90-100055p
m—
D
a
O to
**
A m
v v
m
<
v
to
m
m
v
m
[E
F
D z
c� c> m
mc�
O
r
r
= m
a a
v
m
e
m
x
z
a
0
-a+
�
C�
in
c
x
m
m
z z m
zi
Z
m
m
T
m c�
m n
m m
m m
a
a
r
mm
a
3 z
m s
c
D
U)
O
m
x
C
m
m
L.
M
CO
a
m
v
a
n C
O
-� ,
D zi
m
M
Z
m v
-ai
Oc
m
M
3
v
c
m m
m m
D m�
z M
T
m m
o
L)
n
>
0 m
T
m
m
Z
=
m
m�
U)
U)
r
O
z T
L� p
z
D
z 2
m
m
n 6
m
T
m
m m
C/)
m
m
z K
Z
M
m
m�
m
m
m
m
m
O
O j
z
�_
T
m
10
ti
1G
M
r m
r _
Co Z
m
Z
.
01
�..�
LV
�-+
IP
v
m
n
O
O
m
C m
K
N
0�P
r
ER
F-A
J7
m
00
N
'�4'
p
D
T
U1
v
U1
O
i17
70
N
O
v
c
r
m
O
(n
N
O"
ao
,p yid
V1
C
Z
m
U I
.
�1
D
'
'J1
D
p
D
z
z
z
z
m
m
v
C!] L�
O
3
v
co Cq
{G O
c
Z
N
O
J1
X
on
<
=
O
v
z
LT�Ji
c
0
Z
O
2
O
c
m
5 m
v
D
{
t2iN
N z
=
D
>
7�Oc
D
WH
v
O m
u
0
Z
M
m
Cy �
z
m
(n
\ m
�
b
W m
z
►C z
�'
x
m
W
'�
m
�
0
m
M
O
m
O
C,"
�
G
H
m
m
�
H
Ln
Z,
a
i
rd
H
H
z
g 3 N
m
.1�
rd
Z
p
In
L-�
>
z M
m �'
G
Z
o
n
N
0
G
0
�
L-�
a
v
D D
r o
m U�1
z F-� m
M
a
O
z
O D
O
O
v
m
'►7
-<
m
m Z,
m
m O
n
7,
..
x
z cn
m x
m
m
3
m
w
c�
S
v
m
OT
c�
S
e
n
N
N
a
m
v
m
z?
w�
o
N 0
o
m
m
m
O
r
m
z
i0 C]
2
Z
m m
c m
c
m
a
o
si
v
Z
I
m
m
y
N
M
1
z x
v
v
O
m
�P
fmn
a
__
m
m
a
O
0
v
G
0
z
m
O
„
>
m
3
o
<
v
z
tf
0
K
z
N
a
�I
H
m
H
p
m
Z
N
o
Q
>
z
m o
v
m
3
0
0
O
a
v� m
m
O
m
�"�
o
o o
A
D
m
O
D
M
O
m m
Z
-a
m
y
r
n n=
m
m
z
v
m
m
O
m
<n
h
O
H
z
m to
C!�
m
Z
c�
r
a
H
ai
IQ
w
z
D
c
z
N
m
o
H
m
r->
\O
C�
a
r
v
a
a
N
oao
r
a
v
o
N
1
m
m
a
oI:r
❑
O
co
z
9W
C+]
m
G)
o
m
g
z En
0
o
m
C
m
Z
�
p
,�
c
m
rn
m
D
N
c
?
33
m
m
m
m
C
m
r
z
m
D
z
m
v
o
W
D
m
O
W
N
W
U1
v
C
�P
O
pi
o
I
DC
N
rt
a
,p
0
v
v
r}
N
a
r
W
c
r
v
Z
13
m
2 F
z kk r
Em ,
mk 3
0 K-< 3
> z) ;
q )� >
z k--I ,
pm rl
CO |
$2
I c
a �
a ?
c
\
m
\ |
\ -
m |
j {
\ !
c
k )
0 |
k
j 4
o |
m
c
0 i
\ �
z
2 !
