91-101016CITY OF
FEDERAL WAY
BUILDING PERMIT
(211,1010p
BUILDING INSPECTION
941-1555
91-1031 MH DETRAYS PACIFIC HOUSING 2101 S 324TH STREET #295
PERMIT NO. OWNER'S NAME
JOB ADDRESS
DETRAY' S QUALITY HOMSE
3801 PACIFIC AVENUE OLYMIA 491-9500
CONTRACTOR AO�-SS
CONT. PHONE
CONT. REG. NO. DETRAQH253KH OWNER'S PHONE 833-3940 OWNER'S ADDRESS 3205 AUBURN WAY N AUBURN
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAL
NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN
GRADING OTHER
TAX ACCOUNT NO. 162104-9037
LEGAL DESCRIPTION LOT 295 BELMOR MOBILE HOME PARK GOLF & COUNTRY CLUB
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 7-19-91
ANC
BUILDING INFORMATION
RM 3600 OCCUPANCY_ R3 _
_. TYPE OF CONSTRUCTION_VN BLDG. SQ. FT. 1152
SET BACKS: FRONT 161 SIDE 5'
14' REAR2.4' 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
VALUATION 5068_80 _
PLANNING DEPT APPROVAL: MOBILE HOME SET UP ONLY. THIS PERMIT DOES
NOT INCLUDE CARPORT OR GARAGE. DB 8-5-91
RMIT FEE 72-00
N CHECK FEE 47 _ n_ n0__
FIRE/BUILDING DEPT APPROAL: MM 8-7-91
PLUMBING FEE
THANK FEE
JTAL BLDG. FEES -
PART P/C FEE
SEPA REVIEW
DATE:
WATER SERVICE
WATER MAIN CHG.
AMOUNT:
123.50
S.B.C.C. FEE 4 _ 50
OTHER FEES
RECEIPT:
2((//
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:
- p
Apl_
OWNER OR AGENT
DATE
t
"'ITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG INSPECTION
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
II HEATERTOTAL MECHANICAL
AMOUNT
�UNIT
]N tT
TS L. tt
((���� A7���,,� a DEPTONLY._
ES
VALUATION
ilWMT
PERMIT FEE
p`TRE/RUILDING HEFT APP L: *fid 8-7-9I
PLAN CHECK FEE
PLUMBING FEE
CHANICAL FEE
y
TOTAL BLDG. FEES
PART P/C FEE
�I
_
SEPA REVIEWTl�
-- – -
i
WATER SERVICE
WATER MAIN CHG.
.B.C.C. FEE
–
OTHER FEES
O
.�CEY� .
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
4 -
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N SSECTION
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
}
1%7 nn
VALUATION
"
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
ECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
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
0 � 0
A*,
5JET BACKS AND FOOTINGS
DATE . ... ..
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 f75
DCD
PSD
FD
/92- 7 -le
Zoe- 111AAW e�k
gi L
AO
Ar 0A1
!62 --rion
-cm
y • • #!/ _A)bar d-1
RECEIVED 611
,fit; p CITY OF FEbERAL WAY
01TIvok Iwk.UE"L AUILDING PERMIT APPLICATION
E3UILDWO DEPT. — Please Print —
BOX 1 TENANT NAME: �f
OWNER /9 A-7-00 't MdCFrc I&PI VCgE LOCATION Te�_ ST- Lq1:
OWNER'S ADDRESSCITY ' u PHONE -394
DESCRIBE JOB Ne-0/'Ll• /¢. L4-
T4U_*TLon!
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (2 �S r 1_,'YC-.CONTRACTOR'S REG. )'2.4c�+z531c
Card MUST be presented
CONTRACTOR'S ADDRESS 3t l �4C. OTuL. CITY 11PHONE l -.i S'oo
EXPIRATION DATE
1'
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 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 47057
LEGAL DESCRIPTION Go7- 25N" j_Q&&rn.,, ecu_R'
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # -0-
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK_____J_ GARAGE /
BOX 8 ( ) SINGLE FAMILY ( -y-NEW CONSTRUCTION O'Co,6stf-
( ) 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
INALS
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, INCLODING 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 EMPLQYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
00 Y
OFFICE USE ONLY (PLEASE DO NOT WROTE BELOW THIS LINE)
ZONECm-3000 SETBACKS: FRONT 1-' /0' SIDE JSP 1y REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 8/S /
REMARKS: - `
SEPA: EXEMPT V--' NOT EXEMPT
FIRE DEPARTMENT APPROVAL /Yleit!r DATE�9�
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 061.04 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 TYPE OF CONSTRUCTION VIV STORES 04e
BUILDING SQ. FT. _/_/�Z- @ _ .760
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. /SZ TOTAL VALUATION 5-760
BUILDING DEPARTMENT REMARKS:
pECENED
AUG 01 i99i
,SSIGNED ADDRESS:
mount
PARTIAL PLAN CHECK FEE RECEIVED
Date
x . 91116' .3069
PERMIT FEE 7E
PLAN CHECK FEE `/ 7
PLUMBING FEE -6
MECHANICAL FEE e
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Receipt #
- ABUILDING DEPARTMENT APPROVAL
Y /!'lion' .7 oWA941-- DATE_ &9 Z l
ACCEPTED FOR FILING
Receipt #
- ABUILDING DEPARTMENT APPROVAL
Y /!'lion' .7 oWA941-- DATE_ &9 Z l
ACCEPTED FOR FILING
1. The mobile home shall dsplay a pa y
atked Dept of L.M. or H.U.D. inspection label.
