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98-101492 .__ ,` 9�'�tii�g� i �� �` ;- �� �;; i��,�,� S�£RMi i N0. BL�`�'8-02�►�, � .-'.:...-i.�..i U� I�' 1 t"a t., l/V�a J C.i U�'t'.I�l J�„���a.��� .���. �»�_ .dMa���w��«. ��'�i��,« ��.���� �� ��� � ,�,�,� � v ' il' ��� �� ' ti�m:�,. ��h''"''li .�. �I� �ssu�v: 0 4��.���� F�c��r�,1 �J�y, bJR ��QU� I3uilclir�� Insp�cti�r7 Rec�uest� 25�-�66�1._..!+14U .�Y: �C2 �s:�-��x-_�o�� c�x��r��s: xo/�s/�� F�D�4���� � �fJdu':�3 !MTN RVE 5 ►�f� . � �?4�L:��Q....(�5=LU �F�0,.7FCT D�SC1?IP�TI:ON:RE-SHEATHING, SHAKE TO COMP �= OWNER =M»_Yw�-����________________________________________ CONTRACTOR =_________==____==_==______=_=___==___==_=�= LENDER _�-���__=_____-__=__=_���___________===_=_=_=_ � MIKE FRIEND � AG UIRIGG ROOFING � 30638 4TH AVE S � PO BOX 23023 ; � FEDERAL WAY WA 48003 ; 'FEDERAL WAY WA 48003 � 5 ' !�_53-839-1585 j 253-874-9429 253-874-8068 � ; AG:->°R�4S5KH : � _____________._.__________________._..-----------------______�._.....:....___�__M�____..�-.---.-- iii COIiTRACTORS, PLEASE USE �OCATIOM CODE 1732 �NE� �EPORTIN6 SALES TAX FOR PRO�ECTS YITNIM TNE CITiI OF FEDERAL BAY. TAX RATE = 8.6� Ii; �______________________________________�_:..:�-__�:_»_=�__��m___._::_:_._:=.__�_:_____�=_:_,_==_________=_____=��___�_�_��_=_=_�:_�_��_,�_��_-__=_=_==_=___=________=________________=__� � BLD?;X MEC?: PLM?: FLR--EX?ST--PROP--- DWEtI?46 UN?','S; 'J { COMp r!AN.........:? � FEES: � � TYRE OF WORK:REP USE:RES 1ST.: 0: O:sf STORI�S ,.....: Q 1 �EflU:RF_a PARKING..: ^ SPRINK!Eft5?... ,,.�? , BUILDING PERMIT....� a 63.00 ( CENSUS CATEGORY.....:555 2ND.: D: O:sf HEIGHT .,,; O,�Q ft � NAlARD CLASS. ..? } SBCC SUACHARGE..,..� S 4.50 i � OCCUPANCY GROUP---------- 3RD.: 0: O�sf VAI,URTIpN�---------- � 4EQUIRED SETBACKS------- F?RE FI.QW....:� ; �p� � :? :? :? :? . 0�9R: ^: O:sf EXIST..$: 0 � FRON?......,.,. O.C� t� � � � � *.� , .. . TYPF �f CONSTRUCT:ON----- BSMT: �: �:5f � oROP...�: ���� 360^ } SIDE.... .,.. ,.: O.QD ft WATER SEP,V'CE..:'�? � � � :? :? :? :? . DECK: D: ^:Sf � �� REAa,�...,,,.... O.00:ft SEwER SERVICE..:? ' � �� � OCCUPANT LOAD------------ GAR.: 0: �:sf RECEI�lED.:34l28/�Q � . � � • 0: �: 0: �: IOTI: 0; O�sf � ?MPE�;" SURfACE: Q sf SENSITIVE AREAS?.:? � �� . i______..__________.---------------------_�______..___. __.�.�_�____._. i_..,...._...__�___-------------------__.________.___---_______ � � r____.------------------------------------._.._---___-==_----_ _ ____-------,---------------------------------------------___------- ., � FUEL TYPES.:? ? fANS..........: D BOILERS/COMPRESSORS ; 'rlATER CLOSETS..,...: 0 URINALS........: 0 TOTAL FEES $ 67.5Q � �AS PIPING.; 0 ft HOOD..........: 0 0-3 TON.....: 0 � BATN ?UBS..........: 0 DRINKING FOUNT.; D � � FURN<100K.,: 0 DUCT WORK.....: 0 3-15 TON...,: 0 # SNOWERS............: 0 SUMPS..........: 0 � GAS HWT....: D WOOD ST06'ES...: 0 15-30 TON...: 0 ; LAVATORIES.........: 0 VAC BREAKERS...: � ; � � CONV BURNER: 0 FURN>100K.....: 0 30-5D ?ON...: 0 � SINKS..............: 0 DRAINS.........: 0 � � BBQ........: 0 MISC..........: 0 50+ TON...,.: D � DISH WASNERS.......: 0 LAWN SPRINKLERS: 0 � � GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ! ELEC WTR HEATERS...: 0 OTHER FIXTUAES.: 0 . f RANGE......: 0 <-1�,000 CFM: 0 ABOVE GROUND: 0 ;�LAUN WSNR OUTLTS...: 0 � � GAS tOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 � � �=:-_�__��_=:�_=�:�__�_________________________=__===�_:::__::�=�=�:==__:::=-_====��=�.�:�_�=====__=____===_=_____====_=_===�_�_���==:��=�:w���-=__====_______===_______====_=_=_______=_� PERMITS EXPIRE 180 UA1fS AFTER ISSUANCE IF KO IiORK I5 STRRTED. RESIDEMTIAL AMD 6RADIM6 PERMITS EXPIRE OIIE IfEAR AFTER DRTE OF ISSUANCf. I CEATIFY THAT TNE IMFOAMATIOM FURMISNED BY ME 1S TRUE AND CORRECT TO THE $EST Of MY KMOItlED6E AMD THE APPLICABLE CITY OF FEDERAL IiAY REQUIREMEMTS MILL BE MET. CWNEft OR AGENT _.._5�11 ...- -----[����_.�..__ . _. ..._... .__..._. .._.�___. .. ._..._ ___----- DATE _�.���%��dr-_.._. �� FIIE COPY 1 ..._ . . . _ _..._. _ . ._ _ _,_ ._._ .___. T �_-.,_� � .r ..���_ ____ ���...�._-..�____� � . � . . . . . . . _ . __. . ._ .... . AdOJ 0131� 1 � ,! _ �, , _ .. 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".,'ry�:f��..�1(�It�`� � ����l�l/ '" LC�l{�....G.�71t,.• t,.�a.�l =.�i�t t)fT'�.. -�,y���_ f;�-;7. � {��>-:ink��i�� i_acrc�::,s�c���,�a � (i�� r�> � Lrit; i`C1t:)i:3G t11"1 °�St;�ry T�.�..a�U�.i . ` t r)cy; ;�C��q �:>.a �r.a tJ�'�,�:�.. t_ifa/'t3?;/ '`r'(l =�7 �III;`;1 g �g"' ~� �, � a 1 �� �r�(l-£3f,(il� �ON l IW2i3d _„�.. �I !I+�F �,� .N.� �,� ,....�'�� ��� � �, ���:.::N. • .�,��P� l'��'r1':3i.I :i.1 �ii� J, l !;.:; SETBACKS & FOOTINGS Date By fOUNDATION WALLS Date By PLUMBING GROUNDWORK Date By _ _ _ _ _ UNDERFLOOR FRAMING Date By SHEAR WALLS Date By PWMBING ROUGH-IN Date By GAS PIPING Date By MECHANlCAL ROUGH-IN Date By MECHANICAL (OTHER) Date By FRAMING � — Q-- Date By INSULA710N 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 BUILDING FINAL Date � B ATHER Date By OTHER Date By CD0193 BUII,DING DMSION �•� G _ 33530 First Way South -�"" EDE1Z� ,�..`�--�:.: `: Federal Way,��JA 98003 VV �y (253)661-4000 ` `,� o� � ��t;��, Fax(253)661-4129 APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # . �. _ � ,, , � � }� , �. - � , � `>: ddress � F (" � ::??::>::>>�»:.:;:::>::::::>:::>::::;<:>:::>.:::::;:<::�:::::»>::>::>:<:>`:::::;::::»>#:i:[<:::::»>::>:>:>::: ::::::>`: A r � l :�z�:::i�t��,�����::::::�:::::::::::::>:<:>:::::::<::>::>::>:::<::::::::;::>:::::::.::.::.::.: � -: 4 f 1 s f_� _ I �_�, �_ � Tenant(if known) � � � Lot# Assessor's Tax# � l 1 ,C. s � ' l C'i'� � Building Owner's Name � � Address,JCYc�,� 4 �"�% ;�-'�`= �` � 2 � !''!C't� T �, - ' ^ � �l J �'�..:� Cit a�-� ' 't•l� State ' Zi �l � Phone Nature of Work - "<;C>'� ;;�P - ;:;.::>::>::>::>;::>;. ;:.:;;;;;: ....::::::.::::::::. ;::::::;::::::: A �.