98-103966 . � 9g, 1 � 39�0 �
CIT1' OF �EDE�',F1I__ G�uF'�Y PERMIT N0: BLD98-0718
�:�s�o �i rs t �a y �o u t r, :�+M,�M:�. N_:�':�+:�l: ���M:�� �,wn�::.�I4��'�! ;�: �"���� I SSU C:D: 10 f�.6/9F3
�ecleral Way, WA �8003 Bui1�.�ing In�pection Requ��ts 25�-66�.-4�.40 BY: KLC
253-661-4000 . EXPIRCS: 04/14/99
ADDl�ESS;�212�3 181"H AVE 5W
NO. : 132103-9�.02
l�S�C�JECT DESCRIPTION:AEROOF ONLY
PHASE 2, BUILDING b
�= OWNER _________________________�_���=====__=_______=====T= CONTRACTOR =_______=__==___:�====_�;__=_===___=__=___=r-- LENDER =_______=____=__=_���__�_==__==_===__===______
{i00DTRAII VILLAGE ; WESTERN R04FING INC. !
� 32128 18TH AVE SW � 1010 W fINCN DR
DERAL WAY WA 98023 y NAMPA ID 83681
1
� 208.461.6848 �
_ WESTER
��;;��______________________________________________________�=__--_----_______--____________-_-____==__-----___________-___--____-____-____-_______-__-_________-___-__----_-___
;*i COMTRACTORS, PLEASE USE LOCRTIOi! CODE 1732 YNEM REPORTIN6 SALES TAX FOR PROJECTS YITNIM TNE CITY OF FEDERAL NAY. TAX RATE = 8.b� ;;_
F_________________��;��____=__=_______==_===__==__==_________=_____===___=====4=====______=_=__________=___________________=___=_==='_____=__==__--------_------____�__________�
--------- ----__
� BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 � COMD PLAN.........:? FEES:
� TYPE OF WQRK:ALT USE:RES 1ST.: 0: O:sf STORIES......,.: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? BUILDING PERMIT....$ � 22.00
CENSUS CATEGORY.....:555 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAiARD CLASS...:? SBCC SURCHARGE.....� � 4.50
! OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- fIRE fLOW....: 0 gpm
� :? :? :? :? . OTHR: 0: O:sf EXIST..$: 0 FRONT.......... 0.00 ft
� TYPE Of CONSTRUCiION----- BSMT: 0: D:sf PROP...$: 0 SIDE..........: 0.00 ft WATER SERVICE..:?
•' �' •' :? : DECK: 0: O;sf REAR..........: O.00:ft SEWER SERVICE..:? �
� OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIUED.:lOjlbf48 -
� : 0: 0: 0: 0: TOTL: 0: O:sf IMPERU SURFACE: 0 sf SENSITIVE AREAS?.:? �
t--- ------------------------------------------ - ------ --------------==-i-====____________--____---_-_--____-_--__---_-___=____�
L TYPES.:? ? FANS..........: 0 BOILERSJCOMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES $ 2b.50
� �HS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
� FURN<100K... 0 DUCT WORK...... 0 3-15 TON..... 0 SHOWERS............. 0 SUMPS........... 0
� GAS NWT....: 0 NOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: � FURN>100K.....: 0 30-50 TON...: 0 SINKS..............: 0 DRAINS.........: 0 �
( BBQ......... 0 MISC..,........ 0 50+ TON...... 0 DISH WASHERS........ 0 LANN SPRINKLERS. D �
� GAS DRYER..: 0 AIR HANDLING UHITS FUEL TANKS--------- � ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: � � LAUN NSHR OUTLTS...: 0
( GAS L06S...: 0 _ > 10,000 CFM; 0 UNDERGROUND.: 0 ' _ � �
i________________________________________________________________________�=_=�__==-=_c==__��____-___----_____-_-________-__-_=_--=1=====_________-��__---_-_—=_______=______�
_ _ _ _ ___ ________ _ _ _ _ . _ _ _ __ __ _ ____ _ _ _ __ _ _ ___ _ __
PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF NO YORC.IS STARTED. RESIDEMTIAL AIlD 6RADIN6 PERfIITS EXPIRE OME YEAR AFTER DATE OF ISSUANtE.
