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96-101583 g�,�a � �g3 l t. � ,� l,r�`?�'�. „r'„ � ��.I;:.I�I � ���i�.., �.tl. '� _ _�:.� _ `�� (a � � �� =� � ��S�C7 f=7. i"'S t W a t:i U 11�:tl 9L�"!I� .,,�� � i '� � �,' , I���, ,,, i rl y �►�, ';�;. q�,,.�:�:.� "IC:. ���n,:';�: � ���,.:�,,,��,I�� �� °�1;;. ,.,N�' ���u�v: o�/�6/�3s Fe�eral WayM WA S�3QCl`3 Buil�ir�� Ins���=ction ft�quests F�6�.--4:t4CJ . �3Y: F�C2 ��a� �,oaa � �x�x��:�: �.2/2:�/�6 aUn►��ss: �:�4<�� ���r waY �� NU . : 926500-�U<'35C) PR�J�C1� 1�ESC:RI W (�IUN:TI - INTERIOR IMPROVEMENTS & WINDON WELL pN SOUTH SIUE �= O�INER -���_.-:�::��=-=-==_==-�:���_��w__�-_��,�::�::�:;====--�= CONTRACTOR --M���_����w��=���-��_�_::��_���=___=��__,��_�._ LENDER =_=��_�__�=�-m::V-�_��-���,�__-,:,:-=_==_=_-=-==-=i IiINDERMERE REAL ESTflTE � COMMERCIAL STRUCTURES INC. f � � 33438 1ST WAY S �' 13822 1ST AVE SOUTH � � � SEATTLE WA 98166 � PO BOX 68845 j � � � SEATiLE WA 98168 � � 924-3883 � 246-3434 � N ; � COMMESI184MK � . .. �-�4,�-��____ _�___�____...____..___._..____..______._._...____.._..._...,_,.__.,,._......��......__.,,�._..._..______a,�_-���-��-___..____---� -------1-- -- ---�_�_��,�_�����_:��__���;��,__,� *xt COMTRACTORS, PLEASE USE LOCATIOM CUDE 1t32 i1HEN REPORTIM6 SALES TAX FOR pROJECTS MITNIM THE CITY Of FfDERAL ifAY. TAX RATE = 8.2� =j= __..___..__�________.___-,--------_.___.._,w�,.w��Y,��w�,,:u�,�,:��,::::::,..:�,.�:.:�....__._._..... ...__..--._-----___.____._...�__,.�....______..____________________-----___--...---_>------.--_____...______ _______..___ p_._.._____.._____..�...____"_._.._..__�___..._,._ _....__.__'.__."__.f_..._.._.___.._.__,_...._._..._...,._._..___"^__"'___....._.._...______..._.___-"7-------'._...___-__'•--..."_...__-'---________"..-..._ ' ( BLD?:X MEC?: PLM?: FLR--E%:S1--PROP--- DWELLING UMIIS: D � COMP PLAH....,....:0 � FEES: f � TYPE OF WORK:TEN USE:COM 1ST.: U; 1600:sf STORIES........: 0 REQUIRED PARKING..: 16 SPRINKLERS?......:? � PLAN CHECK FEE $ 105.30 � � CENSUS CATEGORY.....:437 2ND.: 0: ib00:sf NEIGH?, ...,: 0.00 ft � NAIARD CLASS..,:? ` PLCK-FIR comml only� $ 8.10 � _,, ( OCCUPANCY GROUP---------- 3RD.: 0: O:sf VAUJRiION---------- � REQUIREll Sc?BflCXS----�-- FiKE FLQIJ...,: 0 gpm � SBCC SURCHARGf.....� $ 4.50 ( ( :B :B :B :? : OTHR; 0: O:sf EXIST..�: 61240U ' fRONT.. .,:.: 50,l1Q €t i BUILDING PERMIT....� $ 162.00 f ( TYPE OF CONSTRUCT:ON----- ESM?: 0. 120Q:sf PROP,..