��AN'f` `:;:;.s;;::::.,. ... .. Name (F,M,L) Address Cit State Zi Contact Person Day Phone OtherPhone Fax :::.<:::>:.'.T"#i��Tt)�:;::::>::>:s:<::::<::<::<::::<<':;::::::::>:::::::: <>::>::::::>:::<:>:»::::»:»::>:>:<::: .. ;B�.i�t ts;[31.1V'.Gi:?�:t:�1�1...:.:..._.......;`:................................... Company NameI , �P- `I- �.� Y IC �' � � �' Address •�� � _1 Ci �" �C,l State � Zi � � Cont t Person Phone ( Fax _ � � � ' ��. .l.l'��S �'�� C ��. ` �... _ .�4 � Contractor's (card must be presentad) Expi�ion Date Verified ❑ Yes ❑ No J; .�% �- . ARCHIT:ECT '> _ Name Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION P/ease Com�/ete Reverse Side �>::::,�.�.:.�".::.:::.:::.>:«;:i.::::;>;::;;:::>::>::„;:;::;::::>::>:<:: ::::>::>:>::><::::>:::i:i:i:>i:>::::::» .....���F�E. ,,.,_ . ,; ;.: Existing Use Proposed Use Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical O Other Type of Work: �d' Residential ❑ 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 Weter Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Veluation $ � �,�'�� Zonin Lot Size Existin Bld Valuation 5 ;. ;::>::>. LEI1tQ�R ; , ::.>::;:::`'>;<;::::>::>::``: Name Address Cit State Zi ��;::i�.:::<::;::>;::>::>::>;<;::.>:;?�;:<,:::::�::;:>::>:g>::::::::;;:.>:z::�:::;::>:<::::::;;:`:'?:::>:::::>;<�:::<�:� �...���.����:.�r������{}� .:::::.�::..::�.: Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No ��,�1�B���'a �,.���"�1�r`���: Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ ��lo V r : ::z.<::;>;<:�;::>.:::>;::<;>:::;:::::;:>:;::;:::>'>><::::<;;:;:><::<.<:::.:>?::::>::>;:::::?::::>:«:>::: . i���Jll(I.::.�I�� �1�'t'1�,�G�.CC�UA(T::.:.::.::;�,.;<.:;:.;:::: Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains 7otal Fixture:Gount .:: �....,,>A`.':i:..............<;.,><.,<""`'::>::>::::::::::::;::>:z::::<:::>::#:::::':: ������::::�:��;l�;�����<.;�.;:.;:<.:.;:<::.;:.;:.;:.:.:.:... MECHANICAL EVALUATION ONLY 5 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 Co�v Burner Duct Work 0-3 Tons Under round BBQ"S Wood Stoves 3-15 Tons Tatial Unit Count DISCLAIM ER:I certify under penalty of pery'ury that the infoRnation fumished by me is tcue and corcect to the best of my knowledge,and further,that I am suthorized by the owner of the above premises to perfoRn the work for which pem�it application is made.I further agee to save hannless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incurt�ed in investigation and defense of such claim),which may be made by any pecson,including the undersigned,and filed against the City of Federal Way,but only where such claim arises out ofthe reliance ofthe city,including its officers and employees,upon the accuracy ofthe inforniation supplied to the city as a part ofthis aQplication � ' � f!:� Owner/Agent: �--%��� I � .�_��'(�� Date: '� �(� 1 �.AW �-1 -T--- NtvnFo 8/28/97 .