91-100691CITY OF
FEDERAL WAY
BUILDING PERMIT
BUILDING INSPECTION
941-1555
91-646 MH HAWARD & JEANIE ELLIOTT 2101 S
324TH #281
PERMIT NO. OWNER'S NAME JOB ADDRESS
RED CARPET MOBILE HOMESADDRESS 1619 AUBURN WAY AUBURN
852-4060
CONTRACTOR
CONT. PHONE
REDCAMH135JM 241-0217 911 SW 124TH SEATTLE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER
162104-9037 SPACE 281 OF SE I OF NWj
AND PTNS OF SW a OF
TAX ACCOUNT NO. LEGAL DESCRIPTION
NE } AND PTNS OF NW a OF SEI LYING WEST OF INTERSTATE 5
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-17-91
BUILDING INFORMATION
E RM 3600 OCCUPANCY R3 _ TYPE OF CONSTRUCTION VN
BLDG. SO. FT. 15_68
SET BACKS: FRONT 7 SIDE 5 REAR 5 __ STORIES
HEIGHT LIMIT _30 _
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT.
AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING _ FT. BOILER
_
RECEIVED
BATHTUBS LAUNDRY DRAINS
COMPRESSOR TANK(S)
SHOWERS URINALS
FORCED AIR FURNACE AIR HANDLING UNIT
_
NUMBER _
LAVATORIES DRINKING FOUNTAINS _
GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC.
CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
_
AMOUNT
PLAWNG DEPT APPROVAL: DB 5-20-91
VALUATION 6,899.20
FIRE/BUILDING DEPT APPROVAL: RC 5-28-91
90.00
PERMIT FEE
59.00
PLAN CHECK FEE
PLUMBING FEE
HANICAL FEE
AL BLDG. FEES _
9
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE:
WATER MAIN CHG.
S.B.C.C. FEE 4.50
AMOUNT: $ - _ Sp
OTHER FEES
AMOUNT DUE 153.50
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 C CT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: I
f�
OWNER OR AGENT DATES
CITY OF
FEDERAL WAY
BUILDING PERMIT
Cl I - , o `- ci j
BUILDING INSPECTION
941-1555
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: 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
ZONE
OCCUPANCY_ __ TYPE OF CONSTRUCTION
BLDG. SO. FT. _
SET BACKS: FRONT
SIDE REAR_
STORIES
HEIGHT LIMIT
PLUMBING NO.
NO.
MECHANICAL APPLIANCES AMT.
AMT.
BOND
WATER CLOSETS
ELEC. HOT WATER HEATER
GAS PIPING FT. _
BOILER
RECEIVED
BATHTUBS
LAUNDRY DRAINS
COMPRESSOR
TANK(S)
_
SHOWERS
URINALS -
FORCED AIR FURNACE
AIR HANDLING UNIT _
NUMBER _
LAVATORIES
DRINKING FOUNTAINS
GAS HOT WATER HTR.
MISC
RETURNED
SINKS
MISC.
CONVERSION BURNER
BASIC FEE
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER
TOTAL MECHANICAL
AMOUNT
qe�n nA
.�iri+ aitz i3x 1"t nPPROVAL: Lith
5-20--91
VALUATION
iRF:/i3tlT.s`a i)i��' a,?,� RC
5-28-91
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
3AB'
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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
rd//6��1i
SET BACKS AND FOOTINGS /?/oc/[.. `
Tie
DATE _.G��q�l___BY Zil_DATE
O.K TO POUR FOUNDATION WALLS
-_--.____-_-BY _-_
PLUMBING GROUNDWORK
DATEBY
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
DATEO16( BY
DCD
TPSD
FD
� I� � d"
ECEIVEd 0 CITY OF FEDERAL WAY mit #
MAY f 7 1991 BUILDING PERMIT APPLICATION
CITY o1 x- )ERAL WAY - Please Print
BUILDING 0EPT-
BOX 1 TENANT NAME:
OWNER � "SITE LOCATION 5 '? u''*J
OWNER'S ADDRESS S' CITY S�,x 7 k10, P ONE t
DESCRIBE JOB `' ' i
THE PROPERTY IS OWNE BY:r�MARRIED � PARTNERSHIP CORPORATION
�i sem- w
BOX 2 CONTRACTOR'S NAME / _ TRACTOR'S REG. # ='11—' /�
taraMBST be presented
CONTRACTOR'S ADDRESS CITY �z c-- PHONE , ?- '1D Z)
EXPIRATION DATE 7OR
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 `/ f�
BOX 4 SEWER DISTRICT ��ezWATER DISTRICT
BOX 5 ESTIMATED PROJECT COST J . L EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER IZ r
LEGAL D��ESCRIPTION 01' h' 1 '
(If necessary, please submi(a sep5i
K.C. Plat Recording #
page with the- legal
ption.)
BOX 7 BUILDING SQUARE FOOTAGE: (€�/Proposed) 1ST FLOOR/ 2ND FLOOR ===—L -
3RD FLOOR ---/— BASEMENT -_ L— DECK t -- GARAGE —I -
BOX-
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)
MECHANICAL APPLIANCES 1 BASIC
FEE $
N0. WATERCL ETS
GAS PIPING, FEET
$
' BATHTU S
N0.FURNACE, LEC. GAS
$
SHOW S
GAS HOT W ER HEAT
$
�L' VA RIES
CONVERSION NE
$
Sl
BOILER, SIZE BTU
$
DI ASHERS
AIR HANDLING IT
$
-— ECT C HOT WATER HEATER
HEAT PUMPS IZE
$
LAUNDR WASHER OUTLET
UNIT HEAT S
$
URINALS
AIR Coo G UNITS, SIZE
$
DRINKING FO NTAINS
COMM CIAL HOOD
$
SUMPS, SPRIN ER VACUUM BREAKERS
0TH \
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
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 FORMATION SUPPLIED TO THE CITY AS A PART OF THIS/APPLICATION.
OWNER/AGENT.- DATE:
ANP -008 3/90
OFFIGOSE ONLY (PLEASE DO NOT WRITE BELOW TANE)
ZONE TBACKS: FRONT SIDE � t REAR q(
HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL _ _ % �' ��
REMARKS:
SEPA: EXEMPT bi NOT EXEMPT
FIRE DEPARTMENT APPROVAL K=K DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL N I DATE
REMARKS: 411
TYPE OF JOB: NEW RESIDENCE x 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 Ilk STORES
CAd BUILDING SQ. FT. t S�, �: @ - dy
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ G O a
TOTAL SQ. FT. TOTAL VALUATION 6g �9• ZO
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
o
MECHANICAL FEE
O
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
' SL
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL pr
BY k —, DATE 7— "` l l
ACCEPTED FOR FILING
0
0
FILE
SEA TAC MALL
th —LPARK & RIDE
-5,
324 St
114 e -F -I--
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vV L:-- S'7-
/67' ',2-- 90-3 7
"4FRE ARE TO BE NO nFVIAT!—lq
T =HE APPROVF-D UR",',,._, 3
L OTHERWISE APPRC\JY
7 FHl-DERAL WAY BUILL,,,.G
E)LPARTMENT.
Q
co
F?LzCEIVED
MAY 17 1991
CITY OF FEL)EMA
BUILDING DEFT
EPT. WAY
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