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96-101200 � = 9G ./a /�o � � � ;� i � -a; i �._ .�,I<:�� , ".I� l ;� p,�, � , �'t1.1 '' �t � ��:,5�U �:i �—�:t. �.��,� :�ca t.a t h ,i.l1�a��.��,�'';!IG.�9,,,�'.�';,�+'';�,If,�, ��`'�I��:'„1; 'IC,�,w��';,..�i'f"'��,'��'�I :��(,,....NC� T��U S�D: 0 6/�'U/��, Federal Way, 4JA 9E�QU� Builclin� Ir�s��ct�ian I�equest� �61-4�.4C� BY: J'Th� ��-.��000 �xc�:r��s: �2/�.�/�� RDDFtE�S : 157 WAY SO NQ. : `�264�30--2:�1� • PRQ,7EC�T DESCf�I�1 �(�N:GRADING PERMIT / kOCK RETAINING WALL (6') f= ONNER _.:.�____=_==��-�_,�-_wT�;x_______________�----____T= CONTRACTOR =_-______-��M�_��-____..--��_�.�_�------------;- LENDER ---_____----- �"'.......... ...�..�...�� .. �� «.�.."��. ��.^....'"...� ......�«.��..�..... .......�...��....�� ....��....��CS�SR3��.^�^:.".��5.^..'�.».�..�»� � CITY OF FEDEkAI WAY � � ~�^ � i � 1ST & 317TH, 320TH �' � FEDERAL WAY WA 98003 �� __�y:w�===�_-�------------- ----,.___�,_._____ _ _ _____� __ ___ _______�..��=_--...-� _..�______ -_-_-____-,�-__--__ � .«_............._.._......cc...._._.._....,...^�r...........x::x.., .._....,._�_......._Cx.a.^�s:�....zs��_....�__-:^^w:^a.... ;cscc::.-^......._._._.._.....�.. .. ._ ..� .__�cc�^-:.»::a.^.,vcna..:e�r...»��..._..__� �_* COMTRACTORS, PIEASE USf lOCAiION CODE 173t Y!{EN REPOAiIil6 5ALE5 TAX fOR PROJEfTS MITHIM THE CIfY OF FEDERAL NAY. TAX RAtE = 8.2� ==3 ______.....�__..__------__.,_.____._____�_. �___-.._ _______________.-------_____�.._.�..____.,________ __.___.- --..- - - - - - _..._-..............____..____..____.._____._...--.----._..__;......_�_..____---_..________..___.._._..__ .._.._....__.._��:-_ __.._._ __-__x�_;.�,___ _ __ ___..__ _.._�=___=_=�_,��-��,�:�� _.._ ,..� ....�:._...........___..--cc�_.......r.;n��o--...... � ', �..__......_....._...�........._......._.. . � BlD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWEI!ING UNITS: 0 3 COMP PIAN.......,.:? � fEES: � _,,. � TYPE OF WORK:ALT USE:PUB 1S1.: 0: O:sf STQftIES.,,.,:..: 0 ! RfQUIRED PARK��r,',.: p SPRINKLERS?......:? ; PLAN CHECK FEE $ 0.00 � I CENSUS CATEGORY.....:510 2ND.: 0: O:sf HEIGHI..,..; O.OQ ft � HAtARD CLAS�s...:? � BUILDING PERMIi....� $ 0.00 ; � � OCCUPANCY GROUP---------- 3RD.: 0: � �O:sf� VALUAII�JN-----•---- � RE9UIRED SETBACKS---��- �� FI!�f FLUW....: �� 0 gp� � SBCC SURCHARGE.....� $ 0.00 � �� :? :? :? :? : OTHR: 0: O:sf EXISi..$: 0 � FAONT,......,.: O.OQ ft � 4 SIDE..........: O.00 ft WATER SERVICE..:? � � TYPE OF CONSiRUCTION-----` BSMT: 0� O:sf RROP...$: Q � I :? :? :? :? : ➢ECK: U: O:sf ' RfAR...,......: O.00:ft SEWER SERVICE.,:? � � ( OCCUPflNT LOAD------------ 6AR.: 0� D,sf R£CEIVED.:05/02/46 � , � � � : 0: 0: 0: 0: TU1'L: 0: a:sf � IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? ( � _' .__...s�••��-_..__- _"':�am.�i'C .r._m«xc�zr_��. _c= �: ccc-_�cacn.a:^r+e^'macr._^::._m^.«�a�vec'c= 'mmzac::��--rxaa„o"�cs:eccceae =� �x ca'�xc'x 'csvmc•-r�..-••�, .._._�-••�... .. .�. .. _ � � FUEI TYPES.:? ? FANS,.........: 0 BOIIERS/COMPRESSURS { NATER CLOSETS......: 0 URINALS........: 0 f TOTAL FEES $ 0.00 ; 4 PIPING.: 0 ft HOOD........... 0 0-3 NP....... 0 � BATH TUBS........... 0 DRINKIN� FOUNT.: 0 g, � � N<100K... 0 DUCT WORK...... 0 3-15 HP...... 0 � SHOWERS............. Q SUMPS........... 0 � � I GRS HI�T....: 0 WOOD STOVES...: 0 15-30 HP....: 0 I� LAVATORIES......,.,: 0 VAC BREAKERS...: 0 � ( � CONV BURNER: 0 fURN>100K...... 0 30-50 HP..... � f SINKS............... 0 DRAINS....,....: 0 � � � BBQ........: 0 MISC...,......: 0 5+ NP.......; 0 � DISH WASHERS.......: 0 LAWN SPRINKLERS: 0 � � � GAS DRYER..: 0 AIR NANDLING UNITS fUEI TANKS--------- � ELEC hTR HEATERS...: 0 OTHER FIXTURES.: 0 � ; � RANGE......: 0 <-10,000 CFM: 0 ABOVE GROUND: 0 � LAUN NSHR OUTLTS...: 0 i j � GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 --.._---�__.________._______ .,___._ __..___._. _..____---_____._ .__._.._._.....�.__._____.._.� ------- ----�_____---_.__.___________r ._.._...._.._--•-•-----___ _____._._.__________..______.._____.-,---�.,_,____________ __-•- ____ 1_______ .._.._.__........._._.._�.._._... _. ..............__.___........_..........�......_....�.___....___...._._._.__.._.____..�......�...._.___._�_......._._......».._...,................_.._.._c................._.'____"'._...____.._.._.__ ...._._____._�_r.a.c�cce-ce::r_.. PERMIiS EXPIRE 180 DA AFfER ISSUANCE If NO IiOR!