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SETBACKS & FOOTINGS
Date BY 77 AV-
7m=dAii0NWALLS
AJA
Date -7—�_2— By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date rG By
SHEAR-: WALLS
Date r 8y
7PLUMBING
ROUGH -IN
Date f - r By
GAS. PIPING,
Date 12�G, �' ByX.�,tj
MECHANICAL ROUGH -IN
Date >2 �B7yFi'/�
MECHANICAL (OTHER)
Date By
FRAMING
Date f - br By rJ
INSULATION
Date ( - '' J By Aloj
GWB - 1ST LAYER
Date By
7GWR
- 2ND LAVER
Date By
SUSPENDED CEILING
Date By
7PLANNING
FINAL
Date By
7ENGINEERING
FINAL
Date By
FIRE FINAL
Date By
7
BUILDING FINAL
Date -a - °/ Co By
7
OTHER
Date By
OTHER
Date By
CD0193
I � �
i vY
S -
r !
M '.
FILL
. �e.1 0e� OVOW9,
rPRlv�ul��-(
SITE PLAN APPRQ L
Permit Number:` 964) - : v"
"o
Approved By:
Date: //21i e r
Com�nesits: -' i c'�r� 5` Cock- �Vr:.G !G.
h MAY 0 31995
I CITY OF FEDERAL WAY
BUILDING DEPT.
F:CCio vEFoCity of Federal 'Way
%ATION FOR BUILDING PERMIT
of aulD]i vpEORAt- ^'aY
PLEASE PRINT APPL/CAT/ON #:
SITE L,OCAVON Address V uJ j j'
Tenant (if known) „ r� , Lot # , V
Buildin weer Na a Address
Na
City State Zip
Nature of Work ( �r��J,�] � � [ L] Hm t,&
(4
Assessor's Tax #
Phone Z,UC 17.E dq
Name (F,M,L)`'+` ""(--77djr�
Address
`z6,','
City State (,tJ Zip Cl 00
Contact e s Day Phone c r Other Phone Fax
fILDING CONTRACTOR
Company Name
Address
City 'tAlti Wfl-f, &.0/9 State Zip ffv6'
Contact Person P F
t , � 7 — 7 6 Y,6- 'W %7 -? K
Contractor's # (card fillJSt be presented) Expjration D t� Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Camplete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
Permit includes:
Type of Work:
Enter 1 st Floor
Area Basement
Water Availability
Zoning 7,
LENDER
Name � 1
City
• xisting Use
1 ya ttu;[amg Ld' Plumbing
Residential ❑ New ❑Residential New Remodel
Commercial ❑ Addition ❑ Garage
sq ft 2nd Floor i sq ft 3rd Floor sq ft
fsq ft Dec ky/ sq ft Garage V— sq ft
Sewer Availability On -Site Septic System Availability ❑
�C/ I Lot Size
MECHANICAL CONTRACTOR
Contractor Name
City
Contact
License #
PLUMBING CONTRACTOR
Contractor Name
City
Contact
License #
UMBING FIXTURE COUNT
Water Closets
Bathtubs
Z
Showers
Lavatories
C/
MECHANICAL UNIT COW
Fuel Type (electric/other)
Length of Gas Piping
Furn < 100K BTUs
Furn > 100 BTUs
Gas Hwt
Conv Burner
BBQ's
C���JS��=77Lry
C,4 S - /-S r&L4- n4els-l (&'—*
Sinks
Dish Washers
Electric Water Heaters
Washing Machine
Gas Dryer
Range
Gas Log
Fans
Hood
Duct Work
Wood Stoves
Proposed Use J /CS tAJ r_4 Um
Pr-M-echanical ❑ Other
❑ Number of Units ❑ Deck
❑ Shed ❑ Other
Existing Floor Area f
Proposed Total Are�!
Project Valuation $ ( ,
�y 00Q
Existing Bldg Valuation $
Address
State
Address
State
Phone
Expiration Date
Address
State
Phone
Expiration Date
Urinals
Drinking Fountains
Sumps
Drains
Air Handling < = 10,000 CFM
Air Handling > = 10,000 CFM
Unit Heater
Miscellaneous
Boilers
0-3 Tons
3-15 Tons
Zip
Zip
Fax
Verified ❑ Yes ❑ No
Zip
Fax
Verified ❑ Yes ❑ No
Lawn Sprinklers
Other
Total Fixture Count
15-30 Tons
30-50 Tons
50+ Tons
Fuel Tanks
Above Ground
Underground
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 ine 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 im rises a %oft a 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. 7/ _ -- -
6wnnrfAgent: _ Date: `A ` (��
J2oY(
This corliiicalo providos Ilro
Doparlmanl of Hoallh and tho
)cparlmonl of Dovoloprnon( and
:nvironmonlal $arvicas Willi
niormalion nocossary to ovalualo
icvclopmonl proposals.