m §
a '
R
)
$
�
/
0
)
0
n
0
k
}
f
» o @
0) 6
§ \
m m
>
t
q
=
iĢ
0
P
>
t
m
0
)
�
m
>
X
)
a
M§>
0
a
«
c)�
-n
m
m
0
i
m
m
2
c
§
z=-n
/)
m
z
n
-n
m
$
§
m
>
\
a
z
Fn
<
>
=
)
$
Cl)
i<
>
0
2
m
m
0
m
3
>
2
/
3
®
p
g
r
c
§
z
o
$
a
k
m
0
�
N
"n
] § 2 \ \ m 0
# i > 0 /
] G) ° 0 \
( \ > > 9
cn j 6 ) _
'K m m
)
0
\ z k m) k 7 )
< = 0 ; -u M0
_ m
> ) 5 > \ ) 2 9
m 9 f S > m§
_ ) 2 > ± 5
Mrz
_ _ _ 2 a
\ ) m § > \
m
En
w
\ > $
2
9
\
> a °
k
]
m m
/
Cl)
r
\
a
>
(
z /
r
2
&
�
I ,
co
k
» _
0
z
_
w
3
\
g
m
E
co
0
0
z
°
r
o
z
° m
m
_
<
--I
]
_
Fn
§
«
m
k
\
(
z
>
x
7)
*
-0
0
Z
0 $
_ _
0
_
z§
m
/
2
(®
w
..
$
$
@
§
\ z
/ 0
\
(
M
\
_
�
§
\
z
2
k
§
m
»
\
m
§
/
)
§
\
m
v
_
m
®
w
\
o
\
m
§
0
z
0
E
2
p
)
§
§
(
0
c
co
B
§
\
z
m
SET BACKS AND FOOTINGS
OX TO POUR FOUNDATION WALLS
/-
DATE "(2 BY
f �'
C76
_."_��
__
DATE _~ BY
PLUMBING ROUGH IN
WATER LINE O.K"
DATE _ BY
GAS PIPING O K.
v.l•. TO ENCLOSE FRAiviiNG
INSULAiIUN
DATE BY _
DATE
FINAL O.K. TO OCCUPY
DCD
PSD
DATE . BY
�j •r�
� r 1 s�• r C'
:7Y��.
j
(_h•rtz;z 1 C' I.t
/71�
PLUMBING GROUNDWORK
- DATE -- -- - BY -
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL - -
DATE BY
FD
.. +0
N
CITY OF FEDERAL WAY
��C,
o M4)p �40Z�j
i4 �919,9
BUILDING PERMIT APPLICATION Apr."Mr
— Please Print —
BOX 1 OWNER G JOB LOCATION 0 ,� - '
OWNER'S ADDRESS 6 !E %0 <, e'�Il _I �_ CITY PHONE � ��' - :��
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION E�-
BOX 2 CONTRACTOR'S NAME , CONTRACTOR'S REG.
Card MUST be presented
CONTRACTOR'S ADDRESS - CITY A PHONE
EXPIRATION DATE —
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. -
BOX 3 CONTACT PERSON PHONE 2 `?�r�
BOX 4 SEWER DISTRICT 1=Tf l2 W /-+Y WATER DISTRICT S a L 1 1a'"r
BOX 5 ESTIMATED PROJECT COST%SC' kJ� S� rL EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER_
LEGAL DESCRIPTION G
(If necessary; please submit a separate page with the legal description.) 47Z-
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORIA&ne = c; rLra; 2ND FLOOR
3RD FLOOR / BASEMENT / DECK / GARAGE_ 7� 2 1
BOX 8 (Z j SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = . ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBI FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $,
$
%`�
NO. WATERCLOSETS
GAS PIPING, FEET ____
BATHTUBS
NO. -FURNACE, ELEC. GAS
$
10
SHOWERS
1 GAS HOT WATER HEATER
$
CONVERSION BURNER
$
,LAVATORIES
� — SINKS
BOILER, SIZE BTU
$
Z DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
=OTHERS
$
�LLTOTAL TURES
T l
$
$
TOTAL MECHANICAL FEE
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 OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR WHICH P M T APPLICATION IS MADE.
OWNER/AGENT: DATE: —
ANP-006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ICS q, 6 'SETBACKS:. FRONT -Z-o SIZE 'Ck-Lk REAR -V { HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT ►I ,/
FIRE DEPARTMENT APPROVAL 1 c A DATE
REMARKS: 4JIA-
r �
PUBLIC WORKS DEPARTMENT APPROVALDATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY _ TYPE OF CONSTRUCTION _ STORES
BUILDING SO. FT. 'Zk�v @e>l_. -
BUILDING SO. FT. @ �'�' -
BUILDING SQ. FT. - �
BUILDING SQ. FT. s)o( e -
BUILDING SQ. FT. @ -
BUILDING SO. FT. @
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERM T NO, PLAN CHECK FEE REC'D RECEIPT NU.
PERMIT FEE 55q C. oo PLAN CHECK FEE - - ' ' LUMBING FEE AWL- MECH. FEE —
TOTAL FEES SBCC SURCHARGE t' ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL ----------------.------.- - --- - DATE
REMARKS:
ASSIGNED ADDRESS: Z
RECEIVED
ACCEPTED FOR FILING