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98-102507 r _ , � 9g'1�o�507 :��530oFirst��Way 5outh ��� ���� 1'�� �'"����� �� Q�RSSUED :dB�p���430 F'ederal Way, WA 98003 Building Inspection Requests 253-661-4�.40 BY: FC2 �253-661-4000 EXPIRES: Q1/03/99 ADDRESS:29500 215T AVE S NO. : 422291-0020 PROJ�CT DESCRIP�TIQN:RES ALT - REPLACING HOT iiATER HEATERS S DRY ROT REPAIR LAURELWOODS GARDENS, BUILDIN6 C16 OWNER __________________________________________________ = COHTRACTOR ===_____===_==_____=====a=====_______===____-= LENDER -----------__=___________==__=_______=____=__ �_ ----------- � LAURELNOOD GARDENS (C-16) TRILOGY 6ROUP INt 29415 21ST PL S 320 DAYTON ST STE 108 FEDERAL WAY NA 98003 EDMONDS MA 48020 425-778-4837 TRILOGI051R6 � �=x�=oo=oxn=cm=m=:=axxsxo=====a=c��=ccc�=�caxce=oxcc=es=owaa x=�caoc=v�aasa=oa=�oaaacxes=a==x=s�=esp-�ss�=amx=:=ccx.::a aae==xccec==ceecc�n=a=_�=e���xaax�oxex==esaaaeosss�soe_� �i; COMTRACTORS, PLEASE USE L�ATION CODE 1732 NNEN REPORiIM6 SAIES TAX FOR PROJECTS IIITNIN THE CITY OF FEDERAL I�Y. TAX RATE = 8.6; s;t �--x�===s�x=x�=e���n==e�==�:sa==3mas�==_�_a=a:=m=��=s==s��c=cex==oxv__==:__ �ae=:�xoox�xo=:�esaaa_:ca:¢=e=^soxe�=�=�a==��a:_:_a� aec=a==seaeaa�em�ess:s^=o=a:eesa=a=�m��=e=A BLD?:X MEC?: PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? FEES: I � TYPE OF WORK:ALT USE:RES iST.: 0: O:sf STORIES........: 0 REQUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK FEE $ 1B.20 ( CENSUS CATE60RY.....:434 2HD.: 0: O:sf HEI6HT.....: 0.00 ft HAZARD CLASS...:? BUILDING PERMIT....� � 28.00 ( OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE fLON....: 0 gpm SBCC SURCHARGE.....$ S 4.50 •? •� �� •� • OTNR: 0: O:sf EXIST..S: 0 FRONT.........: 0.00 ft PLUMBING FIXT....93� S 42.00 TYPE Of CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 800 SIDE..........: 0.00 ft WATER SERVICE..:? PLM PRMT ISSUANCE.. $ 21.30 :? :? :? :? . DECK: 0: O:st REAR........... O.00:ft SEWER SERVICE..:? OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:07�07/98 . 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? v��:==ceso==va=�=ae=a=�sxssoao�c=c=_eo:�=aeaa�s�c=_eo====_sa=aococ==cno=e=a ea==aaaea���xac��co_z=x�=sxe=�c===o___=a_xx__esoe� FUEL TYPES.:? ? FAMS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 120.00 ; PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATH TUBS..........: 0 DRINKING FOUHT.: 0 . _RN<100K... 0 DUCT NORK...... 0 3-15 TON..... 0 SHOWERS............. 0 SUMPS........... 0 _. � GAS HWT....: 0 MOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0 � CONV BURNER: 0 fURN>100K.....: 0 30-50 TON...: 0 SINKS..............: 0 DRAINS.........: 0 0 BBQ........: 0 MISC........,.: 0 50+ TON.....: 0 DISH NASHERS.......: 0 LAWN SPRINKLERS: 0 6AS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTR NEATER5...: 6 OTHER FIXTURES.: 0 RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0 �=_es=_________�.•^-�.