98-101855�'
+ 9�-ia �8�S � _ .�
CITY OF FEDEFtAL WAY PERMIT NO_ BLD98-0319
��s�o �i rst way soutn ��� l..1�I h�llt� I�'��,��' `�'" ISSUED. 0�/22/gs
Federal Way, WA 9800� Builc�ing Inspectian Requests 25�-651-4140 BY. KLC
253-661-40qQ EXPIRE5: 11/18/98
ADDRESS:29423 21ST PL S
NO. : 422291-0020
PROJECT DESCRIPTION:RES AL1 - REPLACEMENT OF ELECTRIC NOT iiATER TAMKS AND DRY ROT
LAURELNOOD 6ARDENS, BUILDING C15 (This building has 29423J29425 addresses)
- OWNER axaxsxeee_=asa==aacc�aeoo�eox�=sae��a�aaacvae=aacos a CONTRACTOR ______________¢_____====___==_==__===_______-= LENDER --------_=_==__=_____=__=__=_____________�_____
--------
LAURElN00D 6ARDENS (C-15) TRIL06Y 6ROUP IHC
I 29423/29425 21ST PL S 320 DAYTON ST STf 108
'EDEAAL NAY IiA 48003 EDMONDS ilA 98020
425-718-4837
TRIL06I051A6
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i�i CONTRACT�tS, PLEASE USE LOCATIQN CODE 1732 MHEM REP�tTII� SALES TAX FOR PROJECTS YITNIN TNE CITY OF FEDERAL IYIY. TAX RATE = 8.6� �#
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� BLD?:X MEC?: PLM?:X FLR--EXISt--PROP--- DaELLIHG UNITS: 0 COMP PLAN.........:? FEES:
TYPE OF MORK:AIT USE:RES IST.: 0: O:sf STORIES........: 0 REQUIRED PARKIM6..: 0 SPRINKLfRS?......:? PLAN CHECK FEE : 18.20
CENSUS CATEGORY.....:434 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....$ S 28.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf YALUATION---------- REQUIRED SETBACKS------- FIRE fLON....: 0 gp� SBCC SURCHARGE.....� S 4.50
:? :? :? :? . OTHR: 0: O:sf EXIST..S: 0 fRONT.......... 0.00 ft DLUMBING FIXT....93# S 28.00
TYPE OF CONSTRUCTION----- BSMT; 0: O:sf PROP...s: 800 SIDE..........: 0.00 ft WATEA SERVICE..:? PLM PRMT ISSUAHCE.. S 18.20
:? :? :? :? . DECK: 0: O:sf REAR.........,. O.00:ft SEMER SERVICE..:?
OfCUPAHT lOAD------------ 6AR.: 0: O:sf RECEIVED.:05/22/98
. 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSIiIVE ARfAS?.:?
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TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES � 96.90
PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATN TUBS..........: 0 DRINKIN6 FOUHT.: 0
� FURN<100K.., 0 DUCT HORK...... 0 3-15 TON..... 0 SHOMEAS............. 0 SUMPS........... 0
6AS HMT....: 0 NOOD STOYES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURHER: 0 FURN>100K.....: 0 30-50 TON...: 0 SINKS..............: Q DRAINS.........: 0
( BBO........: 0 MISC..........: 0 50+ TON.....: 0 DISN WASHERS.......: 0 IAiIN SPRINKLERS: 0
6AS DRYER..: 0 AIR NANDLING UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 4 OTHER fIXTURfS.: 0
RANGE......; 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN MSNR OUTLTS...: 0
6AS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0
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PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF MO MORK IS STARTED. RESIDENTIRL AND 6RAnIM6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY TNAT TNE IMFORMATION FIAtNISN Mf IS TRUE AND (ORRECT TO TNE BEST Of M1f CM08LED6E AIID TNE APPLICABLE CITY OF FEDERAL MAY RfQUIRElIENTS YIII HE IfET.
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FIIE COPY
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'�rOU 6ARDEM5 (C�15) � TRIl05Y GR�I1N INC ����
"�425 215T PL S 32U UAYtON SI S1E lOH ���� ���
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f,zaa::w:uarca:x�a:,acanct;a:,�s��:u_;s::ists::ar:,.v,u -._.� . .. .-�.. .:sur,=:_ . , .. . � . .,:.. _._. . . .... .;... . . ....:_ . . .. :::�>. _ ..__ . .. _ . _ . .....a.._..._.,
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� 1YPE UF �OkK:AtT U�E:RES t:;�.: #�. 0:5f `.T4��� - - `��� .� �',�;?�1���° � ����,�� .. � � � a PLAN CNECK FEE g 18.20
CEN�US CA1E6C�RY.....:434 `!�[�.: �� �fo � ��� H��l,f�?:.. . � - � � �`�, '�'.J�t# i`��'"` �.e �� T�1JilD[':�'t� �FRMII....� � �8.00
OC�U�AkCY GROUP_ __ --- "�D,- �i. �i,,f y����,,. .,, �� a',.� �i 1��t�- � '�i.( �;r�� �i ,� ;�i � � E x
� � . . - � �� � (�. ��:rl�r?�E..... S 4.50
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., .� ., -? '��� `���: � (�:t `"at�' . �.�f�� g �� �' ��`?t��`' l;tT....93t S 28.00
tYPf OF CONSTRUCiIUN_.._._ � M�; x, t�r�;' .,��' ; :at��.:.........: O.OQ ft ItAtER SfRYICE..:? �1i9 ;'h11[ t:SUFiMCf.. � 1�1.?(1
., .-: ., .� • n�t< ; � 3�'�+�........... Q.00:ft SEWEft SERUICE..•�
� �1r:CUVANT LUAU--__-----___ ,,h; : . r .
