94-101941CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
Building Inspection Requests 661-4140
ADDRESS:3001 S 288TH ST Unit: 361
NO.: 042104-9231
PROJECT DES.CRIPTION:RES ADO# - DECK ADDITION TO MOBILE HOME
(NORI DONE VITHOUI PERMIT)
r0ONtR --------�—: TCONTRACIOR
VILLIAN EDNONSON
301 S. 288TH ST 1361
FEDERAL NAY #A 98003
941-6732
. . . . . . . . . . . . . . . .
BLD?:X NEC?: PLM?: FLP U.
TYPE Of ARK -ADO USE -RES IST,
CENSUS CATEGORY.....: 434
OCCUPANCY GROUP- ---
.?
ROUP-----:? :?
TYPE Of CONSTRUCTION -
OCCUPANT
0: 0: 0: 0: TO
FUEL TYPES.:
TANS..........: 0
CA"' PIPING.:
0 ft
HOOD..........: 0
FURN(100K..:
0
DUCT NOOK — - : 0
GAS HIII., - -
0
HOOD STOVES...: 0
CONY BURNER:
0
FUR#)I0QK--: 0
-.:
0
MISC .... . .... : 0
GAS DRYER—:
0
AIR HANDLING UNITS
RANGE.......
0
(nI0,000 Cf": 0
GAS LOGS—:
0
- 10,000 CFN: 0
NET ri
EX
S
f
BOILERS/CONPRESSORS
0-3 HP......: 0
3-15 HP.—.: 0
15-30 HP....: 0
30-50 HP....: 0
S+ NP........ 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND,: 0
LENDER
PLAN .......... LOR
IMPERV SURFACE: 0 Sf SENSITIVE AREAS?.:N
WATER CLOSETS— — : 0
BATH TUBS........ .. 0
SHYNERS ..... - ...... * 0
LAVATORIES.........; 0
SINKS- ......... 0
DISH VASNERSS ..... 0
FLEC VTR HE1`jT1RS ... 0
LAU# VSKA OVILTS...: 0
URINAL......... 0
DRINRIK FOUNT.: 0
:SUMPS........... 0
VAC "EAKERS..., 0
DRAINS...,...... 0
LA*N SPRINKLERS: 0
OTHER FIXTURES.: 0
PERMIT Nu. bi-094-0777
ISSUED: 10/19/94
BY: JTH
EXPIRES: 04/17/95
FEES:
L PLAW I DEPOSIT.t S 12.35
BUILDING PERNIT—.t # 19.00
-m 4.50
TOTAL FEES S 35.85
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO #ORI 15 SffiRILD. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
4 CERTIFY THAT THE INPIRMATIO# FURNISED BY HE IS TRUE AND CORRECT TO THE BEST Of MY INOWLEOGE AND THE APPLICABLE CITY Of FERFRAL WAY REQUIRFNEN7% VILL BE NET.
OWNER OR AGEN1
FIELD COPY
FIRM4#":
OA
, ........ :
5.00 ft
,5P1T
,S DE..........:
10.00 ft
$ATER SERVICE..:FED
REAR...........
10.00:ft
SEVER SERVICE
-10
IMPERV SURFACE: 0 Sf SENSITIVE AREAS?.:N
WATER CLOSETS— — : 0
BATH TUBS........ .. 0
SHYNERS ..... - ...... * 0
LAVATORIES.........; 0
SINKS- ......... 0
DISH VASNERSS ..... 0
FLEC VTR HE1`jT1RS ... 0
LAU# VSKA OVILTS...: 0
URINAL......... 0
DRINRIK FOUNT.: 0
:SUMPS........... 0
VAC "EAKERS..., 0
DRAINS...,...... 0
LA*N SPRINKLERS: 0
OTHER FIXTURES.: 0
PERMIT Nu. bi-094-0777
ISSUED: 10/19/94
BY: JTH
EXPIRES: 04/17/95
FEES:
L PLAW I DEPOSIT.t S 12.35
BUILDING PERNIT—.t # 19.00
-m 4.50
TOTAL FEES S 35.85
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO #ORI 15 SffiRILD. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE Of ISSUANCE.
