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97-102473 ��-1� a�r �3 CITY OF� f� �llEFtfal._ W{�Y PERMIT N0: BLD97-0410 3 3 5�0 F i rs t W a y S a u t h ,1�1�„..I�.��„i'.' I�..�:�.,�;'� llrw"��4„'� iM"�il�'°i�"'�p�'�P.�"���°. I S 5 U E D: 0 7/�1/9 7 FeGeral Wayy Wf� �SOQ3 13uilclir�c� In�pectic�n Rec�u���;t� G6:L--�t14(� BY: FC 661-4000 EXPIRES: Q�./27/98 ADDP,ESS: 18�.0 5 320TF� ST Unit: A NO. : 0921.04-92n8 PROJECT DESCRIPTION:TI -ADDING PARTITION WALLS ____-____... ....z....___"__ _a--_a_-- --�--___ __ __ __..o�s_-___-__..__-_��____________________••_ _sx___,___^-__^-___-^-_-�_-...,.__-______..-_-...-___� F= OWNfR ------------- ----------=- --- -----------------===T= CONTRACTOR --_--- ----------------------_----------- - L � - --- ------------------ ------------ --------- � RED WING SHOES � HARMON DEUELOPMENT/ CONST � i 1810 S 320TN ST SUITE A � 8813 NE 121ST ST � � � FEDERAL KAY WA 98003 � KIRKLAND NA 98034 � � 4 425-821-4186 � HARMOD�051N4 ! � -_.�____-_----______________________�_���_»_____-_-___--_�__=__-__-_-----___-.__�_�___-;____=__-____________-_-__—=_"=_-_-__---____�--_�-�_-_-________-_-_-_--____--_-----==_� � j=*^CONTRACTORS, PLEASE U5E LOCATION CODE 1T32 YHEA REPORTIN6 SALES TAX FOR PR07ECTS NITHIM TNE CITY OF FEDERAL liAtl. TAX RATE = 8.2� _�* �__==-=--=----==-====-���:��_==_==____________=_===-_�_=__=__--�_________=__�_-___------------------_-------____===___=_=________�==__==________===_____=______=______======j - -- ------__ _ � BLD'?:X MEC?: PLM?: fIR--EXIST--PKOP--- DNELIING UNITS: 0 � COMP PLAN......,..:CC � FEES: � � TYPE Of WORK:TEN USE:COM 1ST.: 0: 1750:sf STORIES....,...: D � REQUIRED PARKING..: 0 SPRINKLERS?......:? � PLAN CHECK fEE $ 76.05 i � CENSUS CATEGORY.....:437 2ND.: 0: O:sf HEIGHT.....: 0.�00 ft HAIARD CLASS...:? � PLCK-FIR coaml only� $ iQ.35 ` � OCCI�pAMCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE fIOW....: 0 gpm � BUILDING PERMIT....� $ 207.00 � ! :M :? :? :? : OTNA: 0: O:sf EXIST..$: 0 fRONT.,.......: 0.00 ft � SBCC SURCHARGE.....� $ 4.50 0 � TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PAOP...$: 20000 SIDE..........: 0.00 ft WATER SERVICE..:fED fINAI PLAN CNECK...$ � 58.50 � ' :5N :? :? :? : DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:FED � ' OCCUPANT LOAD------------ GAR.: 0: O;sf RfCEIVED.:�1/09/91 � � : 31: 0: 0: 0: tOTI: 0: 115Q:sf IMPEaV SURFACE: 0 sf SENSITIVE AREA5?.:N � p �____________________�__�_�_=-_��=_�=�-_=��;=__=_=_____-__==___=__=______=____ ___=_==_-__===___=_==__=_=___=___===___=______=__=_ � � FUEL TYPES.:? ? FANS..........: 0 BOILEAS/COMPRfSSORS WATER CLOSETS......: 0 URINALS........: 0 � TOTAL FEES $ 356.40 [ � GAS PIPING.: 0 ft HOOD........... 0 0-3 HP....... 0 BATH TUBS........... 0 DRINKING FOUNT.: 0 ( � I<100K..; 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS.,........: 0 � � HWT....: 0 WOOD STOVES...: 0 15-30 HP,...: 0 � LAVATORIES.........: 0 VAC BREAKERS...: 0 j � � CO��V BURNER: 0 fURN>100K...... 0 30-50 HP..... � ( SINKS............... 