I CERTIfY TNA ErINfORM�IOM FURMISHfD ME IS TRU€ AMD CORRECT TO TNE BEST Of MY CMOYLED6E AND TNE ADPLICASLE CITY OF FEDERAL MAY REQUIREMENTS YILL BE MET.
�' � \ �/
, _
OWNER OR AGENT -------�—�:���=`-------�----- ------------------------------ DATE �V' I �.0���-
FILE COPY
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F��i�:r441 Way, Wf� r]s3t�C:�"�i �3u:i.ltiir�;�� .trr<`y��e��txt�n ft�:�r��,��;t�:, `�."_a;� ,:,;�1._ �,1.�►t�.1 E�`�: i�:L.i� .
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raz:,. : x�=�z��ta,:�► ��c����
;�f?%).7L:C��1" C:a�:`.��::i�l �"T T�)P�I:RCROpF ONLY �
RIK�SE 2, Bt�ilDIN6 � '
F� OiItIER >,::��-�a��q�:n��,��a�a��:�.���- :.,.f�-0� E.,.. ,,�_.:. ,,.a�a�..x � CUMdRAtTUR x�sms��usa����a,������un������m.��x�.���� � L:NUER r_:.�.�.�:_...�...s.w_w.Y,�xN.�����,���sa�2��.��:.:._..::.:._
� '��� '�`'��-�ll ViILASE MESiERN R40fING INC. � �
^•" ��'�:" �'�' 101D N f 1t4�N I� �
• � RRt4G4 iD 83d87
' 2Q�.4d1.�848
, ' YE5tER
��wr�....1.:...�..... .•.scc�ca..cr:s...___s..� � :;,u.,.�., s.:.�:..:.e _M;.._z_..,.,....�-,:�,. .. .-�:.;:_ .-.�..... .. �,.s.r:e�. ._«:,...::..::r»x�n....��-is,.._ �...._..... ............__.....^_...s.a...,,..-s .......,. .L...,..x,...,.....v.«....s.......��;-,.x. .,.......a�s.._..as�.c::......_c....._.s.x::.s
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i�t CONTNAC{QRS. �Lt:A*:k' IISf. t£►CtiTIU� !+�� !;�"I '�ii1�:N �E1�K�VII� �E5 ►A�° ft1R �IttNf.t(S ll.tfNlM iNE CITr 1� f#:�ERAI IH1Y. rAX �litf = 8.�3 ��t
�aa�:.^..xm;ms:�,-,..�.:.......-:ca::::rma::n..� :�_::...........:.�...:�: ..�:..:::....., ...�...+mssr�. ,.�;w�.. ...rs�....:�,«a. . ..,. .e .r_nra��,:.:�.::.____�.rc..,_r_.._ ........s_..�.a_.�_<::,.n.,,».. .::s.,._,...�.ca.........ax:.aa:�-+xa:�:�^�».:::•a.::.-xa�.xa� ..�_-.�:a...,._. ir_....,.�..a��......--e..
., ...�
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s�.n�.a n�e�: ���7: �t� _�=1,� ��c,v_� ������� u����: � � cc�� p�aa.........:, r���:
TYP� af �O;�K.:t�li USf:kCS 1�1_. �D: ` O:st ' �t�Pil5......... Q �fd�G1RED �'AR�It�G..: q 5�k141�,1E��^,.....:" Sl►1LDING PERliit....� 3 :2.UU
f.ENS�3� .<.A1EhGR'f.....'S55 2klB.; �'. O:s# ' HF�t;Nt..,:.� 0.0� ft Nfl:i+i?4 �:CAr�...:? SBCf SURCHARGE.....» S 6.50'
OCCUPAktY GROUP___.______ 3k6.' E►� 4;sf a�t►F:;t�N_ _� �.--- . s�iVUIREit S(.tRA�K�--_ FIRC i`tOM....; � �G�
.ti .H :, ,� . �iT!f�': �l: 4:Sf ECIii.,�: ` � fR4itT... ,.....: O.pn ft
TY�E Qf CQi1W�RUCiI�1�._...� �Mt: 4; O:st �'k1�#�...�. � '.�;It�€..........: O.QQ ft MMlER SEPVICk..:: `
.� .' .'' ,� . DfCA: 4: 9.�>t kEAR .........: 4.40:ft �E�ER. SERVICE. •?
