94-101278CITY 33530 OF FEDERAL AY IT NO: BLD94-0516
FSouth
irst Way BUILDING PERMI
PEM
TISSUED: 07/11/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: JTH
661-4000 EXPIRES: 01/07/95
ADDRESS:3001 S 288TH ST Unit: #66
NO.: 042104-9231
PROJECT DESCRIPTION: MOBILE MAE SETUP ONLY
CAMELOT SQUARE PARK, SPACE 166
ONNER CONTRACTOR
LENDER
NARK/JULIE HOLT NORTHWEST SERVICES
2306 SV 334TH PL, #F4 614 1971H AVE CT f
FEDERAL WAY NA 98003 SUMMER $A 98390
8ZS-3733
4W.
BLD?:X NEC?: PLN?: FLR-;;', �'�"'r_PROP-411 3
ELLIW j 5 CW tA R FEES-
k�0�";g
IST e
�IAN CHECK DEPOSIT.9 52.65
TYPE 3f'1ORK:NEN USE:RES
slow WIT,
ow M,Iff 1w,2w,V%-'R
CENSUS CATEGORY ..... :1 I2e4,'y_',,ej,,4* �MW BUILDING PERMIT....# 81.00
OCCUPANCY GROUP----- --- - 26 VAL FIRE RCHARCE ..... 9 >1 4,50
?
? ? ?Y Rte'EX
v
6T-......... 24.00 ft
TYPE OF CONSTRUCTION
. .. . SIDE..........: 12.00 ft NATER SERVICE. .:FEO
_q' 0'.
_j
RE
:? :? REAR........... 10.00:ft SEWER SfRVICE..:FED
OCCUPANT LOAD---_--______ G �'., Q lEI11ED.:0T{11J'
0:
OAD-------
0: 0- 0: 0: TOTL� 0: 1Wsf INPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:
FANS. . ........ :
0
OOILERSICOMPRESSORS
ITER CLOSETS__:
0
URINALS........:
0
TOTAL FEES 138.15
GAS PIPING.:
0 ft
IMOD..........:
0
0-3 HP......:
0
BATH TUBS..........:
0
DRINKINC FOUNT.:
0
fURN(I00K..:
0
DUCT NORK ..... :
0
3-15 NP......
0
SMOKERS .............
0
SUMPS...........
0
GAS NWT....:
0
HOOD STOVES.....
0
15-30 HP....:
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
CORY BURNER:
0
fm1I001 .....
0
30-50 HP....:
0
SWISS.....,,........:
0
DRAINS........_:
0
BOO..,.....:
0
NISC ..........
0
5+ HP.......:
0
0150 WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER,.:
0
AIR HANDLING UNITS
FUEL
ELEC WIR HEATERS...:
0
OTHER FIXTURES.;
0
IMF.......
0
<40'00 CFM:
0
ABOVE GROUND:
0
LAU10 VSHR QUILTS...:
0
GAS LOGS_:
0
> 10,000 CFN:
0
UNDERGROUND.:
0
PERMITS EXPIRE 1110 DAYS AITER ISSUANCE It AD WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE 001 YEAR AFTER DATE Of ISSUAKE.
I CERTIFY THAT THE INFORMATION fURNISFO BY ME IS TRUE AND CORRECT TO THE BEST OF MY XWOLEDGE AND THE APPLICABLE Pf FERERAI NAY REQUIREMENTS WILL BE NET.
FIELD COPY > dV
CD0193
S:
Date
By��,,�/
FOUNDATION WAcUS
Date
By
FILUM r311�10:: t3RQUNDWORK
..................................................................................
Date
By
UNDERFLOOR FRAMING
Date
By
SHEAR WALLS
Date
By
'PLUMBING ROUGH -4N:
Date
By
GAS PIPING
Date
By
MECHANICAL ROUGH .
......... _....
...........
Date
By
..................................................
MECHANICAL (OTHER)
Date
By
7.-
FRAMING
Date
By
INSULATION
Date
By
GiN... 1 S1 LAYER .