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. U: a: Q� R: ���1� IMPERV 5URfACE: 0 sf StRS1TIVE AkEA5?.:?
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` l TYPES.:? '� " ; �� ��r�;COMPRES�4RS I�FlTER CLOSEIS...,..: 0 URIMAlS........: 0 TU1Al fEES S '?b.90
{ 6A5 FIPING.: +� �t I _ ....: �i-� i�)H..,..: 0 gATH TIlBS..........: 0 (1RINKING f4UHT.: 0
� fURN<100K,.. ti �� , j-1� TON..... 0 SHONEP,S............. U SUMPS........... 0
! GHS NMT....; ii ! � 1:,' . U 15-`� TOk...: 0 LRVAIORIES.........: 0 I�AC �REAKERS...: Q
� Cd�fti' �1RNER: " iJ�'�� 1 , +� IG��SU TON.... 0 � SINKS............... 0 fritA�NS.......... 0
( �+�''.�... . � �? �il`" ...: t 5p+ tAN.....: 0 � DISN WASWERS.......: 0 IAWN SDftTNKLERS: 0
� Gr��, 1;+� . .. ��+i;t�i.ilat, UNtTS fU�l fANKS�__------- ELEC W1R li€ATERS...: 4 O1HER FIft1�URE5.: 0
N�;��;t ,� .�,. ,`�u0 ;:tM: t� flBi!VE 6ROUND: 0 IAUN �SNR UlI1lTS...: 0
�� [,A�� lC��r �� lu,i+�0 CfM: � uNUERGROUNp.: 0
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� C�ttll�Y t�"#t ft�t?tt11lUk Fl�t�15NE��Y !� 15 tk1lE AND COi{�ECT TQ il� �ST AF MY KfIOMi.EOGE AR@ tNE A{fPliCflW.i: C1fY OF FE�f!!AL it�1l REQU1���tS Mllt. � MET.
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FIELD COP'Y
s�reacKs � �oorir�cs
Date By
FOUNDATION WALtS -Za —�'�f-- f'y . G �_ '��
Date By
PLUMBING GROUNDWORK
D2te By
UNDERFLOOR FFtAMING� �
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN '
Date By
GAS'PIPING'
Date By
IVIECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER►-
Date By
FRAMING
Date 7"����� BY 5�12 �
INSULATION
Date By
GWB - 1 ST LAYER
Date `����— �Yj BY� � �1�C �2 �1,
GWB - 2ND LAYER''
Date By
'SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAt
Date By
FIRE FINAL
uaie By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CD0193
BUILDING DMSION
a^'Or G 33530 First Way SouC�
�� �EI�ZF-�L_ Federal Way,.WA 98003
(253)661-400Q
. Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASEPR/NT '�" 2� APPLICATION # '�V�I
�">:' Address
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Tena�t(if known) ,,, S /�Z�� Lot� Assessor's Tax#
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� Building Owner's Name y GTO. Address
C f� — 0 E� f' i' S3— � E. �.
Ci .� State �A" Zi ,�j Qj Phone fit l�lG'RNT"
Nature of Work j�ie �OT /g/iQ XTL�/eIOR. �o�
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Company Name
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Address
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Contact Person Phone
Contractor's#(card must be presented) Expirat n D te Verified 0 Yes ❑ No
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Name
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Address
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Contact Person Phone Fax
LEGAL DESCRIPTION p �I /-
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Use
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?ermit includes: Buildin Plumbin ❑ Mechanical ❑ Other
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units_ ❑ Deck
• ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed Other ICEPA'/l(,
1 Enter 1 st Floor 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 ❑ Sawer Availabilit ❑ On-Site Se tic S stem Availabili � Pro'ect Valuation S-�'� �O. �
Zonin Lot Size Existin Bld Valuation S
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.......................... ..............
Name Address
Ci State T
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Contractor Name Address
Cit State Z�
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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Contractor Name � Address
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( Cit O State Zi 80
\ Contact � ���� °�8 X
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License # ,LD V T � �//�B Ex iretion Date ot 2,0 9 Verified ❑ Yes ❑ No
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pl:U1�t1�tI�G.�t7C`t'i�JF��CC�E��IT: �C'.f�i. (;�/Y C/�'T' G 'L _ yp ��; ��;�
Water Closets Sinks Urinals Lawn S rinklers
� Bathtubs Dish Washers Drinkin Fou�tains Other
� Showers Electric Water Heaters Sum s
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, :
Lavatories Washin Machine Drains 7otal.FixY�re:�o.... . . .. .........
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MEC
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AL
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ALU
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N LY 8
111t��1-Ei41V'ICAt...�NtT Ct�t�N'1'. ;: .
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
Bgp.•S Wood Stoves 3-15 Tons 'f'otal:;Un�t Cotint
DISCLAIMER:I ceRify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,ar.d F�rther,that I am authorized by the ownu of
the above premises to perfontt the woric for which pemut applieation is made.I furlha agree to save harmless the City of Federal Way as to any elaim(ineluding costs,expee�ses,and
attor�eys'fees incurred in investigation and defense of auch claim),which may be made by any person,including the undetsigned,and filed against the City of Federat Way,but only
whete such claim arises out of the reliance of the city,including its officas and employees,upon the accuracy of the infortnation supplied to the city as a paR of Uus applicatioa
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