2 Installation of the mobile home shd be per
manufacturers mmmmwKWione.
R E h E pb site copy of the marwfectue*"
AUG 0 1 1991
CITY OF i teOERAL WAY FILE
01 M rUK1rn nr-PT
CITY OF
FEDERAL WAY
REVISION
BUILDING PERMIT
I'i - 1w of 0
BUILDING INSPECTION
941-1555
PERMIT NO. 91-1031 MH OWNER'S NAME DETRAY' S PACIFIC HOUSING JOB ADDRESS 2101 S 324TH STREET #295
CONTRACTOR DETRAY' S QUALITY HOMESADDRESS
3801 PACIIFC AVE OLYMPIA CONT. PHONE 491-9500
CONT. REG. NO. DETRAPH253KH OWNER'S
PHONE 833-3940 OWNER'S ADDRESS 3205 AUBURN WAY N AUBURN
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. 162104-9037
LEGAL DESCRIPTION
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE �C� 7 - �i�� DATE OF APPLICATION 10-15-91
BUILDING INFORMATION
ZONE _ OCCUPANCY R3
_ TYPE OF CONSTRUCTION__ VN BLDG. SQ. 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
VALUATION 1,377.2_
REVISION
APPROVED: KC 10-15-91
RMIT FEE 33.00
PLAN CHECK FEE 21.00
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
DATE:
WATER SERVICE
WATER MAIN CHG.
AMOUNT:
$94.00
S.B.C.C. FEE
OTHER
OTHERFEES
RECEIPT:
J
AMOUNT DUE 54.00
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 IXFORMATIQN FINISHED BY ME IS TRUE
AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILLBE
OWNER OR AGENT V
DATE
RM4r:10N Perm'
RECErbVeo
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
PERmff # I — Please Print —
BOX 1 TENANT NAME:
OWNER DETRAY'S PACIFIC HOUSING SITELOCATION2101 So. 324th St Site #295
OWNER'S ADDRESS 3205 Auburn Way No. CITY Auburn HONE 833-3940
DESCRIBE JOB New Mobile Home Installation
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX
BOX 2 CONTRACTOR'S NAME Detray's Quality Homes Inc. CONTRACTOR'S REG. # Detra h 253kh
Card MUST be press
CONTRACTOR'S ADDRESS 3801 Pacific Avenue CITY Olympia PHONE 491-9500
EXPIRATION DATE 09AM 05/01/92
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING T( DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUhIG 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 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 162104 - 9037
LEGAL DESCRIPTION XWXXH.X Belmore Mobile Home Park, Golf & Country Club
Lot
(If necessary, please submit a separate page with the legal description.) JA U CON -1
K.C. Plat Recording # 0 "�l�i•�--�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 26 / 56 4" 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY 1"3c'C S r = S r �'�` ( X) NEW CONSTRUCTION Mobile 1 e Home
-r �� N N"C
( ) MULTIFAMILY (NO. OF UNITS= P Fir
( ) EXISTING STRUCTURE
��
( ) COMMERCIAL/INDUSTRIAL 0�_3
TOTAL AREA OF PROPERTY l 465
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRINKLER VACUUM BREAKERS
OTHER
$
DRAINS
$
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$ Nil
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 EMP OYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _Q"DATE: September 10/91
ANP -008 3/90 /{�
E
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
PUBLIC WORKS DEPARTMENT AP
REMARKS:
SIDE REAR HEIGHT LIMIT
DA'
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: S �-e— T—� l S t
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY 4�� DATE_
PERMIT FEE 33
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
ACCEPTED FOR FILING
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
Pti i' TYPE
OF CONSTRUCTION V1lj_
STORES
oval f't
BUILDING SQ. FT.
�� (3 @6S
-
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@
@
_
__13
TOTAL SQ. FT.
TOTAL VALUATION7 7` Z
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: S �-e— T—� l S t
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
BY 4�� DATE_
PERMIT FEE 33
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
ACCEPTED FOR FILING
s-/
040
!'HEP. ARE TC
1'0 T - AP°R(
.JN'LE. S :;THE
FHE.DE.RAL
Y,
BE NO DEVIATIONS
VED DRAWINGS
(WISE APPROVED BY
VAY BUILDING DEPT.
ly6� f
�or /V1cb� � �arE( -4:r --Q, ol 5Fllo
M
l "=
0
FILE
REVISION
RECEIVED
OCT 15�� --
1991
q-(
M�
PEW
1SIc--�
HOUSE WILL STILL SIT THE SAME
AS ORIGINAL PLAN, PERMIT #
91-1031 MH REV
1. THE MOBILE HOME SHALL DISPLAY A PERMANENTLY
by
AFFIXED DEPT. OF L & I OR H.U.D. INSPECTION LABEL.
2. INSTALLATION OF THE MOBILE HOME SHALL BE PER
MANUFACTURER'S RECOMMENDATIONS.
3. PROVIDE A JOB SITE COPY OF THE MANUFACTURER'S
SETUP BOOKLET.
BE NO DEVIATIONS
VED DRAWINGS
(WISE APPROVED BY
VAY BUILDING DEPT.
ly6� f
�or /V1cb� � �arE( -4:r --Q, ol 5Fllo
M
l "=
0
FILE
REVISION
RECEIVED
OCT 15�� --
1991
q-(
M�
PEW
1SIc--�
HOUSE WILL STILL SIT THE SAME
AS ORIGINAL PLAN, PERMIT #
91-1031 MH REV