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98-101808 � . g Ai g�s �-�� t s- 33S�OO�i rsD�Way South ��� 9.Yw�� p,�i� �'���� '�. PERSSUED pB�D9�g�0298 Federal Way, WA 98003 Buildinc� Inspection f�equ�sts 253-661-4140 BY. KLC 253-661-4000 EXPIRES; 11/18/98 ADDRE5S:294�5 215T AVE S NO. : 422291-U020 PROJECT DESCRIPTIpN:RES ALT - REPLACEMENT OF ELECTRIC HOT NATER TANK AND DRY ROT LAURELNOOD 6ARDEHS, &IILDING A-2 p= ONHEA =___=====a•Q====��===m�====_______________________ _ CONTAACTOR ammaaexaemasesesoaa�oaaar.s=�aa==a=aa�aaoc=se-a LENDER sas==o:ma==aeeea�=aoassxeaso�o�e=ca��ee�=�aam= ( LAURELHOOD 6ARDfiIS (A-2} � TRILOGY 6ROUP IMC � 29435 21ST AVE S 320 DAYTON ST STE 108 FFDEAAL IiAY MA 98003 EDMOHDS NA 98020 � � 425-778-4837 TRIL06I051Rb n�:�sesea=ee^ao=oe�saaaas==�acessecxa:s�xsmaamavmaao=c_aeaa_=ea=ae==-=====----=a:aame�ee==e=ae�een:xxs=oeas�aaaecmm� saa�c�==ea===axr.�oo=�xmxmasv=ea�asxxx=x�=os^^ac_==m�ea=s �tt CONTRACTORS, �LEASE USE LOCATION C09E 1132 MHEN REPaRTIIIC SALES TAX F�t PROJECTS NITNIN THE tITY OF FEDERAL YAY. TAX RATE = 8.6� �s Fm==_=a-=�ais=oaessaa�e�a=a���naea=a�==aomx=x=xx======ma=x=_=xsnaa===c=======j'=====m===aa�=a==a=_===�x�===�==e�aeeovse=xs==a;=====-�==a=======s=aesaxsa=caxszsm=xss==ex==�.a�oa � BLD?:X MEf?: PLM?:X FLR--EXIST--PROP--- D�ELLIN6 UNITS: 0 COMP PLAN.........:? FEES: TYPE OF WORK:ALT USE:RES iST.: 0: O:sf STORIES........: 0 REpUIRED PARKIH6..: 0 SPRINKLERS?......:? PLAN CHECK FEE S 18.20 CENSUS CATEGORY.,,..:434 2ND.: 0: O:sf NEI6HT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....� $ 28.00 OCCUPAMCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOY....: 0 gp� SBCC SURCHARGE.....� S 4.50 :R1 :? :? :? : OTNR: 0: O:sf EXIST..E: 0 FRONT.........: 0.00 ft PLUMBING FIXT....93$ S 29.00 TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...�: 800 SIDE..........: 0.00 ft NATER SERVICE..:? DLM PRMT ISSUANCE.. S 18.20 � :SN :? :? :? . DECK: Q: O:sf RfAR........... O.00:ft SEilER SERVICE..:? OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:05/20/98 � , 0: 0: 0: 0: TOTI: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? �saeaaaaseaaas�aa�a��eaa�c�xsxa�s�sec�axaaaaca��m:s__m=cso�xe_oa_aa�sxmaaasc== ^a_aaaaaemcsan�-aox���xs�vaoaxs_=nevm_��a�=smaaav��s= � TYPES.:? ? fANS..........: 0 BOILERS/COMPAfSSORS MATER CLOSEIS......: 0 URINALS........: 0 TOTAL FEES S 96.90 PIPIH6,: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKIN6 FOUNT.: 0 � fURH<100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHONERS............: 0 SUMPS..........: 0 � GAS HWT....: 0 NOOD STOVES...: 0 15-30 TON...: 0 IAVATORIES........,: 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURH>100K...... 0 30-50 tON.... 0 SINKS............... 0 DRAIHS.......... 0 � BBQ........: 0 MISC..........: 0 50+ TON.....: 0 DISH NASHERS.......: 0 LAWN SPRINKLERS: 0 � GAS DRYER..: 0 AIR HANDLIM6 UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 4 OTHER FIXTURES.: 0 RANGE......: 0 <=10,000 CFM: 0 AHOVE GROUND: 0 LAUN MSHR OUTLTS...: 0 � GAS LOGS...: 0 > 10,000 CFM: 0 UHDERGROUND.: 0 ( �=xx==sasaxaeesasamaaa��a=xes��emos�a=saxaaaaamesaoa_-:co==c�=sesoacs�xe=xazssa_m=aa==m000maoa_ssem:oaa=exe�_=�e�a=vmesaas=ox=aaaaas xsaxamssea=Qaasxas�eeeeos=xs�=r.o=coc�a�ms=� PERIIITS EXPIRE 180 DAYS AFTER ISSUANCE IF ND Y�tK IS STARTE9. RESIIEMTIAI AND 6RADIN6 �ERMITS fXPIRE ONE YEAR AFTER 6ATE OF ISSIbINCE. I CEATIFY TNAT TNf IIIFORMATION FIMtNISNED f IS TRUE AND CORRfCT TO TNE DEST OF MY CIIOMLEB6E AMD TNE A�PLICAILE CITY OF FEDERAL YA9 REWIRfMEMTS UIII BE MET. . 