92-100275CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
q D-) C)
BUILDING INSPECTION
661-4140
CHARWOOD
PERMIT NO. 92-211 MH OWNER'S NAME ROBERT BECKER SITE ADDRESS 1660 S 333 ST #42
CONTRACTOR B&M MOBILE HOME SERV ADDRESS 10702 43 ST CT EAST PUYALLUP CONT. PHONE 845-3910
CONT. REG. NO. BMMOBHS124DS EXP. 3/92 OWNER'S PHONE 772-3174 OWNER'S ADDRESS 11448 RAINIER AVE S #31 SEATTLE
TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER SET—UP MOBILE HOME ONLY
TAX ACCOUNT NO. —49-7888-888-1 797880-0384LEGAL DESCRIPTION LOT 42 CHARWOOD MOBILE HOME PARK KING CO WASH
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 2/10/92
BUILDING INFORMATION
RM3600 81 31 301 MAX
3 1
ONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
rzpcL
CCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. O/S _TYPE OF HEAT NA BLDG. SO. FT. 770 STORIES NA
UMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS – ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS _ URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS MISC.
BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT ___NONE__
$3,388
VALUATION
PLANNING DEPT APPROVAL = DEB BARKER
$63.00
PERMIT FEE
PLAN CHECK FEE 41.00
"PARKING AREA SHALL BE PAVED TO BE CONSISTANT WITH PARK DEVELOPMENT"
LUMBING FEE
CHANICAL FEE
BLDG DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
4.50
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: $108.50
$108.50
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FU (SHED BY ME IST E AND ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
`tom_
OWNER OR AGENT i DATE
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT BUILDING INS 66CTION
4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS _
CONTRACTOR
_ ADDRESS CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI—FAMILY
(UNITS ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO.
LEGAL DESCRIPTION
ISSUED BY
_ DATE OF ISSUE DATE OF APPLICATION _
BUILDING INFORMATION
ONE
SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY
TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING_ . FT. GAS LOGS
RECEIVED
BATHTUBS
LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK _
SHOWERS
URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES
DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS
MISC. _
BBQ BASIC FEE
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION
'_>T ANN 1 iw, tiNer APPROVAL _ DES 113AIi$-Ji
PERMIT FEE
PLAN CHECK FEE
"PARKING AREA ISH -ALL BE PAVED TO BE CONSISTANT WITH F'
PLUMBING FEE
_
MECHANICAL FEE
BLDG DEPT APPPOVAL KEVIN ELLIS
T P/C FEE
is
EARPA REVIEW
rS
UBLIC WORKS
.B.C.C. FEE
FIRE FEE
DATE:
$108' t` 1 _�
OTHER FEES
AMOUNT DUE
AMOUNT: —
RECEIPT: DATE
_
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT
DATE
SET BACKS AND FOOTINGS
DATE ____--BY -.._-_.....-_...... .
OX TO POUR FOUNDATION WALLS
DATE .___-._,BY -__._. _...._-_.
PLUMBING GROUNDWORK
DATE - BY
PLUMBING ROUGH IN
DATE .._ __.BY - -__ _
WATER LINE O.K.
GAS PIPING O.K. _--_._-....- --._
MECHANICAL INSPECTION
DATE _ ___BY
O.K. TO ENCLOSE FRAMING
DATE ...._ __....BY _ _
INSULATION
DATE _.......-----BY ............._....._
WALL BOARD AND FIRE WALL
DATE
FINAL O.K. TO OCCUPY
DATE _____..__BY _ .BY _ --. _ _.
DCD
PSD
FD
RECEIVED Peru #—
FEB 10 1992 CITY OF FEDERAL WAY
ORYOF w�� A'BUILDING PERMIT APPLICATION
— Please Print —
L� e i
BOX 1 TENANT NAME: ( 60 S C,4L,-j F' cLo r c 3
OWNER '- �^ S E LOCATION &i U_ ' ., l n•
OWNER'S ADDRESS'� ' U # - i CITY S vn H/k1 PHONE 7 �' 31714
DESCRIBE JOB otic ' -: P es e4,)4
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME lW /n;'& CONTRACTOR'S REG. # 13,-I i 61-f I -j Lt'D
Card MUST be presented
CONTRACTOR'S ADDRESS 107Da Lt3. d 5t. Gt, �A,Sf` CITY PHONE L1
EXPIRATION DATE .3 /Ail Z`�
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON oh f �j E,t c PHONE 7
BOX 4 SEWER DISTRICT Feder 0 l ck) I V WATER DISTRICT Fedevill (_0C?v
BOX 5 ESTIMATED PROJECT COST 1 3 00. OC' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER q=-= o
LEGAL DESCRIPTION
(It necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 7 7C 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
—_SHOWERS
___ LAVATORI S
SINKS
DISHWASH S
ELECTRIC HO WATER HEATER
—_LAUNDRY WAS R OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPR1NKLER VAC BREAKERS
DRAINS/
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0._ FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER, `
$
CONVERSION BURNER ;!
$
BOILER, SI BTU
$
AIR HANDLIN UNITS
$
_—___HEAT PUMPS, S
$
_UNIT HEATERS
$
AIR COOLING UNITS, IZE
$
COMM
OTHER
$
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 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 EMPLOYEDES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
- OWNER/AGENT:
DATE:
ANP0083/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELO THIS LINE)
ZONEE'SETBACKS: FRONT g� SIDEREAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL -g e?
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
'1-4 /' C_
DATE
DATE
ore
BUILDING DEPARTMENT REMARKS:
0,!
�C; 00-
1 \% -a&
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE ` To
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL f/
BY % c DATE (3 _l
ACCEPTED FOR FILING
TYPE OF JOB: NEW RESIDENCE RES.
ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT
TENANT IMP.
OTHER
OCCUPANCY
TYPE OF CONSTRUCTION
STORES
�o� Uti
BUILDING SQ. FT.
7 70 @
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SO. FT.
BUILDING SQ. FT.
@
@
_
A40�
3
TOTAL SQ. FT.
TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
0,!
�C; 00-
1 \% -a&
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE ` To
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL f/
BY % c DATE (3 _l
ACCEPTED FOR FILING
O'. �lrilT
REGISTRATIONNUMBER "plo"okDATt;
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10709 ORD S'T CT F
Puy
98372
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SIGN -
iceii
I
RECEIVED
FEB 10 1992
OITY OF FEDERAL WAY
BUILDING DEPT.
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