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98-102959 9��o��is9 CItTY OF- �=�:DE�RAI_ WAY �A���� ����. ���,� �"����.� �,. PER5SUED0 08/OSf98532 3353� Fi rst Way 5outh ;�� F�ac�eral Way, WA 980Q3 Bui:lcling Inspectinn Requests 25�'-661-4140 BY: FC2 253--661-4000 EXPIRES: 02/01./99 ADDf�E�aS.29S00 2�.ST AVE S NQ. : 422291-0020 �'ROJECT D�SCF�IP7ION:TI- INTERIOR REMODEL OF EXISIING BLDG, ADDED RAMP, ADA ACCESSIBLE TOILET AND NEN WINDONS�SKYLIGHTS, ---------------------------------- --__ � ��-===--===----------------------------------------_-- CONT C R -T- LEN ER j �--------------------------------------- - ------------------------------------------- ----------------------------------------------- LAURELWOOD GARDENS (A-1} TRILOGY GROUP INC � 24505 21ST AVE S 320 DflYTON ST STE 108 � FEDERRL WAY WA 98D03 EDMONDS WA 98020 P 425-178-4837 + TAILOGI051R6 � ____________________________________________________________________________________________________________________________________________________________________________� �*= COIITRACTORS, PLEASE USE LOCATION CODE 1732 YNEM REPORTIM6 SALES TAX FOR �ROJECTS YITNIN THE CITY Of FEDERAL IIAY. TAX RATE = 8.6� #=s ---------------------------------------------------------=--_----______--_-------_---_-------------------_---_-_------_---_-----------------_--_-------____________________=_=_ --------------------------------------------------------- ----------- -- ---- -- --- ------------------- --- - ------ --- --------- ------- -- ------- BLD?:X MEC?:? PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:? � fEES: TYPE OF WORK:ALT USE:COM 1ST.: 0: O:sf STORIES........: 0 REOUIRED PARKING..: 0 SPRINKLERS?......:? PLAN CHECK fEE S 87.75 CENSUS CATEGORY.....:437 2ND.: 0: O:sf HEI6HT.....: 0.00 ft HAIARD CLASS...:? � BUILDING PERMIT....# S 135.00 � ° OCCUPANCY GROUP---------- 3RD.: 0: O:sf VAIUATION---------- REQUIRED SETBACKS------- FIRE FLON....: 0 gp� Mechanical Per�it# � 26.00 � • •' �' •' • OTHR: 0: O:sf EXIST..�: 0 FRONT.........: U.00 ft MECH PLAN CHECK Z 6.5� � TYDE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...$: 12000 SIDE..........: O.OQ ft WflTER SERVICE..:? SBCC SURCNAR6E.....� S 4.50 :? :? :? :? . DECK: 0: O:sf REAR........... O.00:ft SENER SERVICE..:? PLCK-FIR co��l only# f 6.15 ( OCCUPANT LOAD------------ GAR,: 0: O:sf RECEIVED.:08/05/98 ( . 0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? t '� __________________________________________________________________________ ____________________________________________________ � FUEL TYPES.:ELE ELE fANS..........: 1 BOILERSfCOMPRESSORS ^WATER CLOSETS......: 1 URINALS........: 0 TOTAL FEES 3 266.50 � -GAS PIPING.: 0 ft HOOD..........: 0 0-3 TON.....: 0 BATN TUBS..........: 0 DRINKING FOUNT.: 0 � <100K..: 0 DUCT WORK.....: 0 3-15 TON....: 0 SHOWERS............: 0 SUMPS..........: 0 � HWT....: 0 NOOD STOVES...; 0 15-30 TON...: 0 LAVATORIES.........: 1 VAC BREAKERS...: 0 COHV BURNER: 0 FURN>100K...... 0 30-50 TON.... 0 SINKS............... 0 DRAINS.......... 