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91-101708CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 9 )-/0/-7a,;?- BUILDING INSPECTION 661-4140 PERMIT NO. 91-1647 MH OWNER'S NAME TIM/TRACY MCCURTER SITE ADDRESS 29401 MILITARY RD S SPACE. 12 CONTRACTOR MERIDIAN HOME SALES ADDRESS 12414 MERIDIAN EAST PUYALLUP CONT. PHONE 841-3377 CONT. REG. NO. MERIDMHI97JT EXP. 7/92 OWNER'S PHONE 941-5951 OWNER'S ADDRESS 29401 MILITARY RD S FEDERAL WAY 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. 042104-9174 LEGAL DESCRIPTION SPACE 12 LAURELWOOD VALLEY MOBILE HOME PARK LOCATED IN KING CO WASH SSUED BY ELIZABETH SNYDE.R DATE OF ISSUE � DATE OF APPLICATION 11/26191 BUILDING INFORMATION ZONE RM 1800 SET BACKS: FRONT 15 SIDE 8 REAR 48 HEIGHT LIMIT 30' MAX OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. O/S TYPE OF HEAT NA BLDG. SQ. FT. 1232 STORIES NA PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE VAEUATION $5,420 PLANNING DEPT APPROVAL = DEB BARKER $81.00 PERMIT FEE PLAN CHECK FEE 53.00 "PLANS FOR MOBILE PLACEMENT ONLY. NO CARPORT IS PROPOSED AT THIS UMBING FEE TIME." MECHANICAL FEE PART P/C FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS SEPA REVIEW PUBLIC WORKS 4 50 nCALL 661-4140 FOR ALL REQUIRED INSPECTIONS! ! " S.B.C.C. FEE FIRE FEE DATE: PUBLIC WORKS DEPT: ROOF DOWNSPOUTS SHALL OTHER FEES AMOUNT: $138.50 TIGHTLINED TO THE ON—SITE STORM SYSTEM AMOUNT DUE $138.50 RECEIPT: IN THE STREET. DOWNSPOUTS SHALL NOT D TO WETLAND TO THE REAR OF THE LOT. RON G 1-27-92 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. r OWNER OR AGENT -t DAT U:3 0 11411 Permit # 9 I � 9 4. CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — �L LALt_-(eA,-L�xL)D BOX 1 TENANT NAME:-} , rj ,e -jracy m C cu.,A-PP_ KA1 14-9 4A QV'6— -1>A-r V-- j OWNER �� i n-t'av) SITE LOCATION S D R C e a-aR 9, q H0 m; L•,#7h RA OWNER'S ADDRESS –Q -q y0IM; L;+P� lZ. D 1 CITYwP�y PHONE,_`j!q II— Gam/ DESCRIBE JOB 'hn c&wt L ki m cy n I-ti THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME McRi cO,oa) harne, SRL,e,S i m_- CONTRACTOR'S REG. # 6e pr a e�' CONTRACTOR'S ADDRESS / CITY . PHONE'Ooq I-3 7 EXPIRATION DATE -OR- 5 `�-�� 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, <, J PHONESI-11-33i i BOX 4 SEWER DISTRICT K M WATER DISTRICT A) & --BOX-5 -ESTIMATED PROJECT COST 31 -' EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER C)y ) 10 q n 1 '73 -0113(P " 9119 $ _ LEGAL DESCRIPTION GAS HOT WATER H TER $ CONVERSION BUR R (If necessary, please submit a separate page with the legal description.) _ S (� '' ►` $ K.C. Plat Recording # $ HEAT PUMPS, SIZE BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 13.1 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) NO. \ WATT LOSETS _BATH UBS _SHO ERS LA ATORIES SI KS SHWASHERS LECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS \ OTHER TOTAL FIXTURE MECHANICAL APPLI CES — BASIC FEE $ GAS PIPING, FEET $ N0. FURNACE, ELEC. Z GAS $ GAS HOT WATER H TER $ CONVERSION BUR R $ BOILER, SIZE BTU $ AIR HANDLING UNITS $ HEAT PUMPS, SIZE $ UNIT HEATERS $ 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. ANP -008 3/90 BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount _See e& ( S t -f PARTIAL PLAN CHECK FEE RECEIVED Date z PERMIT FEE 8 PLAN CHECK FEE OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) PLUMBING FEE ZONE 80Q SETBACKS: FRONT S SIDE REAR q HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL << 9 REMARKS: PART P/C FEE SEPA REVIEW S.B.C.C. FEE SEPA: EXEMPT NOT EXEMPT OTHER FEES FIRE DEPARTMENT APPROVAL Yom' ' DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL I ZA DATE rZZ -7/9 z REMARKS: " L_ ( 7,27 12;s N 3 D ,'Z-#, I M Di OC-a.c OF 77re o r. TYPE OF JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS ) MULTIFAMILY ADD/ALT ENANT IMP. OTHER OCCUPANCY TYPE OF CONSTRUCTION VAI STORES ® Q l:; t^ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ _ @ Mo ( "e -r- - _ C) - s 8 TOTAL SQ. FT. TOTAL VALUATION S Y z�o `g® BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount _See e& ( S t -f PARTIAL PLAN CHECK FEE RECEIVED Date z PERMIT FEE 8 PLAN CHECK FEE s PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ' Receipt # BUILDING DEPARTMENT APPROVAL / BY DATE ZZ 9 ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDINGPERMIT BUILDING INSPECTION661-4140 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 PERMIT FEE PLAN CHECK FEE ~Fk, a S FOR. MOBILE P C s,,,. PLUMBING FEE ECHANICAL FEE ART P/C FEE d T71'?.LDr. 'DEPT APPROVAL- IE. . SEPA REVIEW �' I PUBLIC WORKS S.B.C.C. FEE ; .z 6-61-4140 P ,i t DA FIRE FEE DATE: OTHER FEES AMOUNT: 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 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 BY FINAL O.K. TO OCCUPY DATE. .. ... ____ . .... .... .. .BY . . ... .... . . ..... ...... DCD PSD FD "be 410 �_/c CC L'k Pq