90-101629mn
r
a O
g=
w g
g
cn v
g
m
v-u
T
<
�
o
cn
z<
r cn
x�
oo :E
y
v
r�
cn
z
c
-i z
m
0 0 m
OC
r
Oc
W a
a
m
c�
M
m
m
m
m
z z
�
z
m
Imo
T
m
m
n m
n
m
a
=
3
W
z
g
a
�
�'
>�
m 70
3
m
a
m
v
a
v g
�
z
m
m
m
a
0
q
�
a
o m
c
m
Oc
m D�
0
m
3
3
o m
m
m a
m<
m
m m o
n
p
m
m
z
=Cf)
m a'
a' r
O
<
"i
m�
O
c
m
m
m
a
m
m
�
O m
D
m
zX
cn
m
O
6�
m
m
m
m
m
m
m
m
U
m
co
m
z�
O
M
cn
z
mm
m
z
O
Q1I
o
H o
ro
C4
Ln
m
0
.m T�
o
o
c c
z
m
cn 00
W
D
W
D
01
N
N
W
7
a
�
O
g
n
o c
7
r m
c m
O
l WOl -
O O-
om
CCHnr1Z
m
m
01 In
a
z 0
nG
O
a
�
I
v
Ln
U100
O
X
O '
< O
_7
zZ
CA
OOO
O
mm
�a
Q
pOI a
mc
j
DZT
m
Cmm4MO
W
m
z
�m
(j
z
H
DC
cznfn
m
N
m
M
p
m
Ln cn
z
Cl)
n
H
O0
O
70
�G)
o
o ro
II
z
m
A
ro
H O
O
22 a
m p M
ur
y
■:
r
o
r
m z
D
■•
Z
z ro�
3 c
n
G� H
v
r v
z ►_'
p
G
z
o
D O
0 a
m
{
m
m Gzi
m
m
n
m
ro ro
x
m
m
p m
U'
m�
c�
y
m
m
O
'�
c�'i
n
O H
N
N
y 7d
D
cD
D
m z
z
oT
m
N
>
v i
O
z
1
�! C
m
z
a T
D O>
D
z
v
m
z
D
I lZ t%i
2
N
rG
co
m c
D
m
cn
c�
Cn
m
D
�
ro C'
m
m Z
2
�
GZf
�1
m
m
a
r
O Woo
1
ca
r
Z
{0
V
1
■•
z
m
m m
z
O
NO[n
�0
C
O
1
Om
m
z
3
W
6 F-'
U)
<
D
v_
j
o
�,
Z
0
z
cZi
N
Z
1
0
1-4
K
m
O
H,
�
y
cmi
z H
�
m
N 1p
O
>
M o
D
m
�+
N O
Z
ro F-'
cri m
m
01
I
0
L� In
v
o o
C+IV
D
z
X
to G
O C
o
D
�_
g a
U' m
o
H
'Zi
H
m
m
cn y
v
D
r
nl9a
r
D
O
��
Gay
O
�
m
g
m
C, z
m
z
'ri W
i
m
Z
m
moor
74
�'
v
C]Lz4
o
c
GW
00
D
m
>
C)>'
1❑
m
-4I-A
►i
O ii" O
0
z
a
A
D
>
O z
o
r
c
I
W
o
H
n
� H
m
I
m
n
3
�
Cx�i fin
y
z
O
m
n
m
m
ci
G Q
z
m
m O
z FC
m
D
O
D
p
m z
3
m
m
z
r
0
H
N
m
N
C
m
v
m
ro
m
D
r
C
D
z Imo
m
m
p
�'
n
z
I
fn
N
00 FJ
W
00
bCl 000
z
I
c
s
10
Di
o
id
"moo
v
W
v
,A
m
r
v
COz
L O �
1 � `
N(>
cn
M
n9�,
J-z
0
D
O
(A
-
<
O
fA
r U)
a
co
-U
cf)
m
G
m
-4
X
z
m<
�
n
O
n
O
�
m
m D
G
r
m
D
x
D
r
v
Z
`nC
r
C
m
n
m
m
a D
>=
3
z
K
U)
m
9
co
m
m
n
m?
C
m
31
z
m
(')
m
m
m
D
n
a
D
O m
C
m
n
0
(
C
o
m
a
m
(�
n
m
m
Co
<
pc
W
G)
p
A O
T
{
m
3
o
m
m
D
m<
m
o
a
m
m
z
=
mm
m vmi
C)
z
;,
z
a i1
m
m�
c
m
m
m
Z
<*
m m
m
r
m
m
z
cn
o
�
a
z
z
r
zD
N
=
m
m
m
m
m
m
m
z
m
cn
m
x
L�
m
cf)
m
z
x
Z
a
r m
m
Z
m
Co z
mm
c
0
Z
z
m
O
m 70
O
U)
�
{
D
>
fj)
p
Z
D
-i
K
v c
z z
D
m
O
v
D
C
m
r
�
Z
W
cmi
c
C
0
z
O-<
=
v
oz
O
(�
cn
X
C
O
Z
m
�
2
C
n
m
O
c
m
D
D
D
0
=?
m
v
Z
m
z
z
m
o
z
m
n
v
M
L
D
v
T
Fi
F
m
m
D
m
m
m
Z
!�
3
m
m
0
Sri
m
m
cn
z
z
o
a
3:
z
v
IJ
x
O
u
Z
�
m
7�C
N
}A
O
D
r
m
v)
W
D
o
L]
h
r
c
a
m
_
O
n3D
p
r
O
v
O
[�
O
D
m
<
m
U)mmza00
Im
m
`
k:
<
= )
T
U'
-2
n
2
m
m
o
m
n
m
h_
_
m
m
m
O o
m
m
D
Z
O
m
n
O
N
O},
:
L
D
m
0
0
D
w
cn
Z
G)
f�
m
m
c)
Co
C
c
O
Zr
1
I
.a
K''
'Y'
M)
z
C
� -1
a
X
r
D
y
D
z
0
p
m
z
9
2
m
n
2
141
Z
4
7
m
m m
m
m
1
Z
z
O
O
O
v
O
m
4'
e.
