92-100406CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
q-,�- Iaa,1ojo
BUILDING INSPECTION
661-4140
92-390 MH
MARY TALLENT 2101 S 324 ST #186
PERMIT NO. OWNER'S NAME
SITE ADDRESS
CONTRACTOR DETRAY' S QUALITY HOMES ADDRESS 3801 PAC AVE OLYMPIA CONT. PHONE 833-3940
DETRAQH253KH
5/92 946-0594 1716 S 281 PL #91 FEDERAL WAY
CONT. REG. NO. EXP.
OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN GRADING OTHER INSTALL MOBILE HOME ONLY
TAX ACCOUNT NO. 162104-9037
LEGAL DESCRIPTION SPACE 186 BELMORE MOBILE HOME PARR WM IN RING CO
WASH
ISSUED BY ELIZABETH SNYDER
1z I fl
DATE OF ISSUE DATE OF APPLICATION 3/12/92
BUILDING INFORMATIO
ZONE RM 3600 SET BACKS: FRONT_
24' SIDE 5'/101 _REAR 14' HEIGHT LIMIT NA
OCCUPANCY R-3 _ TYPE OF CONSTRUCTION
5—N CENSUS NO. O S _ --TYPE OF HEAT NA BLDG. SQ. FT. 1166 STORIES NA
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
NONE
DRYER TOTAL MECHANICAL NONE
AMOUNT NONE
$5,130
VALUATION
PLANNING DEPT APPROVAL = DEB BARKER
"PERMIT IS FOR MOBILE INSTALLATION & ASPHALT ONLY. CARPORT REQUIRES
PERMITFEE $81.00
PLAN CHECK FEE 53.00
ADDITIONAL PERMIT WITH PLANS TO BE SUBMITTED"
PLUMBING FEE
CHANICAL FEE
FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
PART P/C FEE
"CARPORT SHALL BE BY SEPARATE PERMIT"
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE 4.50
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
$138.50
$138.50
i
AMOUNT DUE
RECEIPT:
`tel
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 OAGENT
DATE C ��
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
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. SO. 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
31
VALUATION
PLAI`INING DEPT APPROVAL = DEB BAPKL.
"PE IT IS MR XIOBIL9 INSTALLATION
PERMIT FEE
PLAN CHECK FEE
ADDITIONAL PI'. k)6UT V471 H PLANS TO RE SUT
PLUMBING FEE
ECHANICAL FEE
FIRF/BI.,QC I)EPT I PPOVAT, = KEVIJR ELTJ
ART P/C FEE
"CARPORT SP? LT, HE RY SI.PARAT) PERMI
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT DUE
pAT
AMOUNT:
RECEIPT: y j qY
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
Pellet # (y- `_
-1F 0.X4 N
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1
TENANT NAME: 17,14 /2 tl Z_ T4 &e^ r
GAS PIPING, FEET
OWNER 55441 E.
SITE LOCATION /,56,
$
OWNER'S ADDRESS M& %f,» S- f��. 1
f CITY ice. �t PHONE 94f. LS 13 4,
CONVERSION BURNER
DESCRIBE JOB Alk, it M. A/_
7r—tr✓
$
_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP CORPORATION ,X
BOX 2
CONTRACTOR'S NAME Ort
- ry s -CONTRACTOR'S REG. #b1zr0,7Gij253Aof
Card MUbe
$
-�
1
CONTRACTOR'S ADDRESS 'ifi� I qc - I4,,y1 _
presented
CITY ()Ul A14s /J PHONE 0'1? - 3 %4
_COMMERCIAL HOOD
EXPIRATION DATE
..__—OTHER
$
—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 t .
PHONE'S ?j9�
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX 5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
PROPERTY TAX ACCOUNT NUMBER 1, 2-'
U. l
LEGAL DESCRIPTION SpA&K og ;1
VAL nF AbO & � 4,6 4,y%'S c,t- e, W" 1 cF
4,V4 A/_S or '/4 cr" 51 `%4
UziZW E3 PclAncrtF r .V r&s": r
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7
BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR -, 2ND FLOOR /
3RD FLOOR / BASEMENT_J_
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
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
_SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0._ FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
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.
OWNER/AGENT: kk, ��I DATE: : /_1-1 _�
ANP -008 3/90
0
OFFICE USE ONLY (PLEASf DO NOT WRITE BELOPHIS LINE)
ZONEU13606 SETBACKS: FRONT 2 t SIE 5 /0 REAR HEIGHT LIMIT
PLANNING DEPARTMENT,APPROVAL c1l q,)
REMARKS: u J
f?n ,-t��
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVA
REMARKS:
DATE_) I ?-�j ` CI 2—
DA DA
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
OCCUPANC 123 TYPE OF COY TRUCTION STORES _
%,k -(/k 0 w 1� BUILDING SQ. FT. t�6 �a @ - 5 'Z, 5 CG
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ A (e t— = `
TOTAL SQ. FT. TOTAL VALUATION S 13 U . � U
BUILDING DEPARTMENT REMARKS:
RECEIVED
MAR 1 61952
/ OF FEDERAL WAY
!.DING DEPT:
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE
PLAN CHECK FEE 3
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 5--o
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL
BY F��. _— DATE
4,
ACCEPTED FOR FILING
6A M 14
f
FILE
C-11 OF FEDER^Il- IVA-,y
DEP-,' ` f 4MUICTY L_ I'"'ENT
K3
DATE APPFCV--"3
L,Y
1
T
Aloft fro v W
1-9
THERE ARE TO BE NO DEVIATIONS
f --TO THE APPROVED DRAWINGS
` UNLESS OTHERWISE APPROVED BY `P
THE FEDERAL WAY BUILDINGS DEPT.
I. THE MOBILE HOME SHALL DISPLAY A PERMANENTLY
AFFIXED DEPT. OF L & I OR H.U.D. INSPECTION LABEL
\^\ y
2. MNSTALLATION OF THE MOBILE HOME BE PER
v
ANUFACTURERS RECOMMENDATIONS.
v1
I PROVIDE A JOB SITE COPY OF THE MANUFACTURERS
SET-UP BOOKLET.
Aloft fro v W
1-9
THERE ARE TO BE NO DEVIATIONS
f --TO THE APPROVED DRAWINGS
` UNLESS OTHERWISE APPROVED BY `P
THE FEDERAL WAY BUILDINGS DEPT.