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SETBACKS & FOOTINGS
Date - 5 By /0!
FOUNDATION WALLS
Date _ By
7
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date - "•_ By 02
SHEAR WALLS
Date _ 5 • 'j5 BY /"
7PLUMBING
ROUGH -IN
Date 1 By
7GAS
PIPING
Date �}'���-'� By �•N/
MECHANICAL ROUGH -IN
Date l- / - TS By AmAll
MECHANICAL. IOTHER1
Date By
FRAMING
Date I -IS- 4S By
71NSULATION
Date IL
7`7ws
- 1 ST LAYER
Date - — �'s By
7GWO
- 2ND LAYER
Date By
7SUSPENDED
CEILING
Date By
7PLANNING
FINAL
Date By
7
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
eLDcl4-07,
LCEiAL DESCRIPTION
N MO 15' 03' E 66 0'
S.W. 342ND. STREET
FILE
LOT AREA
LOT
772o S.F
COVE
5TRIJGTURE
1602 Sr.
ROOF O.H.
251 S.F.
PATIO
168 S.F.
YiA-Kp2R-X-----lo ` F
TOTAL IMPERVIOU5
2T34 S.F. C35%)
NO 516NIFI( ANT TREES
ON THI5 LOT —Ql<
NORTH
5CALE : 1 " = 20'
all A- Ail - j\�j j��y �r'}1�I 1
54� 1 �i�► A/ i a
i:��� CHAFFEY CORPORA—TION
[HOMUSE
■10■•❑ 205LAKE -STREET SOUTH, SUITE 101, P.O. BOX 560
loan00�,"R,KLAND, WA5HIN6TON g8085
06) 822-5981 ORIENTATION
PLEASE PRINT
T
S1'L0CAT10N&:;.::
Tenant (if known)
Building Owner Name
I -city -
I Nature of Work K
APPLACAW
jucv V 71
City of Federal Way
APPLICATION FOR BUILDING PERMITmo�f
WAY
-q APPL1CAT10N#.-,kj1
s 7"
Address
Lot X Asse3ssor4L's TIS-1 ax #
-2—!
1A C Address
Ts—t.to Zip Phone
T--
Name (F,M,L) C
Address
City
State
Tip
Contact Person Day Phone
Other Phone A
fax
RUILDING:COMMACTOIZ
Company Name
Address cl,
City I,—,, -r2—y—1
state Wx�
zip 93 OK S
Contact Person
Phono
ICA C)
Fax
— M 0�x
Contractor's # (card must be presented)
Ght F C-IeC=:)
Expiration Date
Verified 0 Yes E) No
I I
Name
Address
City
State
Zip
Contact Person
Phone
Fax
LEGAL DESCRIPTION
- 4
Lkaso Sam T Rey verso
CD6407 ffl.v 41031
-:
[,,,sting Use
AjA
Proposed Us
S
"Permites:
Building�
Plumbing
VA IF
j8[ Mechanical
k: &—Residential
AKI— New
❑
❑ Other
❑ Commercial
❑ Addition
Remodel
❑ Garage
❑ Number of Units _
Deck
Enter fat Floor aq It
2nd Floor sq ft 3rd Moor
❑ Shad
❑ Other
Area Basomont aq ft
Decks
sq ft Existing Floor Arau
eq ft Gpruge aq ft Proposed
aq ft
Water Availability 14, Sewer Availability lbk. On -Site Septic System Availability❑
Total Area
sy it
Zoning
—j
Project Vpluation
�-,-
(�
Lot Site
—+
Existing Lug Vnluation
$.
tLNULR
Name
Address
G
City
State Zip
MECHANICAL CONTRACTOR
Contractor Name
n
Address
City
Contact
State Zip
Phone Fax
License N
Expiration to Verified
❑ Yes ❑ No
PLUMBING CONTRACTOR
lContructor Nome
Address
City
Confect State Zip
Phone Fax
License ar
Expiration Date Verified ❑ You ❑ No
PLUMBING FXXTUR31', COUNT
Water Closets Sinks
Urinals
Bathtubs Dish Washers
Drinking Fountains
Showers Electric Water Heaters
Sumps
Levutories x Washing Machine
_. ( Drains
I►I- CXI.ANICAL -UNIT COUNT
Fuel Type (electric/other)
Gas Dryer
LenOth
Air Handling < _= 10,000 CFM
of Gas Piping
Runge
Furn <10OK BTUs
Air Handling > 10,000 CFM
Gus Log
Unit Heater
Furn > 100 BTUs
Fans
Miscellaneous
Gas, Hwt
Hood
Boilers
Conv Burner
Duct Work
O-3 Tons
DBQ's
Wood Stoves
3-15 Tons -
Lawn Sprinklers
Other
Total Fixture Count /
15-30 Tons
30-50 Tons
50 +�Tona
Fuel Tanks
Above Ground
Underground
Twill 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 apron to save harmlaaa the City of Federal Way as to any claim (including costs, expanses,
and atto(noyr' leas incurred kt Inve►tigation and delenan of such claim), which may be made by any person, includino the undersigned, and filed against the City of Federal Way,
but only Where ouch clean ■rue■ n, t Of Ihn rslia cc of the Cry nCluding Its officers and employees, upon the accuracy of the Inlormati n supplied to the City a •part of this
application.
OwnerlAganl:- �Z���