$: 15000 � SIDE... ...: 0.00 ft �R(ER SERVI�E..:FED � � ( :5N :5N :5N :? : DECi(: Q: O:sf � REAR.. : ...: O.00:f;. SEWER SERVICE..:FED ' � ( �JCCUPANT LOAD------------ GAR.: 0: Q:sf RECEIVED.:Db/10/9b, . � � ( : 16: lb: 12: 0: TOTI: 0. 44QO:sf fMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y 5� � �r...-___.....ma"��Cr_�e::�cmn.`•a_�aG.- .A^1R,...� r , ,.�..s.. --....._. .:r.....-=s.....__.,.t�.�9e::_^=..5'.@ae��..�...._..,...._...,._._.����.����=..�,..�..�.._.�_______�__.___.._..�._._.._.....��f � � � ' ' ...... ..__ .. . _._ _......�..��.........-��.._. � ._�,....�_.. ( FUEL TYPES.:? ? FANS........... U BUILERSJCOMPRESSORS WAiER CIOSEiS......: 0 URINRLS.....,,.; 0 � TOTAL FEES � 279.90 ( ! GAS PIPING.: 0 ft NOOD......,...: a 0-3 HP......: 0 � BATN TUBS..........: 0 URINKING FOUN1.: 0 � � URN<100K... 0 DUCT WORK...... 0 3-15 NP...... 0 � SNOWERS............. 0 SUMPS,,..,,..... 0 � � � GA5 N�IT,...: 0 WOOD STOVES...: 0 15-30 NP....: 0 LAVATORIES.........: 0 VRC BREAKERS...: 0 � � � CONV BURNER: D fURN>100K...... 0 30-50 HP.,... 0 � SINKS............... 0 DRAINS.......... 0 � ( ( BBO......... 0 MISC........... 0 5+ HP........ 0 ; DISH I�ASHERS........ 0 LAWN SPRIN!(LERS: 0 � � ; GRS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- � ELEC WTR HEAiERS...: 0 OiHER FI1(TURES.: 0 � � � RANGE......: 0 <-10,000 CFM: 0 ABOVE GROUND: 0 � LAUN WSHR OUTLiS...: 0 � � � GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 � � �, -:��_����=�_�::�:_- _. ....�. -:-._ : : -:__._,.�_._--_--.__��.�-:. . ........ .�._..__.,.:,...,::�:.. ,..._.......<_=-=_:_� ....._ . __:-:-_._-_-----._._;��_-:-:,.w�.-_�--�-::-�-;��-�.�»-_�=--.-_--::_�.:._:�j PERMITS EXPIaE 180 DAYS AfTfR ISSUAMCE IF NO ilORI( IS STARTED. RESIDENiIAI AND 6RADIN6 PERMIIS EXPIRE UME YEAR AFTER DATE OF ISSUAIICE. I CERTIFY TiiAT THE IMFORMATIOM F,RMISNED BY i� iRUE AND CORRECT TIl TNE BfST OF MY KMOMLED6E AMD TNE APpIICABLE CITY OF fEDERAI MpY AEQUIREMEMTS YILL BE MET. /.---> � / / OWNER OR AGENT --�! _- _ __.. ... ..._..__.. . ..._. _ .._._. DATE L�_'..��. ".�� � FILE GOPY i�_ C�T`�` �tF !�l' !>�t��i��l..- t��(�lY' � 1'I �`'.P1(. 1 !'�1�J` F3t:PC�t:• �C.)��'J�:� =3::t�:�C) I�Y tY_.f� t� �� � �• ��� . ... w �""' =� , c;l) �'„ �,; rr , l^l��y `:) 1 l i� �:..s �N ..�.. �..� �' .�. �'� �M� � �. !�'4�''"� .�. � l �_ f=I (.,�.:�����'�E:, `�f�rc��rt�� t�J<:�y, t�vfi ��s3i►U":t �E��_�i l.c:li.t��i��� �Ir1�E°.���:�t.�i!