4 CERTIFY THAT THE INPIRMATIO# FURNISED BY HE IS TRUE AND CORRECT TO THE BEST Of MY INOWLEOGE AND THE APPLICABLE CITY Of FERFRAL WAY REQUIRFNEN7% VILL BE NET.
OWNER OR AGEN1
FIELD COPY
CITY F FEDERAL WAY
0Firstt
BUILDING PERMIT
MIT NO:
PERISSUED:
BLD
33530Way South
FEES:
10/19/9477
Federal Way, WA 98003
Building Inspection Requests 661-4140
BY:
JTH
661-4000
2
EXPIRES:
04/17/95
ADDRESS:3001 S 288TH ST Unit: 361
NO_: 042104-9231
PROJECT DESC RIPTION:RES ADDN - DECK ADDITION TO MOBILE HOME
(WORK DONE WITHOUT PERMIT)
OWNER CONTRACTOR
WILLIAM EDMONSON
3001 S. 288TH ST 1361
FEDERAL NAY NA 98003
941-6732
LENDER
BLD?:X NEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 1
COMP PLAN......... ADR
FEES:
TYPE OF WORK:ADD USE:RES
1ST.: 0:
O:Sf
STORIES........: 1
REQUIRED PARKING..:
2
SPRINKLERS?......:?
PLAN CHECK DEPOSIT.* $
12.35
CENSUS CATEGORY ..... :434
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....* $
19.00
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE. FLON....:
0 gpt
SBCC SURCHARGE.....* S
4.50
:? :? :? :?
OTHR: 0:
0:sf
EXIST..S: 0
FRONT..........
5.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0.
O:Sf
PROP ... $: 700
SIDE..........:
10.00 ft
WATER SERVICE..:FED
:? :? :?
DECK: 0:
125:sf
REAR..........:
10.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:10/07/94
0: 0: 0: 0:
TOTL: 0:
125:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES S
35.85
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 HNT....: 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 NTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN NSHR OUTLTS...
: 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
PERMITS EXPIRE 1BO 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 OF FtE,RRERAL NAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT --r ----1--- C y? -?7_------------ DATE
o .f
FILE COPY
Name (F,M,L)
Address
City
Contact Person
City of Federal Way
APPLICATION FOR BUILDING PERMIT
Company Name
_ f� P- 2 . S�
Address
City
Contact Person
Contractor's # (card must be presented)
Name
Address
City
Contact Person
LEGAL DESCRIPTION
APPL ICA TION #:
RECEIV
OCT 101994
CITY OF FEDERAL WAY
eu IMG DEPT.
L-fJgq- 07'17
Address
Lot #
Assessor's Tax #
`
6 L4 Z- 0 -qZ,3/
Address
AA
State
Zip
Phone c w
State
Zip
Day Phone
Other Phone
Fax
State
Zip
Phone
Fax
Expiration Date
Verified ❑ Yes ❑ No
Please Complete Reverse Side
State Zip
Phone Fax
CD0492 (Rev 4/93)
CTURE :
Address
I E&g Use
State Zip
Dosed Use
Contact
Phone
rmit includes:
Pv-,pe
License #
D Building
❑ Plumbing
❑ Mechanical
❑
Other
of Work:
❑
Residential
Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
P
❑
Deck
Other
Enter 1 st Floor
Area Basement
sq ft
sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
3-15 Tons
sq ft
sq ft
Water Availability Ep.
Sewer Availability ❑ On -Site Septic System Availability ❑
Project VfaNati att
$
Zoning.,'
4, ��vfL�
Lot Size
Exisfina Big: oV
'.a(uatiort
1' t"'i
....... .
.................
Name
Address
City
State Zip
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
PLUMBINGO1�TRACTOR
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
..........................
P,LiMBING FIXTiIREiDI�1T
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
9
Drains TotalFiFtiire' ou . <>>z?
fl> .:::....:::::.:::.::::
MECHAN�CA� T�IT:.'.:GOYIIVT
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
TotaltUnit Ccunt
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the beat 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. f
Owner/Agent: V GLt/l.r i 1 �/rY1_,(�j Date: io