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98-102956 g� /�a�i5� 33530�Fi rsDEWay 5outh .���� 9�.�,�t� �,�`I�'"� �'"��.�,�M�w'�� ���g,_ PERS5UE:D 08/05/98535 a Federal Way, WA 98003 Buil�ing Inspection Requests 253-661-G140 BY: FC2 253-661-4000 EXPIRES: 02/01/99 ADDRESS: 1900 S 314TH ST NO. : Q921Q4�-9019 PRQJECT D�5CRIPTIDN:3 MODULAR BLOCK MALLS p= OWNER ________________—=__==___=_____=_=___==____=_=====T= CONTRACTOR =_===__=___==_====_=_______=_____==�_�a�= = LENDER =__===___=—====_==________=___=________=____ I WALMART � GRAHAM CONTRACTIN6 LTD � 702 SN 8TN ST , 9709 3RD AVE NE STE 208 TULSA AR 72716 SEATTLE WA 98115 01-273-6254 206-729-8844 r,eAHACLOSOPN �_===- - ------------------------- -------------------�_: --------- -------------- -_____________ _=_==_______________=________________=_=__===_=_==== --=--------------------------------------------=--- -- --------_--------------_________-------------------- ss; COMTRACTORS� PLEASE USE LOCATION CODE li NNEN REPORTIN6 SALES TAX FOR PROJECTS YIiNIM TNE CITY OF FEDERAL WIr. TAX RATE = 8.b2 ;;� p------------------------------ ---------------------�_=��_==_====_=---------- ----------------------_ ______----------_=__-------_____-=_____-___ - ----------------------------------- - - --- -- --------- -------------- ------------------ ------ __�_--_---------_________-j � BLD?:X MEC?: PLM?: FIk--EXIST--PROP--- DWEILIHG UNITS: 0 i COMP PLAN.........:CC FEES: � TYPE OF NORK:? USE:COM iST.: 0: O:sf STORIES........: 0 � REQUIRED PARKIN6..: 0 SPRIHKLERS?......:? PLAN CHECK FEf $ 386.43 � i CENSUS CATE60RY.....:999 2ND.: 0: O:sf HEI6HT.....: 0.00 ft HAIARD CLASS...:? BUILDING PERMIT....� $ 594.50 OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATIOH---------- REQUIRED SETBACKS------- FIRE FLOW....: Q gp� SBCC SURCHARGE.....� $ 4.50 :? ;? :? :? . OTHR: 0: O:sf EXIST..�: 0 FRONT.......... 0.00 ft TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...s: 90000 SIDE..........: 0.00 ft iIATER SERVICE..:? � :? :? :�? :? . DECK: 0: O:sf REAR........... O.00:ft SEWER SERVICE..:? OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:08/05/98 . 0: 0: 0: 0: TOTL: 0: O:sf IMPENV SURFACE: 0 sf SENSITIYE AREAS?.:? _�______________________=-=Q�=___==________=___________=_____=_===_=_== ----------------------- - --------- ___.._ _. ...___ _�____ _ ____________________c=a__ _ __ __ __ FUEL TYPfS.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 985.43 GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATN TUBS..........: 0 DRIHKIHG FOUNT.: 0 IRN<100K..; 0 DUCT IiORK.....: 0 3-15 TON....: 0 SHOWERS............: 0 SUMPS..........: 0 , ,.AS HWT....: 0 VIOOD STOVES...: 0 15-30 TON...: 0 f LAVATORIES.........: 0 YAC BREAKERS...: 0 � CONV BURNER: 0 FURN>lOQK.....: � 30-50 TON...: 0 ! SINKS..............: 0 DRAINS.........: 0 ¢ BBQ........: 0 MISC..........: 0 50+ TOH..,..: 0 DISH WASNERS.......: 0 LAWN SPRINKLERS: 0 GAS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- ELEC WTR NEATERS...: 0 OTHER FIXTURES.: 0 � RANGE......: 0 <=10,000 CfM: 0 ABOVE GROUND: 0 � LAUN WSHR OUTLTS...: 0 � GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 _____________________________________________________________________________________________________________________�=___---------___=__=_______=__===___=__=______=_;_��_ PERMITS EXPIRE 1B0 DA1fS AFTER ISSUANCE IF MO MO IS STRRTED. RESIDEMTIAL AMD 6RADIN6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUAi10E. I CERTIFY TNAT THE INFOR M FURNISH S TRUE AMD CORRECT TO THE BEST OF MY KNOIILED6E AMD TNE APPLICABLE CITY OF FEDERAL YAY REQUIREMEMTS MIII BE MET. � OWNER OR AGENT _ ---- -- -- - = - -- �-------��-irit�Gc�---�'-�-`�1������L�� DATE ��_a:�----- FILE COPIf BUII,DING DIVISION c,r,oF � 33530 First Way South __�.� EO��� Federal Way,WA 98003 �� �/ (253)661-4000 � '�������¢„1� Fax(253)661-4129 . � r '�,�'1,.1,: , . APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # � L� �j • C �+yc � '/, p ` � � `�'. dr s '�^ J G � ::?