98-101819 �
- � 9g.�o�$19 A �
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CITY OF FEDERAL IJAY PERMIT NO: BLD98-0302
33530 Fir�t Way South ��� �,.,.�',� �''�� ���',�'"'��,. � ISSUED: 05/22/98
Federal Way, WA 98003 , Building Inspection Requests 253-661-4140 BY; KLC
253-661-4000 ' EXPIRE5: 11/18/98
ADDRESS:29405 2�.ST AV� S
NO. : 422241-0020
AROJECT DESCRIPTION:RES ALT - REPLACEMENT OF ELECTRIC HOT WATER TANK AND DAY ROT
LAURELii00D GARDEHS, BUILIND6 A-4
p= ONNER =________________________________________________�=-= CONTRACTOR ��asaaaaxx�asmaeeesxaseeeeaaessosaesa�aeaaax � LENDER x��x=cx==�s=easaxx_=_aaaaseeeaxea_sexcc�s�ecs
�_ LAURELNOOD 6ARDEHS (A-4) TRIL06Y 6ROUP INC
� 29405 21ST AVE S 320 DAYTON ST STE 108
� FEDERAL IVAY NA 98003 EDMONDS MA 98020
�
425-778-4837
TAIL06I051R6 �
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� _� CONTRACT�IS, PLEASE USE LOCATIOM CODE 1732 IINEN REPORTI116 SALES TAX FOR PR07fCTS YITRIN TNE CITY OF FE�RAL MAY. TAX RATE = 8.6; ;n
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� BLD?:X MfC?: PLM?:X FLR--EXIST--PROP--- DMELLING UNITS: 0 COMP PIAN....,....:? fEES:
TYPE Of YORK:REP USE:RES iST.: 0: O:sf STORIES........: 0 AEQUIRED PARKIN6..: 0 SPRINKLERS?......:? PLAN CHECK fEE ; 18.10
CEMSUS CATEGORY.....:434 2ND.: 0: O:sf HEI6HT.....: 0.00 ft NAIARD CIASS...:? SBCC SURCHARGE.....� s 4.50
OCCUPANCY GROUP---------- 3RD.: 0: O:sf YALUATION---------- REQUIRED SETBACKS------- FIRE FLON....: 0 gpm BUILDING PERMIT....# E 28.00
:R1 :? :? :? : OTNR: 0: 0:5# EXIST..S: 0 FRONT.........: 0.00 ft PLUMBING FIXT....93� s 28.00
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...s: 800 SIDE..........: 0.00 ft MATER SERVICE..:? PLM PRMT ISSUANCE.. s 18.20
:5N :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SEYER SERVICE..:?
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:05/21/98
. 0: 0: 0: 0: TOTI: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
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� FUEL TYPES.:? ? FAHS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES = 96.90
S PIPIH6.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKIHG FOUNT.: 0
tH<100K..: 0 DUCT MORK.....: 0 3-15 TOH....: 0 SHOMERS............: 0 SUMPS..........: 0
6AS HWT....: 0 W00D STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 TON.... 0 SIBKS............... 0 DRAINS........., 0
BBQ........: 0 MISC..........: 0 50+ TON.....: 0 DISH WASHERS.......: 0 LANN SPRINKLERS: 0
� 6AS DRYER..: Q AIR NANDLIN6 UNITS FUEL TANKS--------- ELEC NTR NEATERS...: 4 OTNER FIXTURES.: 0
� RANGE......: 0 <-10,000 CFM: 0 ABOUE 6ROUND: 0 LAUN WSHR OUTLTS...: 0
GAS L065...: 0 > 10,000 CFM: 0 UNDERGROUND,: 0
�aoa�¢�=o=sWx�aa�as=xzasoema=a�c^==�s�sevar:xm�aoaac��s�eaax�_=scxcsaacx=anc=_asassa�c^a=eoaaaax�aoaaaaaaamaaeae=ee=ae=o=cee_seae�a�cao�aaaaeaeseemosaaasaxaaaeseascaao��=e-=e
PERMITS EXIIRE 180 DAYS AfTfR ISSIMINCE IF NO i�RK IS STf�tTED. RESIDENTIAL AMD 6RABIM6 �ERMITS EXPIRE ONE YEl� AFTER DATE OF ISSIIANCE.
