92-100257Z
m
3)
a
n'
z
.cam
p m
C
31 T
m
z
D
C/)
2
r m
Co
0
mD
Z
m
C
Z
=
p
W
r
3
N
m
M
m
<CA
m
m
N
a
n
m
D O 9)
0 2
m n
z m 0
� -n T
m tmn m
117
O
(n
1
m m D-4
m m 31 m
g cn < o
z X M m
X m
o
-1 S
n
D 2
r D�
m z
ci >
m m
m m
vi
O
rTr
C D
Z
n
z X
m x
"' m
m
-0
my
1
m
m
<
C
>
p
Z
0
m
D
cn
D
O
-n
X
m
cmn
W r
X<
� D
O
M
(n ffi
m
0 z
Z
o
OC
D
CO
p
m
M
Z
�
2 m
C D
m c0
m
1
U)
> m
z 0
m =
O
D D
m m
C
ic
CO
Z
v
(n
m
D
M
o
-A
"
N
Z
m
0
v
Z
{
C
m
O
w
{
C-4
W
G
O
N
O
Z
D Z
X*
D
n C
p r
Z D
Z
O
I
Oc
1
O
o
m
O
m
z
m
�
zp
m
Do
v
Z
f
0 0 m
Z Z 31
-i 1 �_
D D�
m (� z
z o
lV
I
vWZF-�
o
LTR
K
m
R
�,
D
i
ass
m
m
O
n 0
rt
m
70
Ln
z
to
G
rd
n
z
c
v Cq
O v
C
rOr H
ro
C"
+�
Z z_
H
Imo•
U]
Z
O
I
>
M
D
O C�
GZ�
((DD
r
CA
o
>
b
O
O
H
ro
_�
_
D D
m
o
x
i
D
o
p
z
o D
0
0 D
m
m
m
m
10
O H
< COcDi
v v=
m
p
m czi
o
m
OT
N
v
10
y
O
D
m
cn
z
0
S
m
o
3
'rd
O
m
N
D
Z D
70
cZi
O
a
m
0
o
�
m
Z p
m
2
N
c m
D
D
a°
A
~I
H
D
v
Z
v
m
D
r
I
ao
a
z-j
c
vmi
v
O
O0
N
74�m
a
m
Z
V
O
W
N
n
v
O
p�j
4
O
o
3
a
Z
Li
0
�
�
ic
D
�
O
m
m
H
Z
m
vi
D
m
3
co
10
O
r
H`O
D0
m
N
rt,
W
bd
'C
�(7n
�y
b7
►C
0
> nv
rs Ov
�-
(D
H
�
p
D
m m
[n cn
Z
v
m
>"
n
D
D
D
co �
-4
m
(D
r
O
b
m
z
m
z
Uj
m
D
z
m
{n
0
D
m
o
o
D
Cl)
v
1
c
W
m
z
o
z
x
m
O
D
D
O
n
r
v'
D
D
lV
aDo
D
p
v
o
10
n
m
lJ7
N
H
dy
3
O
N
o
z
0
a
H
O O
CD
m
z
_m
o
C
CrJ
74
T
0
O
m
0
(D
H
D
m
m
Z
3I
m
w-4
CO
N
N=
m
ai
C"
p
�
c
3
CIDm
Z
v
r
C
m
N
D
C
'O
fr
C'
-zi
z
�
m
T
T
I
n
Z
m
Z
v
v
0
O
I
LzJ �o
{
m
v
m
I
H
�
0
O
n
:�
D
v
% �P
>
_ -nn
D O (n fA v < O !/1 r fn m 9 (n N m m
m a m< O O m
m0 m D D m m e D z< p � C -mi z x Tm 2 2 70
Z 0m r c m n m m D r 2 z$ D `Lcn
-xi 3 D m p n` D m ni
m c x Z D (� x x x v D m o _i D O m c n n c 0 D
mT -i m T> m� m m � Gzi m m Q x m m m r� m Q O
p �+ c m m> a m m c D T z m Z m a' Cl)o� D z Z m Z1
D z 2 ((0) m m n F) '" „ T m m Cl) m z I*.. r
m�� m m Cl) m m Cl) z O{ m
g
v
r-m _m O z
oo z c n
mT m z m
0
m � > m
>� t
D �
N
O a v c m
o
z O �, c m v
m m r x D o n c
M -n czi 0 D � $ � z
m
DI m
D
2 c cc D { v m
mn Cl)D m m
y m v z
CD m v I Z D
m
m m
z n W � g
m
m O [� C] rt m - Z v D
ro � z D
m H �+'�'
m N z zm
Z � O r D 3� m
r 9
z N r� G� (D ,� cmi o I =
v a ro O O H D a O v
n O % x H v r v_ z
O H' z c n> T 0 O 3 -4 m z z m
�0 ^� O z o a 0 o a m m N O m
2 N m = mm OH O I� L(x'JT�yJ "
cO Om�0T Cl) 0U) 0 vO
D mm Z>
0 z m x D ? n cmC H
D Z ?
m a D x z I v x 0 x r f�
00 m ~O H m n r z r
� Z 6 bd x m Z O O
� p 0 3 LT1 n z a b
a m N 3
a m a H o
v_ a z m o H
z
z 0 n H
Z n H (!� 0z
�
m N C�rJ m o
.{ H H m> m
m
1Tf m N a ED f 7 v D 7�
z x I- ~] Op w n x p I m (n
a x m m �'
v (D o (/1 r n D D D
m C%] K m zo y z
m 0 0 m z v c
D m > O D m
v m cz_i Z O
r
(j > r D D
y � v
m om+ 0 ' a n
c) imp (D �H 3
U1 O
p .. Z. n
a � x m z .O Q�
m 7d H G) c 74 C
�n K cm m m p c x r(D H c hn
c m G mz T m
m U) b C' z x m < n m
z z v D v I A Z
a m i
iz
CD v' CA0
H ��
n a m
v 0
v
O
Z
RECEIVED
FEB B B 1992
C EP„xWAY
BOX 1 TENANT NAME:
PE lit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER Ott F--4exF.V" r-v- SITE LOCATION .. 06, .�fW tv. -5 • I
OWNER'S 'ADDRESS q64. :� • 5 ► CITY PHONE �r3 • 0 ] 15
DESCRIBE JOB ' Ci.5 46
THE PROPERTY IS OWNED BY: S GLEIMARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. # We'12,
Card MUST be presented
CONTRACTOR'S ADDRESS ' CITY �t � rr
PHONE �� - l V
EXPIRATION DATE r
OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINEMW6NENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. .
BOX 3 CONTACT PERSON l PHONE -
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT ! DECK / GARAGE /
BOX 8 (!'SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (L-Y-E-XISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHA 'L APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET _ _.
$ _
BATHTUBS
N0. FURNACE, LEC. GAS
$
_ SHOWERS
:GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
_ OTHER
$
—DRAINS
_ _
$
OTHER
-
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$ -
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED 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 PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED 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 OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEEVUP_ON/THWCCURACY OF;THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: &7h�z-
ANP-008 3/90
/L
I .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW -I HIS LINE)
ZONE SETBACKS: FRONT. SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT
NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT
NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP.
OTHER
OCCUPANCY _ _ TYPE OF CONSTRUCTION STORES
_. BUILDING SO. FT.
@
BUILDING SQ. FT.
@ —
_ BUILDING SO. FT.
@
BUILDING SO. FT.
@ _
BUILDING SO. FT.
@ —
BUILDING SO. FT.
@ —
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date _ Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING