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91-101266CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. 91-1216 MH OWNER'S NAME KATEIERTNIF HELMER SITE ADDRESS 2101 S 324 ST #205 OWNER _ POB 346 BLACK DIAMOND 886-1124 CONTRACTOR ADDRESS CONT. PHONE NA NA 'SAMA' SAME 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 INSTALL MOBILE HOME TAX ACCOUNT NO. 162104-9037 LEGAL DESCRIPTION LOT 205 BELMORE MOBILE HOME PARK ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 9/5/91 Jr BUILDING INFORMATION ZONE RM3600 SET BACKS: FRONT 16 SIDE 211/5' REAR 741 HEIGHT LIMIT NA OCCUPANCY ___ R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. O/S TYPE OF HEAT NA - _- BLDG. SQ. FT. 924 STORIES ONE 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 $4,065.00 VALUATION PLANNING DEPT APPROVAL = DEB BARKER -� $63.00 PERMIT FEE PLAN CHECK FEE 41.00 FIRE/BLDG DEPT APPROVAL = MIKE MONEN PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS 4.50 S.BIC.C. FEE _ r FIRE FEE DATE: OTHER FEES - 50 AMOUNT: 108-50 $108.50 ^�708 !T C-1 AMOUNT DUE RECEIPT: 7 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 FURNISH DB 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__ -/'2- __ 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 NE 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 t4 f1cC OV VALUATION , PERMIT FEE PLAN CHECK FEE F�1�I �T3�.:Ofa Ok7Fm' APPROVAL M.TKE 2401dFN PLUMBING FEE MECHANICAL FEE iRT P/C FEE IRE; SEPA REVIEW jyt? PUBLIC WORKS S.B.C.C. FEE iZ. FIRE FEE OTHER FEES DATE: AMOUNT: D 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 REQUIREMEOTS'LL BE MET. OWNER OR AGENT ___ _ DATE 7—,,,,- , 4 % j/.__ ,-I /Z //1 —/ 4'— c:;Pj 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 WALL BOARD AND FIREWALL DATE BY FINAL O.K. TO OCCUPY DATE -,...,- DCD PSD FD 0 0 Permit ECtIVED SEP 5 1991 CITY OF FEDERAL WAY CtTVc F UEAALWAY BUILDING PERMIT APPLICATION BUILD 1�{I DEPT —Please Print — BOX 1 TENANT NAME: OWNER 2 e c SITE LOCATION/O/ o • 3o7�/T F e��L w,+�/ Sp��•e,; OWNER'S ADDRESS O oy35/G CITY ,C?.<Ac," D/4.0•o1-tc) PHONE` - DESCRIBE JOB _/lam/ olod S.Tue THE PROPERTY IS OWNED BY: SINGLE/MARRIEDSrcTe PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME 64-olA/ c4- CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE —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 PHONE //v7'51 BOX 4 SEWER DISTRICT ��c��9 L Why WATER DISTRICT BOX 5 ESTIMATED PROJECT COST /6_'0eJ EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER D -2 0 3 LEGAL DESCRIPTION i (If necessary, please submit a separate page with the legal escription.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 8` 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) 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 KNOOLYDGE 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 THVACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: (W� DATE: ANP -008 3/90 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE lA— SETBACKS: FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: SEPA: EXEMPT NOT EXEMPT SIDE REAR `f HEIGHT LIMIT FIRE DEPARTMENT APPROVAL DATE ��jlYf REMARKS: PUBLIC WORKS DEPARTMENT APPR REMARKS: 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 OCCUPANCY TYPE OF CONSTRUCTION N STORES O� -�:»>di*°f:c:� t BUILDING SQ. FT. @ -S ``e BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ p _ BUILDING SQ. FT. @'/ TOTAL SQ. FT. "` TOTAL VALUATION q0 BUILDING DEPARTMENT REMARKS: ED ASSIGNED ADDRESS: Ste– E' K Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE /1,13 PLAN CHECK FEE 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 l ACCEPTED FOR FILING 4Y FILE • CITY OF FEDERAL WAY DEPT. OF COMM ITY DEVELOPMENT PERMIT NUMBER M-- ADDRESS PLANS FOR RNM'1142— VFn'A1� zpq OWNER LkCJ�Lf 41-r\eg, 4etrer. SUBMITTED- �—f-qf DATE APPROVED '�/'///1Z APPROVED BY i. flis molails ho v "I dWay a Permanently afted Dept of 1.41, or H.U.D. inspection label. 2. Installation of the mobile home shall be per manufacturers recommendations. 3. Provide a)ob she oDpy of the manufacWWs set-up buoWt RECEIVED SEP 5 1991 CITY OF FEDERAL WAY BUILDING DEPT SEA TAC MALL PARK & RIDE Q 'AlAth ct tF Awn P 7-^' . 4 it 0 )-6 ,q� -1 - L 1. The n�ntjl� hams nfiix�Mail display I POma,.* 1 DO d Ul or inspection Imel. j InglAftakg, of ft mobile manufacturors bon* 311911 be per foommenciguou 3. Plolda a pb 09 GapyW atie m1m at"* uf"NW4 � a (U Lb.),4 X C: --4 --1 FILE I P h L'.. F "� kOf VE L M D 19A Dk n f� /,,,, D14,10 4 1 L L-- 2LUD. RECEFFI/el) SEP 5 1991 'e OF FE, - 'J'11,11L VVAV