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97-103441 j , ,�, q7 ,la� ��� ;==� i�' �)F � �♦ll�F��;l_ UJ};1' P RMIT t�0 B D9 0 47 E : L 7- 5 ;�����c� F i rs t way �c�u t r, .:�'�„��.;:�: �,�.;I�:::,�.�: I����p'��:� ������:�i�`��.�'. ..�,,,. ��s u�.�: o��/�.s/�r (=eGer�1 Way�, WF� `�8Q0� �3uilclir�g Inspection t�ec�ue�ts �?53-6�1-•4�.4U £3Y: FC2 253-661-4C100 EXPIRES. 03/1.4/`�8 �DUREaS:25'<�:1.. ',:iW :3�7`CH ST NO. : 954280-1660 F�Rcl,7�CT D�SCl�IRTIUN:resheet and reroof �= OWNER ___________________________________________��_==��=v= CONTRACTOR ���=____=____�_��______=_____=___=__�=��-__;- LENDER =____==___==���___=__=_=__=_=_____=�;�_=_____==� � ROBERT ATKINS � OWNER IS CONTRACTOR � 2931 337TH SW � � � FEDERAL WAY WA 98023 � � � 838-1493 � � �________________________________________.__...��...._.�__-__==_==i=====____--____--____-______--__-_-_-_-__--__________====_i_=-==__--____-_���-______--__________�=_M__._-____------_� - - _ � 32; COMTRACTORS, DLfASE USE LOCATIOM CODE 1732 MNEN REPORTIN6 SALES TRX FOR pROdECiS YITHIN THE CITY OF FfDERAI MAY. TAX RAiE�= 8.2�^�#� f====------=-=-=--=----=---=-====-=-=-__�_���_=___-_=____=-==_=_=_____=-=____'-____=_=='��___,��=_=-=======___=_======m__«�_,==-------------- - --_ ___ --�_-___:---T:_��:�.-��=_=_=.,,�4:•�1 ; BLD?:X MEC?:? PLM?:? fLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? t FEES: ' i � TYPE OF WORK:REP USE:RES 1ST.: 0: O:sf STORIES........: 0 REQUIRED PARKIN6.,: 0 SPRINKLERS?......:? BUILDING PERMIT....� $ 54.00 � � CENSUS CATEGORY..,..:434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? SBCC SURCHARGE.....$ � 4.50 � � OCCUPANCY GROUP---------- 3RD.: Q: O:sf VALUATION---------- � REQUIRED SETEACKS------- FIRE FLOW....: 0 gp� � ' '' '' •' • OTNR: 0: O:sf EXIST..$: 0 FRONT.........: �J.O� ft ; .? .. .. .. . TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 3000 SIDE..........: 0.00 ft YIATfR SERVICE..:? � [ :? :? :? :? . DECK: Q: O:sf REflR........... O.00:ft SEWER SERVICE..�? j � OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:Q4J15j41 � � : 0: 0: 0: 0: TOTL: 0: O:sf _T� IMPERV 5URFACE: 0 sf SENSIiIVE AREAS?.:? � � �,_��' _ ------------------------- --__---_---__--------------- --_-__--__-_' __�_�W���=-==--=--------------------------- ----=_�W_,=��=�w�-�M-�_��___ -_-----___=-_--_--_----- ------------___�--__--__--___ �f �UEL TYPES.:? ? �ANS..........: 0 BOILERS/CQMPRESSORS � WATER�CLOSETS.....,: 0 URINALS........: D � TOTAL FEES $ 58.50 ( GAS PIPING.; 0 ft HOOD..........: 0 0-3 TON.,.,.: C � BATH TUBS.........,: 0 DRINKING fOUNT.: 0 � � FURN<100K..: 0 DUCT WOkK.,...: 0 3-15 TON..,.: 0 � SHOWERS............: 0 SUMPS..........: 0 � � GAS Hf�T...,: 0 WOOD STOVES...: 0 15-30 TON...: 0 � LAVATORIES.....,...: 0 �'AC BREAKERS...: 0 � CONV BURNER: 0 fURN>100K.....: 0 30-50 TON.,.: 0 � SIMKS..............: 0 DRAIMS.........: 0 � � � BBQ........: 0 MISC..........: 0 50+ TON....,: 0 { DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 � i � GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- � ELEC NTR HEATERS...: 0 OTNER FIXTURES.: 0 � ! � RANGE......: 0 <-10,000 CfM: 0 ABOVE GROUND: 0 LAUN MSHR OUTLTS...: 0 i 6AS IOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 � � �._...._.