97-103585 9i, rOb 58
)11P111:-OF
_ FEDERAL WAY p 'I u„ PERMIT NO: B D9 -0580
3530 First Way South : M.,i+ ,,.. I L.D., ,. N�,,.:.,r -") fit. R,M 1. ISSUED: 10/09/97
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC2
253-661-4000 EXPIRES: 04/07/98
ADDRESS:2611 S 288TH ST Unit: 38
NO. : 283920-0000
PROJECT DESCRIPTION:INSTALL A MOBILE HOME IN PARKWOOD LANE MOBILE HOME PARK.
OWNER - -- T CONTRACTOR -- -- T LENDER -------•-_---
I PATRICIA CAMPBELL DUTCH'S MOBILE HOME SERVICE
2611 S 288TH ST #38 20302 SE 284TH ST
IIIIDERAL WAY WA 98003 KENT WA 98042
253-243-8126 631-0653 381-1469
DUTCHMH254KA
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.2% ***
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 1 T COMP PLAN •' J FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1080:sf STORIES ' 1 ' REQUIRED PARKING..: 0 SPRINKLERS' •' g PLAN CHECK FEE $ 46.80
CENSUS CATEGORY 112 2ND.: 0: O:sf HEIGHT . 0.00 ft HAZARD CLASS ., FINAL PLAN CHECK...* $ 23.40
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 108.00
:R3 :U1 :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT 0.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 8402 SIDE . 0.00 ft WATER SERVICE..:?
:5N :5N :? :? DECK: 0: O:sf REAR • O.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:O9/23/97 1 E
: 4: 0: 0: 0: TOTL: 0: 1O8O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
li
EL TYPES.:? ? FANS 0 BOILERS/COMPRESSORS I WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 182.70
GAS PIPING.: 0 ft HOOD 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<1O0K..: 0 DUCT WORK 0 3-15 TON • 0 SHOWERS • 0 SUMPS 0
GAS HWT 0 WOOD STOVES...: 0 15-30 TON...: 0 j LAVATORIES 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>10OK • 0 30-50 TON...: 0 ! SINKS • 0 DRAINS • 0 3
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0 i
RANGE 0 <:10,000 CFM: 0 ABOVE GROUND: 0 9 LAUN WSHR OUTLTS...: 0 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 3
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 NATION FURNISHED BY ME IS NUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT / ' ' ._ DATE 149 " 61 `l!-f 7
FILE COPY
„
PERMIT NO: BLD97-0580
' 4 1
„ : LY3tYL f i. 1 • , l 1n1 ,' •s,,t s, bl PERM
BUJ LDING 11
.. . /9/
ede ra 1 Way ,., t ti I '...,;t itl t ,- Lit 1 i Id i t ty 1 t r".pe c tior P(-..4,-ittc.r. -: ”" ,1 ,-,O,1 4 140 43v: rc.„'
ri,....,3- e...,4,1. „woo 2 E>e 1'1 1).1. 43: ti4/(1!/9
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ni)144:::;,.;: ,'e.,1 i -,,:-q t 1 ii
2fi'49,,t 1-uotio )
pRo:rEc I Dr:.;('P.1 P 1 It'll;INSIALlaeflOBILE HOME IH PAR1WOOD LAKE MOBILE HOW PARE. .,
4 OWNER z,,--,`“,}2.1,........2•re“.rit,..,3,425,-..,,2.11.04.41.14414.40.1.10.4r4M=.fiaaarxgreq:14 EoNEFEIctoR ..=Vm..A04r===s,tAW=4,A.*:2M=...../tma4,0,A-M1- .
PATRICIA CAMPBELL
111,
2611 S 2.881R SI 138
FEDERAL WAY WA 98003
,,5KENT
3-243-81?6 , -
,
DUTCH'S MOBILE HOME SERVICE
?u302 SE 284TH SI
WA 93042
631-0653
D0100012541A 381-146g
..=,„,„,..,,"=,,x ,..,. „....,,,,,,,_,,,,,,,,,,,,,,,,,.,;.,, , :A0=xlit:===.11..;st ....,,,,.. .mtmaa..414M,...W.12,11,., - To ma _ 8 3 ss I
'"'—'' '''''''''''''''' ''''''''' ,t4' ' $14:111.14041TIOC SALES TAX FOR PROJECTS WITHIN 111 CM Of FINIAL WAS - N.
