � v State ,T.�p Contact Per on � 2 Phone Fax ��(% — � � � ��`-3 % Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No ««<:>::>::><:>::;:>:<::<:::><>::>::>:!>:>:<»>::»: :�.�::>::::>:?»>::>::>:>::'�`;::::::::<:::;::>:<:'«';:>::><:::::::>::::::::>::::::::::>::>:::;:<;;:::>;::::::::;::::::::: ��'.�:..:::::::::::::.:::..:::::::::::::::::::::::..:::::::::.;.; Name Address City State Zip Contact Person Pho�e Fax LEGAL DESCRIPTION P/ease Comn/ete Reverse Side C00492 IRev 4/93) � STRUCTIJTtE EX� use P ed Use - �" Permit includes: Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New Remodel ❑ Number of Units O Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basament sq ft Decks sq ft GaraAe sq ft Proposed Total Area sq ft Water Availability ❑ Sewer Availability ❑ On-Site Septic System Aveilability ❑ PrA�ect Ualuatio� $ Zoning Lot Size Existing E31dg Va(uationj $ ; ;; ;;: ► _ _, _ _ __ ___ _ _ _ _ _ __ __ ... _ _ LENT�ER -� Name Address City State Zip 1VT�CI�AI�CAY. CONTRACTOT2 � Contractor Name A dress City State Zip Contact Phone Fax ( License # Expiration Date Verified ❑ Yes 0 No ; > ,:::::::;::>::>::>::;::> PLUMBlNG�ONTRA�TQR ::;::`:::;::;{>`„::::::<:.::: _ _................_................. Contractor Name Address C�N State Zip Contact Phone Fax Licen�e # Expiration Date Verified ❑ Yes � No I'�.VM��IYC'r.�E''IXT�RFf:CQUl�'I` Water Closets Sinks Urinels Lawn Sprinklers Bathtubs Dis Washers OrinkinA Fountains Other Showers ectric Water Heaters Sumps Lavetories Washing Machi�e Dreins Tatal Fzture Count . _..... _...._......_.... / '.. l�FC�AiNZCA�.�CTNI.`I' �QUNT . � <: Fuel Type (electric/other) ! Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Ges 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 Conv Burner Duct Work 0-3 To�s Underground BBQ's � Wood Stoves 3-15 Tons Total Unit�ount DISCLAIMER: I certify under penelty of perjury thet the i�formetion fumished by me is tn»and correct to the best of my knowledpe end further that I em suthorized by the owner of the abave premises to pertortn the work for which pertnit applicatio�is made.I further apree to save harmless the City of Federal Wey es to a�y cleim(includiny costs,expe�ses, a�d attomeyd fees incuned in investigetlon end detense of such claim),which mey be made by s�y person,including the underslgned,end filed aAainat the City of Federel Way, but only whera such claim arises out of the reliance of the City,includina hs o(ficers and empbyee�,upan the eccu�ecy of the i�formation supplied to the City�s a part of this application. �wner/Ayant: �-__—la �'�������Z----��� Dete: G" /���� � w f a,.� �— ,�� �� City of I�'ederal Way �- �—r-e�rzs�. �� �' APPLICATION FOR BUILDING PERMIT - _, ay . � 19���' � '_I�i"Y�t3F FEC7�FlAL'VUAIf �,..�„ ,-�, � ;�P7. APPL/CAT/ON #: �����[j��� PLEASE PR/NT `` STTE�.00ATION Address �• `�� � l�-s� /��� `���� Tenant (if known) ,�y' �G� ��� Lot # � Assesso�Tax # C � � � y /�'�� (�� v Z � ) �`L�C`�/��� Building Owner Name � �� Address � ���� �� ' " � C � /�' -.��� � 1���, City C p�� CL� t` State ,.0 � - ZiP �(fi�C^,�j Phone 7� � Nature of Work �[1C_1.-U O�G<�?s��i i�/�'l�y_ ��G'C ZE��.�' �l Z c � /7�t�irrv,- — J/'/�GC' APPLI��NT _ Name (F,M,L) � � � t' � �i1 � n L:�'Ir� ' 1 Address �J C 1 �/� ,� � ,, � ��t,, � '��_ steta ��« zp �- Contact Person Day Phone � Other Phone Fa�� � � � �— j�a.z,�� �,y� �� ,� � ,�, _ � ,x , — � � __ _ : : _ BUILDING GOI�TRACTQR �'...C......._ . Company Name i� ,. �ri.n'L�/+,t+?+� Address o�/c+� l ` � tl� '� � / City � '7// ��'cE� 'tJC'� �d'3 Y� State Zip Contact Person Phone Fax � .,`' �✓ �,��/ ��-�- ����� �,�� - �.�YY Contractor's # (card must be presented) Expiration Date Verified O Yes O No � cv%j'! t'� � l > �`I c� ,� '� ARCHITECT ' Name ' �, l �%�,� ��5l� n �� Address 'T '� � ' 'r� cicy � � scace '�s� zfp �''D �, Contact Person -� Phone ] �2 Fax i�: ��%s-� , LEGAL DESCRIPTION � '�C� ���C�./'�'E� � P/ease Comn/ete Reverse Side CD� w � .�i7'R��.'`7'tJRL''` EXi Use �j=��� �� P ed Use '';- _�., � , i � � � Permit includes: uiiding ❑ Plumbing ❑ Mechanical ❑ Other _ Type of Work: ❑ Residential O New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage � Shed ❑ Other Enter lst Fioor ����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 �'i sq ft Water Availability � Sewer Availability On-Site Septic System Availability ❑ J Project'Valuation S ^��tt � ���'� ' � :� Zoning ` t� Lot Size Existing Bldg>Vafuation $ LENDER Name /�� Address ��-. �(�:,,�,��-�, y �I't0 1 `� c�cy ; scete z�P MECHAI�IICAT.!�CONTRACTOR it/ /-1- Contractor Name Address City State Zip Contact Phone Fax License !f Expiration Date Verified ❑ Yes 0 No ri�ia�G �o�ar��oR: /� � Contractor Name � Address City State Zip Contact Phone Fax License # Expiration Date Verified O Yes O 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 Tota1 Fxture;Count MECHAN�CAL::UN�T:COUN'�` � " 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 Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 To�s Total'Unit Count DISClA1MEfl: 1 certify under penalty of perjury that the information furnished by me is true end corract to the best of my knowledge and furthar that I am euthorized by the owner of tha above premisee to perform the worlc for which permit application ie made.1 further agree to save harmlese the City of Federal Way es to any cleim�including coets,axpenses, end ettorneys'faes incurred in investigation end defenac of auch claim�,which may be mada by any percon,includinp the undersigned,and filed epainst the City of Federel Way, but only where such claim arises out of the reliance of the City, including its officers and empfoyees,upon the accuracy of the information supplied to the City es a pert of thic application. \ �w�er/Agent: � � �� � > Date: ������� '