�.�___���.��������...���_�����...T..�.�...��.���.�.....��.��.�.....��....��.:��..�����.��`���.���.�����`����.::5���..��....�...�.��.�.�...�.���C.'.'���._�....'.������`�..�.���`��.�'������� _..�....����....����w.......�.......�....�.....�..�-...�����...�'���'� PERMITS EXPIRE 180 DAYS Af1ER ISSUA�CE IF NO IiORK IS STARTED. RESIDEIITIAL AND GRADIM6 PERMITS EXPIRE OME YEAR AFTER DATE Qf ISSUANCE. I CfRTIFY TNAT TNE IMFORMATIOM FURIIISHED BY ME IS TRUE AND CORHECT TO TNf BEST OF MY KM08LED6E AMD T8f APPLICABLE CIT11 OF FEDERAL MAY REWIREMENTS RILL BE MET, OWNER 0 AGENT `�� � � ________________________._,_-----___------------------------------------------ DATE _�?�1�I G!1___ � � t. �� :- ;..�s�- .,....,� aF. ::� xr. .,�,.�; . ,r.,.. :.F_,.,, � _ .. _. . :-.:- ..�t:� . :,v !s .r--. .'.'�v.,...w....ca G.£"S 9v'�.a�,.n a,a}...t; . . .:.:.. ,."i. .. .-.. ... .x .�. -�4�.<. ,t... �'.e'�.'¢^' w��'.",��.'�� . , . '�� .-,:� �.+'#'� a4",,.�t u'�,C'�'. "'�.4. ,e�F.' :t'. .A:'.�E�`#.-,`+�"t��v.��_ '.:.�x?*e�,�-• �'�'�� t FILE COPY __ -- Ado�a�31� a. i ?�.+?! _ . ..._. ', -r -�) '� `.. lh�7. '���J liif�Nf� - `� .' 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L.�+�a(`)-Lf�.i�i =E3dN 1. 6 i�J2f3c:i �y . .•�,kIP•t ���t1:_�t� :i.i 3+� ..'.1 i j) 1 SETBACKS & FO�TINGS Date By 2 FOUNDATIpN WALLS < Date By 3 PLUM8ING GROUNDWORIf Date By 4 SLAB INSULATION Date By 5 F007FNG/DQWNSPOU� DRAINS Date By 6 UNRERFLOOR FRAMiNG Date By 7 SHEqFi WALLS ' Date By 8 PLUMBItdG RC�UGH-1N Date By 9 C3A5 pIRINd Date By 10 MECHANICAL ROUGH-IN Date By 11 FRAMING ' Date By 12 INSU LATIQN Date By 13 GWB - 1ST LAYER Date By 14 C�WB -2ND LAYEi3 Date By 15 SUSP�NDED GEILING Date By 16 f�LANNINC3 FINAL Date By � 17 Pl!'BUC YVORKS FtNAL !: _ _ __ _ _ _ Date By ; 18 F1RE FINAt, Date By 19 BUILDING FINAL � >: i Date � By � _- � 20 QTHE�t Date By CD0183(Rav 4/87 BUII.DING DIVISIOPI �� G 33530 First Way South --�-_— E��'� Federal Way,WA 98003 uV F-lY (253)661-4000 Fax(253)661-4129 � APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # �l`'�C�� `''�' �� "c: Addr ss � ; .>"�`��`.`::::�;�:::;`>::;>:::::<::>:>:":::::::::>:::>::::>:::':>:_> :<::::. e �A.� :>�:.;:.;: ���.�. . ��� . ,..,..:. , , : q 1 S Tenant(if known) Lot# Assessor's Tax# Building Owner's N e - Address � r�-b, ��1CrIV � Z�t3 � � S Ci W A State �� Zi Pho�e l 4� Nature of Work 1'1�,� ........................................................................................... ........................................................................................... ............................................................................................ ........................................................................................... ........................................................................................... :����::;:��� .��::><::::<:>::::>::»>::>::»':<:::»::::::>::::::><:zz<''::<;;:<:«<':>:�::::::>::>;»>::::>: . .�....:............................................................. .... .. Name (F�M�, .) ^ .� v�' t �"M ��r Address /D ? '`�' /4'V/�. (/l� ci '�zfl ��tl�''`'� scete W I`�' zi OZ Contact Person �n n � Day Phone �(�-n�Q �v �� Other Phonet� ' Z Fax !"i 1\. `�L rJ _......