98-101823 - �� 9$-i��s�3 - .
CITY OF FEDERAL WAY PERMIT NO: BLD98-0303
3�S�q Fi rst Way 5outh ,�#Nti,M� �.,�I'� �� (�'��,�,� � ISSUED: 05/22j98
Federal Way, WA 5�8003 Building Inspection Requests 253-C61-41G0 BY: KLC
253-661-4000 EXPIRES; 11/18/9S
ADDRE55:29407 2�.ST AVE S
NO. : 422291-0020
pROJECT DESCft I PT I O N:RES ALT - REPLACEMENT OF ELECTRIC HOT WATER TANK AND DRY ROT
LAURELIIOOD 6ARDENS, BUILDIN6 A-3
�- OkNER asx===��____S=�=a==-==�____:____=�==�5=_�_�asaaa�=-: CONTRACTOR =sa�a..�aaasa===s=�aa=_aaas�=@aa==_=s_�a=a=a = LENDER =====a__�_�x===______________s==__��,:,�_______
LAURELMOOD 6ARDENS (A-3) iRILOGY 6ROUP INC
f 29407 21ST AVE S 320 DAYTON ST STE 108
� �EDERAL MAY MA 98003 EDMONDS MA 98020
! 425-778-4837
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_� fONTRACT�lS, FLEASE USE LOCATION COiE 1732 MNEN REPORTIN6 SALES TAX FOR PROJECTS MITNIM TAE CITY Of FEDERAL WIY. TAX RATE = B.6� i==
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� BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DNELLING UNITS: 0 COlIP PLAH.........:? FEES:
TYDE OF NORK:ALT USE:RES 1ST.: 0: O:sf STORIES........: 0 REpUIRED PARKIN6..: 0 SPRINKLERS?......:? PIAN CHECK FEE s 14.30
CENSUS CATE60RY.....:434 2ND.: 0: O:sf HEI6HT.....: 0.00 ft NAIARD CLASS...:? BUILDING PERMIT....# = 22.00
OCfUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE fLOW....: 0 gp� SBCC SURCHAR6E.....$ = 4.50
:R1 :? :? :? : OTHR: 0: O:sf EXIST..$: 0 FRONT.........: 0.00 ft PLUMBING FIXT..:.43x a 14.00
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...s: 400 SIDE..........: 0.00 ft NATER SERVICE..:? PLM PRMT ISSUANCE.. S 9,10
:5H :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SENER SERVICE..;?
� OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:05/21/98
( : 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURfACE: 0 sf SENSITIVE AREAS?.:?
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L TYPES.:? ? fANS..........: 0 BOILERS/COMPAESSORS MATER CLOSEiS......: 0 URINALS........: 0 TOTAL FEES S 63.90
PIPIHG.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKIN6 FOUNT.: 0
� fURN<100K,., 0 DUCT wORK...... 0 3-15 TON...., 0 SHONERS............. 0 SUMPS........... 0
� GAS HWT....: 0 NOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURMfR: 0 FURN>100K.....: 0 30-50 TON...: 0 SINKS..............: 0 DRAIHS.........: 0
BBQ..,..,..: 0 MISC..........: 0 50+ TOH.....: 0 DISH WASHERS.......: 0 LAIiN SPRINKLERS: 0
6AS DRYER..: 0 AIR HANDLING UNITS fUEI TANKS--------- ELEC MTR HEATERS...: 2 OTNER fIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE 6ROUHD: 0 IAUN MSHR OUTLIS...: 0
� 6AS 106S...: 0 > 10,000 CfM: 0 UNDERGROUHD.: 0
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PERNITS EX�IRE 180 DArS AFTER ISSUANCE IF I10 IbItK IS STARTED. RESIDEMTIAL AMB 6RABI116 PERlIITS EXPIRE OME YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TNAT THE IMFORMATION FURMISNEB BY Mf IS TRUE AND CORRECT TO TNE BEST Of NY KMOYLED6E AMD TNE APPLICA�E CITY OF FE9ERAL MAY REQUIRElIENTS YIII BE MET.
