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91-101324CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT q I - 1013� BUILDING INSPECTION BELMORE PARR 661-4140 PERMIT NO. 91-1281 MH OWNER'S NAME DETRAY' S PACIFIC HOUSING SITE ADDRESS 2101 S 324 ST #203 CONTRACTOR DETRAY' S QUALITY HOME95DDRESS 3801 PACIFIC AVE OLYMPIA CONT. PHONE 491-9500 CONT. REG. NO. DETRAQH253KH EXP5/1/92 OWNER'S PHONE 833-3940 OWNER'S ADDRESS 3205 AUBURN WAY N AUBURN 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. 162104-9037 LEGAL DESCRIPTION LOT 203 BELMORE MOBILE HOME PARK SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION _ 9/16/91 BUILDING INFORMATI N ZONE RM3600 SET BACKS: FRONT 25' SIDE 81/91 __REAR_ _ 14 ' HEIGHT LIMIT NA OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NOP/ S TYPE OF HEAT NA BLDG. SO. FT. 1176 STORIES NA LUMBING 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. SINKS _ MISC. BBQ BASIC FEE RETURNED Dlcy NASHERS TOTAL FIXTURES NONE DRYER _ _ TOTAL MECHANICAL NONE AMOUNT NONE $5,174 VALUATION PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE $81.00 PLAN CHECK FEE 53 _ 00 FIRE DEPT APPROVAL = MIKE MONEN .UMBING FEE MECHANICAL FEE BLDG DEPT APPROVAL = MIKE MONEN PART P/C FEE EPA REVIEW "THIS PERMIT IS FOR SET—UP ONLY — NO FEE CHARGED FOR GARAGE, UBLIC WORKS CARPORT OR DECK . THOSE STRUCTURES WILL REQUIRE SEPARATE PERMIT" S.B.C.C. FEE 4-50 FIRE FEE DATE: OTHER FEES AMOUNT: 138.50 AMOUNT DUE $138-5-0— RECEIPT: a_ - 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 i" DATE !f 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. INDUSTRIALADD. 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 ZONE 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 PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW IRED PUBLIC WORKS S.B.C.C. FEE fitf FIRE FEE DATE: OTHER FEES AMOUNT: C' AMOUNT DUE RECEIPT: 3� DATE 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 REQUI E ENT WILL BE MET. OWNER OR AGENT _ DATE SET BACKS AND FOOTINGS DATE BY OX TOP FOUNDATION 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 fQ - .ry S6221w Jllje RECEIVED SEP 16 1991 0"*V OF FEDERAL WAY' StJILDRYG DEPT 0 1* ��rva�l�lZ� MSI CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: GAS PIPING, FEET $ OWNER etray's Pacific Housing SITE LOCATION 2101 So. 324th St. #203 $ OWNER'S ADDRESS 3205 Auburn Way No. CITY Auburn PHONE 833-3940 CONVERSION BURNER DESCRIBE JOB New Mobile Home Installation BOILER, SIZE BTU $ THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX BOX 2 CONTRACTOR'S NAME Detray's Quality Homes Inc. CONTRACTOR'S REG. # DETRAQH253KH UNIT HEATERS $ Card MUST be prey rrtl $ CONTRACTOR'S ADDRESS 3801 Pacific AVENUE CITY Olympia PHONE 491-9500 OTHER EXPIRATION DATE —OR— I HAVE READ CHAPTER 18.27. 010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND TOTAL MECHANICAL FEE CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Del Detray PHONE 833-3940 BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way BOX 5 ESTIMATED PROJECT COST fT1 w G EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 162104 - 9037 LEGAL DESCRIPTION Lot # 203 Belmore Mobile Home Park Golf & Country Club (If necessary, please submit a separate page with the legal description.) Nil -" = �� (l K.C. Plat Recording # }� BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 22ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( ) SINGLE FAMILY �,X) NEW CONSTRUCTION Mobile Home _ ( ) MULTIFAMILY (NO. OF UNITS=-) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT :1 ' 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 KI6WLEDGE 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 EMPL(IVEE�, UrQN�THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: September 10/91 ANP -008 3/90 ZONE 101M�16 0 SETBACKS: FRONT- PLANNING DEPARTMENT APPROVAL REMARKS: OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) .2-51 SIDE '8'/q ' REAR HEIGHT LIMIT IqI2Z,4/5 SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: 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 OCCUPANCY l-3 TYPE OF CONSTRUCTION [/d STORES Dn'- �A.vt�a%*n� BUILDING SQ. FT. 11 76 @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ Wildite/ X • TOTAL SQ. FT. 11741,SQ TOTAL VALUATION 71, yG BUILDING DEPARTMENT REMARKS: SeX-- u4 oO L v -�-- � w RECEI D ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE sr I - C)U PLAN CHECK FEE ' DD PLUMBING FEE -0 MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE Sa OTHER FEES AMOUNT DUE BUILDING DEPARTMENT APPROVAL BY 0%e - -', _ DATE ACCEPTED FOR FILING f-0 A) RECEIVED SEP 16 1991 Wy OF FEDERAL QUAY 8U'U)IWG OEP7 z m v o z o �► r� l o m 0 m o r m 0 1 f-0 A) RECEIVED SEP 16 1991 Wy OF FEDERAL QUAY 8U'U)IWG OEP7