98-101695 _ '; 1' :�� I , �=t�=�L l��IF�Y ?�rti"fl � �it�: i3��.;���i-i's��33
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25�-661-4000 �_`!r�r("�.(=�" : �.: /�t�I<;,c-�
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PF70JECT DE���RI�TIC)�J:F;RE REPAIR TO EXISTING PLAYSNED- PEft ENGiNEERING DATED MAY 8, :998, BY DONA�D R. SCOTT
�- OWNER ==_�_-�.�=-_.._�����__=����==--=====-=-=�_�=___=__�,_==7� CONiRACTOR _-A�_--_�==w_�::��___==_=��,=:�._=�_�_�=�=��====z= LENDER ==_===��wy���.�_:�_��-�,=___=�__�=�=��______=___�=;
� PANTHER LAKf ELrM�NTARY SCHOOL ` MCBRIDE CONST RESOURCc5 INC � �
� 34424 1ST RUE S � 224 NICKERS�N ST
FEDERAL WAY WA 98D03 � SEATTLE Wfl 98104
� 939-9250 , 206-283-7121
_�M1 ^^---- ; MCBRICR099J1
;
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- - -
__= COIiTRAfTORS, PLEASE USE LOCATIOM CODE 1732 NBEN REPORTIN6 SALES TAX fOR PROJECTS MITHIM TNE CITY OF FEDERAI YAY. TAX RATE = 8.6� ;#;
F_nc_'ca-a�._mnz�.:=ae__'c �__'ecc_e_=:c•_:_�cc'_:n�ca=:�»:::.x::=c::r:::_x=cs�:�.:r.e.�-...:aa�¢.:ns.:c_' xr__cocn_-cc'_xc'v cc_"=c=-�_a_.:cccc�r,c_...'=m:c�c_c_c_�a ev_ee¢ec__�ece==eceeee_c;�m_c_�cecc�ccs:=�eaF
� BLD?:X �1EC?:? PLM?:? FLR--EXIST--PRQP--- D�'iL;.�hG l;NITS: C � COMP PLAN.........:? � FEES: !
� TYPE OF WORK;REP USE:COM 1ST.: 0: O:s� S'ORrcS........: 0 � REOUIRED PARKING..: D SPRIMKtERS?......:? BUILDIN6 PERMIT....� $ °9.00 �
� CENSUS CATEGORY.....:? 2ND.: �: O;sf �� HfIsNT., , ,,: D,QC ft � � HRlARD CLRSS...:? � SBCC SUACHARGE.....� $ 4.5D !
� OCCUPANCY GROUP---------- 3RD.: 0: O:sf 'JRtL�A?.^u---------- � R�QU.REi SE?BACKS------ �;p: t�QW....: 0 gp�^ ' �
� . .o •� •� • OTHP,: 0: O:sj EXIS?.,$: 0 FRONi...,.....: �.Q�J f` � l
.? .. .. .. . {
TYPE OF CONSTRUCTION----- BSMT: 0� O�sf PROF...$: 7500 S:DE,.........: G GO f� k�'�R SERt'I'��..:? ;
� •� •� •' •� � DECK; Q: O:st � RERP,..,. ...... �.v�.;� 5:�;:° �ERVICE.,:? s ��
� .. .. .. .. . � � ��. ��.' �
OCCUPRNT LOAD----------- GRR.: 0: O:sf REC�,VED.:�5(12/99 � �
, : 0: Q: 0: 0: ICTL: Q: O:sf � "RERV 5�RFACf: 0 sf SENSITIVE AREAS?..? ?
- ------------___ ___________- - ���,����=�„_-:�_�:.._�__:�=�r�-�=:. � �_���_:��::����__=_____=________________=_____=-===__�
- - .:. _
� FUEL TYPES.:? ? FRNS........,.: 0 BOILERS;`C^MPP��S5CR=: , sr'RiER CLOSETS......: 0 URINALS........: 0 ; TOTAL FEES $ 103.50
I GAS PIPING.: 0 ft HCOD.,.,,.....: 0 0-3 TCN,..,. . � ; BRTH TUBS..........: 0 DRINKING FOUNT.: 0 �
� FURN<1COK..: 0 DUCI WORK.....: 0 3-15 ?ON....: 0 � SHO�IERS............: 0 SUMPS..........: 0
�AS HWT....: 0 WOOD STOVES...: 0 15-30 TON...: 0 : LAVAIQRIES.........: 0 VAC BREAKERS...: 0
E CONV BURNER: 0 FURN>100K.....: 0 3Q-50 TON...: 0 � SINKS..............: 0 DRAINS.........: 0
� BBQ........: 0 MISC.....,....: 0 50+ TON.....: 0 � DISN WASMERS.......: 0 LAWN SPRINKLERS: 0 �
� GAS DRYER..: 0 AIR HANDLING UNITS fUEL TANKS--------- � ELEC '�TR NEATERS...: 0 0'i'�ft �i;�'JR�S.: 0
RANGE......: 0 <=10,000 CFM: 0 RBOVE GRO!�ND: 0 j LAUN WSHR OUTLTS...: � i
� � GAS i�GS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ' � � �
�,__ __._,..____..__�_____�...._ .---. -----___�_____.___�---__._...�___._._ -- - -- -- ---- -- - - - --- ---- - --- - - --- ---
_.�._ ..._.,_ ._ _---------------- ---------- �..._________________----------- ----==--=-- ,. .---- _--------�----------------______---______-__
_ :.-_:�_�_:_.:_.: _-:.,_-_:.._ _._.:_�_..... ._._ ... _.. _ __ ___ _ .-_ ____ __ �
PERMIIS EXPIRE 180 DAYS AFTER ISSUAMCE IF MO YORK IS STARTfD. RESIDENTIAL AMD 6RADIN6 PERMITS EXPIRE OIfE YEAR AFTE� DATE OF ISSUAMCE.