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ONNER OR A6ENT r_ 1�.�• _ ` ____�_____ DATE ��-���_
F±LE CO�'�
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F�'F't(�JE=� T ���>i.:f�:tS=' i It �r��-��_`:� €�tT � REPIACEMEt�I ��� !'IECfRIt .f��1 kA1ER tANK AND DRY R41
tAURElW00D GARDENS, �IIlDIM6 A-3 .
F= OMMER ,;�xw�.R�:,�.�:a�:�::.u�w�.��s�.���:���s�.���a��:a*�a,�atimpa��:� : CONTRACIOR em�aaar�::i. :,._�:.._��. ... :..... ...:. , _ i.,.. .. .. =.. ,:, . . ,:::: _
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� t�l�AEtN04D 6ARDENS (A-3) TP,IIOGY GROl1P 1NC �
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s:: coKt��cra�s, �l�'�SE !'SE tOtATi+� �#�a� �;�� ��� c;k�►��rc�s �.��� 1n� r ��riSfN tNE CIfY Of FE�AI i�iY. fA1f RAif = 8.b! ::s
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BLD?:X MEC?: PLM?:�l flkt--�.`I5�._4�OD - t�NEl.l��4f l�NI'. . � +"rt�qR ;" .:: � FEES:
( TYP� OF NOR�:Al1 U5C:RE� 1�I.- �: �� O:sf � �i�t ....,.�� � f��i�It�i�E�����_ ,A�Nt�., a � �� ��, _� DIAN �NECK FEE � 14.30
� CENSEIS CAiEGORY.....:43� sM�.� ��� �� ��+�#��� I�ft� � � � o-x e � If�kll��.��5 ,����r� , � 8411LDI?IC PERMII....� $ �2.00
4CCUPqNCY GROUP--�----- "�i� � � " " ; �`� _ _ , G ,',:� A � � ;U(�CHARGE.....� S �i.5�
Q�sf _, ��+l.� ; �!� 1�� �1�'[ t�:`�.� C
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� :Rl �' .' �,i'�#� ��,� � � �� t�� f ,�� ........ �� �l�(��tEll'6����I�T .93� 14.UU
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.. .. . �� � � � '�� �� l�. :.. ....: 0.04��ft MAiER SERVI�� �
� IYFE OF CONSTRUCIION----- �M'1�� , ��'�� '", r ,���' .� :,. � ........... CE..:? PLt1 Af;Yi I.S�?ANCE.. S 9.10
:5� :'. :? :? . �:� �'' �a ` PE�iR... 0.40:ft 5ENfR SERUICE..:'
� OCCUVAHT LOAD-.___,.----- 6AR.: " ��fE;�. � ` �,
� . 4: 0: 0; 0: T�TI: w+�;� � � IMPERV SURFACE: 0 sf SENSITIVE AREA5?.:?
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� L TYPES.:? ? FNI1:;., . ��-ILtRr�(COMPRESSORS kATER tLOSET5......: 0 URINAIS........: 4 tOTAI fEES � b3.90
VIPIN6.: Q fi N�IQD .. +i 0-3 14N.....: 0 BATH TUBS..........: 0 fYkiHl!iN6 FOUNT.: 0 ` .