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S�t1=t�dC)'T1d�l�?:1J���tI 1.�:��O2:J4�i Cl'Cl(1..,1 F�Z�:'.�:' = "t)!� �i,��,,.+ ! ��;1"<'. �t?'�E3Z=�a�t1�7(1�1 � �; 1 ' � i � , �;r < < (�)f:l�i" -�9�? _�,�c�'� i�� - '' ' , � j >dl� ., , Il�:) r } "��� .�.l:,l,a � (,ilif j i'11f , � , , rX ' '` . � � I. ;i (=i rti .'(aj �t�'_a c.��Jc"� � F�?,/ �.c.; i , i . �4 ,. «.. ,.. ... ,,... ��, t� ��� , � �, � t�1 �w;..i C � 1�1��f;y".. t . � , f � � � �;,,;�,.� �� �..��� ,� �M� � �:. � ��� t f;6�t7-�fi�T�i�r� ! Tld?{i.! , , �.�t�r.� �i�;l_��,� .I I f t.i �. 1 7 � . SETBACKS & FOOTINGS •����__.�__.. _- -_..___._�—__------__ .---- --______ --\_ � o fi�l.>, �s-�� Date By FOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By UNDERFl.00�t FRAMING Date By SHFAR WALL5 Date By PLUMBING ROUGH-IN Date By • ' GAS'PIPING . Date By MECHANICAL ROUGH-IN Date By MECHANICAL (OTHER) Date By FRAMING ' Date By � INSUTATION " 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 BUILDWG FINAL Date By OTHER Date By OTHER Date By CD0183 BUII.DING DIVISION �a' G 33530 First Way Sout�i - � EpE1ZAt_ Federal Way,:WA 98003 uV FiY (253)661-400a , Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT �� � - oa�8 PLEASE PR/NT APPLICATION # �,. � C� <'.':'>�z Address , � - r , v' ::Y::::::::::iii::::::: :��� ::;>,�:.:::.�><::::::<>:,.;.'?<:::::�;;?:>.:::`.'::"":i:`E:i::;::;��~:z'r<':;s.<:::'::''::�;:<.;; k. � ��� :::���`�1..��.�..:...................... .' '�� �/ d 0. G�if�f7 Tenant(if known) Lot# , ��-- Assessor's Tax# �::'-fJ . �}2 ' ��-��� , � Building Owner's Name GTd• Address ��/ � C/� GfYv o P r S� 6S ""` E. �. Ci .� - State �� Zi ,�j/ Qj Phone fil (.lCYANT—' Nature of Work ,�Q �OT /g/� XTL/eIOR. , �o� /L FOdND ;:.:;:.;;;:>;;>;:;�::::;::�:::<�•::.;;>::•:>::;�;:.;:.;>;;;;;;:.;:.;;:;•;;;;:»::::::::>:;:<;:,>::> > .,:'>:��r:'::»<:>•'>:<zz:�:'.>:::z:;,:;..><;<:>::>::>::::::>:;:>:;:::.:;?::.:::>::><;: . :�1��'��t:`�1;11i�:r::>::>::>;<'>:>:s::><.::::>:::<:::>::':::::::::::::'.>::>:::::<:::::::>:::::::;;:::<:::::::::: Name (F,M,L) /Q l.�-O Q d/� Address � �, Ci ON'D�t State Zi 80 2 D Contact Person Day Phone Other Phone F s. m� a.� 7 8 � �8o zs � 8• y8� ;:�::::`::::�<::::<:::}:<`:::::::::::>::::::' :::.......�..................... ;B�l�:���1�''s�t�1VT`Ei�:�7'::�3F3.::::::::::::::::::::::.::::::. . . . . . . . ... . . . Company Name S° � GG Address � Ci tate Zi 7 Contact Person Phone Contractor's#(card must be presented) Expirat n D te Verified ❑ Yes ❑ No 7Ri�o .r S 9 �y 6 :.»';>..:C����'t'!`E�'>:'>::::::>::::::::::`::`>::::>::::>::::<::::»:::::::>;:�::>:':':<:::::::»:'<�:::>:<:>::>:'>::>::>: - ��..:i�.::...:..:..::::::::....:.::::.:::::.:::.:::::.::::::::::::.::::::::::::::. � Name ON'� Address Ci State Zi Contact Person Phone Fax LEGAL DESCRIPTION p d /� �ie/a'�TS A'� O 7 G� OG (�i}vkf�GG✓OOI� �a uT�,- .C�/✓/�'io/l/ � . A�CCO�eD/nf�' 7vv 77�/-E P�iY� T�}E,e�o� .eFGo�e,of �n/ ✓o.c..��ie 9�. o� �°�}-:�' P/}C,,E,.S '1��fl-rvl �, in/ X� �vun�fi�i : G✓iY�f�7�1 TZ7.�/_ ► - Please Comvlete Reverse Sid. � :�>:� E ' :�.»<>::::::::::::>;::.:.>s>:.»:<�:z:>.>•::..:::::<::�::::>:':'::::>::�:'<:�`':.<';::::�::`:3.:<:;>:�:�::::.;:::.>:::'::::::>::»`::'':`:';'::::::... xisNn Use ���.''.�'�.1�.................... ..:....: ......... ::::. 