95-100898 q5- /0O - 99
. CITY OF FEDERAL WAYPERMIT NO: BLD95-0350
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33530 First Way South „�,s,p ,,J .. L DING PERMIT ISSUED: 05/24/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/20/95
ADDRESS:3001 S 288TH ST Unit: 54
NO. : 042104-9155
PROJECT DESCRIPTION:MOBILE HOME SETUP. 924 SQFT MOBILE.
CAMELOT SQUARE MOBILE HOME PARK, LOT N54.
_= OWNER T CONTRACTOR LENDER -
BETTY BARRETT
3001 S 288TH ST K54
• FEDERAL WAY WA 98003
839-7575
a y
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.2% ***
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDA I FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 924:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' •' PLAN CHECK FEE $ 46.80
CENSUS CATEGORY •112 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •' FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gps BUILDING PERMIT....# $ 72.00
:R3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 7.50 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 4066 SIDE • 10.00 ft WATER SERVICE..:FED
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:05/05/95
0: 0: 0: 0: TOIL: 0: 924:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
2 I• FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 123.30
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 HWT • 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
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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 ' 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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Date 4)—7-95 By ij4J
IllOUiNmDmATION .mnimilliminimmull
WALLS,
Date By
PLUMBING GROUNDWORK
Date By
wommispimminam
UNDERFLOOR.FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date By
OTHER
Date By
OTHER
Date By
CDO193
0 •
u G City of Federal Way
v� nw APPLICATION FOH BUILDING PERMIT
MAY 0 5 19 95 InG
CITY OF FEDERAL WAY
PLEASE PRINT BUILDINGS 73U 3 )
APPLICATION #: f.,
SITE LOCATION +Address 7 ,� 2 6qf-. 1�
Tenant (if k own)
�/,;� � Assessor's Tax #
, ,
Build' Owner me Address
t -1_. Al/ "7%9v, ic,/
City"�_e.d. IF 'State /�.C,.„ Zip 9,00j 0Oj Phone /:7I._ 2...J 7„s'
Nature of Work '� -fes •47,71-e/ x� „�- �j
APPLICANT
Name (F,M,L) Ael--1--Zi-,-7-7i-es-//
Address
/4 ire ,‘ ' /%mei-, -
City U
�pu� State Z6 it Zip 9O.% 7t3
Contact Pe s Day Phone Other Phone Fax
. -#//-,77,525e 7 vz 7_5-7
BUILDING CONTRACTOR
Company Name
Address
City
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name /� I
Address //I /71-
City (((///«`��� State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION elletiOr
50/ C, V7t c 47-‘,/
Please Complete Reverse Side
CD0492(Rev 4/93)
•
STRUCTURE Iisting Use Proposed Use
1 Permit includes: .g, Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: Isl. Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor ‘P 4L 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.. Sewer Availability.\E On-Site Septic System Availability ❑ Project Valuation S
Zoning fj/ • 3a6,1:, Lot Size Existing Bldg Valuation $
LENDER
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
................................................................
................................................................
. ...............................................................
PLUMB ING•FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total;Fixtute'Couht
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 1 5-30 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 Tons Total.Unit Cotint
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 incurfe in i estigation 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 cl m ise 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.
Owne /fgent2 £y „- Date:-�% f_.5.