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SETBACKS & FOOTINGS
Date Bymllu
7
. FOUNDATION WALLS
Date -6 5" Byk",V
7 JLUM131NG
GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date - -1? B
SHEAR WALLS
Date By
PLUMBING ROUGH IN
Date By /k7,/
GAS PIPING
Date S - c/-g S By .L
MECHANICAL ROUGH -IN
Date -� 5 By Ae�5
wig J
7
MECHANICAL (OTHER)
Date By
FRAMING
Date .- (s- By ,j J
INSULATION
Date -f BY i
7GWB.
- 1 ST LAYER
Date ���' S' S" By
GWB - 2ND LAYER
Date By
7SUSPENDED
CEILING
Date By
7PLANNING
FINAL
Date By
7ENGINEERING
FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
7
OTHER
Date By
CDO193
v av
PLEASE PRINT
5ITis:10CAAT:IDN
Tenant (if known)
Building Owner Name
City
Nature of Work A tr-�
Name (F,M,L)
Address
City
Contact Person
LDING CONTRACTOR
Company Name
Address
City
Contact Person *—
Contractor's # (card must be prf
Name
Address
City
Contact Person
LEGAL DESCRIPTION
REGEI'I/ED
City of Federal Way
APPLICATION FOR BUILDING PERMIT DEC 1 q 1994
l Y` �e �7 " V CR l OI�BOF FEDERAL UILDING DEPT AY
J
i4PPL/CA T/ON #: f?LDqq `
Address s
Lot # � Ass q°�5/—
Address
State Zip Phone
wa�
a
Day Phone
G
State U,j+ Zip
Phone `14f4l-01 Fax
6 r a10
Expiration Date Verified O Yes O No
State I zap
Phone Fax
Please Cam lefe Reversa Side
r X Una'`
existing Use
r T j
Proposed Use
Permit includes:
��� yyBuilding g
'< Plumbing
Mechanical ❑
Type of Work:
Residential
)�r New
❑
Other
ElCommercial
ElAddition
Remodel
'A Garage
❑ Number of Units
❑ Shed Deck
Enter 1st Floor ��
Area Basement
sq ft
ft
2nd Floor
❑ Other
�/Z.sq ft 3rd FloorT__ � sq ft
Existing Floor Area ft
sq
Decks
sq ft Gerege aq ft
Proposed Total Area �sq
sq ft
Water Availability
Sewer Availability On -Site Septic System -Availability
Y ❑
o7'a ft.
y
:::
Zoning
�i�;
9 7_
Lot Size
f M1v -t
Noma Address
City State zip
Contractor Name
Address
City
State
Zip
p
Phone
Fax
License #
Expiration Data
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
zip•
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PIXMBI Q. IxTCiR COUNT
Water Closets Sinks y Urinals Lawn Sprinklers
—
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters '�� Sumps
Lavatories Washing Machine Drains
�-= �i7[sI Fxturc Cliunt
C A Y,TCA;L -UNrr COUNT
Fuel Type (electric/other) t
ryer
Length of Gas Piping
j ERange
Furn <100K BTUs
Gas Log
Furn > 100 BTUs
'Fans
Gas Hwt
Hood
Conv Burner
Duct Work
BBQ's ..
— Wood Stoves
-Air Handling < = 10,000 CFM
15-30 Tons
Air Handling > = 10,000 CFM
30-50 Tons
Unit Heater
50+ Tons
Miscellaneous
Fuel Tanks
Above Ground -
Underground -
Boilers
0-3 Tons
3-15 Tons
Total CitsitoGrtt,
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
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/Agent: _ _ _ _ Dale:
rU /
06
IM
ICI
LC&AL DLvGRIPTION
&ROUSE POINT 11LOT-4-1
A A
n
ADDFtGS9
310:2 S
ME30 Li
maaaay--� CHAFFEY CORPORATION
momoo 205 LAKE STREET SMTH, SUITE 101, P.O. BOX 560
Mmmoo KIRKLAND, WA5HIN6TON -180b5
M M M ■ M (206) 622-596I
-r- A
O
FILE
,)qq- 09 76
X E IVE1)
IR 131994
F FEDERAL L.DING D>P7 RV
-0051ws.r—
RE 16911 S.F.
.H. 200 5.F.
Ibb S.F.
�Y—qb-4-5.F,
,(joU5 5023 SP. (37%)
IFI ANT TkEC-5
NORTH
SCALE : I" = 20
end 1Y. _.
vATe II-I�-�i��
DRAWN BY pj
HOU_iE. <.)KI EN'I A rI ON
AG IS