I CEtTIFY TNAT TNE INFORMlITION FURNISNED E IS TRUE ANB CORRECT TO THE BEST OF Mlf �IlOYLED6E AND TNE APPLICABLE CITY OF FEDERAL YAY REQUIREMENTS NILL BE MET.
ONNER OR A6EN _,_ ,�%�%'?��..�� _�_ DATE _� 22�P�
��^--------- -------------- -- -------
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LAUREL6I�OD GARDEM':;, BtiILIND6 A-4
i'�' VIYIIG� �•511�:^.::�Y6�3'SC�S56::9F:RC-itLL'll9�,N.YC'Si:CmYC19PJRGCSFRIGl3K.SdtB{Yfi(LOSIA}lbt Y: CONTRACiOR W•T.':::A'iC6SbtTSS,..,i_�:......_ ...�:... . '::-.:.-�..... : ,...�.:.. ,.'�.::,.::. '.:�..:'�.. :'-��--: _ .�.. .�.: :..;. .. ..
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� LAURtlWODU 6ARUENS (A-4) tRIL4GY 56ROUP INf `
29405 21ST AV� S 320 bAY10N ST STE 1Q8 �
� FEDERAL �AY �IA 9�UA3 � E�SQNUS YA �a,SC�,'i1 �
425�17$��4837 �
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� BLD�:X MEC?: PLM?:X FLR--[•-I51�-i�u�-��- �N�Ir�}�!�� �'� � � :�� ,;1t�.........' FEES:
iYPE 4F kORK:REF U�E:RES 1�1.: U: �� rt.��f �. lT�� ���� .. ... � �� �� 1Rf�,�A��,���r� ����� S��t�IE���.. �� � �LAH CNECK fEE S 18.20
CEMSUa CATEf,OR'f...,.:434 ��11�.: � f�: �`�',� � . � � .���,�e �►�f���;�5. �:8�'r ct�kCNAR6E.....� S 4.50
UCCUPAHCY GROf1P,_.___--__ �'�D�: 0 �:�:+ E� � ��,i.,l.D �I.T�iG�K�- - ��IRE fL�� �C� ���w, ��JlLI!it�G.PEHM11i....� 28.Q0
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.. :? 0��l; ':: � � �'w` �� ���1f�t... . � . ��" .� �CU�BTNG��Ixi....43$ $ 28.00
� T`IDf OF CONSTRUCTIOR--- - '����Ml"t � �#. �` ,Q:�� _ ���+ ' � 5��..........: O.Ob fit 4iAifF SERVICE..:? PlM G�MT I5SUANC�E.. S 18.�7Q
:5N •� :? :? : L�E`Ck: � � �.}: � �'�;���f � � ��'AR..........: O.Q4;ft 5EMER SERVIfE..:?
OCCURA�T LOAD------._..__ GAI� : �� ; � � ,,,; r� ���'! ��,;�"��9
. 0: 0: 4: 0� ���` � IMPERV SURFACE: 0 sf SftISfT1VE AREA5?.:?
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FUEI IYRES.:? ° 4� �iItERS/CO�Ii�RESSGRS kAtER CL05ET5...,..: 0 URItiAIS........: 4 TOTAL fEES � 46.90
S RIV1N6.: Q 9t N�. i. 0 p-3 TON.....: �D BATH 1UBS..........: G URINKIN6 Ft1UHT.: 0
tAt1U0K..: 0 �!�� ..: 1� 3-15 IOM....: 0 SNOMERS............: 0 S��MPS..........: Q � ,
GAS NNT....: 0 .... p 15-�t1 TON.... 0 � LAVATt+RIES.......... 0 VAC BREAKER5.... 0
CQMV 8tlRNER,: Q r ,, . ... U 30-50 10N.... 0 SINKS..,.... ..... 0 11kAINS.......... 0
. .,.
