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41
SETBACKS & FOOTINGS
Date - _5 By(,WAI
FOUNDATION WALLS
Date S By
7
PLUMBING GROUNDWOR
Date By
UNDERFLOOR FRAMING
Date /- . .�5 By j4W
SHEAR WALLS
Date BY j4f. l
PLUMBIGROUGH -IN
ft
Date _[ (-C{ By
GAS PIPING
Date Byf:,
777HANICAL
ROUGH -IN
Date � By
MECHANICAL (OTHER)
9t/Z>j2,7N[L 74
Date By7
FRAMING
Date By fh
N
INSULATIONDd-
Date BY
GW8 - 1 ST LAYER
Date —k— By/y
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
7�
PLANNING FINAL
Date By
ENGINEERING FINAL
%��[C
-
(, �•f��[1G' L
Date By
MEMNON
7FIRE
FINAL
Date By
BUILDING FINAL
Dated `/- q
7
OTHER
Date By
OTHER
Date By
CDO193
PLEASE PRINT
SITE LOCATION
Tenant (if known)
Building Owner Name
City
Nature of Work
APPLICANT
Name (F,M,L)
Address
City
Contact ❑n "
City of Federal Way
APPLICATION FOR BUILDING PERMIT
REVIEWED UNDER 1994 UR,r
Address 1,400
Lot #
Address
State Zip
Day Phone
qa-4 3g255-
BUILDING CONTRACTOR
Company Name
Address
7 9 • �,,� .
City
Contact Pers n
Contractor's # (card must be presented)
GQu .-& I i-:?, z M
ARCHITECT
Name r _
`; Grr• tti,a
Address
city _
oue
t 01 o%j."IL
RECEIVE[)
O C T ® 2 1995
CITY OF FEDERAL WAY
BUILDING DEPT.
APPLICATION #: ' V1-
I~D `lltoa.3
Assessor's TA #
H 5Sa Ida-ci05R-o-y
Phone
State W A Zip �ni •
Other Phone Fax
State W yzt Zip �O
Phone Fax
Expiration Date Verified ❑ Yes ❑ No
- - b1— q IL„
,1- 5tate%--j %A. Zip c$'3
Contact Person Phone Fax
�t
LEGAL DESCRIPTION �Qt W 6 P tzw cc r
Please Complete Reverse Side
CD0492 (Rev 4/93(
STRUCTURE
'xisting Use
'roposed Use *S
Permit includes:
Building
lumbing
C"echanical
❑
Other
Type of Work: UKResidential
❑ 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 sq ft
Decks
sq ft
Garage 1 i D j sq ft
Proposed Total Area
sq ft
Water Availability Sewer Availability On -Site Septic System Availability ❑
Project Valuation
$
Zoning 5 — j
Lot Size JCS(
167
Existing Bldg Valuation
$
LENDER
Name
City
MECHANICAL CONTRACTOR
Address
State
Zip
Contractor Name `� Address
— 1 \ VJ EL - {� t r r O Ik��
City �F' Q-k State , 1A Zip q <o-L
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City 1,.b v� r State Q Zip Ci OQ�
Contact C) Phone ffrx PckG-q
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE
COUNT
Water Closets
3
Bathtubs
2
Showers
j
Lavatories
Sinks ra
Dish Washers 1
Electric Water Heaters
Washing Machine 1
Urinals
0-
Drinking Fountains
0
Sumps
Q
Drains
Q
Lawn Sprinklers
Other
Total Fixture Count I
MECHANICAL UNIT COUNT
Fuel Type (electric/other) G ps .
Gas Dryer ►
Air Handling < = 10,000 CFM
15-30 Tons
Length of Gas Piping p
Range \
Air Handling > = 10,000 CFM
30-50 Tons
Furn <100K BTUs O
Gas Log
Unit Heater V
50+ Tons
Furn > 100 BTUs 4
Fans
Miscellaneous
Fuel Tanks
Gas Hwt 2,
Hood I
Boilers
Above Ground
4
ConjWByr r1w
Ducit Work . __ �
0-3 Tons
Underground
BBQ's 0
Wood Stoves p
3-15 Tons
Total Unit Count 1 a
DISCLAIMER: I certify under penalty of perjury that the information&mishgl by Mo,4p;rue and correct to the best of my knowledge 4 further that I am authorized by the owner
of the above premises to perform the work for which permit application i ade"fu a as
tt%%va harm( s the City of Federa Wa as to anyclaim (including costs, expenses,
and attorneys' curved in investigation and defense of such claimil rb cib by any Par,.nyWr� fW �� and filed against the City of Federal Way,
but only wh a such aim arises out of the relian of the City, including Its officers and employees, upon the accuracy o th information supplied to the City as a part of this
application.
DwnerfAge Data: r — J
09/2e/1995 08:29 9273841
X
:j
DRESSESS
ELL BUILDING"INS
Mvl� X�71LY VISIBLE AN
ROAD FROIN
�-LL BE A
I. -I AND CONT
TO Vv 171i�i rlliEY ARE Al
COUSINS CON p
7RRY+SLlCK+DESlG3� �4*r.RnlJP .84 19f..
f
THERE ARE 1 IcyuEViATiONS
TO THE APPROVER RRAWINGS
Ui!'.7---GS OTHERWISE -APPROVED BY
Tma W4V RIJILDING DEFT.t,7
V'
ED FOR f its
BE PROVIDED FIE
APOSMONASTO
GIBLE FRO-1.1 TFM; DEC
THE PROF ER-MM'MOF Tf!
TOTIMSIURFAiMl
I
AGE 01
p - 02
9
N