� OCCUPANT LUAl3-.�� ------- 6�(?.': Ef. f1',5f R��k�VE1�.:iC3�'lb�';8 ..
� : 0. Q: U; 0: 1�i1: Q: O:�f IMVERY Sl�tfAtE: 0 sf SE�SITIVE AREAS?..?
. �-.......:w:kaG�:CGYCfC�C:s:�Yi4a4+m�'fACtiLx.��..:.:::Cac.CiiCCOiS�GY�Y'.:LL:Y�ia'"�.:r:3w.'�:.O:S�'.9t:#�:S..YCYCW�i::Yale'.UlaiiC.5b1II it�sLtS6'�z:�:60D»ylaiWSSttC�3a35AiC9CCRT.�Li.� ..sat�:_::KK.�:�STattl4e.UYa1.b.9)�RAG� .
. TYPES.:? ? f�HS..........: 0 BOIIERSjCOMPRESStNtS MATE� CLOSETS......: 0 iMtINAI�........: 0 TOTi�I iEES $ 26.5Q
b�� PiPIi4G.: 0 �t ti00D..........: 0 �-3 10�.....: Q 9RiH 1U�55..........: �3 DRINKIHG FOUa1.: 0
FllRktlQOK..: 0 DIK.t kOkK.....: 0 3-15 TON....: 4 ,c,i�ffMfR.S............: 1! SUM'?S..........: 0
r,AS HkT....: 0 1�04D "1�)VES...: 0 15-3Q T�N...: U l��AIORIES.........: 0 !°AC �ttEAKE+�S...: 0
t'ONV BURHER: 0 FURN:�l00K...... Q 30-S�J TON.... Q SI�lKS............... Q T,�AIN�........,. G
BBQ......... �1 M1SC..........: tl �Ot TON......: 4 DISH IIRSHfRS.......: U �.ANN SPRI�KLfRS: 0 .
6�� URYEk�..: t! AIA NAHULIHC� UN�15 fUEI tANKS-------- EIEC NiR HEflT�:RS...: Q OTHER iIXT41�ES.: � �
RflN4;E......: U <-10,000 CFM: 0 A6UVE GROUND: 0 Lfd)N MSi� WitITS...: 0
GA5 l�l6S 4 1U,000 CFN: 0 Ut1[�ERGA6+JNU 0
�:::.�?�:.�..•.�..[5�5�:..^'.I:9CCd.^,��.:OLI:T6L'.C'�C......:.'...�.�.z4.:,:i�:.C.:'39�.v9K�'.S•4"W�R:^G-.JT......:S:C:: ��.3._.��.�:.:L::SF2�.":1],. -..F?'.:.... . L:..:�:.'a:S.' �5�.�.........S.SY:.:�S# 62s3.'J.;':LFY::Y3.:49 ..5... . .�... ...,. ..,. ........., ....... \
..,. .� .,...�......«..[ ... .. ,... -
PfRMtfS E�CPI�E 18�1 BAYS AFTER 1S'Slb�i:� If NO WW�t[ IS Sf�ItTE9. RtiS!lENflAt i�{6 6RlElIM6 PfR1l11S E�N)l�f 9Mt T!A� AtC(R DAfF OF [5�1�'C �
I ClR�i�iflf TMAT 1'Hf 1kFIMCi'�11�11 t11�tNISi�:D BY IIE I.S IRtl� #Nb t(IPJt�Ct 10 TNE �E51 0!� MY KN(Il�k�l,� IAIt� � � ;�' t �:i�'.� i �; �_, �� t�t�,:,�� �;t�: ;'p� �'="� t, ,� ; �: � �� ;�„ _ �'
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FIELD COPY
1 SETBA�KS & FO�TINGS
� Date BY
�
I 2 FOUNDATION WALLS
( Date By
I 3 PLUMBING GAQUNDV',lQRK
I` Date By
I 4 SLA� INSU�.ATION
�
Date By
5 FOOTING/DOWNSPOUT DRAINS
Date By
6 UNDERFLO�R FRAMING
� Date By
( 7 ���S '''Y�� y•4�
( Date /O — � By
8 PLUMBING RDUGH-iTI C
I Date By
__.... . .. _. _ _ ___ __ _ _ __
_... ....._ ... _.._ _ __ _ _ __ _
_.... ....._ ... _ _. __ _ __ _ _ _ ..