�rt l2Ea�ta���t,�-. �, � . � ��,ii �,�;� , F ���? � Fa�;� �;(.7C►t:► �."�f'.[F?4_�� . � :�;';�''t;`;�f., 'f'�[?C)f�°F;����. ":�:���`i':'=e .I_'.� 1 b�lfi'�. �. ,:; h�(�). : �'."'�,'>Ot'). 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( �e� ����t�.���t�.�_,, €tE���,�, �.�u� E��d,si:�x :,��ri� t��"��RTl� 's�.fS TA�Ttl� i+�O�tCi�S �IiHIN� i� �C�ll1f U} 14@k��! itAY. 1�?� RR1L = b.2� ��+� � �:4:ttnvr.:aar . . .�..,.:,.tt�-an.Ntra'�iivi'y'�^i!K'-.nMr.'.pM,�`i+6..�::.�%h54y' ..s�.�.:�e4a.�qasrae�raz n:.��.,.-..,v..�,, ...;.,;... . .......... . . ...... .... ,.. . a,,.. ........ ..�,.ry;:: �. _. .. .. . . .�:.:�r; ...... ,_.�__e..�nxr,.raF:C...�.*�::.. i..,��:� f�'F'E a€ MORK:(£H l►�E,t_�iti lrT. . tFQQ. 4�r �`�F`TC� .�.x:�"�"��'" E4�11REP, PAi�KtNf,..� l6 SE�iIHt'I fftS _ �_ _ �__ _ �a �. 1 B{.�?:� �EC?: Ptrl•,. �#��E�i'� �'�'� !,��tl�lt�� ���1��� S� t,OMf� PtAW. . [� � FEE�: � � � � o � � � �` � � � �? � � P1t�N tHECK FEt� � � $ � 1fi5.3t1� � ,. � ,. �� '� °si`��� ,-- � � f��Msu��c���co�r ,3r ,.�r�.: ��. �t�n.s� �r� . � � +����� i� ����, r� ! P{t��-Fta <<0�«1 �n��� � � �'.in [ �� '?CCtIPr��fY �aP,fit!P -._..._ _ ��+P. �: (1 ���� �.lh,it��t�°-- ��;�«��E� � 1R��� ' r�kR����=__�; �i�� �1�t�;�� �:�i �t+� � S�C� SUR�:H�R��E.....t S 4.5n. ( ( :Q :B :B � •? : !a��?. �. ��#��� ���ii�r...�: �����? � ���ur�T.: , . �+�U+�� �t '� '"�`' �.���� � N!lltDtMU PEk111�T....�� � � � )b?�.Ot� � �� lYVC �� c�►N,TRU�IION•- -- �1I. C I''� s� �t?�' ;�E. 15�A � � `� ��a � � ��+�.. � U;�.,� �� r�,� � f� �":f��f� � �� � :5N :5it :5N :" . h� l ����`��, � l�EAf� � � i �:;�h�SEN �. ..:f E!+ t ��'����b � � QCCtlPRNT l(lAU_� _____ �.�,��`�° � �� ��. �� '�'`f�t�`'� � �� ��.:. , � . _ � � 1�6 1� t'' +'• ��� `� :r a, , ti �.' �� �,�a`W� '� 4�fPV SURFAt'E U 5f SEHSITI`Jf t�REAS' t � � ��t ����� � e ..�;«c a^tY...x..�a i .,.z�.:r:_ .•'.v.:�. .e�, `� _. " :�::. ;Ywrt�'. ,a rr: .. ..:�:.:. ......,_.-cr .....i_...,.�s.,v.�rL.a� .._... ... _,a.r.c.�.._..e.._. :,� � . . � . . . . . ..1 ( iUEI �fYPES�.;? FHN�:, �� „ �� ���y�, l�i)ilER�lCi►�Ptt�SSt1RS NAfER CIUSEfS�....� .. 0 l�i?IM�LS. ......: tT ..� � '�fpt�ll Ff.ES � � � ?7�.9t1 ( � 6AS PIDINt;.' U ft N{►4D..... �.._.. �� U 3 NC'..... . � U � �'AtN 1l�I�... ...... �U � �t��ftIN4I�a I"irUNi,. i� � � � � ( ;N�10t�i(... C1 t�Jrl�idU1tK... .. U � 3-I5 HP...... 0� � � �Ht�NERS... . . ..... (� 5UFlP'.�;:.. ....�.,. [� � f � � � , .� �INI....: 0 � (��10E� S10VtS . 