93-100210CITY OF FEDERAL WAY
33530 Pirst Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 3001 S 288TH ST
PARCEL NO.: 042104-9155
PROJECT DESCRIPTION: MR o MOBILE HOME SETUP
CAMELOT SQUAREo LOT #68
PERMIT NO.: BLD93m0077J'
ISSUED: 02/02/03
BY: aFLiP
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
bld_prmt 10/23/92
DATE
a�
1.UN 1 KAI. l UK
LENDER
CARLOS SANZ
HORIZON CONSTRUCTION SRVC INC
9842 21ST AVE SW
1940 ELM ST SE
SEATTLE WA 98144
AUBURN WA 98002
04492
922-9800
HORIZCS132LA
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 1
COMP PLAN ......... :HDR
FEES:
TYPE OF WORKAEW USE:RES
1ST.: 0:
891:sf
STORIES........: 1
REQUIRED PARKING..: 2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* $ 40.95
CENSUS CATEGORY ..... :112
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
BUILDING PERMIT....* S 63.00
:R3 :? :? :?
OTHR: 0:
O:sf
EXIST..S: 0
FRONT.........:
7.00 ft
SBCC SURCHARGE.....* $ 4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... $: 3920
SIDE..........:
5.00 ft
WATER SERVICE..:FED
:5N :? :? :?
DECK: 0:
O:sf
REAR..........:
5.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:01/26/93
0: 0: 0: 0:
TOTL: 0:
891:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES $ 108.45
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0 ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
SINKS ..............: 0
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......: 0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...: 0
OTHER FIXTURES.:
0
P.....: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS... : 0
G, OGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
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
bld_prmt 10/23/92
DATE
a�
SET BACKS AND FOOTINGS
DATE 3'3 =93 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 BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 3001 S 288TH ST
PARCEL NO.: 042104-9155
PROJECT DESCRIPTION: MH — MOBILE HOME SETUP
CAMELOT SQUARE, LOT #68
OWNER CONTRACTOR
_ OS SANZ HORIZON CONSTRUCTION SRVC INC
21ST AVE SW 1940 ELM ST SE
SEATTLE WA 98144 AUBURN WA 98002
767-4492
922-9800
HCRIZCS132LA
LENDER
PERMIT NO.: BLD93-0077
ISSUED: 02/02/93
BY: FLF
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 1
COMP PLAN ......... :HDR
FEES:
TYPE OF WORK:NEW
USE:RES
1ST.: 0:
891:sf
STORIES........: 1
REQUIRED PARKING..: 2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* $
40.95
CENSUS CATEGORY ..... :112
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK...* S
0.00
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gppn
BUILDING PERMIT....* S
63.00
:R3 :? :?
:?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT.........:
7.00 ft
SBCC SURCHARGE.....* S
4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... S: 3920
SIDE..........:
5.00 ft
WATER SERVICE..:FED
:5N :? :?
:?
DECK: 0:
O:sf
REAR..........:
5.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:01/26/93
0: 0:
0: 0:
TOTL: 0:
891:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES S
108.45
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 0
SHOWERS ............: 0
SUMPS..........:
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........: 0
VAC BREAKERS...:
0
BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
SINKS ..............: 0
DRAINS.........:
0
......: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
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
bld_prmt 10/23/92
DATE —2.` S21 U
RECEIVED Permit
or- Fitt. MY Permit #?�f- CSO 07
JAN 2-61993 F,- LE --
CITY OF FEDERAL WAY
alr BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: �� v �kY
OWNER s AZ SITE LOCATIONJU 4
OWNER'S ADDRESS CITY &2? -0f -_e PHONE
DESCRIBE JOB 4056,1
THE PROPERTY IS OWNED B : SINGLE/MARRIED PARTNERSHIP o/" CORPORATION
BOX 2 CONTRACTOR'S NAME "ems&tn) c S-r� CONTRACTOR'S REG. #AA1ZCQ�N-24°q
Card MUST be presented
CONTRACTOR'S ADDRESS SrCITY6jjVe&J PHONE n . /3-Ct2
EXPIRATION DATE 27-U, 7- ,,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 'f 27 9PHONE �Z?, Z _2 6 0
BOX 4 SEWER DISTRICT C WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER gm—t
LEGAL DESCRIPTION -
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1_9'1_E 2ND FLOOR 1
3RD FLOOR------/— BASEMENT______J_ DECK_____J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS ,
LAVATORIES
SINKS
DISHW ERS
EL RIC HOT WATER HEATER
UNDRY WASHER OUTLET
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
GRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER m $
BOILER, SIZEU $
qIR HANDLING S $
HEAT PUM , SIZE $
NIT TERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
An
OWNER/AGENT: DATE:
ANP -006 3,90