•_-_^____--- ...._..a__^a=aaa_eas�x=x=e_sxe�e==x=se=ea:v�=ee_=ax==m==o_=a�o=aaaoe:e=ee=e:=e=_===nea�s==ees=xeecas�eo=^zsxsesxeaa��va�m��e=a=sa=ae=ee�o�xe=e= -_�_••-__^___________________ PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO IIORK IS STf�TED. RESIDEIITIAL AND 6RADIM6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUAMCE. I CERTIFY TkAT TNE INFORI�ITIOM FURMISNED ME IS TRUE AND fORREtT TO THE �ST OF MY KNOULEI6E AMD THE APPLICABLE CITY OF FEDERAL iIAY RfWIREMEMTS YILL BE MET. - . . OkNER OR AGE � '�� , - ---��_____ r ���,�---------------_.._---_—_-- DATE ����'__—_ FILE COPY AdO�a�31d � � r �C b • (. '� �!!'tj _...... . .__.._. W..._._... _.--. . 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"'.,:�+. r..;«s^a��;amsr�x�a::":r-.�.�.. .��.rx.•.zaian:zz�s�xsis�:aescv7_xm.:.�sa:r,� Q.�117�� _.. � -- 9iJ 5NIQ7Cf18 `SN3�I8tl� S�OM4�s:��fiN�1 ii�„I�f 1(I� ,�2K1 $ $:�714iN tl�IMF1 ",OH �)N��N��JfN ' ITH �3��Ial)1 i.i)I,{�)::�.::liJ, 1,�.),9t'Glt9if !".1'OC1 -�(:t,u�:°�;;',�' � t')i� i .`' �.�u���i C.II��Yf��� �<:i���i3t�(.�f:� ' ilt:l(.1` - �G'�'"3- ' �,� . . � i �i:, , � . , ; . r�F��r� �:��ry €_:t��: �:,� � :-:.�►r.�� u��,� E.�:;�� � c:,3� �r:; w tn<-r �.�nf�,�; :�M `��:r� �;��..,�:; . . -�� � _ , � . , � � �i;�:.:� r ` � �a�n�::,, ����� :��.� �.� t�f: ..� ��'+�� :�� �� �� N� � ��t� , tl�'�f : . ;f,�� t�� =C)N i IkJ�rl:��1 „t�P'1 ��::'t.��Q l �! �C�� f�.1. M� � , , ,. 1 SETBACKS & FOOTINGS Date By 2 FC)UNDATION WALLS �-,� > —j;� ,,j'L, , �--� w 7--�,� � Date By _ ��_� � w � .�l. 3 PLUMBING GROUNDWORif Date By _ _ _ _ _ _ __ _ _ _ ... ___ _ .._ ...._. _ 4 SLAB INSULATION Date By __ _ __ __ _ _ _ __ _ __ _ _ _ _ _ _ _ _ __ . ._ ....... _ __ _ _ _ _ _ ___ __ _ _. ..._ ... _ _ ___ . 5 FOOTING/DQWNSPOUT DRa1NS Date By 6 UNDERFLCIOR FRAMIN...G... Date By 7 SHEAq WALLS ' Date By _ __ _ _ _ _ . ... _ __ _ _ _ _ __.. ....... _ _ _ _ _ _ _.. ....... . _ __ _ _ _ _ _ _ ........ _ 8 PLUMBIidG ROUGH-tTi :> _ __ __ _ >_ _ __ _ _ __ . ........ __ _ _ _ _ _ __ Date By _ _ _ _ _ _ __ _ _ _ __ _ __ _ _ _ _ _ _ __ __ _ ____ __ 9 (3A5 PIPINQ Date By 10 MECHANICAL ROUGH=IN Date By 11 ��tAIVIING:: _ Date 1_�.._�`6 BY (�C _ ��3( `tX�ralCA2 6�Y1 12 INSU LATION Date By 13 GWB - 1ST LqYER Date 7`'7! —`i� BY L�r. �Yc�uG �a��2 ___ _..... . ......._ __ . _. _ _ .. _........... ._ __ _ _ _......................... ... __ _ __ .. 14 Q�WB 2ND LAYE;R. Date By ___ _ _ __ __ . _ _ __ _ . ........ ...... _ _ _ __ _ _.._ . ........ ........ __. _ _ _ _ 15 SUSPENDED CEICING"::: Date By 16 PLANNINi3 FINAL' Date By 17 PUBUG iIVORKS F1NAL : Date By _ _ __ _ __ __ _ __ _ __.. _..__ _ _ _... 18 FCR� �INAt, Date By 19 BllILDING'FINAL Date By _ _ _ _ __ _ .. _.. __ _ _ __.. .. ... __ ____.. _.. .. 20 Q7`liE�i > Date By CD0193(Fev MB7) , ___ BUILDiNG DI'e'ISION Cf°OF � `'��=-� , . 33530 First Way South -�� ���L Federal Way,WA 98003 ;;� � 7 �(�t��: (253)661-4000 _ Fax(253)661-4129 ;���t r.)F 1-ct)�:V-t,�,i_ >:: , , ,t:� APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # ���; ,'\' ,,� - �� �� -, �� �>': dd t T �:>'>: A ress �:��::::;:>:};:::�._;;`r;:�:<::<::�::;:...'`:`>::::::s::::;:::::::<:<''E�s3::::»['»[E::>;:���':`:'>::;?:EE:<E:. ... �:�:. .