0 � BBQ..,.....: 0 MISC..........: 0 50+ TON.....: 0 DISH WASHERS.......: 0 LANN SPRINKLERS: 0 � I GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTNER fIXTURES.: 0 RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 � 1 _ GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ���_��_'��---=-=--------- ------------------------- -___-- --- ---- �--- - -___=_=====_===__-_______-__--___-�� _ ....______.'^�_ ________________'"___.�___s=cx=:__.___�=ce::_x===__ ________..____�_���:_=a==e:c:c_s-_s;:=...._.�ss�a_- -=_a_. ..... PERMITS EXPIRE 180 DAYS AFTER ISSUAMCE IF I!0 iIORK IS STARTED. RESIDENTIAL AND 6'RADIM6 PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUAMCE. I tERTIFY THAT THE IMFORMATIOA FURNI ME IS TRUE AND CORRECT TO TNE BEST OF MY KNOULED6E AMD TNE APPLICABLE CITY OF FEDERAL i�lY REQUIREMENTS YIII BE MEi. � OWNER OA AGEI�i---�/,�_,J�J_ __ /�__ _ DATE __8���,�yS____ �-�-�---------------------------- — FILE COPY AdO�a�31� � � � . � % _ � : , _ � �, .,; - ;, ,i,,' _ �� ; � �f. -•,r �,•-��!� ,�.,' , I ,�` � �� ���� .�,��.���,6���� ��� -.����� ��� �t�a �-�e�r�mr ��� e� �a�� �w 3n ��� �� oi �»o� a�r �n�i sT � a� ��iN�ni �ur���r �r ��+i ' _ ".�7�Itliia5t �It� �I� 1i:11.#i ��l�4 �!#tl llli�3�� �Ii1it�3A 9�1$�,9 pllV �d1N1liS�� '�l31Nt11S 5t 1�6A ON !t ��SSI N31� ti1l�IQ O�i i�[d�1 n Ei��,���: ,.ST:r.:axMtr.m.._ . .... . .�v....,:::� .,___:..... . _. ..,.. .�:.s,-..rn,kv,..` :��rr�. ...�-..r.:. ,.; ;_..,: _...-. _... ... _. ., m.. ..<. ,.., .:.r....^1 .„......,... .. ,.. . . _ _. ,..., _ _._. i .. . c .. .....,. . �...»:e:+s � r� �'Qi4i1����'i�I�1t� 0 �W�� UO[�`�t � 11 �...S9o1 5�� � 0 �...;1�1�10 �i�1SF4 �tlt�i a �QN(1G�`.1 3At3��t G �W1) UU(�`OI-% �0 ; ..,..:i:}li"!� � D �"���fll�ti it3N10 0 ;...S��1b:+H �th ���"i3 --._. --s�NHi ���i� SlIN(1 `�NI�1N�N �1� ti ;`.t�3,t2k� S!�� � 0 �5�31��itNu� HN�"i Q , ....,.SU�NSdFI ItSI� d , .,..N01 >I}S � , .........>>1�1 b .,.....085 � t} ...."...S�IH2h� Q>, .............SlINiS A , ..N�1 0'::-tl££ 0 � ....XOUi�N�i 0 ��3N�iu7 hNO.�t � � �...5�3:�'�3�$ )tlA t ;.........S31�OLaAN1 0 ;...Ni11 OF Si 0 �...v3A�ta tl�+ti4 Q ;....lkif c"," � G ;..........Sd#AS G :............S�3MCkf{5 0 ;....HCtI Si-E 0 ;,,...;i��1N 1'31�! 0 '"'�a0t��� �� � Q �"!I►ft4j �NI�f1I�t4 Q ;....,.....Sgtil ti1�8 0 ;�....N01 tu0 � ;....".....QOFrN �3 Q �'9Mtdid 'it� � �........">��t�i8t1 i ;......513501� �31�M SNOS53NdW41f;�31IG8 t :...,.."..SRt`i 3ia :#13�'�3d;.! 13iia1 1��'�'�Z � S3311tl1d1 0 � mw�r�Z'xeQocaaa�v:�mwm7n�a .,..::.�.::msa:.�cvimsasxxsanmx.:mora:ac . :-..:.�..r.:xa. &^����:c 4iak�.:a�::-... ...-�..aptcz '_:#�ti:•xs,sacsc::_-eypi.•.�m,lp�:.. ,a.. ,. •._�a�sxu�fcs�•rs;¢rsz+sxe.vunrsCzcFeassa�cr.s 4���sd�b►+ �nrlr:�3s �s o ��aa�ans n��a�t ���+� :� ' �°t��.�. �c� •� �a �o • s�FSoI��������taa�� '��Aa , :� :•��� __._. ...-----aao� iN�an��o �L '9 i 1;�[�Q ���� ��J'e�,�tQ �������r ���e�., ��'wV.� ........,4��� ��.�a ^.�:.. ;.�J���� • G• � 4• 4^ . 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J4�; � �e�, , _ , ���,r't�;ca/����, :���_�rr���.{�:�:�� � �.. .� ���':��.��`� ��� �:� � .� ���"+� � � �.