92-100450p
W—
a
D O T
w v w v T
v v
<
v
to r
cn
W*
v
p N
z
a
o o m
m o
r
3 y
c m D m r
T 31 c
r m
D 37
D
r
Z D
<
x
p
D D
�
r
C
n 0
Z
�
m<
X
O O m
Z 2
z
x
0 m�
m
o r D _ K
Z K
c
x
W
i
--I
x m
3,
m
c
m
D
��
m
m�
z 70 m
o o D v a _m
o
a
c
a
v
o
x
31
T
m
m m
T i< o Z Z
x T
p
U)
37
Cl)
Do o
r0
Z
a
c
0 r
W m 0 Z
O
3
v m
O
m p m T (� O
m
n m
m
Z
x
m
O
O
0
n
<
c
Z O --4 O
D
2
m
m r, co m�
m
m
�>
p
A
m
N\ m
a'
'�
LzJ
Q
m O N
Z
m
NPI--NNW�l
N
0�
m
m
00\
01
o
O)
•
O
N N
N
ff U7
O
o
U,N
O
_X
y
I
--A
H
C:
X�
PO
c
54
..
W
U I �l
N
'US
x
chi
1 a'
�-A
W
N
W N Cl F. 10
m
O
O
00
�A U1 00 00 O A. O
N
W
0
FA m
m
C m
O
rNy
F-•
v O
m
v
.
D
0 Z
z
Z o
o m
W
� O O
Oh
Ln O O U7 O O O
Cn
T
z
r
x x
Z ca
C7
O
z
zCO
Ul
00 0000
�I
x
v
�'
< O
CO D
L=1
�ol
~
c
o
m
�
70
m
a
0
m
c
a s
0 �n
W
n
O
?
D
U) m
0 m
O
D
m D
Z z
v
p
Z x
m m
�1
m a y
b
b
ai
mD
M
Z
3 D
m O m
❑ H
w
m
Ul
�a
0\ v z
l� rrj
9
x!
N O
C
�
H \
�zj
z O
4
0r
N
D rn H
mM
Z
c
Z
'
0
z
Z
rn
v
v�
E
d
D
z N VI
v
v
w o>
T
m
LTJ b id H
U)i
a
m
m
z w
m y F -A Cy
m
G
i,R
b H
<
p z
of
>
M ai
m
0
m
m G)
0 x trJ
oo
m
x
O
m v
x
z
7 y
z LTJ
n H
0
'v
v v
G)
Z
p
v
y
m
v
z
N
�P
b
LTJ
z
D�
a
p
M
o
2
v
m
`
Fd id
',�
O
'�
m
m
e W
a
I�
v
En G�
a 7 LTJ
M
O
0
O
C
y�.�
c
m,
.P
CD
z
v
't�3rJ!
m
cn
r
C 'Ci
z
70
a
m
I� V�
-
L -I
Op
Cly
H
o
s31R
N
II
Z
O
s
H�
T
I I
m
iri
0
p
I I
I-+ m
70
ONO
<
p
'7d
LTJ
CS
W
K N
z
LTJ C
m w
U7 C 0
3.m
3
OT
Z
:1) Ab
p
=
iTJ z
b w
D z
+
O •
v
v
v
Imo
N
b
x
D
>•
D
3
ti
LT1 LTJ
W
D
v ci
a��y
v
Z
N
H
a)
cyi
x
m�
y
70 o
C,
o
CJS
M
_
m
o
a
r
m
m
Do
o
U7
[+�
H
bm
m
m
x
z
y
v
,D'
N
o
cCn
D>
m
=
z
c
�n
G:
Z
o
z
m
o
b LTJ
D
1
W
v
T
D
D W
C,
m
a
C
m
cn
a
a
0
o
tzj
O
n
>
3
T
N
r
mz
p
O
m
lop
Nix
N
m 0
T
y
Ln 0
z b
m
U1 x
v � r
m
m
a
m
z
m
W
00�
W
y
r
O
c
m
z
3
Lo
0 p
N
z
x
m
W
<
v
m
<
M
c
m
v
x
m
v
0 W
00
O
pn
m
rri
N
c 00
c
CC)
r
70Z
N
n C11
m
p
o 0
m
z
v
z
G7
r-
r
W
C
r
v
m
3
Z o
O
U�
W
0.
cn
Z
�
cc
LU
no
0
z
�
�
�
�
�
�
,
z
§
)
�[
co
v
LU
§
.
a
\
.