�,��1(��...:................:.:::::.:.:,...:.:::,..::.:::.:...:.: �O ol( �'e • • �'N Tenant(if known) Lot# p ^/ Assessor's Tax# �'��� (. Building Owner's Na e Address C� State Zi Phone Nature of Work � D A�Pi.iCAN'�..; Name (F,M,L) �- /eJ(i0 Y V'/� C• Address � �N �T. �x // Cit MO/1/D State Zi �020 Contact Perso Day Pho Other Phone ax ,r- .T• l�t .zs ) 8 - 2807 � 1 - ?o? ��>..>;<�i:::>:>:>:::;�::<:;::>>:<»;.>:::>:<> >>>:>:`::>::::>::<::;::>':::>::::>;'<�<::>»::::: �f� :.3V�,F.. C)NTF3�X�T..O.....R...:::........::::::::::::;:.:.....:.: Company Name . Address � C� State Zi Contact Person Phone Fax Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No _......._ _ _ AKCHl7`EGT Name Address Ci State Zi Contact Person Phone Fax LEGAL DESCRIPTION P/ease Goma/ete Reverse Side � _ •• � � se . ro osed U 58 :�:�:� �xistin U � :�.UC;�1 E�:::>::>::_:>:<`:`.<::<:::>::>:<:::';:`::::':::<:<:<`:::`::::>:«::>::>:::<::<`;<:>;.`>`.;;: 9 /LC5 /� PiN' • P Permit includes: Buildin O Plumbin Mechanical ❑ Other Type of Work: ❑ Residential ❑ New O Remodel ❑ Number of Units_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Ares 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 Availabilit ❑ Pro'ect Valuation S c Zonin Lot Size Existin Bld Valuation S ;:>.>E::?'<t?Ef�«::»:<::?;:;`«<:;<:::`:�:::::::::::«:>::::';':::`'::':::><::::<:`:>::}:'.':�?::>:?:`>:::<::::<:;::::`::::: � • �• �..N..................................................;................. � Name Address Cit State Zi �����.:�:��<>::<:;<:`:�';�<�;::>:s:>:::: , .�����:���1�>:����,�''��.... Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No .�����:�::�����.1�`�.?:::::f::<::.'::::::::.::::::::i::i::;:�'�: ............. .............. �:::::::::�`:�:::::::::::::i::i::i::i::::>:::::�i::::;:::;:;::i::::� _ �I�UNf�EI�G;;�tlt�l'�:':EfiA.�'�'.��.............. Contractor Name Address / Cit State Zi Contact Phone Fax I r 1 License # Ex iration Date Verified ❑ Yes ❑ No :;:.;:.>:.::.:::<::.;>:.>::::.>:.s:.;::;::::.>:;:.:» ::::>:::<c;s['i��tJ�i#�:T:�::::>::::::>:::;::::::��<��?:'::::::::::: .:��:}.::::Y::�:�:y:�::�>:.:�:y.>t�:�::}:::::.::.:.t�y.:::�:.:�:y:.::�y�« ::F_�{J3X1:[?Fl��i:�i/4::t:�r11G::..:... .......................... Water Closets Sinks Urinafs Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains 7otal.�ixtare GounY N LY ATI N O S HANI A L EVALU 0 �"��`:'<>�C<)E�NT::>:'::::;:;`:::::::::`:�:::::::::>;:; MEC C :>:::>�::::::::>::»:::<:»:>�::>::;::>::»::>::::>:<::>>::: �S��H�N I.CA�::::�N��`....... .............................. 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 ggQ�s Wood Stoves 3-15 Tons Total Unit Couqt DISCLAIMER:I certify under penalty of perjury that the infonnation fumished by me is tn.e and cocrect to ihe best of my knowledge,and fucther,that I am authorized by ffie owner of the above premises to perform the work for which pertnit application is made.I fucfher agree to save hazmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of ihe city,including its officers and employees,upon the accuracy of the infortnation supplied to the city as a part of Uus application. - / � �7 Q Owner/Agent. Date: (' �' /� &mDwa.APP HevsEo&28/97 � ���