( IS STARTEU. RESIDENTIAL AMD 6flADIN6 PERMITS EXPIRE OME YEAR AFTER DR(E UF ISSUANCE. I CERTIFY THAT 1NE IM RMATION FURMIS D BY ME IS TRUE AND CORRECT TO TNE BEST Of MY KNONLED6E AND TNE RP�LIfABLE CITY OF FfDERAI NAY REQlI1REMENTS M1LL BE MET. : OWNER UR AGENT _ . _ ' ��iE c� �`�� FILE COPY +��c�� p,,,� G City of Federal Way ;� p 3 1996 • � �� APPLICATION FOR BUILDING PERMIT ,,: �L��,iAL WAY . �_�S,;�i� �;�+'�. PLEASE PR/NT APPL/CAT/ON #: B�� OI�� SITE LOCATION Address v�C� �� S € 3�� 4 �� 15 -J2� Tenant (if k�own)� � Lot # Assessor's Tax t! Building Owner Name Address City State Zip Phone Nature of Work G�,a�k e.�..� y.�... ��'�'�w`�� APPLIGANT Name (F,M,L) d.� SA w ` (�u � —n n.e.�� Address �3�3 � � St- � �� City ��- State Zip Contact Person Day P ne Ot er Phone Fax Sc�.w�� - �(� I - �l a�� i - 1 Z BUILDING CONTRACTOR' Company Name �-., �� 'j jl � �/ Address . City State Zip Contact Person Phone Fax . Contractor's # (card m�st be presented) Expiration Date Verified ❑ Yes ❑ No `ARCHITECT ' Name Address City State Zip Contact Person Phone Fax LEGAL DESC�� S��!�� O—( I D O`-v�-� a�C«4� � -- 2�� C� T ' P/ease Comp/ete Reverse Side - CD0492 IHev 4/931 STRUCTURE ;ting Use �posed Use Permit includes: u Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: 0 Residentiai ❑ New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft ,4�ea �s�ment . sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft �(Veter Availability� ❑ „SpwAr Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ Zoning Lot Size Existing Bldg Valuation $ LENDER Name Address City State Zip MECHANICAL CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name Address City State Zip Contact Phone Fax � License # Expiration Date Verified ❑ Yes ❑ No PLUMBING FIXTURE COUNT Water Closets Sinks Urinals lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Tota1 Ei�cturE Gount MECHAIVICAL i1NIT COUNT MECHANICAL VALUATION ONLY $ Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Underground BBQ's Wood Stoves 3-15 Tons Total Unit Count DiSCLAIMER: I cer y 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 premi e 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 Iincluding costs,expenses, and attorneys'fee in rred 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 suc cl im arises out of he reliance of the City,including its officers and employees,upon the accuracy of the information supplied to the City as a part of this application. Owner/Agent: Date: a —T1— _r ��✓�� 1�N 1'( � CITY OF C� __ � � �� ■ ■ / 33530 1 ST WAY SOUTH . FEDERAL WAY, WASHINGTON 98003 Grade and Fiil Questionnaire Please fill out the following questionnaire to determine if a grading permit is required. If you have any , questions, contact the Building Division at 661-4000. Owner: C, �:. � � ^ Project Name: S `3►--��y, �Lo StP '�' � �� Project Address: �t � �`-� �rJ� 1. Will the excavation be two (2) feet or more in depth at any pointl Yes�o _ 2. Wi�l the excavation create a cut slope greater than 5 feet in height or steeper than 1-1/2 horizontal feet to 1 vertical foot7 Yes �No _ 3. Will the fill exceed 50 cubic yardsl Yes_ No �� 4. Is the fil� intended to support structures and is it 3 or more feet in depth? Yes_ No ��. 5. Will the fill be 1 foot or more in depth and placed on natural terrain with a slope of 5 horizontal feet to 1 vertical footl Yes _ No �` 6. Will the excavation or fill change the points where the storm water or ground water enters or exits the subject property, or change the quality, quantity, or velocity of storm water o� ground waterl Yes _ No �� 7. Will any trees be removed that are defined as significant trees under the Federal Way Zoning Code or any vegetation be removed that was required to be retained by or through any development permit? Yes(�No _ 8. If the subject property is 2 acres or larger and has 209�0 or more of its area covered with native vegetation, will more than 20°�6 of the native vegetation be removed7 Yes�No _ 9. Using the midpoint of each property line, will the average elevation of the subject property be increased more than 2 feet or decreased more than 1 footl Yes_ No� 10. Is the subject property vacantl (The subject property does not contain buildings nor is actively being used.) Yes�No Signature: Phone: —" For;Staff Use :On/y ; Permit Requi�ed: Yes No Staff Pe�son: :Date: '