\
g
=
)
§
/
z
e
7
±
§
&
_
0
-
0ƒ
0
2
)
2
g
z=<
2
w]
I
/
e
=
\
j
1
LLI
o z
$
cc
LL
o
0
.,
LU»
LL
§
(
E
a
2
L�
g
ci
`
-C
±
\
ci
CL
)
LU
o
=
<
CL
j
<
§
/
<
K
e
o
0
2
b
w
%
<
w
$
\ j
§
ƒ
)
)
G
°
�
E
CO
S
#
/ mug
<
Cc
°
_
§
<
o
CO) or
e
z
/
I
<
A
R $
&
\
§
j
°
<
Irc
LU
<
<
CL
S
<
1:
§
\\
±i
f
2
LU
.
2
E
_
F-
■
z
LL
2
z
:
w
§
E
'
-J
\
Er
z 2
E
§
S
c
.
<
0
§
2
§ E
3
§
$
\
BLL
)
\
k
/
Ld
,
§
;
§
n
®
d
a
EBG
E
.
.
®
z
o
CC
ƒ
@
z
=
CL
u =
>
I
.
.
F-
k§\}
CD
\ k
k
k `
§
§
\
a
§
z /
2
§
§
M
.
,
§
$
§
k
j
2
\
Lij
_ -
\ \
g
§
<
w
R
e
<
uj
CO
c
< _
�
<
b
)
§
<
z
z
=
z
/
Lu
Q
¥
$
Q
E
_
z
m
z
o
§
§
}
§
k
\
LU
§
(
z
z
cc
z
]
LL
_
)
\[
§
k$
k k)
I
J
§
o
G
5§
B&
2
2
`
Cf)
/
..
e
«
2
2
§,
o
6
k
U-
z
@
,
`,
cc
x
w
%
z
§
§
9
w
�
§
}
k
=
k
!
E
G
»
(
)
§
LL
�
w
ƒ
,:.
<
_
»
§
t
e
Ir
d
°
e§
z
=
o
o
g
m
m
_
z
§
o
=
g
)
o
w
w
c
s»
o
z
o
5
e
=
z
<
o=__
m_
®
=
z
z
9 E«
w
ƒ e
w-
AIr
<
R)
S
=
§
E
d
R n
7
<
e
o
<
=
g@
w
_§
a
u
z
)
&
§
/
§
z
0
§
e
§
\
S
/
R
o
<
2
g
@
= o
-j
w >
«
±
_
%
<
< _
< z
m
<
�
«
_
e ,
-
o u
ƒ/
S/
z
M
@
E
IL;=
n
u 7
a
>
1
2
2
, j
m
w
LL
o<
«_
m
o
SET BACKS AND FOOTINGS
DATE . -l? BY %%
O.K TO POUR FOUNDATION WWA�L�LS�
DATE _t2/ _BY «--ter✓
PLUMBING GROUNDWORK
DATE _ _ BY
PLUMBING ROUGH IN
DATE -7-%"_I_ yZ.BY
WATER LINE O.K.
GAS PIPING O.K.�"��' `I
MECHANICAL INSPECTION
DATE -Z%L/ -i; 2 BY
O.K. TO ENCLOSE FRAMING
DATE _7-1'1.l 2- BY Z`_
INSULATION
DATE _ 7:_._6• -9-'2-.-BY _ ]
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE -9-Z-912- BY-
DCD
PSD
FD
G %A n Ago
,'t
Pk nit #
� •fir �
CITY OF FEDERAL WAY
A,P�"�-vr BUILDING PERMIT APPLICATION
Ra— — Please Print —
BOX 1
TENANT NAME:
— BASIC FEE $
NO—i-WATERCLOSETS
OWNER 10RGko�
O SITE LOCATION
9A A is A
A BATHTUBS
OWNER'S ADDRESS lo %% Ea R til S • Su
L QP'A CITY POy,4LLU e
PHONEE '
i SHOWERS
DESCRIBE JOB S:nG Le r,– RfY,,j 4
$
- 4
44 LAVATORIES
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP— _
CORPORATION 2e
BOX 2
CONTRACTOR'S NAME 6 ► 41k=
C90%L10. 't–' CONTRACTOR'S REG. # it IA6 j 3160
DISHWASHERS
AIR HANDLING UNITS
Card MUST be presented
CONTRACTOR'S ADDRESS \CA% V-- ► s'Ts Sv+kz, 2)04 CITY_ PQ4 ,►'CLW P
PHONE
$
EXPIRATION DATE
i LAUNDRY WASHER OUTLET
_UNIT HEATERS
$
—OR—
AIR COOLING UNITS, SIZE
$
I HAVE READ CHAPTER 18.27.01 O RELATI O DEFINITIONS
OF GENERAL CONTRACTORS AND SPECIALTY
CONTRACTORS AND
$
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS
WITHOUT PROOF OF REGISTRATION.
