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RAIMIER BANK � :,7 SE 416TN 2312d SE �36TN �CiAM MA 98022 EMWICLAM MA 9$022 EfNlNCLAM MA ,�1173 351-9M8 ,--_ 825-OL00 � � �~� � � -������1� . ._ � "���•�� •�,: s �, t �� ��, ` � �--�-_�--=-- .�-,:���_.��-� := -. __ _. ._ __ �-��•�-�, . �lD?:l! MEC?:X PLlI?:X f't , _����"��-pN►P �� ��'���T'�-p'x t �01lP AIAN.........:SR FEES: t11PE Of INIft�II:N�EM USE•RES :' !'a iU�10� �STD ����;��.�.,���� � ��� ��4 � ��. - "� � ��A '� � �� °°'"� ?lAM CilEC�I DEPOSiT.z � 493.03 � � � p b� a r �Pd� � �� cfMsus catF�Y.... io� �� �� � �.� �i�� `��►�E� � „ � r ; � �. ���a� � ����' t �:i �_ �,�� :� � �uB MKs ��c��sF)..vs s �o.�o QGCi�PANCM 6R�DU�---- �- �� a�StU.: �E•� 0 �� � �Vpi,!�A� ��� _ �° �;��Wl�R��U '�� -- - ��; �i��' . �� � � �'� � � M6 PERMIT....� ; 75B.50 ,.�����a � � �� a�. � :ft3 :? :'► � �N� • 4.� ,, �:KI � � U , F�?+����� .� .�. 20.4G ft � � � � P�_IN��iN6 fiXT....93i 91.40 � �� . :'• ; T'tPE Of EONSTRUCTIO� -���, 1 �� � s ` P �.� � .���it...,... .: 5.00 ft MATEa SfRYICE..:FED RAD�M 1(If.........93 # 24.04 � �� „ „� ,� :5M :? •� -� . •• - _ : ���_��\ �°' - a '� � , REAR.....,...,� 5.4t}.f t SENFR 5fR1IICE..:�ED lIEC APPL IM6Cf. €EES.� � 61.5Q QCCUAANT lOAD--------- - - IVEQ , ' S���`° t'iMAt i�i.Ail CNECK...• ; 0.04 . 0: 0� 0: 4: t0 ,� 4: „ .sfi tMPERY SURFACE: 2b90 sf SfMSItIYE AREA5?.:N SBCC 3URC�R6E.....t f 9.54 ; ;fUf.L TYPES.:GAS FANS......,...: S BOILERS(COIIPRfSSQRS MATER CLOSETS....,.: 3 URINAIS........: D T4iAl FEE� ; 1468.53 , _ ' 6AS PIPii�,: 3a ft I�IOD..........: 1 0-3 HP......: 0 BAi"H TU�S..........: 2 ORfMKI11G fW1�T.: Q FURNU001�... 1 DUCt MQRR...... 0 3-15 NP...... 4 St�MERS............. 2 SIfIfPS...,..._... 0 6AS I�fT...,: i MOUD STOYES...: 6 t5-30 NA....: 0 LAYATURIES_........: 3 YAC BREAftERS...: 4 CON4' BURNER: 0 fURN>1601I.....� Q 34-�i! NP....: Q SINI(5..............: ! DRAiIlS.........: 0 B�Q,......,. 0 iIISC..........: 0 S+ HP..,....: Q DISN MASNfRS.......: ! IAMM SPRIMKtERS: 0 6AS DRYER..: 1 AtR �ANDLIK6 UMITS FUEL TAMiCS--------- ELf.0 �TR NEATERS.,.: 0 OTNER FiXTURES.: 0 RAM6�.....,: 0 r-tOT4A0 CFM: 4 A�YE 6ROUND: 0 LAUN MSHR ifUilTS...: 1 6AS L06S...: 1 > l4,400 CfM: {t UMDER6R(�10.: 0 . _ _ _ _ _�--_--�- �ITS EItPIRE l�tl IMYS AfTER ISSUAMCE IF NO NORK IS STARTED. REStDENTIA� AM6 &NADIN6 �EWIITS EXFIRE ONE YEAR AfTER QATE Of I�S1iHl�E. - � ERTIFY THpI THE iNFD�it1TI�lN fURMISfD �Y Nf [S TRUE AMD GORRECT IO TNE BEST Qf NY KNtHIlEtf6E pl� THE APPLICASIF CItY OF FERERAL MRT R£qU1REMfNTS MIII Bf MfT. , . ,.--,�� Q^ '� �, �,_ _,� -�;�, ,� � �r, � y � - . � % �, ,�� � � K FIELD COP'Y � G� -� —GJ i.� l � l � � . . ' ,., , SE7BACKS'& �O(J71NGS' Date �� ��� _ BY FOUNDATION WALLS Date �C � By PLUMBING GROUNDVIlORK Date By UNDERFLQOR FRAMiNG ' Date By SHEAR WALLS Date�' By��� PLUMBING ROUGH-IN Date , - 'L BY/�� GAS'F'IPING Date �fO�-G�' BYG'�ivr MECHANICAL ROUGH-IN DateG _i _�=� gy � MECHANICAL (OTHER� Date By FRAMING Date�!