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t Lr
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
7
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FFtAMING
Date By
7SHEAR
WALLS
Date By
7PLUMBING
ROUGH -IN
Date By
GAS PIPING
Date By
7
MECHANICAL ROUGH -IN
Date By
MECHANICAL IOT.HER)
Date By
7
FRAMING
Date By
INSULATION
Date By
7GWB
- 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
7SUSPENDED
CEILING
Date By
PLANNING FINAL
Date By
7ENGINEERING
FINAL
Date By
7FIRE
.FINAL
Date By
7BUILQING
FINAL
Date f[]w l- By
7'OTmR
Date By
7
OTHER
Date By
CDO193
rreror �
) F3Y
PLEASE PRINT
IN
FIECEIVED
fa 211998
BumDING DIMISION
33530 First Way South
Federal Way, WA 98003
(253) 661-4000
Fax (253) 661-4129
C1i�O 0 NC] I71~F+l vi.Y
APPLICATION FOR BUILDING PERMIT
APPI WATICNH At
Address 14- s, 32 --O
Tenant (if known
Lot # 8
Assessor's Tax #
Building Owner's Name
<P
AL
Address e O I S (& f i !VG '
( q- s • 3 Z L4 7H S ,T. s'7� zo3
f izrnl
Ci A
State
�11�
ZipO � IS
' IP
Phone
Nature of Work Pv-mol1 ti0t a� Wall
Name (FiM,L)
L11
[JA
Address � � � ,o j S� � � • - �
�f l W
City
State W
r
Zi
Contact Person Day Phone
..�T' °- ol3
Other Phone
%s - -err
Fax
zs3
FEDERAL WAY BUSINESS LICENSE #
Company Name
Address oPy P
City
State 1& -
zip)
Contact Person
Phone ,
Fax
Contractor's # (card must be presented)
Expiration Da
i U
Verified & Yes ❑ No
r
LEGAL DESCRIPTION 56C- iL�-Tq Pj� 0
Nei)" a0m 6t Reverse Side
• < .
Existing Use (
Proposed Use��1
Permit includes:
❑ Buildino
❑ Plumbing
❑ Mechanical
OL Other
Type of Work:
❑ Residential
❑ New
❑ Remodel
❑ Number of Units
❑ Deck
❑ Commercial
❑ Addition
❑ Gara e
_
❑ Shed
X Other'PF-00i
Enter 1st Floor 14_, 5'b'9sq ft
2nd Floor (67,L�iei sq ft
3rd Floor sq ft
Existing Floor Area
sq ft
Area Basement
sq ft
Decks sq ft
Garage sq ft
Proposed Total Area
sq ft
Water Availability
13 Sewer Availability
0� On -Site Septic S
tern Availability ❑
Project Valuation
$ y�
Zoning
Lot Size
Existing Bldg Valuation
$ 1, $3✓� i0 or)
LrhproYer�rt
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
�- •,•� ,,
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains
Total Fixture'Count
%.. l i 1, '' '' ? ., ., >: CCQ -, =: ; `<
MECHANICAL EVALUATION ONLY $
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 Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ's
Wood Stoves
3-15 Tons
'i'otai Unit Count
DISCLAIMER: I certify under"penalty of pequry 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 harm -Jess the City of Federal Way as to any claim (including costs, expenses, and
attomeys' 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 oTthe city, including its officers and employees, upon the accuracy of the information supplied to the city as a part ofthis application.
Owner/Agent:
Date: C r
11 a wa.Aw
RwV o 8126197