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98-101006' f � � , ( � #���?�i�;" �U : �3LD48-0163 :;.����i�� � y i..� � ,�;�.�,y� a�_:t�:�;,; .��:,;�'�,.,,,!� .,,�. "�„ ,�.,,�.,,�R�„ �°''P�„�(i �;;;��,�:,,,, �''�,;I�""1}.,�,. .I�.,,. I�S U�ll: �l�',/0 3/9�3 „ Feu�r�l Way, WR 9800? �3ti� 1,'.I:i r�cY "��:t������; r;r; !2.,�c.;t�c��;�-:�; �'�i=,_.�,<��L ..t�-,_tC� F?Y� Kl.c�. 253�-6E;�.-4000 , !�DDRESS: �2d�C� �ST PL 9g�JD l�4 � NO. ; 7016&0—0000 R�OJECT DE�CRIPT�ON;RES A" - Re:,�c�,�e ^v.^.�2u�iag �a11s, ��� neW ��al?_ e^u kitchen a^G ba�� f:xt��es -- 0ld�ER =�_��==:w=�_=====_=========_�__=���=_=��_��_:___=__;= CONTRRCTOR ���:::_:.::�-.:===�::.-�____________________________;= LENDER =_===_====___===______==________=_=_____=_====-z � A�BER? GAVIGIIO, SR � DAWSON SERVICES INC t ! � 32620 1ST PL S � 14848 PACIFIC HWY S #10 � , FEDERAL WAY WR 48Q03 r SER?T�t WA 98:Se-4384 � � � � 253�874-5715 E i � DAWSOSI120NK � � , �__________________________----_-__...-=_�A:_-_.�::�.�:�-::__=.�_�_�__..�.�-_==__=====___�.__--_----_----==_��_-___��__________-------�-------------------------------_.______------=_=_==_----- --------------- ----- -------- ---- ---- ------------------------------------------------------------------ ----- i*i CONTRACTORS, PLEASE USE LOCATIOM CODE 1732 ItNEN REPORTIM6 SALES TAX fOR PROJECTS YITHIN TNE CITY OF FEDERAL NAY. TA% RATE = 8.6� #�x -- -- --------- ------- --------- -------_ _ -_________ ... ..-- -- -= �- - _--_ --__------------------::-�::_-_______-_x::m:_--_---,::,�-:=��=_�__-==_====_=��_=�__���=___=�=^-=u::�-��-�==__=__________=-_____====________________=____-----_______ p -----_____ _q ; BLD?:X MEC?: PLM?:X FLR--EXIS?--PROP--- DWELLING UNITS: 0 � COMP PLAN....,....:? � FEES: � r TYPE OF WORK:RLT USE:RES IS?.: �: �:sf S?ORIES.....,..: 0 , REQU?RED PARKING..: 0 SPRINKLERS?......:? � PLAN CHECK FEE $ 134.55 � � CENSUS CATEGOR",....:434 2ND.: D: �:sf HEIGNT.....: 0.00 ft � Nq1ARD CLASS...:? ; BJILDING PERMI'....� $ 2�7.00 � � OR�UPRNCY GROUP---------- 3RD.: D: O:sf VALilATION---------- � REQUIRED SETBflCKS------- FIRE fLOW....: 0 gpm � SBCC SURCHARGE.....� $ 4.50 :Ul :? :? : OTNft: 0: �:5f EXIS'..$: 0 FRONT.........: 0.�0 ft PLUMBING FIXT....93� $ 70.00 � TYPE OF CONSTRJCTICN----- BSMT. 4: O:sf PROP...�: 20�OQ � S:DE...,......: 0.00 ft l�ATER SERVICE..:? � ; S :5N :5N :? :? : DECK; �: D:sf REAR • O.00:ft SEWER SERV'CE..:? j ........... � OCCUPANT LORD------------ GAR.: 0: O:sf RECEiVED.:C3/2b/98 ; � ' 0: Q: 0: 0: TOTL: J: O:sf 'tp' IMPERV SURFACE: 0 sf SENS;TIVE AREAS?.:? �"^-__________..-"---"---____�_�.._..�....__......,�__...�_.,_s••__.___••_-__---"--_._...---�_--^�.---______••__________=_.___a______-"-------...--_____"__ _ _ � ___�.____�.�___.....__.�,.. �.'��_"_ �___ �__...'^_._______.....�..._ __._ ..._...���.�...������.........._.�__ ..____ _^_____.�__�_��____ _�______ ' "_"'^_ ".� �r...� � FUEt TYPES.:? ? FANS..........: 0 BOILERS/COMPRE550RS i WATER CL05ETS......: 2 URINALS,.......: 0 � TOTAL FEES $ 41b.05 � 6A5 PIPIhG.: 0 ft HOOD.........,: 0 0-3 TON.....: 0 ` BATH iUB5..........: 1 DRINKIN6 FOl1NT.: D � f fURN<1COK... 0 DUCT WORK...... 0 3-i5 TON.,... 0 � SHONERS............. 1 SUMPS........... 0 � GAS HW�....: 0 WOJD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 0 VRC BREAKERS...: 0 � � CONV BURNER: 0 FURN>:OOK...... D 30-50 TQN.... 0 � SINKS.. .......... 