F„
n
ai
z
m
D
c)
�
o
O
z
m
Z
m
m
O
0
-0Dm
m
r
77
C-
O
Q
y
r
m
70
�_
r
tis
D
o
v
vi
D
co
a
Cn
!
0
0
D
m
tiG
1.
y
DLD
cmn
ai
Z
D
n
n't 2
m
0
W
W
r
D
rtiz
m
m
0
m
T
m
�'I z
(n
zo
m
m
Z
ra
=
'' z
o
c
D
m
D
D
m
m
m
_- y z
o
D
D
ziD
D
>
oo
D
-
o
D
3
r
y
m
O
z
O
0
m
o
O
m
z
m
m
m
ca
I
r
U)
m
C
m
=
_C
r
m
cc
C m
c�
m
p
0
m
�
z
v
D
fA
z m
�
-
n
m
D
m
o
Z
D
Z
m
�1
L+
G
1
C
W
N
y
N1
o
m
o
n
O
SET BACKS AND FOOTINGS OX TO POUR FOUNDATION WALLS
DATE BY _ ._ DATE BY
PLUMBING ROUG IN WATER LINE O.K.
DATE BY GAS PIPING O.K.-,
O.K. TO ENG OSE RAMING INSULATION
DATE f't7� BY DATE ..----•--._BY
FINAL O.K. TO OCCUPY
DCD PSD
DATE BY, ti
(6`61 Ure- FP,-t(3
o ye G
Sd r` 5 c-
r ear
G < K__� . � 7 10
PLUMBING GROUNDWORK
DATE - - __ _BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL ®�
DATE . _ / ,..-C7( --BY
FD
ermit #
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
4- 3 7
BOX 1 TENANT NAME: pHr r_-j,1yx i71
1*
OWNER �t1l71�Ti��iJ�`�'7 P,4�r��'l %� SITE LOCATION
OWNER'S ADDRESS /aSrx, AJ67 1��Zf 411ak-0 CITY 5CUE':11 i : _ PHONE &YaL
DESCRIBE-JOB-i�hJ►�iJ ,(bra ?3?c�.�ca1?
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 1271" t" Sri 4Cn 1(4 Z, CONTRACTOR'S REG. # °n' ��
Card MUST be presen
CONTRACTOR'S ADDRESS W. 7'/ 5 CITY__ RV&iio PHONE f 9Z 3CY4
EXPIRATION DATE —1, X
—OR—
I HAVE READ CHAPTER 18.27.010 RELATIN O DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON t?7llt Cd 6 C-4 PHONE ;f
BOX 4 SEWER DISTRICT atlr, WATER DISTRICT a
BOX 5 ESTIMATED PROJECT COST z��27&0_ EXISTING BUILDING VALUATION --Z-. '-OU. 201)
BOX 6 PROPERTY TAX ACCOUNT NUMBER ' -
LEGAL DESCRIPTION ky TS 1 rat 115_
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # _
_0q 0151 •-IDS .[]IG,r? --
29,4 4�,,
�o
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR 2ND FLOOR 17,2120,
3RD FLOOR L71 V BASEMENT 1 DECK_ GARAGE
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
(EXISTING STRUCTURE
( } COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY 7 ' Cal '
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC
FEE $
N0. WATERCLOSETS
GAS PIPING, FEET _
$
_BATHTUBS
NO_ FURNACE, ELEC.— 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
1. $
SUMPS, SPRINKLER VACUUM BREAKERS
�11
OTHER1iC)A U1vtc+ W'_ Dr
$ _-��r�
DRAINS
$
OTHER
$
1' T0TAL FIXTURES
$
- S . ?>Z>
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 OFTHE 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: // 2 9 -qv
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT NA- SIDE N+ REAR NA HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:.
SEPA: EXEMPT_ NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT
REMARKS:
DATE 12 " _2-6 " '�CG
DATE
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL_ . COMM. ADD/ALT S - NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPAM..,
TYPE OF CONSTRUCTION ! STORES
< BUILDING SQ. FT.
BUILDING SO. FT. _ @ _
BUILDING SQ. FT. _ @ _
BUILDING SQ. FT. _ _ @ _
BUILDING SO. FT. @ _ AAA -A iL'.V- = O - ZO
BUILDING SQ. FT. _ _ @
TOTAL SQ. FT. -- TOTAL VALUATION 5 q
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: _ )e-e- t_n ai
Amount
BY �- r
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
d• oU
PLAN CHECK FEE
Q�D
PLUMBING FEE
ve,
MECHANICAL FEE
G -;
TOTAL BLDG. FEES
_
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
Lf° 5
OTHER FEES
• S O
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
— DATE—
ACCEPTED FOR FILING