96-102687 9G- je ' 7
CITY OF FEDERAL WAY M,...., ;N��'w PERMIT NO: BLD96-0336
33530 First Way South .;i�".;I�M.. ,I':
. .:11 a, ;'t "..il, ,plif.,al!. .,,I.,, ISSUED: 10/15/96
Federal Way , WA 98003 f:3u:iIdinq Inspection Requests 661 -4140 BY: FC2
661-4000 EXPIRES: 10/15/97
ADDRESS: 35152 271H AVE SW
NO . : 252103-9047
PROJECT DESCRIPTION:NSF - MOBILE HOME SETUP.
(TAX LOT #252103-9047).
NEW MOBILE HOME - SETTING UP 2640 SQFT MOBILE HOME ON SINGLE FAMILY LOT.
•ER •--- -•T- CONTRACTOR -- __..._ _______ ==== =====Y= LENDER ____.__.._.•_=___...___..__::____--- i
DON ANDERSON a LAKEPOINTE CONSTRUCTION
35211 27TH AVE SW { PO BOX 39129
FEDERAL WAY WA 98023 ) TACOMA WA 98439
3
833-4983 800-562-8104 863-6108 { j
( LAKEPO*098N1
.___.-._._._____. _._..._._..__...__..._..__.__.-__.-._-.,.__..r. -i..._._c_.. ...._..._.,._.._.==_s=-^ca::_...._- —
*** CONTRACTORS, PLEASE USE LOCATION CODE 1132 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 COMP PLAN •SFHD FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 2640:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' •' PLAN CHECK FEE $ 87.75
CENSUS CATEGORY •112 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION ; REQUIRED SETBACKS FIRE FLOW • 0 gpm p FINAL PLAN CHECK...* $ 0.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 135.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 11616 SIDE • 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
, :? :? :? DECK: 0: 0:sf ( REAR • 5.00:ft SEWER SERVICE..:FED
UPANT LOAD GAR.: 0: 0:sf RECEIVED.:08/13/96
: 0: 0: 0: 0: TOTL: 0: 2640:sf IMPERV SURFACE: 4140 sf SENSITIVE AREAS?.:N
--..
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 267.25
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0 3 )
GAS NWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 ) SINKS • 0 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS..,: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 k
Ems__._.._.. •- ___4.._..____... - .........._..___....--------_......._..__ _. __-__.. -- _ _.. ....—=___: ....--.... •- _ ?
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.
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City of Federal WayCITY OF
••
F ‘NIVRPPLICATION FOR BUILDING PERMIT
� 3 X996
PLEASE PRINT 141� trg. e�iP�-� ��5 APPLICATION #: bq( 3
SITE LOCATION 0Q �P < Address �/t
Tenant (if known) Lot# , sessor's Tax #
� ac_11059c,-1-1
--" ( Building Owner Name Address
�� �� Ar\C_le('>AD/Th A. S . 's.� , X301
Cityc State U300. Zip ` Phone T-3 -,_.\9%,3Nature of \ i ,$^ >(J\ e OYY1� �\ v-- PV-2- U \CS
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTOR
Company Name
\CNCO'r\��r
Address
$c)L\ \C Cti\ems V;r\-e, e. -
City PSG‘ . j State \C,` - Zip C\
Contact Person nL/-/9Y\�1 --D\c" v,�r (-7/4_56
ty 'J 3 /`7 %� th�UO-s(03- 16,4 Fax (‘,3
3'�s7�Q?
Contractor's #1card must be preset) ` Expiration Date Verified ❑ Yes CI No
�. C�9gN
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
f ScAZ F7 c
Please Complete Reverse Side
CD0492(Rev 4/93)
_ImpiPP-
i STRUCTURE • ting Usekfiposed Use
__
Permit includes:
Ilk-Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: iResidential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
)( Enter 1 st Floor 40 sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area_ sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability C-' Sewer Availability E On-Site Septic System Availability ❑ Project Valuation $
Zoning R6 . `2 (Lot Size Existing Bldg Valuation $
LENDER
Name Address
X
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax //
License # Expiration Date rifled 0 Yes ❑ No
/7
PLUMBING CONTRACTOR
Contractor Name Address
/
City State Zip
Contact Phone, Fax
/
License # expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT /
Water Closets Sinks / Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters „-/ Sumps
Lavatories Washing Machine/ Drains Total Fixture Count
/'
MECHANICAL UNIT'COUNT MECHANICAL VALUATION ONLY $
Fuel Type (electric/other) GS 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
7
Furn >100 BTUs /' Fans Miscellaneous Fuel Tanks
Gas Hwt 7 Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
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. I G1
�uwner/Agent: a1VA/'�-� Date: C 1 \ /4Q