9 (3AS PIF►INQ
Date By
10 MECHANICAL ROUGH-IN
( Date By
I 11 FRAMING
( Date By
( 12 IN..SU LATIfJPf
( Date By
I 13 GW B - f ST LAYER
j Date By
I 14 G11VB -2ND LAYER
�I Date By
15 SUSRENDED CEILING
I Date By
( 16 pLqNNIN(3 FINAL
�I Date By
17 PUBLIC WORKS F1NAL
� Date By
� 18 FlR� �INAG
( Date By
19 BUILDING FINAL
Dat �Q��j0— �y G .
� 20 OTHER
Date By
CD0193(Rav 4/9�
BUII.DING DIVISION
�^� G � 33530 First Way South
- �— EpEr�FiL � ' Federal Way,WA 98003
V�1 I�Y � (253)661-4000
Fax(253)661�129
� �,'�.� -_
fj�� � ���� APPLI�ATION FaR �UIL�i�iG P�RNliT
PLEASEPR/NT �� � � � I `F-� APPUCATION # �t, O ��� 1�
-� r�< ,_ C ;i
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r
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���:':��}�n}�����::;i'::::::>?:::<;:::;>::::,.;:.:>s»::><:>:::.:.:-:::,;:...:>::::::: Address �c � C- � t' -1L`
Tenant (if known) ��'V� � ��"' Lot# Assessor's Tax#
��� �\,
� Building Owner's Name � Addres �
�
��.�,��.�� L�� - �
Ci -�c�-\ "V State ' - Zi � _ Phone
Nature of Work
'������'�''''.�»`:>
��,�c i€�z�>:::
.�F7F:��::�::::;::::�:::'2::;:c'"�:::_5:::;;;`8:�::::.�:��?'�''�:;:c:�i;�:�;:':�r.�.'�'��:;:::5;;;:
Name (F,M,U
Address
Cit State Zi
Contact Person Day Phone Other Phone Fax
: `"` :' ` FEDEI2AI, WAY BIISINESS LICENSE �
�3€JILDI111G:�CIEVTR##�T{�R.
__.v.
Company Name
'���"�ti�
� Address . ,` ,� � ^ �
v �l R�
Ci - State Zi 3�9 ��
Contact P n ^ Phone Fax
4r yto'�- ��� lsl..v� ����'1
Contractor's (card must be presented) Expiration Date Verified ❑ Yes ❑ No
;ARGhfGTE>:>:.;:.;:.;;:;;:.:�;::::<:::><:>��>;.;:<.::.;:.:_:.;:.;><:::><:::><::::»::::::::>:`
L""T;::,,.::.:.:::::::::::::::.,::: .: ::::::::::::::::.,.:::::::.
Name
Address
C� State Zi
Contact Person Phone Fax
LEGAL DESCRIPTION
P/ease Comp/ete Reverse Side _.
..........................................
::::.....�.�::.....,.........._..............
�»:<R...:.,::,<;;:::::::>;»::>:':::::>^<::_':>`':::'::;.s;.::::�:���::::::<::;:>`::::::::>:::::::::�::::>::>;:::<:>:::
����. ,,r Existing Use Proposed Use
�.... .