- �t7-�' BY �"� INSULATION Date��//—C'�� By<?��'� GWB - 1ST LAYER' Date � -/(,�-�i�� By �'ll� GWB -'2ND LAYER Date By SUSPENDED CEILING Date By I� PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE FINAL Date By BUILDING FINAL Date 'Z 6_' � BY C� G� d�j'(_ �' OTHER Date By 07HER Date By CD0183 � r (� ` ' � � � � . .7 � �' � � 6 y �n � . 0 1 �� � � �,` z —1 � �� � � � , � � � �, ,��; ��. �., �� � p� �p �._ x .:� 63•6 6a l � � � � L (,`4.�.. � � � � r l ,,�N -0 t � y, o � ,;� J O � _ � � � q1� - � • �� ��' •�. N � O � x o O \ � �p O � � � �`� \ � Q \ N � � \\ � � i# 2 \ o � � � � 0 Z _ � 9s .s� � � . _— a ; {J G ...�--� .._ :: ^ � 0 f� � �e �� v_� � m G�m � � � � �'^ \ � Y W �� � fn � v �-' - � ,- _ . ,� , �,,,,� �, City of Federal Way ��- �-r�rz� �`� ,,�,�„�-�� APPLICATION �OR BUILDING PERMIT ,��c� y��� ;�,� � �, 199d� �- z ' r� q PLEASE PR/NT �� �° � '�`�, i-"���� � , �- I ky�.�'�-';�,i4PPLlCAT/ON #: �l�V��-�,�j� 1 - � x�- S�T�''.�.+O.CAT�ON ..#c� . � Address " L r^:j'(�c OG� . . .... , Tenant (if known) Lot !F 5��7 /�u T`x Assessor's Tax # G�`� !�?. ,'� �- 'C� ['"�3 7 ac�—��+- Building Owner Name /� Address �='�c/'��'U 7�i '.k � .o� 1 l G nc / City � State � rp �' , Z Phone �',',� �--�'-� / �, � Nature of Work �L I L'/�S f - _ __ _ __ _..__. _ ._....._ _ _..._............... _...__ _......_ ._........... _........_... _........................ _........._........._.... _................._.._........_..........._...................._.......... APPLICANT Name (F,M,L) � ,� '�� I �G` Oi Address ,t,,� Z ��� � ? City �(�,)/�,(C ) State , �,7 Zip C� � Contact Person Day Phone Other Phone Fax � , � ���-v�� 3 -3s i f��� � BUII.DING CONTRAGTOR ;: Company Name � �� �� �' �d � " ?/� C�%�.� Address ' Z J � L � City � � � �7- - State Zip Contact Person Phone �.Z � ����� Fax n Contractor's #(card must be presented) Expiration Date Verified ❑ Yes ❑ No �C� o cr c; �l C� � 3�1 7' C�'- ( - � _ _ _ __ _ .._ _ _ _ __.. .._ _ __. ..__._. ... . ..._ _ _ _...._._...... __. _.._._. ._ . _ _._. .. ____.....__. ........ _. _.._...... _....._ ... . _. _......_............._ ............ __......... ARCHITEGT <:.:.: : ';. ' Name � �� � � . � � �� Address City � � �;c � fJ � State Zip Contact Person Phone Fax /�c� �,�^� ��L �'—a �� '2 LEGAL DESCRIPTION LQ� � s�� �` ,�1� T- � ���� � c�, Please Comp/ete Reverse Side cooasz ia��areai . + s'I`R"(JC7`�Z� ` E g Use sed Use ' � Permit includes: �tsuilding �Plumbing �`Mechanicai C7 Other __� Type af Work: �Reside�tial � New O Remodel ❑ Number of Units_ � Deck ❑ Commercial O Addition ❑ Garege ❑ Shed ❑ Othe� Enter 1st Floor ��L � sq ft 2nd Floor Y='�'� sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement eq ft Decks G - sq ft Garage •- �; sq ft Proposed Total Area sq ft Weter Availabiiity� Sewer Availability On-Site Septic System Availability ❑ Project Valuatian S " ' 'i � : Zoning 5�,�� �� �.