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94-101089 gill 10 CITY OF 33530 First Way South BUILDING PERMIT PERMIT ISSUED: 06/13/9446 Federal Way, WA 9 03 Building Inspection Requests 661-4140 BY: FC 661-4000EXPIRES: 12/10/94 ADDRESS:3001 S 288TH ST Unit: #39 NO. : 042104-9231 PROJECT DESCRIPTION:MOBILE HOME - INSTALL NEN MOBILE HOME IN CAMELOT SQUARE PARK. 4 OWNER CONTRACTOR -- LENDER ROENIA GUNN HORIZON CONSTRUCTION SRVC INC 2121 S HOSMER 1940 ELM ST SE TACOMA NA 98405 AUBURN NA 98002 572-4045 922-9800 { HORIZCS132I.A BLD?:X NEC?: PLM?: FLR--EXIST--PROP-- DNFLING UNITS: 1 COMP PLAN -OR 1 FEES: TYPE OF WORK:ADO USE:RES IST.: 0: 1760:sf STORIES - I REQUIRED PARKING.,• 2 SPRINKLERS' ' PLAN CHECK DEPOSIT.# $ 70.20 CENSUS CATEGORY -112 2ND.: 0: 0:sf F TIJT....,: 0.00 ft HAZARD CLASS,..:? FINAL PLAN CHECK...* $ 0.00 OCCUPANCY GROUP 3RO.: 0: 0:sf VA.UATION REUIRFD SETBACKS - -- FIRE P_"?(....: gpt BUILDING PERMIT....* $ 108.00 :R3 :? :? :? 7 (LIM: 0: ,:s; EXIST S: 0 10NE`.. ;' ") ft SBCC SURCHARGE * $ 4.50 TYPE OF CONSTRUCTION----- 2e!''. C :s; '`n1 " 777! C".OF ' 14.00 ft MATER SERVICE..:FED ''"44'-'-'''' :5N :? :? :? . DEC". 0: f REAR - 10.00:ft SEWER SERVICE..:FED OCCUPANT LOAD VII.: O:- RECEIVED. 06/;:. 194 . 0: 0: 0: 0: TOTL: 0: 76r:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N 01 FUEL TYPES.: FANS 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 182.70 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 GAS NWT • 0 WOOD STOVES...: 0 15-30 HP - 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONY 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 r RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0 GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 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 FURNISED BY ME IS TRUE AND CORRE TO THE •EST r- KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT __� DATE _ ,�_„ `5 _I FILE COPY 3-7)t 77 973 Ad0.7 Q131d � • / r .__) _ _.,- , I1y�3 __ __..___m __--_ .__ -1;?),,, ____ ------- 1N39tl iO 1131100 138 38 11I8 SiN303VIfVid AVN 1VV3d3.1 JO A113 318V311ddV 381 ONV 390310001! 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'IIlVd 3dVtldS 10130V3 NI 3008 111808 038 11VISNI - 380)1 311908:NOI1dUJOS30 laaroad T£46-b0TZb0 : 'ON 6,T# :4 tuff 1(3 H188Z S T002:SS38O©ti 176/0T/Zi :S31:IIdX3 00017-T99 113 :A8 Ot-IP-T99 s sanbad not zadsuj 6utPTtnB £0086 VM 'A M Ieaapa3 9bb0-b6018 :ON21/90 n1IW�l3d SSI III/Naiad 1�IIQZI �1S ,,,nos AVM 1Armtia343 T30O�l1IO 1 J 0 O 00 000 o m D m 0 "u D C') 0 G) 0 L) 0 Om O g 0C 00 o 0 tH D C 0 D >m D d —4 m —r d C a, ,7p d Z d D d C d *' v * m 7o d m ct m m D" "...1,.) c' h S d ,Z °' c °; 0 °+ co I I co F m m m Z co Z m � co m co m c c_ o co = m ._ N co �, m corVi co co Z c� D D m' m m m o v v IT z D '� v z N z z r Zo D .n r z T 0 0 D D 0 D 00 D Z n D r- 3 r p r y �o m Z �.� 13 m r Z D r m m 0 O 0 C 2 D Z D D C) m O Z 0 trn rn C) Z 0 33 73 m CO W m m m m m m m CC' m W m m m co m m m "(Q3 � -� -� -� -� -� -< < b p , k1 J5N r' G r R J .1 I I Ftl 0 ci VI • N n S {-1 n o o 11 RE • f CITY it:) : FEDERAL WA" 4nbUPING PERMIT APPLICATION —Please Print — i q L BOX 1 TENANT NAME: f cn "" AL c..44..)/....) Sea/ C' cc3 5 T x-39 rpt:r. SlI , FP OWNER /t° �✓' ' Al SITE LOCATION -' a e '% d,t-A,' k' - OWNER'S ADDRESS Z/2/ -Si. �)Xe-=?— CITY ?_ N4 V43# PHONE S2 - ycy5' DESCRIBE JOB 1�<->S! �• .tJ�zv'_eo?c.6G P70 1(( / N2c-z iv c397-vi re-zi-rSw4f-t�^ 74/7e, THE PROPERTY IS OWNED BY: SINGLE/MARRIED____ __ PARTNERSHIP. _1/'� CORPORATION - BOX 2 CONTRACTOR'S NAME /7 / A1' C"'2577 64✓L -LNC, .__ CONTRACTOR'S REG. #l54'4/Z<'S'73e,)4,9 ,) Card MUST be prey, CONTRACTOR'S ADDRESS /9'" �'? S-7-S-7- S4- CITY 10v'(') 4-5/1,5"/ PHONE�'3-5G7,? EXPIRATION DATE -. /r' -//` I / — 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 S�1/ S%x-ri`-2_ 12 • _ PHONE cf22 - e(:)-6 BOX 4 SEWER DISTRICT , WATER DISTRICT BOX 5 ESTIMATED PROJECT COST W 17 2s' s)-9-- EXISTING BUILDING VALUATION i+ • BOX 6 PROPERTY TAX ACCOUNT NUMBER :U V-if-q�3) .} LEGAL DESCRIPTION I`1 l (It necessary, please submit a separate page with the legal description.) K.C. Plat Recording rY _ _ -- . , ')X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR GJ_ 2ND FLOOR I____ 3RD FLOOR ___.J BASEMENT ______J DECK_ __J GARAGE / BOX 8 ( vi 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 — BASIC FEE $ NO. _ WATERCLOSETS GAS PIPING, FEET __ $ __ BATHTUBS NO. 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 $ I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATI( MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORV. 'ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIG .140 FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDIN OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT. ,/' Y-.6..,7-,/,.--- :•./_' - —_DATE: / —