_........_..................__. ......................................__..._....._....................._.......... .......................................................................................... .......................................................................................... .............. [B€:�ICi31111�.GONTRA�T�R......;:......:.::;�`:'::'.:::': _._. ... ....... _ __ .. Company Name Address Cit State Zi Contact Person Phone Fax Contractor's #(card must be presentedl Expiration Date Verified ❑ Yes � No _......................_ ...................... � >: `,...,>`Ht'i`EGT`'>>.:;i:<i:i::i<::<;:;;<::;;:::::;::::;:::.:':>:<:>:::�:::::::::>:::::<:::>::>':>::>::>[:<:::: ,14R�.... ........ .... Name Address Ci State Zi Contact Person Phone Fax LEGAL DESCRIPTION . P/ease Comp/ete Reverse Side ........................................................................................... ':�:' Existin Use Pro osed Use ���::�:.���<:::`:'<::`<:`:::::::;:::�:::;:::;::::::<:>:::`:>::::>:<:>::>:::>:::::::>::>3::::>:::'::: 9 .;:.>:<.;:.>:.:;�;:.:::.: :��:.�c.�.���'.�................................................................... P Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: O Residential O New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabili ❑ Sewer Availabilit � On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S :���%�—� Zonin Lot Size Existin Bld Valuation S LE::::>::::>;: 11ti��ft':::::>::::::>::::::::>::':>::<::>:::>:::`>:::::::::>:::°>>:><>::>:::>:>::::::>::::;:>'';<:<::<><::>:::>::: Name Address Cit State Zi ::*�::�::>:::<�:�E:::::��(::;�`,.p...>.....:.::::::.;::::::�:><z>::::��%y::+:::.:::'�::#y::<?��,�:::��:»::>�::y:<:::::::::::::`::::::#:.:�:i::::��'�: �iMt�. .F.T7:isal.�w!��.��:i..�lr��f.'!c ............... Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No _..._.............. _........................................._ _._......... Pf«L1�uI�IIVG�{IN`�'EtAG'1'i)Fi Co�tractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No �?I:UIVI`�IM��:>�:,:<::::><;�,� ...,`:<:>:;�><>::?:>�..::>[:::'>::>?:;:<:::>:':::'::>:?>%?: :���:; F��C UAIT.::::.:::::,,..::..::. Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Total Fixture Count ><::::::.:::.::.>:.>::: <:>:<:::>:1�1':;;;;<>::>::>:�:_:::<.>:<_<,.���.��'�������>::::::::::»:::>':;>:::::>:;:E:::::>:::: '�VE�M-Ei���II..C.:_.�:.lIIV.:T.�f�tj�l'1'.::_,.::::::,,.:::::::::: MECHANICAL EVALUATION ONLY 5 Fuel T e (electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons . Len th of Gas Pi in Ran e Air Handlin > = 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 Under round BBQ's Wood Stoves 3-15 Tons Total Unit Conr�t DIS CLAIMER:I 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 premises to perfonn the work for which pemtit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'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 ofthe reliance ofthe city,including its officers and employees,upon the accuracy ofthe infortnation supplied to the city as a part ofthis application. Owner gent Date: {�� l�� 6� 7 �' Bu0.D�NG.Arr flEV6ED 8/28/97