Permit includes: �Buildin ❑ Plumbin
❑ Mechanical ❑ Other
Type of Work: � Residential ❑ New ❑ Remodel ❑ Number of Units
❑ Commercial � ❑ Deck
❑ Addition ❑ Gara e ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor s ft 3rd Floor
Area Basement s ft q sq ft Existing Floor Area sy{rt
, Decks s ft Gara e s ft Pro osed Total Area s ft
1hlater Availabifit ❑ Sewer Availabili' ❑ Gn-Site Se tic S stem Availabili ❑
� Pro'ecY Valuation S
Zonin lot Size Existin Bld Valuation S
:��>I�::>t::::::::::::>p:�:::�::..;:�:'�:�>:::':�:::::�::<?:<::`'���::>:"i:�::':'':::`��:::::::::�'::>:>?<��i::::;:<::>:i::`:'�<::�>::::
......1.l1,�i2::::.;:�:�:�:.:;�:<.;:�:-:.:�:�:.::�»::>:�:�:�:t::�>:�>:::�>:f::::>:::::i::::<:i:::::::::::::::::::::::::::::::::::z::
Name
Address
Cit
State
���:::s:;::::>::>::>:::::::::::::::: '::::::<:::>::::::>::<:::::;>:::::::::::.>:,....."...:.::,_:::::s::::::::::>:`:::::>::<��:
.I'F/��1�411��:t?�l'.�'E�la);��:t3�.;:::::>::><�:E::>::>:::;:
Contractor Name
Address
Cit
State � -
Contact Phon Fax
License #
x iration Date Verified ❑ Yes ❑ No
�yy`��:::��:�'::>�y::;�:::k�::i�::n::::::���}��:�:::�::��y::::�:i(::'s�;yry::�:::;:::?::::���n�:�:,�:�::�:,.:::::���y���::::i::;:5::��::'��::::�::i::::;:;:::::::s�=�
.: .
i�"#�U!.,Y,.1.:��1'41]::;5►];J,.IY�;i:�:RI���R;::i:::i:i;:;;:i:>i::;.:�:::i:i:::::i::i:::?
Contractor Name
Address
Cit
� State Z�
Contact Phone
Fax
_ License #
Ex iration Date Verified ❑ Yes ❑ No
���>:<:>:>t�:�:::>t;�::::F:::F:::�:::;::::>t:;::::::::i ::::�::y:;>�:«::::;::;:::::;::>:>*::>�::>:::;i�>'::�;:�'?::::>::::�::':
... �.47.tIgV;:�i��f;�IG:;.,.��i,'.��SM�:.:.::.:.:.:.:.:::;:::::::;::::::%:.:;
Water Closets Sinks Urinals Lawn S rinklers
Bathtubs Dish W ers
Drinkin Fountains Other
Showers Elec c Water Heaters Sum s
Lavatories shin Machine Drains T4tal_'Fixture Count :
'���<��<.�.....................�.:::::;;.::::;<::::::>::::;:z�sz::><:::<:::>s>:::::::::L�:::»:::::tt:?:3:>':':<>��:»::>�<::_':
`���1���`<����:�%.���'�><.>.<�>.<.;._> ,:<s:>.>>a> MECHANICAL EVALUATION ONLY $
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 Ha�dlin > = 10,000 CFM 30-50 Tons
Furn <t00K 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
i
Bga�s Wood Stoves 3-15 Tons 'i`tsYg(:1lq�x�p�:ht
DISCLAIMER:I certify under penalty of perjury that the infortnation&mished by me is true and coerect to the best of my knowledge,and further,that I am authorized by the owner of
the abo•.e�remises to perfortn the work for which pe�mit application is made.I further agee to save hazmless the City of Federal Way as to any claim(including costs,expeiues,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 ' out the re(iance ofthe city, uding' officers and employees,upon the accuracy ofthe information supplied to the city as a part ofthis application_
Owner/Age : �C\\�����`�-� � � L.V/ —1
Date:
Burtowc.Arr �
RcvaEo e/28/H7