0 � 15-3� 11P.... U � � LflURTORI�S,......... �f) �VAC BRE�1i.El�5...: Q � � � � tONV B!�RNER: 0 � iURN:IU�)�...... �il � 3C►�-50 MP..... � U SrN�5:.............. tt DP,s�IN�.�.....�.�... l� ` � � � � H�U.....,... 11 � MISC.. ...... 0 �� HD........ �t) � Rr�N �A�HEP,S.:...... 11 LAWN SPRI�I�`lERS�: � 0 �` (�� , , ,� �,� GaS G1�YEF... U r�IR HAIiDLIH; �JNli, Ftlfl. TAHk.�-.___.�__ ���CEC WTP NfAlE��S...: 0 Of{l�R�FI�`TURE�.:� 4� � � �i ( K.ANGE......: 0 ;=t0,Gt7i1 ffM: Q ABt►VE 1,�!IUNt�: d l4UN Ii�NR OUTlt4...: 0 : � � ' � �SaS L4u� � 1r).aQt► CfM: � +�ND�B�,Ff���flt� � �t ( �a ,.z�u�.s.us.cax�.x�?ir:st.r.n.,�.��.�.r . ...�_ .::�.,..�.,:.,_, ,. ..__ �...-_•:, . -.. ..._ _, .. .._.. ,,. ... . . .- , i e !1.•., a rt. - . � ...... ..... ... .... . ...... ..., ..._ . ....... ... .. .. . ... ... . .... . . ... . .... .. . ... . . . ... .. .,.. . _ .. .._.. ..,.. .. . . . PEItNtTS E�f�tRE ��1 �PiYS Af1li{ k°a�i�ANLL If NA 1�#1! IS !�1Mt�ED. I�C�a11�1�lliil. AI�D Ir�6lD110�; VENM�I'� C!(AIkC IJICt �'fl#R R41fN L►All. �F !S5lfRN4l,. i CER1�[FY i�Pll� 1`!� I�FUR�IAi�lAli ��lt�1SHE� �� 15 Tldt�[ �ND 1I1��aECT� It! 9pE �ESt U� �tlf i(8�#�lE��f �Ar4 INt AVPI�CA�I.F t:T�tt' �f Ft�t��:� M�'f RF�+iP4��If��1t'� M!I i NE 4ff l. J r^ �!� "+L' ���---- � ;;� _ .-� , � �:a _� . , . f� .� ^��..._....�,._••.•._.,� . u7 c:� (_.., , .E 7 r FIELD COP'Y SETBACKS & FOOTINGS � /�' Date 7—)�"�71.P gy FOI�NDATION WALLS Date r `S'�Co BY PLUMBWG GROUNDWORK Date By UNDERFLOOR FRAMING Date By SHEi4R WALLS Date By PLUMBfNG ROUGH-IN Date By GAS PIPiNG Date By M�CHANICAL ROUGH-IN Date By MECHANICAL (OTHER) Date By FRAMING> �� d► ,�1 �rJ t , 1-� '- �G Date By INSUTATION Date By GWB - 1 ST LAYER 7-!��/�P � � ��- �-d (�- Date By GWB - 2ND LAYER Date By SUSPENDED CEILING Date By PLANNING FINAL Date By ENGINEERING FINAL Date By FIRE �WAL Date Cl C By 'BUILDING FINAL Date r�`�l��l • BY � OTHER Date By OTHER Date By CD0183 City of Federal Way � '� � �� p..� G , ,�:m.� -�' F�EJZF7� v� �' APPLICATION FOR BUILDING PERMIT ��. � - : '� V s� �s fY OF FEpERAL Wqy BUILD DEPT,\ I PLEASE PR/NT ��D� 7C1� �! � APPL/CAT/ON #: / � SITE�L�CATI�N �� Address � ��-� jc � �i ��� ��r, �"���a�-� � Tenant (if known) Lot t1 Assessor's Tax # �.i i ►�ii�E%'�.�1 ��� �F�-1�`��- �::i����_ ��_ �. �,���j� �}�f... C C-, � Building Owner Name o Address �_i�J C;� z_�i z�=����,�I F�� Z ��� I�li�.r.�c�'ti�- K�f�'✓l.,l�cJ ��''� ��`,,� Citv j`t_-��\� �L state �.,,! � Y ��p(r �' � Zi �., P Phone�'7 �..f�;��%.