9 Mv�rl- h�rn��Y o1 ,Si'bR, Proposed Use SA'/YI� — o C . ' Permit includes: ❑ Buildin Plumbin ❑ Mechanical ❑ Other Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck • ❑ Commerciai ❑ Addition ❑ Gara e ❑ Shed Other lef�°R//e, � Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existi�g Floor Area sq h Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabili ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S ��`t£-E-#�.- Zonin Lot Size Existin Bld Valuation S ��Z%l i'' 1�1y�� ��;�',w'>'•'%z:s:;`;::;:::#s:>::<�>:<:i;:;<;':;�:::::::•;`:;::::�::�:�::'•;#:<''�:'•>#:�>:<:>:::: :3:F1:11 LJ��:::�:�°:::�'��•:;•;:;•::•::;;•::`•:�:;:•r•r:;:t;t•:r::�::•:>::::.:;:•::�s:�::t;;?�i:�;:'•:�:5::� ....................................................................,....................... Name Address Ci State r .......................................................................................... ......................................................................................... ;:::;:.;�:�:::.:�:.;.;:>�<::�;::•::.:<:•:::<:�.:::�..r>:..;:<;:...'..••.:..::....:....:::::�:::::::E::::::::::;:::':`;: ��. .�..�v.r���:.��u�r�.��v�.................... Contractor Name Address Cit State r Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ........................................................................................... �1»t�`11�1�Ef�G;:�'`A�1`�'�tA:��l'43�::::>:::<::::<:;:{:;<:::>:`:::;::::<:::::: Contractor Name � Address R/Lo ,CovP ToN � c�c o stete z 80 � Contact one x � E,(,fYGD .Lo V'A-Ta y.2s 8 � .2bo 7 Yz� ��8• `t�B License # D V T �//1�B Ex iration Date ot 1,0 9 Verified ❑ Yes � No ......................................................... ......................................................................................... , F v .� - f _ � =� ;...:........:.:..:....::..:::...........:...:....::::::.::.:::.:::..:::.::::>;>;>;:;.;:.;:.;:.>; :#?:�C1111I:�CI��G:::�t�'t'�f�:>CC�:UI�(T<`:;:;::::<:::>:::>::>:<'::€::; � �c,rn�. T �� � r.�;.,�u� Water Closets Sinks Urinals Lawn S rinklers � Bathtubs Dish Washers Drinkin Fountains Other � Showers Electric Watar Heaters `7� Sum s Lavatories Washin Machine Orains 7otal`:Fiziure:>Couiit:>::::>::>:'.:<'•::::?::>::>:i:s>::::>'. N A EVAL ATI N NLY �tll�iCNA�`;1�'::,::..::.�`.:;::::>::;.;�,.>::::<::>:>�.>�»><::::�:::`:::»>:''���>':;:`:::;;::<:: MECHA IC L U 0 O S tV .Af�.. .N��'.. .t�t�NT......................... 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 Heeter 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanka Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round BBQ's Wood Stoves 3-15 Tons Tatal< ''i`:Co�'t>::>`:::::;;�#»>:<%:>::<�:�>:;�>:�»:� ___ _U.ni _ n_.............................. DIS CLAIM ER:I certify under penalty of perjury that 1he infoemation fumished by me is true and co�rect to the best of my knowledge,ar.d F�rther,that I am authoriud by the owna of the above premises to perform the work for which pecmit application is made.I furtha agra to save hanntess ihe City of Federal Way as to any claim(including cosTs,expe�ues,and attomeys'fees incu�red in investigation and defrnse of such claim),which may be made by any person,including the undasigned,and filed against the City of Fedecal Way,but only where such claim arises out ofthe reliana ofthe city,including its offioers and employees,upon the accuracy oflhe infocmation supplied to the city as a part ofthis applicatioa � � Owner/Agent. /'1� � • Date: � - �O " ( � — Buuw.An H[vsEo BIMf97 .