ist=C.,Nr,.1,1111:_16111144)*‘,,,,,,,*-- 4,....„*;",...4,141r, 1,',..,- ,„„ .j...L.,......---%.„,c... ..,.:it 441.A...A",...M4-",,, ,,,..,...., 44.3...,,
A:711;0,14,—',1=m,..na. . -. )x fltiqf "41114,- 4 cow PLAN
urrJetIFC?:? P011:? 111--EXIST-;"014--- DP'1 •''' FEES:
fYfrOTIOR/:KEW OSE:RES 1ST.: '..,'.,"-*2-jO00:sii.1.‘1 STIES.. ... ! IMIRED PARTING..: 0 c'PRINKLERS1 .1 PLAN r.lifl.t. EU t 46.80
oCcEMISifircytGERG€ORiopY___..•1....12.._ 2ND.:314 : II,,::: ,„ 410:ssif ',..': vHaElitAWIT tott..‘,74....,:, .,,, t 4,1 , ilAtiVID(I,‘ASS—:? IsBlcIlcAlsoPRLCA:SURCHARGE
K : $ 102483..,005040
I ,,,T -. - 11.,
l'YP li CONSTRUCTION--- - PSC: ./":-: 4' '''''L 1 '1
re
0.00:ft SEWER SERVICE..:
:5i:"..)111LOAD::?? ::?? ''-:41:4114;:: '', t)40'i' ' e0:sfl' 14:Itli'V :01/4:di: IT" 0.91) ft 141'1HRIEER.F°StPart.'' ' ° 2" WILDING 11°1111—* ;
0; 0: (*): Ton: ",,\;,t, ,1#0** or ow o,o. JAPER,/ SURFACE: 0 sf SENSITIVE A.P,E.A,,,S. ,...,:?..,,,„
.W...ma..4.16.31taVIrtMLI AsmatneAruma=1.2....9M,mr...SA=4.M.sr..naMM=1.0.410..,
U 401rES.:' ? FANS. . ... • t t4 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 WEAL fir, $ 182.70
'MOTO.: 0 ft HOOD. • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 I
100K..: 0 DUCT MIRK • 0 3-15 TON • 0 SHOWERS • 0 SUMPS • 0 I
WE • 0 WOOD STOVES. • 0 15-30 ION. • 0 LAVATORIES • 0 VAC BREAKERS._: 0 I
I C bligNER: 0 FURN-100K • 0 30-50 TON. • 0 SINKS • 0 DRAINS • 0 I
' 8 1.......: 0 MIS( • 0 50+ TON • 0 DISH WASHERS. • 0 LAWN SPRINKLERS: e
GA YEP..: 0 AIR HANDLING UNITS FUEL TANKS- ELEC VIP HEALERS...: 0 OTHER FIXTURES.: 1 1i
i
RA • 0 <10,000 CFA: 0 ABOVE GROUND: 3 LAUN WSHR 90TITS...: 0 I
GA OGS...: 0
) 10A0 CFM: ° UHDERMUND':: 54a . . . ,_ _ _ „...,....—,.... ,.,.:..., ....--- ,, I
Pt EXPIRE 1110 DAYS AMP ISSUANCE II NO WORE IS SIARTIO. RESIDENTIAL AO GRADING PENNIES EXPIRE (NIL YEAR AITE1 DATE Of ISSUANCE.
1'CE? IFY THAT TUE HON tUINISNED NY NE IS TRUE ANN CORRECI 10 ii: NEST 01 NY rNOILWEDGE AND tit APIWICANIE CITY or FEDERAt WAY REOUIRLAINIS WILL BE NET.
DALE i - t7 ' /("7 5? j?' •
FIELD COPY
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1.. SETBACKS & FOOTINGS yC /�`jJ
Date/0,--f By l32 � C� 17
2 F.048A' lCN 1WhLi.S. .:
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3 PLUIIIIISING GROUNDWORK
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4 SLAB
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5 FFOOTDG/DOWNSPOUT DRAIN: ::;:::::;:>: •:
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6 UNDERFLOOR FRAMING
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10 MECHANICAL ROUGH-IN
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14 GYHB -2ND LAYER
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15 SUSPI [DED::OEILINa>::;<:»::::>:::::<:>::::::>::::>:::;:::;::::::>:::::::::>:::::<::::
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16 PLANNING FINAL:
Date By
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17 PUKE D:aI�IORfCS:: 11 1L:::>::>:>::>:::>::>:: ]::;.:::::,,::
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19 BUILDING;FINAL;:
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�tle" vZ.,T71
20 OTHE
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Date By
CD0193(Rev 4/97)
• • BUILDING DIVISION
Cr:\:;: G_ 33530 First Way South
�� CG' t\EO Federal Way,WA 9800:)
G (206)661-4000
IRY
Fax(206)661-4129c
. o 3' 4(11121 Z 3 1991
Lip, ��p�t`1
D�RPL wc•`'
APPLICATION FOR'BUIth1 �G PERMIT
02 . Dq 7 oS
PLEASE PRINT
APPLICATION#
T41
I
< �` AddressG
���.::::::::::?:::�.<�>::<:::>:::Si:i::::::::<::::::� <>< ' s>iz' i »':'• ><'>�''>..... 11
.�o����� .....;.:<.. ....:: :::::::.:;; .::::.;:.::.: ��// �'o. 288 �� FFi�-�- l/�_,� y P ��
Tenant (if known) ,/} ` ��"i
/ air/cm Ii i o Gann bell Lot# ,F8 Assessor's Tax#
f
Building Owner's Name collie 65fi/r9doe Addres$,0 S'-'0, 7 D, /7n s^T/,
City < �/4.c st to �� Zip CIF. tee Phone 1/3_ 8/26-
Nature of Work P‘A'e"" s)I v'---
Name (F,M,L)
a f rj tt& 44i ',iv)yd e/
Address
/_71330
50, /7 56
City . .Pe M.C. State ''.+_),4 o Zip /29ap
Contact Person Day PhoneeV3._git rP Other Phi Fax //---
Company Name
v-rGH is (1�b3tLc {lonr ratC C .