1110asu rulurn lu:
King County
Doparimonl of Developnhenl
and C•nvlronmontal Services
3G00-13GIh I'laco Soull,oast
Uallovuo. War-Nnuton DOGOG-1400
(20G) 20G•GG00
KING COUNT( CERTIFICATE OF SEI4ER AVAILABILITY
in chts lux
number
❑ Building Permit ❑ Preliminary Plat or PUD
(3 Short Subdivision ❑ nczono or other
,rrL]C;atT'S NAME Pg IL 1 P WESER
,R0r05LD USE R E s i E N T
:OCATION 331'2. 5 W O STREET
L EGAL A -rTAcfl,5D
V
(Attach map L legal desaription LL necessary)
1 N 1 1 1 1 1 If 1 1 1 1 S C •1
v, �
J
M
co o, 3
X:
U
a � �
ro °) LL
'
q� O
� U �
O"=
c
U) a) o
a) U �,
E p
-
coo
M rn
_J Q Y
SE4lC R Amicy mrORHAT ION
C_AN
1. a. ® Sewer service w4-1-1 be provided by side sower connection only to
an existing 8 " size sower Coat from the site
and the sower system h s the capacity to serve the proposed use. to
.aR COAJuecr,oU • WirviN 2oogt of- MAihJ &24 .31ppe
b. ®'Sewer service will require an improvemant to the sewer system ofz
�Np
® (1) /1-O Loot of sower trunk or lattoral to roach Lila siLar
and/or
® (2) L'ho construction of a collection sysLom on the siLar
and/or
® (3) other (describe) Taf'bgi<A f&It-- MU L, ITY Lgg.-;-.-
DE'TF_QMrNE MAIN L-IIJE i JC Eas7+ Xr= utRCMASIU
2
a• �( The sower system improvement is in conformance with a County approved sower
comprehensive plan.
OR-
b. The amwer system improvement will require a sower comprehensive
plan - amendment.
3. a. ® The proposed project is within the corporate limits of the district,
or has been granted Boundary Review Board approval for extension
of service outside the district or city.
on
b. 0 Annexation or DRD.approval will bo necessary L•o provide service. '
4. Service is subject to the following:
a. Connection charge: To &C CAL CU L q-rE D
b. Eanement(s) z fi s 1ZEQ-iP2ED
C. Other: bEy.-i_oPrg A4Rs6md" j MAY -A,! kfaudAeO
* llic Dist ricL, at its Sol.0 [ ISCM' LOn r rr�S'ervca u. right to : Oily or ec a ly or.,s cXay LiGWCx' scrvim
Wsscd upoth capaciL•y 3SsniitaLions in LWSLricl; and OUXX 1.'zzrvCyor rbciIstics.
I hereby certify that tho a.bovo sower alrency information is true. Tlus
certification shall be valid for one year from date of signature.
Lakehaven Utility District
Agency Hama
CCUc i�-5 EK��'TE'CN,v'r�iAku-
Title 1.
TaRAJ A :J_-S'AJ.S S4)
Signatory llama
-10 -
04, Sig: Gura Date
s
RECEIVED
V 0 31995
CITY OF FE66RAL WAY
BUILDING DePT.
s
F279
`MON 11:00
HECKEK 1- E t LbLKt z
run irv. 'tM'"',/
a CMCAGO TITLE INSURANCE C OUTANY
s
A.L.TA CGMhCrr -NT
SCUMULE A Grder No.: 420069
{C.antinucd) Yaur NO.: RABBO/WEBER
LEGAL DESCRIPTION EXHIBIT
(Paragraph 4 of Schedulo A continuation)
LOT 1, RING COUNTY SHORT PLAT NUMBER 780027, RECORDED UNDER RECORDING NUMBER
8106030630, SAID SHORT PLAT BEING A SUBDIVISION OF THE WEST 640 FEET OF TRACT 9,
MCLANES GARDEN TRACTS, ACCORDING TO THE PLAT THEREOF, RECORDED IN VOLUME 47 OF
PLATS, PAGE 3, IN ICING COUNTY, WASHINGTON;
EXCEPT THE WEST 264 FEET THEREOF;
EXCEPT THE SOUTH 30 FEET THEREOF CONVEYED TO RING COUNTY BY DEED RECORDED UNDER
KING COUNTY RECORDING NUMBER 7808170658.
CHICAGO IT lZU- W ANCE COMPANY
VdUACM."/ry 4,ag4
tr:7 WAY
rltALFEDERAL
ING DEP .
.� , ., r....f1:"M:. �■ r_ ■� ■ � � - ��� �� _/•ice c _ air�� i �` �i /.�•'T /�C \ �
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