BSU........• ....: 6 50+ iQN.....: U � DI5N MASNEP,S.......: 0 lAiiN SPRIH�ICRS: 0
� 6A� L11?Y�' : 0 r'��i' it��f�GIIH� UNITS FUEL TANKS'-•----'-� ELEC Nik HEATERS...: 4 QTNER flJ(TURES.: 0
� RANGE. .. tt �if��Ul10 CfM: 0 ABUVE 6RQUND: 0 LAUH WSHR OU1lTS...: 0
� GAS L+.o��5. . 10.00A CfM: G UNDEI?G{tOUkD.: U
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I CEkI ti'� 6 ` Nf 1MFt�IIOH �INtN1St�F:D.�Y IIE l',3 TkU[ I�iD Cl�tAECT TU i�EE �Si OC MY Kl�OilLE�GE ANB 1NE ARPtitA�L�: C11Y 4f fEbERAI MAII �EW1kEMtNI`.: Mlll $4 1lC1.
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FIELD COPY
sETs,acKs � FooTirucs �Z �� �- j -�`" �� � ��i1' �-�—
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFl.00R FRAMtNG>
Date By
SHEAR WALL5
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING ''
Date By
IN SU LATIOf�i
Date By
GWB - 1ST 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
CD0193
BUII.DINGDIVISION '
�°f � 33530 First Way South
��- E�EJZFIL_ Federal Way,•WA 98003 �
VV � ' (253)661-4000'
, Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASEPR/NT APPLICATION # �� �� —O�Q
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Tenant(if known) Lot# Assessor's Tax#
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� Building Owner's Name GTD. qddress �/
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Ci .� � State �� Zi ,8/ Qj Phone f,.t (.lC`f)TJT-'
Nature of Work j.12 �OT fIIR XTL/QIOl2 .�'o�
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Contact Person Phone
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Name
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Address
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Contact Person Phone Fax
LEGAL DESCRIPTION p /_
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Permit includes: ' O Buildin Plumbin ❑ Mecha�ical ❑ Other
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
• ❑ Commercial ❑ Addition O Gara e ❑ Shed Other /Cf�/9/l�
� Enter 1st Floor sq ft 2�d 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 Availabili ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S �'1� N-
Zonin Lot Size Existin Bld Valuation S ��
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Name Address
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Contractor Nama Address
Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified O Yes 0 No
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License # .LO V T Q3//�B Ex iration Date ot �,0 9 Verified ❑ Yes ❑ No
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. :.:1t�I. .II��C::�I�.:l:�F3�.CCl�U1�1:t'� .................. '�-�,�ir1C-'n� -a�r�' �'y ,.
Water Closets `� Sinks Urinals Lawn S rinklers
� Bathtubs Dish Washers Drinkin Fountains Other
� Showers Electric Water Heaters Sum s
La
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vatories s i i ��:>::U<:s:::�riu� ::::::�:::::>::::::::>::>::::>::>::;::::::
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Wa h n Mach ne Drains i7;ota1..�'xt re. nt........................
ME HA I EVAL ATI N NLY
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Fuel 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 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 Toris Tutgf llnit Cou':rit?:<:;>::;;;::;:'::;:<:::;:;;`.:::::::::::::::'::
DISCLAIMER:I certify under penalty of perjury that the infortnation fumished by me is true and correct to the best of my knowledge,ar.d P�rtha,that I am authorized by the owna of
the above premises to perfotm the work for which peRnit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,aad
r-tiomeys'fees incucnd in investigation and defense of such claim),which may be made by any pecson,including the undctsigned,and filed against the City of Federa(Way,but only
�.vhere such claim arises out of the roliance of the city,including its ofTicecs and employees,upon the accuracy of the infortnation supplied to the city as a part of this application
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