0 DRAINS.........: 0 � � � BBU........: 0 MISC..........: � 5+ NP.......: 0 � DISH WASNERS.......: 0 LAWN SPRINKLERS: 0 f GAS DRYER..: 0 AIR NANDLING UNITS fUEL TANKS--------- ELfC WTR NEATERS...: 0 OTHER FIXTURES.: 0 � � � RAN6E......: 0 <-10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSNR OUTLTS...: 0 � � � GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 � j �==-=----------------------------------==-���_==___=__=_�_��M�=======_=_______-_==______=___=-_=_=_=_=_____�_��,__=�-:�,__=_==__=___'-�=___-__=====_=____==____===_���.�.=�W��-�:��� ------------------------------- PERMITS EXPIRf 180 DAYS AfTER ISSUAIiCE IF NO MQRK IS STARTED. RESIDEMTIAL AND 6RADIN6 PERMITS EXPIRE ONE YE1� A�TER DATE OF ISSUAIICE. I CERTIFr TNAT TNE IMFORMATIOM FURMISHED ME IS TRUf AND CORRfCT TO TNE �ST OF MY KMOilLED6E AND THE APPLICABLE CITY OF FEDERAL i1A1f REQUIREMENTS YILL BE MET. OWNER OR RGENi _L����.r_r_ .._,._ ___......._.____..__-.---_.------------------------------______. 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A�0 ��iBll1�6 PC�ffft;; lXYls;� �F �'Et� �t!Il� �#t �:r�� IS:�NI�[. � . � :.<_ t�i€i�rlr�k 1�t�tNlf�NC1 r �si 15 tpii� Fat�3F c��R��cf t�t► t�t. �151 � MY ��►111E�ti1 r�iD !Nf A��tfCa�,F. t��.�Y �t 1�[Dt��L �(�Y 4�EUU1l�tMCitl5 l�1t! �t: Ml1. ., • .,.,.'� , ,��a�" ..�� �� `y / .. ._../� . .. , +�-....�s..�._.�..-�--.-�__ , '� ! � �.,� � FIELD COPY ' � 1 1 SETBACKS & FOOTINGS � Date By �. �__._._. 2 FOUNDATION iNALLS ' Date By 3 PLUMBING GROUNDWORiC Date By 4 SLAB INSULATION Date By 5 FOOTMG/DOWNSPOUT DR�INS Date By 6 UNDERFLOOR FRAMING Date By 7 ShiEAR`WpLLS' Date By 8 PLUMBING RC7UGH•iN ' Date By __ _ __ _ _ _ _ _ _ _ _ _ _ ___ __ _ _ _ . __ _ __ _ _ _ . _ __ _ __ ____. _ _ _ 9 i3AS PIPINfl Date By 10 MECHANICAL ROUGH-IN Date By 11 FRAMING Date By 12 IN�U LATION Date By 13 GWB - 13T LAYER Date By 14 GWB -2ND LAYER Date By __ _ _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ __ __ _ _ _ _ __ _. __ _ .. .... __ __ _ _ _. ..... .. .... 15 SUSPENDED CEILING ::: Date By 16 PLANNIN(3'FINAL Date By 17 PUBLIG WORKS FINAt. ' Date By 18 FIR� FINAL Date !€ —, !�� , _ gy _ _ _ _ _ _ _ _ _ _.__ __ _ __ .... _.... _ _ __ _ ___ _ _.... 19 BUILDING FINAL: Date y,;. -_ gy .�,� ;`�"� 20 OTHER Date By CD0183(Rev 4/B� BUII.DING DIVISION � G _-- 33530 First Way South �� ���� �����- Federal Way,WA 98003 (206)661-4000 ;, 0 9 �9�, Fax(206)661-4129c APPLICATION FOR BUILDiNG PERMIT PLEASE PR/NT APPLICATION# L /� C . `»: Ad C� i � \ „�:.,>:«:>�::::;:>::> >>::<:<::>;>s:<::::>:>::>::>z»::::::>:<:>':>::::>>;;':;:[.`>#>::»:<::':::s.... dress �'��:U�A���� _ , .;.:.;�:.:.:::..:.;:::::.,.. �d 1 g• �-�-?s�-c� Tenant (if known)✓/w ` '`l �' , Lot# AsseZ r's T x�� rTl�l J W Bui1'I�Q O�w./ner's Nr amg • 'n � Address �5 .rcrll,l���..,•in� Ci State Zi Phone Nature of Work ������ � .N�-{� s:;»:�:>::�:�'�>�:�::::�>:�>:=><�:`��:���%�;�>: �;��:�:#�::;:::_;>::.;�;:�»::.:::::":;;'<:���:>::>:�>:`�«�:':�:'����::>:�::�:;•;:<.;::::::.�:�:;:.,::•::�:•;;:�;:.;:. ... .. ��r.'.�C��..:..:..............................:.::.::�::::,::::::.:::::: Name (F,M,L) ��f�'�--, `�S l I��S Address 1 �,`� � �� �( /�� \ 'C Ci v'ri State� Zi -'��S Contect Perso� ��,�� Day Phone9 �� , ��fl� Other Phone Fax ^I/ '/ C�� c�lJ� b`(� ��7 :$'.._.' ���.