92-100123CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
Cl D-Icc ►�-3
BUILDING PERMIT BUILDING INSPECTION
CHARWOOD MOBILE HME PR 661-4140
PERMIT NO.92-0065 MH OWNER'S NAME NORMAN NELSON SITE ADDRESS 1660 S 333 ST #36
CONTRACTOR DESIGNER HOMES ADDRESS 9816 S TAC WAY TACOMA CONT. PHONE581-5544
DESIGHSOOOR►7 11/92 878-9207 22005 27 CT #2 DESMOINES
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 IN PARK
TAX ACCOUNT NO. 797880-0384 LEGAL DESCRIPTION CHARWOOD MOBILE HOME PARK
ELIZABETH SNYDER 1/17/92
'SUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE RM 1800 SET BACKS: FRONT 16.5' _____SIDE 5'/8' REAR 31 HEIGHT LIMIT IATA
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. O/S TYPE OF HEAT NA BLDG. SQ. FT. 1232 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
$5,420
PLANNING DEPT APPROVAL = DEB BARKER
VALUATION
"APPLICANT SHALL PLACE TAGS AS NOTED ON WESTERN PARKING LOT
PERMIT FEE $81.00
PLAN CHECK FEE 53.00
DRIVEWAY AND PARKING SHALL ONLY BE ACCESSED OFF OF MAIN STREET.
PLUMBING FEE
SITE DRAINAGE SYSTEM SHALL TIE INTO APPROVED SURFACE WATER DRAIN
MECHANICAL FEE
SYSTEM"
PART P/C FEE
SEPA REVIEW
BLDG DEPT APPROVAL = KEVIN ELLIS
PUBLIC WORKS
4.50
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT: _$138.50
AMOUNT DUE $138-50
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 CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET. J
OWNER OR AGENT / DATE rZ
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: NEWRESIDENCE
ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD.
NE1NPUBLIC_ 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
CCUPANCY
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
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
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 REQUIREMENTS WILL
BE MET.
L OWNER OR AGENT
_ - DATE
_
DATE ..- y. BY
ALLS
i
DATE _ - -1<7- /z_BY /13_ _- _
PLUMBING GROUNDWORK
DATE - - - _ BY
PLUMBING ROUGH IN
DATE _ _ _ BY ---__-----...
WATER LINE O.K.
GAS PIPING O.K. ---
_
MECHANICAL INSPECTION
DATE _
O.K. TO ENCLOSE FRAMING
DATE - -- _ BY -...
INSULATION
DATE .-.._- --- ...--...... _BY
- _ _ _
WALL BOARD AND FIRE WALL
DATE BY _
FINAL O.K. TO OCCUPY
DATE 3 - 2 y yZBY 7' _ __-
DCD
PSD
FD
'? -
Ile, i7/Z S 2 y
Afcl
.; � 0 0
+SIVED
17 1992
4 � DE� AY
Perne #- 6 !�26 s ,q H
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION /f
— Please Print — J"- ��;f J,�4Zr
BOX 1
TENANT NAME:
GAS PIPING, FEET
IV
N0. FURNACE, ELEC. GAS
OWNER A rar r,% -A rn,
SITE LOCATION
_� _ `= .
CONVERSION BURNER
OWNER'S ADDRESS
! CITY fda e s
PHONE 97' ' 9:)Gll7
AIR HANDLING UNITS
DESCRIBE JOB
HEAT PUMPS, SIZE
$
UNIT HEATERS
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION
BOX 2
CONTRACTOR'S NAME
ONTRACTOR'S REG. # 6,71k"T
$
t—
CONTRACTOR'S ADDRESS � S� ''
L�/4 CITY fi '�
Card MUST be presented
PHONE ��k ��� 5'L/tel e
EXPIRATION DATE 11 i
TOTAL MECHANICAL FEE
$
—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 A &/,'I
PHONE
BOX 4 SEWER DISTRICT
WATER DISTRICT
BOX -5
ESTIMATED PROJECT COST
EXISTING BUILDING VALUATION
BOX 6
f ROPERTY TAX ACCOUNT NUMBER 71
Cs
\_IEGAL DESCRIPTION _
u
(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 / 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 OFT E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
zz
1WNER/AGENT:
G DATE: / f
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEM19CO SETBACKS: FRONT S SIDE 5V o REA ' �H IGHT LIMIT : t
PLANNING DEPARTMENT APPROVAL
REMARKS: IIA- ( aQ ilAkd O"'l
Ar`l r2W04" v S Qh 6? "CpSSece &Yn lh2i`n G r�-e-e.
S1k az)ng% c,,v I-crrn
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: IV �tl
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
St-(
O
PERMIT FEE
PLAN CHECK FEE 53
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL Q q
BY
r
" DATE v t
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
OCCUPANCYTYPE
OF CONSTRUCTION
STORES
0 ltittipC��U
BUILDING SQ. FT.
Z3 Z @ S•
U - O
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
dAQ ( `
TOTAL SQ. FT.
TOTAL VALUATION 2-0 - 80
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
St-(
O
PERMIT FEE
PLAN CHECK FEE 53
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL Q q
BY
r
" DATE v t
i
ii
LLR
W /'tk
I. THE MOBILE HOME SHALL DISP; av r �FgpfANENTLY
AFFIXED DEPT. OF L & I OR H. . GJBr`t4110N LABEL.
MAWUFAEroRER RE HOME':HALLBEPER
+, -... _. _ .. •. COAdMEfCDATtCRl3. -� - — — -- .
9 PROVIDE A JOB SITE COPY OF THEN 4°UFACTURER'S
SET-UP BOOKLET
1�
THERE ARE TO BE NO DEVIATIONS
TO THE APPROVED DRAWINGS
UNLESS OTHERWISE APPROVED BY
THE FEDERAL WAY BUILt e, EVO -1
allf�a-
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y,20/9 Dh
CITY OF FEDERAL WAY
DEPT. Ott, COMMUNITY DEVE-LOPMENT
PERMIT RJA � � f 22 -..06 6SM1f
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