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7
SETBACKS & FOOTINGS
Date _ C'_5 gy�,,v-
7FOUNDATION
WALLS
Date7
PLUMBINGGROUNDWORK
Date By
7
UNDERFLOOR FRAMING'
Date 7— 5— By
SHEAR WALLS
Date By
7PLUMBING
ROUGH -IN.
Date By
GAS PIPING
Date _ By
MECHANICAL ROUGH -IN:
Dates gy
MECHANICAL (OTHER)
Date By
FRAMING
Date gy
INSULATION
Date By
GWB - 1ST"LAYER
Date ros—� gY
GWB - ZND-LAYER
Date By
7SUSPENDED
CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING
FIN :I-,® --
Date
— gy
OTHER
Date
By
7'OTH
..........
Date
By
CD0783
0&¢S 4,,
pe�VE j B/t,SIr-PL-CCit?S_JOIQ-V-q�
of Federal Wa
�.� E:C�'� �
F� y y
�Y APPLICATION FOR BUILDING PERMIT
iAY ® 11995
CITY OF FEDERAL Wqy
BUILDING RA T.
PLEASE PRINT APPLICATION #:
SITE LOCATION Address
Tenant (if known) Lot # Assessor's Tax #
1 � 6e OL, Car i VI
Building Owner Name Address
City State Zip Phone
Nature of Work
PLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Compa py Name
Address
S pa- C. i
City C 1 t a
Contact Person ,,7
64
Contractor's # (card must he presented)
I— C
ARCHITECT
Name
Address
City
Contact Person
LEGAL DESCRIPTION
Y 5 ! "`/ 4 r
State C //1Qv- I Zip b(Xj i5
Pho&(0 /— (ow Fax (o6e / 764W
Expiration Date Verified ❑ Yes ❑ No
k-79,-q
State (� J�^.Zip
Phon r i —(PS 67 7 Fax
Please Complete Reverse Side
STRUCTURE
I Existing Use
Permit includes:
Building
Plumbing
Type of Work: )' Residential
New
❑ Remodel
Commercial
❑ Addition
❑ Garage
Enter 1st Floor (.CC>sq ft
2nd Floor 12,Z7sq ft
3rd Floor sq ft
_1_`_'
Area Basement sq It
Decks sq ft
Garage ._&A_e sq ft
Waver P.vailability )< Sevver Availability On -Site Septic System Availability ❑
Zoning
Lot Size
LENDER
Name
Proposed Use SihcL ffWl,fly Sr7�pi�
5e Other Mechanical - ❑ - 1- 0 Other
❑ Number of Units _ ❑ Deck
❑ Shed ❑ Other
Existing Floor Area T sq ft
Proposed Total Area 2(45 sq ft
Project Valuation 5
Existing Bldg Valuation , S
Address
City I State I Zip
CHANICAL CONTRACTOR
Contrsgctpr Name > Address
City �J� State 14—.
Contact Phon
License # ,A,L UWAA(f C> 74C, 3 Expiration Date
,5'c3 -3/Z4L
Zip I&W3
Fax
7
ILI
F(O Verified ❑ Yes ❑ No
A 5-f' id�,
PLUMBING FIXTURE COUNT
Water Closets
Sinks
Urinals 10
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total Fixture Count
I.WCHANICAL 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 I
Gas Log
Unit Heater J�
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 knowledge and further that I am authorized by the ownw
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, expensw.,
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 Why,
but only where such claim „ .ses out off the reliance of the City, including its officers and employees, upon the accuracy of the information supplied to the City as a part of thv.
application. , may,
OwnerfAgent �_�� /� r�_._- Date: �� ��
50
�
Qom®
z I
SITE PLAN APPROVAL
LE
t
11
-�2 — � � Permit Number. �c-j-YOT — U3
Approved By: ae-►D _
Date:
Comments: bee
8��' 31 c5.00' o' RECEIVED
.. � JUN p 8 1995
GITWAY
BUILDING DEFT,