Date
By
71GWS
- 2ND LAYER
Date
By
SUSPENDED CEILING
Date
By
71
PLANNING FINAL'
Date
By
ENGINEERING FINAL_
Date
By
FIRE TINA L
Date
By
BUILDING FINAL
Date
By f;jGt/
OTHER
Date
By
7
OTHER
Date
By
CD0193
33530Firstt
CITY 0EWay South BUILDING PERMIT RAL WAY�FftISSUED: 07/11MIT NO: /9416
Federal Way, WA 98003 Building Inspection Requests 661-4140 8Y: JTH
661-4000 EXPIRES: 01%07/95
ADDRESS:3001 S 288TH ST Unit: #66
NO.: 042104-9231
PROJECT DESCRIPTION: MOBILE HOME SETUP ONLY
CAMELOT SQUARE PARK, SPACE 166
OWNER
MARK/JULIE HOLT
2308 SW 334TH PL, #F4
FEDERAL WAY NA 98003
CONTRACTOR
NORTHWEST SERVICES
614 197TH AVE CT E
SUMNER NA 98390
833-3733'
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
-' St,
0
0-3 HP......: 0
FURN<100K..:
SLD?:X NEC?: PLM?:
41
FLR,-PROP
DNELLIIdG,J��T���
TYPE OF NORK:NEN USE RES
15� 0 Ofi
'STO��
CENSUS CATEGORY..... 112} e, i, 0.;v
HE
OCCUPANCY GROUP-----
. 0
OVAL
? ? ? .?
0
30-50 HP....: 0
TYPE OF CONSTRUCTION -
- 11
�`, B0Sf
POP.,. .T 56
:? :? :?
5+ HP........ 0
GAS DRYER..:
OCCUPANT LOAD------------
6A,° bi`
RECEIVED::07/071
0: 0: 0: 0:
TOTL'` 0: m—sf
0
'FUEL TYPES.:
FANS..........:
0
BOILERS/COMPRESSORS
GAS PIPING.:
0 ft
HOOD..........:
0
0-3 HP......: 0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
GAS HNT....:
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>10OK.....:
0
30-50 HP....: 0
M ........ .
0
MISC...........
0
5+ HP........ 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS ---------
RANGE ...... :
0
<:10,000 CFM:
0
ABOVE GROUND: 0
GAS LOGS...:
0
> 10,000 CFM:
0
UNDERGROUND.: 0
LENDER
,�., FEES:
tEl7,
WPNCHECK DEPOSIT.HBILDING PERMIT...,
W-`_�� FI;'; 0' URCHARGE.....
FRONT.........: 24.00 ft
SIDE .......... :.12.00 ft WATER SERVICE..:FED
REAR..........: 10.00:ft SEVER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
WATER CLOSETS......: 0
BATH TUBS........... 0
SHOWERS ............: 0
LAVATORIES.........: 0
�iNKS............... 0
DISH WASHERS.......: 0
ELEC NTR HEATERS...: 0
LAUN NSHR OUTLTS...: 0
URINALS......... 0
DRINKING FOUNT.: 0
SUMPS....... 0
VAC BREAKERS...: 0
DRAINS.........: 0
LANK SPRINKLERS: 0
OTHER FIXTURES.: 0
TOTAL FEES
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE_ CITY F FERERAL WAY REQUIREMENTS WILL BE MET.
�,��--- _ -- - -------------- --_f-�'-_�
___-- DOTE
-
-- _
FILE COPY
52.65
81.00
$ 4.50
S 138.15
«.� Cit of Federal Wa
� Y Y
RECEIWIMICATION FOR BUILDING PERMIT
JUL 0 71994
PLEASE PR/NTAPPL/CAT/ON #: ' 05l i
C�--ac)
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YENDER>»>>>>>>'>»>>>>>>>>»>>>'< >>>
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Name
Address
City
State Zip
............................................................................-..............
...........................................................................................
............................................................................................
...........................................................................................
1ViCHA......... _ _......_................._.....................
............................................................................................
...........................................................................................
Contractor Name
Address
City
State
Zip
Contact /
1
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
............................................................................................
...........................................................................................
PLUMBING:CONTRACTOR<';::<
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
............
Tim
........................................................................... _.....
_..._.:
Water Closets
Sinks
Urinals
Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains
Other
Showers
Electric Water Heaters
Sumps
50+ Tons
'es
Washing Machine
Drains
i1'i<'>'»7at.Flr�3�anti<'< <<z>>>Lavato
__
................................................................................. .........
................................................................................ .........
MECHANICAI. UNIT CGUNT
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
Totsl.U..nit Ceu:::€<:€:><:.':....::
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 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 employees, upon the accuracy of the information supplied to the City as a part of this
application.
Date'