� FUPN<140K... C� ��U(1 't „ ' l5 TON...:: 0 SH�NfRS............. q SI�tSPS........... 0
�A; MNI. . �, ; ' .'' U 15�30 TON.. ' 0 LAWAT4RtES.. • 0 VAC BkEAKERS.. • 0
� C�1MV BURia[F;: 0 f !; i(��J , . . : 0 �u-SU IUN...: t+ SIMY,S..............: p DAAI?IS.........: 0
I eeu........: o
S`.. ,... ..: U 50f TON.....: 0 DISIT YASMERS.......: 0 tAMN SPRINKIERS: 0
(�AS GkY�:k'..: ti is Dl.Ihlt`; 11NIT5 F�JEL TAwKS--.-_____ �l[� WTR NEAIERS...: ? OiHER FIXT1IRES.: Q
R�IIGE..�...: <-1Q,000 CFM: U A�OWE 6RQUND: 0 1A1lH MSHR OUTLiS,..: 0
{ 6AS lt�G'; 0 > 10,000 CfM: G �JkDER6R0UNU.: 0
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�Eftt1IiS E?(VI`tC . RE It� !St'.,IMMCE If Ik1 Y�K IS S1�T��. RES16ENft1�. N� 6RAD[I!� Pf�MIiS EXPIRE UI� YEi� AFr[ft 1qtE OF l5�IhiN�E.
I ffNT1fY PNr�i �Nf: f�1����!!QN F1�tNISMEi► �if !� IS 1Ctt� ANB C(IRItECT TU Ti� �ST � MY �IIONtE�6E l�tD Ti� AWPt1tABLE C11Y Oi' Cf�RAt. MAY RE{�IIIAEMt:NTS Mill 8t l�T.
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FIELD COP'Y
_____------ --------- ---- -
SETBACKS & FOO7INGS �r/-�- „ •�----
Date By
FOUNDATiON WALLS
Date By
PLUM�ING GROUNDWORK �
Date By
UNDERFI.�OR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING '
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL {OTHER►
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB'- 2ND`LAYER'':
Date By
. SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0183
Buu.uuvc Drvrsioa�
p^OF G 33530 First Way South
-�� �EJ�II_ Federal Way,.WA 9800�
(253)661-40G0
. Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASEPR/NT APPLICATION # �C''_��3p
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Address
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Contact Person Phone Fax
LEGAL DESCRIPTION
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� Please Complete Reverse Side �
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' Permit includes: ' ❑ Buildin Plumbin ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
• ❑ Commerciel ❑ Addition ❑ Gara e ❑ Shed Other /ff�A//Q„
� Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area aq h
Area Basement s ft Decks s ft Gara e a ft Pro oeed Total Aree • ft
Water Availabili ❑ Sawer Availabili ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S f��
Zonin Lot Size Existin Bld Valuation S
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Contractor Name Address
C� State Z
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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.. . .1111. .CI�!�..�I�'1'.L�F�.CC7►.��I'C ............. ... Pr.r3t�rrr���, j � N�r ' � , . �rv,
Water Closets i`� Sinks Urinals ewn S rinklers
� Bathtubs � Dish Washers Drinkin Fountains Other
� Showers Electric Water Heaters 1 Sum s
Lave o '
t nes
Washin Machine
D rai ns <'I'otel:::�iitu�a':�ount::::<:::>:::�>::»�:»>:>�::»<<'•:
'JV��HANI.G'::::':::;�;;�7�::>:::::�;::::>�::.;:.::>:::;>::>::>.:>:.:':'>':<:::>�:�:::::`:::::::::::;:::::::::;:;> ME HANI AL EVALUATI N N
A,�;:. .N��':CUt�NT....:...............:... C C 0 O LY S
Fuei T e (electric/other) Gas D er Air Handlin < = 10,000 CFM 15-30 Tons •
Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tona
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 Toris Tota(:Unit Cou,t�t......._:::`<r:>'::.;>::_::;;::::
DIS CLAIM ER:I ceRify unda penalty of perjury that the infortnadon fumished by me is true and correct to the best of my knowledge,ar.d F�rtha,that I am suthorized by the owna of
the above premises to perform the work for which pemvt application is made.I furlher agree to save hazmless the City of Federal Way as to any claim(including costs,expecues,and
attnmeys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and fited against the City of Fedecal Way,but only
where such claim arises out of the reliance of the city,including its officers and employees,upon the accuracy of 1he infortnation supplied to the city as a paR of this application
Owner/Age • ���- � Date: s "o�a' �O
Bu�nw.An
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