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T��,/ra,,, �-,t► .,� jn �.:>t .�.. �. ��Iw��;� �id�# '��. �� �r��,, .�;r;�i ��:,_� T.a caf �}�:�'�. ,, ��� � ���: , f�,�' ?.`.iT�}:� 'tl�� � ��-�:'� Sr1 � { , �� ��; �f � . . - , ^ i 1 SETBACKS & FOOTINGSi Date By -_ _...._. 2 FOUNDATI�N WALLS Date By 3 PLUMBING GROUNDWORK I Date By � � 4 SLAB INSULATION I Date By 5 FOOTING/DOWNSPOUT DRAINS , Date By � 6 UNDERFLClOR FRAMING'! I � Date By � 7 SHEAR WALLS ��./°c2'L� 7-� ' �'� � �� �/�- ��— ��d �L� I Date By � 8 PLUMBING'RClUGWIN < I � Date By I 9 t3A5 PIPINQ I ; < Date By I 10 MECHANICAL ROUGH-IN � � Date By I 11 F�tAMING � — � I _ _ Date By � 12 INSULATION I , > I Date By I 13 GWB - 1ST LAYER I Date By � 14 (3WB -2NE1�AYER I � Date By I __ __ __ _ _ _ _ _ _ _ __ _ ___ ..... .... _ __ _ ___ 15 SUSRENDED CEI�;ING I _ _ ::Y .. ..:: Date B I 16 PLANNINi?''PIN�►L'' I Date By I 17 PUBUC WORKS FiNAL ;i I , __ _,. _. Date By I 18 FtR� �INA� I Date By II 19 BUILDING'FINAL ' Date , _ r'� _ By ._ .._ _ � _ _ _ __ _ _ _ ___ __ _ ____ __. _ _ _ _ __ __ _ _ __ _ _ 20 QTHE� Date By C00183(Rov 4/B� BUII.DING DIVISION p^'� G 33530 First Way South � �� �El'�L �. �,�,,;.��.� `� Federal Way,WA 98003 (253)661-4000 ;���R 2 � '�g���� FaX�zs3�66i-�ia9 APPLICATION FOR BUILDING PERMIT � � ����, ;� . ,,�' � ��,� PLEASE PR/NT APPLICATION # � - r^ � � i ''� ;. t � % �` �v �t L r I � t �>:��:�: Address / � <�»c;;;,.>».:.<:::>;:.,.:.�;;�.;;:�;:,;.���:::;"::::>'>::;:::::::'<;:';::'::[>:[:::::::::::::�?;;:;:::::<::<::::>::>::::. _ . .. ...��:��k�����i�F........................:.: :.:.....:... , � � r� �_ i _� 7�,` `/ � i Tenant(if knawn) Lot J/ Assassor's�ax# '-I / �� �i��� _ Building Owner's Name Address _ � � k /. 't�1; t Cit r' :y � � State � Zi Phone Nature of Worki'c ' � _......._......_.............. ....._.._ _..................._......................._..__....... __......._............................................ .....................__..............._.................._._......... A�t��:I�AN`C' ;::::>:::: ;; Name (F,M,I.) v 7 %�� �. � „�/, Address - r� C , , !' �-��-,; G i.-3�5 c�t -i.. ry� stace zi Contact Person Day Phone - Other Phone Fax �. � /., .j� . ., . ' �)�i ._._ . � l,' .. . !�' J / . ■ ;::i::ik:::iii:�i:: ��::::::i�":�::::�::::�::::::>'�:�: B.�t� .IN�.�4.NTAA'�CTCI`R::`;<`<'<':::<�:<::<:::<:`:<:;::>:::<::;::;: _............................_.._ .......................<.....:.,.:.. � Company Name .. ��,- _ i ,�� Address,'� , , ` i_ ' �i t�)��L. �i`� Cit r' ' +- State � i/� Zi Contact Person - Phone "� 'i� Fax � � ��a. "'. vvt_� - `�i �; y�' - Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No )i �' i "71. i i ✓ `r ! _.._ _ _ . _._... _ __ . ____ __.._.............__ . _....._.._.._._.._ ............... _..........._................ ........__....._._____.... ....__........ __.._......__....._...................._ ._..._......._......... ___ _...___...._.........____...._.. ___............. _. _. _. _._. ..... _........._. . ___.... ..__. ARCHITECT Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION Please Coma/ete Reverse Side t'(! xisti Use osed Use � Pro +e t�x�:�>:;:>:tl�`<s:..#8??::::::::::>:::>:E>:::i::>::>::>::::>::>:;::;::«<:>:':;`<:::;;:::::,. 9 P :::�::;.:,��>:.>:.:.;y;: ;`,�;:F;i:iWSI�[7G:........:.:::.::::.::.:.::::::::.:.:.:........:............. 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����C'C 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 Water Availabili ❑ Sewer Availabilit 0 On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation S �- � � � � Zonin i��.�<- � Lot Size Existin Bld Valuation 5 �ENt?�R:''::>::;::>::::::»::::::::>�:��:``:::::`:::::i::::::::::>;::::::::>:<;:<'>:::`<>:>::::::::::<�:�::�:::':`:;�: Name Address i Cit State Zi ......................................................................................... ........................................................................................... ............................................................................................ ........................................................................................... ::..:..........:.:................:.....:...............:......................:.::..::.�.� ;���Ffl��1:1:��4E:::�1�1':�'H14;�€''��'£�`�:«::>:>;i::�:::<<'::::>:::<: Contractor Name Address �;� Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ..................................................................................... �>�. .'���.::>::::::::::::::::::::::::::::<:';'::s::::<:::: ;:.;:.;:.;:.:::.::.:.:.:.:.::.;:.;:.;:.:.;;:.;:.;:.;:.;:.;:.: ..............................:...:.. ;���1�:����7�::;�{��':��,:. ::..:��::::::,:,.,.:............... Contractor Name � Address � 'r.�i— Cit State Zi Contact Phone Fax � License # Ex iration Date Verified ❑ Yes ❑ No __.__ _................_............._._..........._. ___....._............................................... __..............___.._._.__...................._....._........................... __._.................................._.......................... ____...._..._.............................................._...... <F?l�Ui���IvG �t?fTUR�CaE��I'C:,;.;::::.>::;:;:.>;; _ __ _ __ __ _ _ _ Water Closets Sinks Urinals Lawn S rinklers Bathtubs ��` 'H Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains T�tal Fixture:Cou�€ .: ___ _.. ...._._._.............................................___ _....__......_.........................._......_.... ___..........._............................_......._ ... _............__..................._. ;11II�GI-EANI��IE;:�II�!'I�>;CflU�V'I' MECHANICAL EVALUATION ONLY S 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 Total Unit Cnnnt DISCLAIMER:I certify under penalty of perjury that the infonnation fumished by me is Vue and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perfomi the work for which permit application is made.I furlher agee to save hazmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incutred in investigaiion and defense of such claim),which may be made by any petson,including the undecsi�ed,and filed against the City of Federal Way,but only where such claim arises out ofthe reliance of the city,including its officers and employees,upon the accuracy of the infoanation supplied to the city as a part of this aQplication i i - �� i , 1 �- ` j � /1�..f,i7 Owner/Agent:�lj�,/-�-:_ty° �� e:'�� � Date: -_ c> i — BuilniHc.APP REV�sEo BI28l97