` S Nature of Work �1'�,l 1. �."'+_..1� +"'r, l�-'.:lJ c;v�l" ��fvrp,°! U'�•�'1,'�:�J�"S '�- �'v �1n1v ,J V� �,�1�� l. APPLICANT Name (F,M,U (,� ���2�� E��� 2E_� L E S�� �,Tc ������� i�<� Address ��v J � K��;� ��i� �-�.� �v�tc� City ��„�_rJ i vfv� State (�u°�SL.a Zip � (��j Contact P rson Day Phone _ Other Phone Fax M 1 c.�,t�E� i Zc��i C.�:�F'F � �-� � "S� � �.� " - � � ' � �- �. — �v BUILDING CONTRACTOR Company Name / � � / � ' /,� Address ' City _ State Zip - Contact Person Phone Fax Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No ARCHIT�CT Name� ��C�-ac� �-.,� �.�� ��� ��.��J � Address �� ��� � �c:,� � E-.lv ^�� i� �.'u�'� N . � _ City �� ��' � -- State�'�� Zip � '. Contact.Person Phone Fax ' i ��� " � �; �. � :-J �" �' <=� - 1 I i � LEGAL DESCRIPTION � Lov� � S �A C�� e r.: -� C,)V�,�F��, �t�-� t��r�Z'_ �'��T ��� � ':J � �.� _ , � - _ �:,p^�'r�� � �__�.s ���� ��� � ��' ��� s��� C�c�^h r°��� P��� D ����� S� c► t� � � y � �- �� �,,� �. , , r � �. s,,�1�,,,j', w� Please Comp/ete Reverse Side ' � CD0492(Rev 4/931 STRUCTURE xisting Use ����` �c�;�-� ��`�� � 'roposed Use �� �,,.1� Permit includes: �Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ 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 Area Basement 1 °'� sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability� Sewer Availability�, On-Site Septic System Availability ❑ Project Valuation S f � �'.��• �� Zoning �� '�-\�y,1 �� r'�, Lot Size � �7 Existing Bldg Valuation S �J(� LENDER Name „ Address �"� '� �-C� '`� �<-��-- City State Zip MECHANICAL CONTRACTOR Contractor Name Address (r►�'j �.�s��y.-�� C f� �. City State Zip Contact Phone Fax License # Expiratio� Date Verified ❑ Yes ❑ No PLUMBING CONTRACTOR Contractor Name Address l, � !`�1 �j �"�,� r-. 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 ne Drains Total Eixture Count _�. ,_,-�..� _ MECHANICAL UNI°I' COUNT �'"" J K1��G.�IANICAL VALUATION ONLY $ Fuel Type (electric/other) Gas Dryer Air Handling < -��1tj;QQO CFM 15-30 Tons Length of Gas Piping Range Air Handling > = 10,000 CFNF�-. 30-50 Tons Fum <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 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 claiml,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 employees,upon the accuracy of the information supplied to the City as a part of this application. OwnerlAgent: � �.�.. l ' � �/.���L�� ����� Date: �4 �D '� J f