3 DRAINS........ 0 � , BB�........: 0 MISC..........: 0 50+ TON.....: 0 i DISN WASHERS.......: 1 LAWN SPRINKLERS: 0 � € � GAS DRYER..: 0 AIR HANDLING UNITS FUEI TANKS--------- � ELEC WTR HEATERS...: 1 OTHER FIXIURES.: 0 { � RANGE......: 0 <-10,000 C�M: 0 RBOUE GROUND: 0 ( LAUN WSHR OUTLTS...: 1 � ; ; GAS LOGS...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0 s � t , g-.-.---________�.___---_-.----.----._..._-------------------------_____.________...__._._____________________--.-----------___.__--------__________ ______.________..___.__._�__________-----__..____t PERMITS EXPIRf 180 DAYS AFTER ISSUANCE IF NO NORK IS STARTED. RESIDEMTIAL AND 6RADIN6 PERMITS EXPIRE OME 1fEAR AfTER DATE 0� ISSUAMCE. I CERTIFY TRAT TNE IMfORMRTION FURMISNED BY ME I5 TRUE AIID tORRECT TO TNE BEST OF MY KNOYLED6E AMD TNE APRLItABLE tITY OF fEDERAI iIAY REQUIREMEMTS MILL BE MET. 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'�x� S • � p�ti� � . !�� � 1 SETBA�KS & FOOTINGS Date By _ _ _ ____ _ _ __ _ _ _ _ _ __ _ _ _ _ _ _ 2 FOUNDATION WALLS ' Date By _ __ _ __ _ _ _ _ _ __ _ _. _ _ _ __ _ _ __ __ __ __ __ __ _ _ _.__ _ 3 PLUMB'ING GROUNDW4RIf Date By 4 SLAB INSULATION Date By 5 F40TING/DOWNSPOUT DRAINS Date By 6 UNDERFLOOR FRAMING Date By _ ___ __ _ __ _ _ _ _ __ _ _ _....... _ _ _ ____ __ _ _ _ _ _ _ __ 7 SHEAFi>�WALLS '' Date By 8 PLUMBING ROUGH 11�i ; Date By _ _ _ _ _ _ _ _ _ . _ .. _ _ _ _ _ _ __ __ _ __ _ _.._ _ __ _ . _ 9 (3A5 PIPINQ Date By 10 MECHANICAL' ROUGH-IN Date By 11 FRAMING ' Date � z, "� By 12 IN�ULATION ' -�_ Date � �•'_ By b y 13 GWB - 1ST LAYER Date �_�{3- ' `z BY L 14 6WB -2Nb LAYEFi Date By __ ___ _ __ _ _ __ _ __ _ __ _ __ _ _ _ _ _ __ . . _. _ __ _ _ _ ___....... .... _ 15 SUSPENDED GEILING ! Date By 16 PLANNIN(3 F(NfA�� Date By 17 PUBLIC WORKS F1NAL Date By _ _ _ _ __ __ _ _ _ __ _ _ __ _ _ ____ ___ __ _ 18 �lR� FINAt. Date By 19 BUILDING''FINAL i Date -.'_ �l�,_ c''�,�c, BY 1`l� � � 20 OTHEq Date By CD0193(Rav 4/B� BUILDING DIVISION q,,,� G = ' " ' 33530 Fust Way South . _�_ ����_ Federal Way,WA 98003 �� � � � ��,. (253)661-4000 Fax(253)661-4129 � APPLICATION FOR BUILDING PERMIT PLEASE PR/NT APPLICATION # ���� � 'U � ���j :>:<:::>': Ad dress ' � � S > ;; �:<���:;::<:<:::>:::'::::<�::::;:>::<:«:<::::::�:�::;<:`:<:::::::::::::::.::.::.; �" Z -- ����.o��..� ___. Tenant(if known) — � /��✓' / 1� �� ' Lot# As ess r's Tax# _ LS L Buiidi�Owrer's Name �� �S � /^ ��� Address� �b Z� ` 5�^ � Cd .�o/oN�n � .z. c.�ca / c � Cit 3 State G(�,�-� Zi � Phone �� Nature of Work .<:..:::.<��A NT::::>'><::::<i:::::::;>::;`<:_::::>::>::>:s>::`::::;::>:<::<::>;«`:::>:<::<:<:««: ;:;.;: »��> s�1��'�.. : Name (F,M,L) /]� ��� � / � f't (�/Q 1/!J yL �lv'�CS �/�V 1 1 � Address � rL/ 2� � s/'" � S � (D /L- q Cit S/� State (�(J � Z % �� Con ct Pe n .-- D y o e Other Phone Fax ���, v� L � �2 -� 71� � DIiV C'GONIF��Tiy R::'::>::::::::>::::::;::::':::>::<:`:><:>«€<: ;:: ':B,�J�L..:.:.___................................._........._..._........ Company Name ' -SG� ic�s Address � g �f� Cit � State Zi � Contact Person Phone Fax � �• 7 � c Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No — 1 �- � ` AKCHtTECT `: Name - Address Cit State Zi Contact Person Phone Fax LEGAL DESCRIPTION � � Please Comvlete Reverse Sid- ....................................................................................... ............................................... ............................. ........................................................................................... ........................................................................................... ........................................................................................... - »> Existin Use Pro osed Use :: �. >:. .E��;<:<::<:<:>::::>::::>::::>::::>::::::>::>:::<:>::::>:::«:>::>::>::s::>:::::>:::::::>:::.�: 9 P ��5.......f�4"i�................................................................... Permit includes: q� Buildin Plumbin ❑ Mechanical Other — �, Type of Work: $( Residential ❑ New � Remodel ❑ Number of Units 1_ ❑ Deck ❑ Commercial ❑ Addition ❑ Gara e ❑ Shed ❑ Other Enter 1st Fioor 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 GC� Water Availabilit Sewer Availabilit �. On-Site Se tic S stem Availabilit ❑ P�o'ect Valuation S �1 d, Zonin Lot Size Existin Bld Valuation $ __ . _ _ _ ......._......... _....._..._....... . ................................_.................._........ _......_.._. ........_................................................................ _.............. ............_........_.......__......_......._.................... _........_......................._................... LENDEf�: >:.::.::. Name Address Cit State Zi :�i�c���i c�s�i�:�v�u�r�:��roi�:::::`:::`:`:>`<::<:`::<::`::>:«: Contractor Name Address Cit State Zi Contact Phone Fax License# Ex iration Date Verified ❑ Yes ❑ No Pl«l1iVIBtI�G �tlIV7�A�'I'C)R ;; Contractor Name Address � � . �,�.- -� , � � Lt� Cit State � Zi Contact - Phone Fax . �l,� cr'' � License # '� Ex iration Date/ � �' Verified ❑ Yes ❑ No ........................................................................................... � �.� :�..: :>::::::>::::::>::::>::::>::>::»<;:�: >::»::>::>::>::>::»::>::::>::>::>::»::>::»::>:::::;::><::>:::>;:<:: :. . . �Y:C��IJ:��I�G:::�J'l�`T�F��:�.�C�:.:1�T.::::::::..:::::::..... Water Closets Sinks Urinals Lawn S rinklers Bathtubs / Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains Total �ixtare Cou�t �� L VAL ATION ONLY S ME HANICA U C .;:.;:.;:.;:.;:.;;:.;;�.: ;»::>«�, :::>::>:>::�<:,,,;_.,><::>:>::>::._:'::>><'::>::>::::::::`:`::>::<>:�>::»:::: � :..:............. . :��kiAtVl� �..UN�'�t3t��IT.......... :::.: 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 Tatal Unit Co[int DISCLAIM ER: I certify under penalty of perjury that the infonnation fumished by me is true and correct to the best of my knowledge,and further,thaL I am authorized by the owner of the above premises to perfortn the work for which pemut application is made.I further agree to save hannless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incutred in investigation and defense of such claim),which may be m y y person,including the undersigned,and filed against the City of Federal Way,but only r where such claim arises out of the reliance ofthe city,inc(uding i fficecs and loy pon ccuracy of the information supplied to the city as a part of this applicatioa �Owner/Agent: � ' Date: ����O Bu�iova.Afv REV6E0 8/28/97