Address 3103 c �. &. 2— "iril
City K6Arr 9 4 Z
State LA)Pr- zip
Contact Person D J„rC u D V,,y s a w w Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
DvrC,-4i111 254K4 wRit4S4- tokINsost{Z
AFieeitTEtaMM
Name kde..Address 7
CityState Zip
- (9s3-31--.''
Contact Person Phone Fax
LEGAL DESCRIPTION \ ‘5 .'
, ‘
Please Complete Reverse Side
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1.
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I Iii1 1 ' ,.... 71: - i J CEIVED
7.4 ^ - iSEPI23 1997IJ ;
1
. v„„tir 4-eirr WAY CITY 00 ER i _ I
� i MITI"OF FEDERAL.
__ — _._ i 1 BUILDING DEPT. 1 % DE1 0I ( . _-
j i , 1 I HMI SECTION ;
I i �;,,ow 1 APPROVED 1 I ,
- ' .P Et Lc nc AS CORRECTED I j
i ; i SUBJECT TO f1Ew
_ ! e ( L ; ; 1 i i OF
S UTS1 R0� ARE NOT
_ . CZ, �1U.QOWtji PC� FAI�D FQOTING
'�, > I : DRAINS SSHA'L BE TIG TO AN 1 UMWAPPROWL j i _ ,
_ I GE SYSTEIT•.-- , 14 e 1 ,...r..U, 9/ C170 i
.___ I LE S OTHERWIS APPROVED. ( 1. —a. I i
, , IN opu -12.i) I 14 i • , ()I., , 7: -- --
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S IRTIN HAL NT E
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_..._ .__. _�; .._. .___ _ � .,i t q ! i �yrs ' f,0. . �o , __._.�_
o THE CONTRACTOR SHALL VERIFY • i i
__ .__� i o 11 1 I 1 ' I .f' ; THE PROPERTY LINES AND, ! , !
I
-
' I (I '1 SETBACKS FOR TWE P AC MENT i
__ ___: �_. � ' . - \� . i 1 OF THE STRUCTURE A 1THORIZED
' ili , , , 1 , , 4
iin 1 1 ,L ,9 # OI'ix1 - oisi - _ BY TMS PERK IT. 1
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T No EVIATICINS ' ` "'' ' !
I_
-IP TM A -R VEDDR WINGS1 ; 1 UPON COMPLETION ' � i r
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T �6 WI PROVE Bl b UIJkI- o1V�E Y11OitK ( !i
__ AY BUI4DIN Q I _ f i ; - ,
1 11 ,
'
xistin Use
• Proposed Use
t�'(t�ty��If E 9
ed U
` Permit includes: ❑ Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: :'SZ Residential 0 New 0 Remodel 0 Number of Units / 0 Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor/Cf-U sq ft 2nd Floor sq ft 3rd Flo r sq ft Existing Floor Area sq ft
Area Basement sqft Decks sqft �t;e'
g �/Z sq ft Proposed Total Area sq ft
Water Availability Xr Sewer Availability X On-Site Septic System Availability 0 Project Valuation $
Zoning I Lot Size 4"1- X Y•L- Existing Bldg Valuation $
iiiiiiMiiiMiiii
EENDE < > : M< > < « ?€ ;>
Name , /'6e
a . Address
/�
City State Zip
Contractor Name Address
City State Zip
Contact Phone I Fax
License # Expiration Date I Verified 0 Yes 0 No
>:::> >>
PLUM BENh. ..N RArTOR . »»
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 No
:::>:>::z::::;:>::::::::»::::>::: :: ?
::::::>:>::::>:i<:: :>::<::::>: ? :i a:
: 0 »> isNGT »> is
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
...............................................................
...............................................................
...............................................................
...............................................................
Lavatories Washing Machine Drains Total[Fixture,Count. .
IYTECHAr:I L U I : imii:�:�:: ::::
�1�111iA,C�.�N��'.��t�1�'1'......................... MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tonsidtal Utiit Confit:>:`::;;:;:;;:.,,ffii.._..
DISCLAIMER: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 information supplied to the city as a part of this application.
Owner/Agent: 4)(77.2",:x—, G ?, C.,-/"..,_.r_ -- : 7 �-
Date:
f1.5.12/11/96