I CERTIFY THAT TNE I TION URNISHED �E IS TRUE Ai1D CORRECT TO TRE BEST Of MY KMOMLED6E AND INE APPLICRBLE CITY OF FEDERAL iiAY REQUIREMERTS UILL BE MET.
OWNER OR AGENT __ �� f �
-lJ� ----___-.:-- . _ _---._________._.___,__---.-------------------------- DATE c,.�_1�_�v____
FILE COPY
' BUILDING DIVISION
� �1OF G 33530 First Way South
---�- EDEstfiL ��-��;,�+--: Federal Way,WA 98003
VV F'N (253)661-4000
, ��Y 1 � `:�_ Fax(253)661-4129
APPLICATION FOR BUILDING PERMIT
PLEASEPR/NT APPLICATION # , �►"'�,�����J ���
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<�:�:��: Address / �
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TerZ�nt(if known) Lot# Assessor's Tax #
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Building Owner's Name Address
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Ci ` ��.' State Zi �.��-j Phone '1.>� `��/-�j `�`f.�r
Nature of Work �:� k.'.. ��/LC.I'�- �l,n Ir l, NJ %E 'ci L `�:`)� �7
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Name (F,M,L)
Address
Ci State Zi
Contact Person Day Phone Other Phone Fax
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Company Name
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Contractor's #(card must be presented) Expiration Date Verified ❑ Yes O No
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Ai�CHIT�GT _ .
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LEGAL DESCRIPTION
P/ease Coma/ete Reverse Side
pr s?:� Exis'
tin Use
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s�<;>:�[iG:�:�:�>:�:�:�:�>��:f>:�>:.;��:�������:<:�:��:�»:i:�>:�>:�>:::::::�::�:::���::::::�:��:2<�>:<�:... ed Use
:5�....��.�..i��'�...............................:::::::::::::::::::.::.::::::::::::. 9 Propos
Permit includes: ❑ Buildin ❑ Plumbin ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition � Gara e ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement s ft Dacks s ft Gara e s ft Pro osed Total Area s ft
Water Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabili ❑ Pro'ect Valuation S � C.V��`>`�
Zonin Lot Size Existin Bld Valuation S
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Name Address
Cit State Zi
1vE��HANIGA�:+�fl�i'�'EfiA�7'tS�t ...
Contractor Name Address
Cit State Zi
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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Contractor Name Address
Cit State Ti
Contact Phone Fax
License # Ex iration Date Verified ❑ Yes ❑ No
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. .:..:11�fa:�I��F�:C��J1�1�1�'..:::.:........:.::..::.
Water Closets Sinks Urinals Lawn S rinklers
Bathtubs Dish Washers Drinkin Fountains Other
Showers Electric Water Heaters Sum s
Lavatories Washin Machine Drains 7flts1:::Fixtare Gou�t :
:7Y)G:�li✓:;�:::>��:::;:�:::�:::::�;?:;;>::::::::::>::>�:::>::�.>:�::;::��:�:>.".:�:::::>�..�;:..:::>?»?>::?�::::::::>>:>;s::':::>'::
H��VIC��.:�IV����E�NT.... .::::::::::::....::: MECHANICAL EVALUATION ONLY 5
Fuel T e (electric/othar) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons .
Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Lo Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Under round
BBQ's Wood Stoves 3-15 Tons Tbtal'Unit Count
DISCLAIMER:I ce�tify under penalty of perjury that the infonnation 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 perfoRn the work for which pemtit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attomeys'fees incuired in investigation and deferue 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,qfthe rGliance ofthe cify,including its officers and employees,upon the accuracy ofthe infortnation supplied to the city as a part ofthis applicatioa
,-;f � i
Owner/Agent• ����G , ` 4" � ' - � Date: ��'[�-.��j
�
Buaon1c.Arr
Revseo 8l28/97