94-100921RL
rM
Inn
ro
rn
A Poo
m z
T Cl)
-� m
a
4 m
-4 r
m p
p
•9 a
ro m
r
bm
CA A
r z
rn a
A
I- m
m
-c s
o v
T -m
'n rn
mCD
x -1
m
a en
r N
N
S C
a r
s m
m
a
c
I --I
x
m
s
..n
N
s
H
r
r
m
71
N Z N a a N U) M
m
r rn v:
< ale r
x n ro
C� rt7
[Ti -•<
C9 i I-•• f--1 -.c
C --i O ••Cf �
N rn
7O O !•-I ro
s
0 o a o 0 0 0
0
a s T g v s T
1--I H C C7 C O a
N 7C7 o A o a
0 o v o o s
0 o r • ae a ae •
O O +-•+ m
Z N
A C•7 A
T T
�a = c •
0 o N o 0 0 0 0 0
T W
c o
c a m I I
cC> r- CA r-
a OD r -h a Ln r
rri w 7rno
a m a ro o o x N
CD V3 x=�
O Ni ro Z
$ C I ro
v 1 m
O O 1 O O O O O U3
I N
O 0 0 0 0 0 0 0
. o 0 0 0 0 C.
0
--1
a
r
T
m
MI
N
N
• •
~ ery
Cp7 :J
•J
A m -!
C
rr"
G W rrTll •OJ
O :D
A
:� N C', •J
-•1 •J
R7 •J
A A T
A
9 8
m rsi
I •J
70 •d
C So .J •
1
1
C
t'S
ro -t •J
I
1
�
I
s
w s
I
O I
I
1
I o m
I O N X
Isn �p�O �me a m � s
rn SI t~A C ?! = r
<rrI -1 --I m �••1
C N N o t 7 CZ�
fi
N I • • H
m to o i g o Co
I
�_
m T h ;O
m
m
9
N
G
O
a
m
ry
rn
►=,+
O O O
1
I
I
.•
•J
O Cl, O
I
O O O O
�
O
Ln ti. ti.
A
S ac
m
A
La m
s s
r.ti
+••+
w-4
•
✓�
< m m
ca
n rn
A A
Cfl
rn m rn
cn
um
�1
N N
� Z D
m t L-4 ac C CN X O o
wm w - sa.0" �7
co v . x a o
ha a m er y
IV s C7 70 m m
..0 r- � N0LnW
P 8 W W wA •-4 W [�
9 A A co
-4 � - CD 0 0 W
y m N W
.o -I W O F
c C) I N
w O [!)
�4,:E
(l
H W
O A
z O
� x
•o
CD
7
a
o'
r
w
!y
co
s
m
Q+
cD
w A �
�# C= �.
CD
ro CD
Z A i
m o `7
N o,
A 0
O CD
a �
aco
A m
th
s Cs
CD
9+
0
cD
C•h
W
0\ -n W 0
0\ lb W H
w CL Ln -�
I (0 W
00) 00
O F
O N�
M � x1
E A
D l< r-
'D (0 rt
co 0 D
O ct
(4 0-
y
F
lu.
m 70
x H
70 4� H
c
m w m z
w"g0co
w Ln ND
ti t� �
O i
"J
z \0 O a
Ja A, Gd ND
00
0 Co C. c o o O a
r+
;• •J
Qoo $% among.
S i �
0 o v~s o o� ,� c• o
•J
T .J
T � r
o
r" •J
� ,J
� � �
T}
p
C7
•J
1 '
1 • T
1 •J
,
1
1
Cy E [7 8 G'a• ••�•1 77
x
•-a
o c7 o a o 0 0
in sn M Ir w ai Ift en
tl pp 7� e'•I � �. Jpi c7
a® r— � w G� r� fA g py 7� m7R
� � � a CP ;61 � �
� �..
1 a'8
0 C. 0 0 0 0 0 4 c @ -so
T 2 a~ < "1 T 9
rE A w i11 f S
KI T
� T
H
0 0 0 0 Co 0 0 0
c�
r� ►I
P'1
'i -
Is
.- aoa000
m
a
N
M
-0O
p p r_.
S 4L�=
G
NI
%
h -w
w ...-.
N
rn
T
O
rn
f—
T 1•Arl
M M
® m Y w� O 0 0
m .. rn
sn0LnW
$a: rnNW
01N
w h•1 O fA
4 LLnn
O A
Z O
� N
td `a
mmr~.•
s
C
rn
»
Cn y
A IC!
•� rt
00
m
Y
r
u
ITW0
14D W4-70
-<
0 Co 0
0 jr•
$ -i
l<
�m
D `<
CLO 0 D
Co
0r�
a 7
3
Ct
0
Y
C
(A
(A
NAA
V'
r
I
r
0
Mot
r -n 0 W
o Cn f
\ \v
0 r 10
\ \ I
•0 �0 O
A WW
OD
Ln
SETBACKS & FOOTINGS
Date By
7—FOUNDATION
WALLS
Date By
PLUMBING GROUNDWORK
Date By
7
UNDERFLOOR FRAMING
Date By
:SHEAR WALLS
Date By
7PLUMBING
ROUGH -IN
Date By
7GAS
PIPING
Date By
MECHANICAL ROUGH -IN
Date By
7
MECHANICAL .(OTHER)
Date By
7FRAMING
Date By
7INSULATION
Date By
7(3WB
- 1 ST LAYER
Date By
GWB - 2ND LAYER
Date By
7SUSPENDED
CEILING
Date By
PLANNING:FINAL
Date By
ENGINEERING FINAL
Date By
7mFIRE
FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
7
OTHER
Date By
CDO193
PLEASE PRINT
S
City of Federal Way
APPLICATION FOR BUILDING PERMIT
APPLICAT/ON #: J
ITE.LaCA'ION Address 3306 L
Tenant (if known) Lot # Assessor's Tax #
cooroL
Building Owner Name Address
IV i V a&o, 311 2 5 3 Y 0 `f .
City FtA)PVQ.I \-,-i State `.,/ Zip cr b Phone
Nature of Work LA/o4 ; h2 0 [ �
APPLICANT
Name (F,M,L)
Address
City �e� L✓ 0-L State W �} Zip q�0�
Contact Person Day Phone Other Phone Fax
as j S3d, -r�L-39 to (P&i , o 4,
BC7TLDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) % Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
APPLICANT
Name (F,M,L)
Address
City �e� L✓ 0-L State W �} Zip q�0�
Contact Person Day Phone Other Phone Fax
as j S3d, -r�L-39 to (P&i , o 4,
BC7TLDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) % Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
BC7TLDING CONTRACTOR
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) % Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
------------
I:SRuCTMr-..
L
ing Use
.,posed Use
Permit includes:
❑ Building
Plumbing
❑ Mechanical
❑
Other
Type of Work:
❑
Residential
Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Deck
Other
Enter 1 at Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage aq ft
Existing Floor Area
Proposed Total Area
sq ft
sq ft
Water Availability
Sewer Availability ❑ On -Site Septic System Availability ❑
P.;:rject Vel)eftpj';!!
8.=
oning
Lot Size
l:is sting;..8.idg Val t pnti :
LENDER
Name
Address
City
State
Zip
MECHANICAL, CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMING CONTRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLU.MBING''F1XTURE COUNT
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total:t=ixtuts C:auni.
MECHANICAL UNIT COUNT
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 Tanka
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBO's
Wood Stoves
3-15 Tons
Total Unit Couht
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 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/Agen