OTHER _
BOX 3
CONTACT PERSON L Pz�)'..
PHONE R-1
BOX 4 SEWER DISTRICT V i& V), G "L "(a A
WATER DISTRICT
OTHER
BOX 5
ESTIMATED PROJECT COST %411.020
EXISTING BUILDING VALUATION
-b-
BOX 6 PROPERTY TAX ACCOUNT NUMBER 4 161'1 tv - b V3 'b
LEGAL DESCRIPTION Lio I # 3 1„ PtK1bLS PWASe SEG. I–rain R E U! -viv
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # l7'1 a"415 QL
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I l lip 2ND FLOOR
3RD FLOOR / BASEMENT / DECK_____J_ GARAGE____J_4—
BOX 8 (X) SINGLE FAMILY ()0 NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 7)4Q- SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES
— BASIC FEE $
NO—i-WATERCLOSETS
GAS PIPING, FEET 3 1
$
Z - o
A BATHTUBS
NO. FURNACE, ELEC.. GAS-
$
10
i SHOWERS
GAS HOT WATER HEATER
$
- 4
44 LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
i LAUNDRY WASHER OUTLET
_UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER _
$
DRAINS
$
OTHER
$
FIXTURES
$
_TOTAL
+� _ -�p . d1D
TOTAL MECHANICAL FEE
$
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 ASTO 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 EMPLOYE , UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: - _ DATE:
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SETBACKS: FRONT SIDE �� REAR HEIGHT LIMIT
ZONE��•�
PLANNING QFfAgTM�NT APPROVAL g �y �
o wl ing shall encroac a to any Duildfng setback Me or easement, shown or not shown.
RE RKS.
`O r'
f
SEP4:-EXEMP7 ! NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATA•
REMARKS
PUBLIC WORKS DEPARTMENT APPROVAL DAT -
REMARKS:
to the � 3ravdd s r s a -� �� sr�c
TYPE OF JOB: NEW RESIDENCE�C RES. ADDIALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADDIALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OWUPPNCY f 1 TYPE OF CONSTRUCTION V STORES
`'tv►wa BUILDING SQ. FT. @ �2 �,Q,•, - S
BUILDING SQ. FT. �"L _ @ WOO • p
BUILDING SQ. FT. %@ [, �j b _, - tf (, ( p
` BUILDING SO. FT.
x
BUILDING SQ. FT. @
BUILDING SQ. FT. _ @ _� U
TOTAL SQ. FT. TOTAL VALUATION ( 7' 6 { ` 44 If
BUILDING DEPARTMENT REMARKS: L-sav- 4n54,Nae7 ?u
?� v
RECEIVED
?.E
PERMIT FEE
?qa
PLAN CHECK FEE
Lf
PLUMBING FEE
to .00
MECHANICAL FEE
To
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
fvw-ic Woexs
35 • coo
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 31-7 1 a I Z FT S
c^ .5413TIAL PLAN CHECK FEE RECEIVED(pa
Amount a Date U 12Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE_ �—�j ` t Z..
ACCEPTED FOR FILING
- 70k C'Z t �J �2� W.M ,
YO 90q,� V. \W Dei , I.I Ac,� Gr. W a ,
-
5y
far wv u�L���2E0 �i'L D�- t312Pl'
�W� Y�Aid-1 Iti zl�`.&N .
DOVVE� �Nk4lk n��T
"gf, N4
SITE PLAN APPROVAL
Permit Number:
Approved By:
Date: -,
VA/vj t AsizvTnIO
Is
r-KcANIX-+lva = — (o I
43'-0`'
EMOMMM
-10gj"
-�- j
N
�L
r %"
9 IOZ
X9 9?
/
L4&"" ""
iz = 23�, atm
�µ f7L
I
�
I
I
/
N'
-�- j
N
�L
r %"
9 IOZ
X9 9?
/
L4&"" ""
iz = 23�, atm
�µ f7L