�� :::;::::!::: ��iE`.�'t��i.'.:::::>z>::<>:z><:>:`'>:«:>?>::::::>:::«'>'':':z'''?'<>" ..Tf3#��T�R _.::::..,..::>::_:..:.>;>: Company Name ' , ��^'�D� � ��I � � w�� ti Address �� j� ��r ��� • � fC� , � �v Cit � �� State �} Zi �� Contact Person / �-� �� \ Phone Fax �f-=, Ql! Contractor's # mu t L�e pr�en�te-O� �� E ir ' � Verified ❑ Yes ❑ No af1 �2.D �J�//t��� `;AR�>::;:�` ��;.�:�;:>'�::`::«<�;>'?:>::;:'::»>>>::>:::<:»''>;::;<:;:::::<:'<�;;:':;::<»:<:::>�::::���:': 1�.:.:��:7':.:::.:::::.:::.::::::.�:::.:::::::::;:<.:.;:<.;:.:.:.:.:.;:.;:;:::.;:.: Name C-� � ��-u�►f�(r� . � �I�rC.y Address �6 � CE������ � Ci � ����A-�CX�.t !M� State '� Zi $� �3 Contact Persor�,�\ ���, Phon� e aLy ��` ��� r.t.�� p 67 � Zc�Z Z'�S7 LEGAL DESCRIPTION P/ease Comv/ete Rever _ S%dA :' Existin Use Pr 0 osed :�;'k;<%:�?%�::�:%��:M1``'�;:;?y.Y;`t•''?''::�:Y�;S:s::i.'�.'i: 9 Use .�::::::.�:::::::::::::::::::::::::::::.: :....................................... :.'.�a�`':��G'1'tl��'::;:::<?:::<:::.................................................. P Permit includes: Buildin ❑ Plumbin O Mechanical ❑ Other Type of Work: ❑ Residential 0 New ❑ 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 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 �� � Zonin Lot Size Existin Bld Valuation S :�C::::i;'.:::::::::::::�:.::;;;��:;.:;:::;:.::;:'Er;:;:::?:::::::;;:;:::;::':;::�;:�:::':::::::::':;::::;:;;;;:t::::;:i::'::';�: ...6���.:.....:........:::::>:::.:::.::::.::::;:::::::::::::::::::::::::::::::. Name Address Ci State Zi �iXi�t#}���'•:�iirV;�::;�:`+y::<�::::::;::;:i�::i:�?:�::::�.::�:<};i:::i::::�::,:�::::y�'�:'����:`::: .. ... . ... :. .. .i�:i_.�'���7c' . ...::....,.: Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ��.��.#�:::�::::::>::>:�:::>t::„::>:::::::y:�+�:��;�:�::z*:>.:1::�:::�::�:>y:::.:�:::::;i:.::�i:�:>::::>:<:F::::i:�:;:'..:'':E?i:iE':::i:?:i;::iE:::'•:::;:::: �.:... . ZY,.1 V�IKS���i�ti7.i7��[.1FiC���..:.:....:.:..::::..:.....:. Contractor Name Address C� State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No F�l:I1tVI�fI�Ea,�t�'�'i�f�CQElt11T:: Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains TDL�I �iXLU�O G4iltt{ kVE�I�AN1�A�.�JNIT Ct�L�NT<":>::>;<»>`>::«>:»':::': MECHANICAL EVALUATION ONLY $ 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 BBQ's Wood Stov - es 3 15 Tons 'i':<.>g : :_;:i>>:>:;»»: c�t.l.U►t�t.�m�rnt:::;:.; ';: D IS CLAIM ER:I cectify under penalty of perjury that the information fumished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which pennit application is made.I further agree to save harniless the City of Federal Way as to any claim(including cosfs,expenses,and attorneys'fees incucred in inv and defense of such claim),which may be made by any pe�son,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out o e r o e c' ,� c(uding its officers and employees,upon the accvracy of the infoimation supplied to the ci as a ofthis applicatioa Owner/Agent: � Date: �� � BuilDu+O.APr R[va[o 12/11I88