�-��r���; ;�.��7 +w;.., � � , . ��c�t�- ��f��ts� =a� .�Tw��d �,� .�.t+r� 7e�.i.r�_�� � ��c� : 1 SETBAeKS'& FOQTINGS: Date By 2 FOUNDATION WALLS Date By 3 PLTIMBIN� GROUN�V'J4R1� Date By 4 SLAB INSULATIOhi Date By 5 FQOTING(DOWNSPOUT DRAINS Date By 6 UNDERFLOOR FRAMlNG' Date By 7 SHEAR WALLS ' Date By __ _ _ ..__ __ __ _ __ ____ _ ..._ _ __ _ _ _ __ ...._ __ _ _ __ __ __ ...... _ _ ___ _ _ 8 PLUMBING ROUGH-IN Date ��.. By 9 (3AS PIPINQ Date By 10 MEGHANICAL ROUGH-1N Date By 11 FFtAMING < Date ��7-' j� BY C_C.`� 12 INSULATION Date U— �— y _ ___ _ _ _ , _ __ 13 GWB - 1ST LAYER Date l�.. — g By 14 GWB -2ND LAYEF� Date By _ .._. __ _ _ _ ___ _ ___. _ _ _ __ __ _ __ ... _ _ _ _ _ ____ __ ___ _ _ __ _ . __ _ 15 SUSPENDE[7 GEII:Ii3G Date By 16 PLANNIN(3 FINAL Date By 17 PUBLIC WORKS'FiNAL Date By _ _ _ ___ __ _ _ __ ___ _ ___.. _ _ __ _ __ ...._ _ __ _ 18 FIR� FINAI. Date By 19 BUILDING FINAL _ .:::: Date �;- L� , _„gy , 20 QTHE�1 Date By CD0193(Rev 4/8� BUII.DING DIVISION p"/OF � 33530 First Way South -=�'� EDEI"ZAZ_ Federal Way,WA 98003 VV �Y (253)661-4000 Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # 1 VJ� ::::::;;::::>�:: Irt dd ess :�:�:�'>'•':;:�:i�:�`�;:�:�3:�::�:�.•`•:�>:�:�:�>:�;:�:�:��:�:�>:�:�:�:�::�;:�#:<�s::•'•.: A r ���:'i���i���i��:::.:::.:::::::::...:::::.�::.:::.:::.:::.::.::::::::: sao a �. Te�ant(if known) Lot�1 Assessor's Tax# .�v/ztcovooa r�2 �� Building Owner's Name Address � �wvc+� Cr� S . �. � Ci � State Zi Phone Nature of Work /I� D�C. �MpO G OL d •,D•f) • �Ct��f/ 7'7/ _ __ ................__. A��o � r�i�oo�✓S ��e yu4fhs .................. . .... ;:�:�`iP>�:::;:.,<,�<�;�:����;`:;'::::�::�:>:;:�:::�>�<::'::>::::::>:<::::<:::�>::>::>::::>::::>:;;::>:::>::�:.:�::��::':>>..:::::>::::: A .�1.1.�AI�`�` _.. ::::::.::::::. Name (F,M,L) Sff"�'>'i E Address Cit State Zi Contact Person Day Phone therPhone Fax I� EN E BII INESS IC S >: FEDERAL WAY S � I . �3� Li31»:::><.>:``t);:>::>:;:<.::;><.> >::,: `:::>::>::>:>:«:>::::;i<':<:<;<;a:.:::. t N�.�. .NTF��T�R...... _............... Company Name ��o Rou�' �. ' Address � ` / ��' �'� � }( Cit p/VQ pn�,(� State Zi / , Contact Person P ne Fax �r�.� S. n/ .�s 8 • o Contractor's #(card must be presented) Expirati n Da e Verified ❑ Yes ❑ No /Lo S/�° / _ _ _ _ _ _ __ _ _ _ . . _ __ __ __ _ _ .. .. __ _ _ __ _ . .. _ . __ _ i4RCkf{.T.EC7' :; Name Address Cit State Zi Contact Person Phone Fax - LEGAL DESCRIPTION� d /" ,�1 //LA�c� f�r� 7 G oF N�Re�v✓oo{� �ov7�i`f CJivtd<oN �� f�tGo�PD��!'(,' ?� T1t� PG�T 7��Z�iZ�.OF ��Co.�t,,ote/� /n! ✓�oL• 9a. oF /°�-+�}TS , ��e.f il9 � c� ir✓ ��`C� �,o vN'f'Y . Wf� . P/ease Coma/ete Reverse Side _._ _ -�.:::::::::::::::::::::::::::::::::::::::::::::::::::::::::::: � :�:�: CX S� S8 i tin U ro osed Use ;::'�R::>:>::::>::;:::Ei�':'::::::::`:::>::::::::>::::::>::::»:::::::«:::>::>:::::�::::::':::>::::::::::>::>::'"::?