>:::: Ad es K/ ! � � >::>::::::»::>::>:z:»>::>::>:<:>•:s>:::s>s::::>:>s>:<:sF::;:fi::::>::::>::>:<:::::>::>::»:::::;:::>::>::>::>::>::s: ,....:.:.......;...;.:.,..,......:.::..::�:<:::>:-�;:;:::::�<::::<:>:<:::>>:<::::::::::::::=:::>:»>:::::<. D D ��<f'�.>�.:#�G�����::<:�<:»:::>::::>;:::»::>::>::>::>::<»::<:::»:::>:::>:::>;:.;::::.: I S .3/ � - Tenant(if known) Lot# Assessor's Tax# Buiidinga�ner'��� C,,j_, ✓G5 I��' Address �6C �� /DT"� � J ld l � Cit cu�t���(l�l� State 14. 1� Zi Zl�2'�6�� C Phone ��ZZJ �� Nature of Work G.,'✓'rK1 dV� DGCtc, Lt� �C[�G� �� AF'�'1�1�ANT ...::....... .: Name (F,M,U ✓✓1,G �r /`1�l L�-I,s�//L-- �jG{�l�GIGG� {�ili'�l2 L�� Address n r10 Q� � �l�� �/� ✓Gt/ �" �� `Z 6 [ /�Y Cit G✓eL1' � State Zi � Contact P��G � y/!� /G� Day Phone �/.����/�/}���� Other Phone Fa�6 r�Z/+��J� /�e �,7 Gv 6 7 < < �i c � N E I L CE S I � INESS # :::�<: FEDE RAL WAY BUS � � D':;.>:��:._;..:�<;:>::_>:::::».:�T�R::>:>::>::::::<:<::>::.`:>`::::::>;<:::<:::>:<;: � � B.�IL IN��..:ktITF��t...,.:. ...::.. (:c�mpany Name /�✓lz�/ �L'.5 7`( 1�L��� ----- - J Address Cit State Zi Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified O Yes ❑ No :A..:RCI-tITECT ':. ; ; ;;: :.: Name ,1 / � � /`1 � Address Cit State Zi Contact Person Phone Fax � LEGAL DESCRIPTION �/ease Coma/ete Reversc �ide __ ._.._ , , , ,$TRE,7CT�1f�� ; ;;>::;#::;::;; Existing Use ;� j Proposed Use Permit includes: Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck Commercial ❑ Addition ❑ Gara e ❑ Shed Other Enter 1 st 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 Watar Availabilit ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S � � � (J Zonin — Lot Size Existin Bld Valuatian $ :�:>h:��:':.>:: :�:�en: ������:�::;::';:�:�;:�'�';'^��;'r':�`E�E�:'�'3:�::�::�:�:�:?:•`•.:�::;:::::::;::;�;`:�:;:;:`;:;`•.`:.::��`;�;�:::::�#:::r•:. Name Address Cit State Zi _. ................................... _............._........................................................._. _............._..._......................................................_... _...__.........._............................_............................... _._............_.............._......................._............................ ����{��(�A������1��f�� Contractor Name Address Ci State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No .................................................................... ...............�.y........................................................................... �iP`��'IJ�VI:F�<:;�::;t::;:.::E.;�.;�.:i*�:.:.y;�.;��;�:y.;:.:;��:Ei:;:,,<.:;:;:�:::��>y.���:iE:EEEE:a::::::i::::::::::::::;:::::::::::? . ...M . . .�1!k�....�l�l�[.�'���.QF'k............................ ............................................. ........ ...... Contractor Name Address Cit State Zi Contact Phone Fax • License # Ex iration Date Verified ❑ Yes ❑ No �:F`i�:V tYl�[i[I��::;f::lh::4:!r�l:I�iw�::i'�'i.l[?Cx!#::R::;;;:;'::;::;::::;;:::;':?�:;;:;: ...... . .. . .... . ......... ........ .:::..: :.:.. .. Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Total �ixture:'Count V L ATI N NLY <:>�:>:::;:1;:.:::.:...::::;;;<::::::::>::::>:<_:.;."'<_":':<�':::::':::>::'':::>:::�>�:::::�::::�>:::::: MECHANICAL E A U 0 0 S :.;. :���E1��1�CAf...�lNi�'.�t�UNT.:...................... . ................. 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 7oYsl Unit Count DISCLAIMER:I cer[ify under penalty of perjury that the information fumished by me is true and co�rect to the best of my knowledge,and furlher,that I am authorized by the owner of � fhe above premises to perfoan the work for which pemiit application is made.I further agree to save harniless the City of Federal Way as to any claim(including costs,expe�ues,and attorneys'fees incu�red 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 ofihe city,includ' fs officers and employees,upon the accuracy ofthe infomiation supplied to the city as a part ofthis application G��� � / . Owner/Agent: • �����`� �'�r�� Date:_� � � �„�.A� �f��l� ,� �//EG.�iv REV6ED 8/28/97