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Y'�� • ` i � 1 SETBAGKS & FDOTINGS' ' • Date By 2 F�UNDATION WALLS >� Date By 3 PLUM8ING GROU'NDWOR1f Date — �_�j' By C 4 SLAB INSULAT(QN Date By 5 FOOTING/DaWNSPOUT DRAINS Date By 6 UNDERFLOOR FRAMING'. Date By 7 SHEAp WALLS Date By 8 PLUMBIRG ROUGH iN Date By 9 (3AS PIFINd Date By 10 MECHANICAL ROUCiH-IN Date �(v--� � By __ .�„�....,; 11 F�tAMING ; � Date --: _ BY ___ _ _ _ _ 1? INSULATIQN Date By 13 GWB - 1ST LAYE�t _ � . Date ; ' � By � 14 (3W6 -2ND LAYEFt Date By 15 SUSPENDED GEIUNG Date By 16 PLANNINQ FINAL Date By 17 PUBLiG iNORKS FiNAE. ; Date By 18 FlR� FINAG Date By 19 SUILDING FINAL:: Date _Z _ 4' BY G 20 GTHEH Date By �`�j j I� �,� �l�'(i� W�l,Y(� I f' CD0193(Rev 4/B� 12�b Tv��eYu,�{� f� .S ����t-t-t.� �I (�� BUILDING DIVISION ar.oF G 33530 First Way South __� F17��L Federal Way,WA 98003 �V �y (253)661-4000 °-�,-��������� Fax(253)661-4129 APP�lGATIOIV FOR �UILDIiVG PERMiT ('� � PLEASE PR/NT APPLICATION # �1'�`-1 i�� ��r ���I` , � s � €�»��: Addre s � � e . z � a � . ���:���������::::::::::::::::::::�::::.:::::::::::::::::::::::::::::::::::::::::::::.:.:. _ � . �. y Tenant(if known) `=7�� �.� f e�j Lot # Assessor's Tax# �, �;G ` Buiid' Owne 's Name �S j J��e��j' f/c z+r ("o�t'/'1 rJy Address ,l z ��6 /�'1 -f�t(�(l Jj<y7 �-L'� � V '/ 1 Ci (� h. State Zi � Phone Nature of Work �!� � '��t��' � ''��.�'�.����`�>`s::::::>::>:::;?:z�:::>::>:::�:::::::'::::':::::::':::::::>':::::>::':::::>::::»:<:»#>:';;:>: ;:.>•;;:.;;>;:.;;;; ;<:::;•::::::::::: ����;���,�...:..:....... :. .. ................................... Nam (F,M,L) r .'c c� �<<'FL� Addr ss /f ^ ,f' c� - Cit state /�� zi Contact Person Day Phone Other Phone�3`}-y`��- Fax S ri .� — � � ,127 . — N � � L ENSE D � � NE IC � BIISI SS ERAL WAY �k <:::>:::':':: FED f � ;:::::>;<:>::::.»>»::::>;;�>::;::;;::><::>::>::::>::::>::::>::::»>.::>:<:«.::;:»:::<:»>::::>::>::::»::>:::<:::>::::: IA � y, , , :s€:���:va�u�:::�o��r�;�-���::;::::::::::::::::::::::::::>::::><::::>::::>::::>: Company Name � �-e �r-.�/ l'��-1 I`l�t �a y=S Address �-v-z� ST � � �? v � Ci ..�/ � ;t State LL Zi �� �� Contact Person Phone Fax ��Lt, /�/ � �-- l,�ti�/� ,_!��' �-/� Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No `������'��������{::I�::>:''::[::'::::::::::>::::::>::::>'::::::::�?;:;:::::>:�:<:>:::<>::::>::::>:>::::>:[::[:>[:::::[:>:::::::::: . :i:i:>:;.> >.:::: ARGM..:.:.E.....::.,:,::::::::::::::::::::......................................... Name ��� L! ,,/� � ��U / /! Address �,� �T / �/�' �V �rQ —��� Cit State li'C.� Zi �U�_._ ContactPerson Phone Fax � �- d wr��t--- o �� LEGAL DESCRIPTION Please Comvlete Revers� Si� ;:�:;[........ S 1�.� tm Use F��'::::::::::::>::>:':':;'::>:>_:;;:;;<';;;;;;;;;;;;;<>':::::::::>::>::':::':':<:»:;:;':::::::>: ::>: �:......���........:::::::::::::::::::::::.:::::::::::::::::::::::::;::::.;:.:. 9 roposed Use Permit includes: ❑ Buildin ❑ Pfumbin ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New C�Remodel ❑ Number of Units O 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 Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabiii ❑ Pro ect Valuation S Zonin Lot Size Existin Bld Valuation $ __ tEN[T�R Name Address Cit State Zi ;��������:::>:::?:;3'>.