`_ N Lot Size � � ' �cisting Bldg Va(uation $ - .. i , , _� �.�-��, _.......__......_.............._........_............_.. .... ... ...... . _........... ._._.. _......._......_............_........._._.._ _..........._.................................................._................_... ;. ''����:;: . > Name Address � l f �Cr�i•i l A __�E city _ �s��i�l�Gc c.T ) f�l�-/ ��a���•(� 1 (?C5 stace ziP _......................_........... ....... _ ....._._........... _..._.......___..... .._......... _....................._............._....... rir�c�Arrr��.carrr��ra� Contractor Name Address � Ct����L -� � , City �C-�9�� �� State Zip Contact „ Phone Fax /�/ �'�((� �(Cc` License # "7 Expiration Date Verified ❑ Yes ❑ No _ __ _ ___ ___ _ ____ _ _ _ _ _... _ __ _ __.. _ _.__ . _ _ _ _ ___ _.._. __ _ _ _. _ _ _............ _ _ _.. _.. PLUNIBING �ONTRACTOR Contractor Name Address •�/G� ! City C.�q (. �� State �/ Zip Contact Phone Fa.c �� ��� '���'�� license # Expirstion Date Verified ❑ Yes O No _ _. _ _. _. _ _..._ __ _ _ . _ _.. _...... ........................... ......._ _ _ _ ___ _ _. __........._............._..._._.. ........_.............. _..__.................... .......... ......._._......_...._____ r1;uMsnvG k�"ruRE coulvx Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers / Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Tota(Fxtuie�ount ;� F MECHANICAL UNI'I' COUNT Fuel Type (electric/other) �= �, 5 Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping ' �l � Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K E3TUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans S Miscellaneous Fuel Tanks Gas Hwt Hood � Boilers Above Ground Conv Burner Duct Work 0-3 To�s Underground BBQ's Wood Stoves 3-15 To�s Total Unit Couni DISCIAIMER: I certify u�der panalty of perjury thet the informatio�turnishad by me ia true end correct to the best of my knowladge end further thet I am euthorized by the owner of the abova pramisas to perform the work for which permit epplicetion is mada.I further agree to save hermlass the City of Federal Way es to eny cleim�including costs,expenses, e�d ettorneyc'fees incurraA in investigetion and defense of such claim�,which mey be made by eny pereon,including the undersigned,end filed ageinet the City of Federel Way, but anly where such claim erisec out of the relienca of the City,including its officers and employaes,upon the eccurecy of the informetion supplied to the City ec e pert ot this epplicatian. �_ Owna�/Agent:_ / ~ Oete: ��llf,c-� �j �� �j J y