<:<:::<:.: 9 v P 5.......fJ�'�................................................................... C�om m N� � . S�++c 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 Oo sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area /�DO sq ft Area Basement OD s ft Decks s ft Gara e s ft Pro osed Total Area G s ft Water Availabili ❑ Sewer Availabili ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S o2 dOo.� Zonin Lot Size Existin Bld Valuation S :�>::w>��:�:��>��:_>:�>:�:�>�z<:�:::;;:::;;:;«<>.�:���;;:�:;:�:<�;: ..s.�....:.....:•�n�:r<;•.<•::•: :�s::,.;�:<;:�:�>��>:�::::'s::>::::;:>::::z;:�::;�:<:�::��::�;:�: :�El�d��f?:':::>:�:�>i>'•:'•>:'•:'•:<::>€�>:���>�•::<•z:•�r•::•::•::•;:•>:•:�:;.;>;:�:;:•:;;•;:�::;;;;•::;;•::•::�; ............................................................................................ Name Address Cit State Zi .................................................................... ................................................................. ...... ..................................... .................................................................... ���✓f{��:�.����������r'���`::>:<.::>:>: :;:<:>:<: _....... _.........__....._ Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No `�l�ti:�i`NI:�ENG����k':t'Efi�X�'1`:4��:>::>::::>::>::::>::::>:°::::>><:::�:�:��' Contractor Name Address `�/Go 2v�/P G �. � Cit ON s State Zi 010 + Contact �Q �V�D one �07 F l • �3 ' License # �✓ D � ,6 Ex iration Date �y0 Verified ❑ Yes ❑ No ........................................................................................... ........................................................................................... ........................................................................................... ........................................................................................... #}�:��tII:�EI��>:�I�'�'lFt�:::CQ�AI'C::::<:��:;;::<::<::::::>::::`:`::::::::: lP.c°GO CRTI d� /(.�T ......................................... ...... Water Closets � Sinks Uri�als Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other ,- \/ Showers Electric Water Heaters Sum s Lavatories � Washin Machine Drains 7otal Fixture Cou�t ' .......................................................................................... ........................................................................................... ........................................................................................... .:.:;::::.::.:.:.::.:...::..::.:�...:...:...::;:�:..::.:.:;.:.::..::;:.:;.;:.;:.:�:.:;.;:.;:.:;.;:.;:.; I N NLY DO "— �ilt�H�#N:I.�A�::':�Nl�':;�tl��l'1`::::><::::::::::::::::::::::::::::::::::::::: MECHANICAL EVALUAT O O 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 Count DISCLAIMER:I certify under penalty of perjury that the information fumished by me is true and cocrect to the best of my knowledge,and further,that I am authorized by the owner of the above pretnises to perfomt the work for which pemtit application is made.I furlher agree to save hamiless 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 azises out of the reliance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this applicatioa / � Owner/Agen\t: I/ (/�J' Date: ��� Go .� �r / &muiec.nw REV6E0 B/26I97 -