<»:::y:::::`::::�>:+:>:>;;::<;.::^'?: '�y''::`:::;::::<':::::>::::>:[>:[::: .... .. ....: .��.;�i#:i;�,�r.,'�.�F►. .:::;:..::.:::. Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No P�,UnnB�NG +Cf}!V�"E�AC1°�t� :` Contractor Name Address l�Nµ �-.� l�c''�-�r.�� �TQ�` S� �1��-� s7 � ��� s� , Cit -c �L' State Zi ���� � Contact ��, Phone. Fax �'�`�'ti C�l�d t— /L'`'t,' 0 6 -�S' - - License # O p � � Ex iration Date Verified ❑ Yes ❑ No s > ;:;.;::;:.:....: .:::.;:.: ��U� t�y�r�«rt3 *� ::::::::.:. ..:...: �:Btlo V.f't��n�.:.,�i,Q�tl!�:;;:i?;:;::;:;:::;;:";�f:.':.:". Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains • Totaf Fixture Gount ;';::+:;«::<::�>�::::;;>::>:::>>:;:>:::>>;;:::>:::::><:::>:::::;:<::;:::>i:;::::::»::::s::>::;::<:>::::<::z<:>:<::::< �ri��n��i�r��::;�N''d`:;�,U�}�:i: MECHANICAL EVALUATION ONLY S 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 Stoves 3-15 Tons fioYal Unit�o[int DISCLAIMER:I ceitify under penalty of perjury that the infonnation 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 pemut application is made.I further agree to save hazmless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fees incu[red 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 ofthe r ' o city,including its ffi�and employees,upon the accuracy ofthe information supplied to the city as a part ofthis application Owner/Agent: � Date: ��� �-- / � BunoiNG.APr Revseo e128/97 , ' �Il1� �� �c��c�]C°�.11 V'V' �,�v ����� o ���i�.��i �� ���� ]�D�,IC11CC�" This Certificate issued puYsuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. For the following: OCCUPANT LOAD: 0 PERMIT NUMBER: BLD99-0115 TENANT NAME. . : AUSTIN COFFEE ADDRESS. . . . . . : 32901 1ST AVE S GROUP: B SQFT: 578 CONSTRUCTION TYPE: 5N OWNER NAME. . . : RESILIENT FLOOR COVERING PF ADDRESS. . . . . . : 12886 INTERURBAN AVE S SEATTLE WA 98168 D'� K . s/`/�y Building Off ial Date The priority focus in the review and inspection made by the Crry prior to issuance of this Cerlificate was on those malters which experience has shown most severely afject the health and sajety oJthe general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guara��tees nor warrants!o lhe owner/occupant or�o any other person�hat lhis Ce�•lifrcale evidences slrict compliance wilh each and every ordinance or regulation of the City or the State oJWashington aJfecting the construction or trse of said structure or the land upon which it is srtuated. Such compliance is the responsibility ojthe owner and/or occupant of the premrses. POST IN A CONSPICUOUS PLACE J � � � � � � �� �" � � � � 2 , � �' �O' .� �- . � � � -1-' � � - � ^ p � � � `� 9 . � � � � � o � � � � � �.. � � o � � � � � -F -L � 5 ; ` I � � � ?� � � � � � � � � � � � � � � o �% � • � � � � � � � � � � � '� � � o � � R � � a � Q � � �- p � � w �' �� � �' S � � 5 � � rn � . , -� � . � �c � � `,� � Q �, � �\� � � � � � � ) � � � � _ � ro � � � i � O � � = N � � �., ( N C � � 4 � R � � � � �. � � � ' - (-� � -�-� � � � f � r � � c� � � � � m � � � �- -� � � � '� � N � � � � � , � � ; � � � - � _ �� � _ � C1