95-101353 CITY OF FEDERAL WAY PERMIT NO: BLD95-0473
33530 First Way South BUILDING PERMIT ISSUED: 06/27/95
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 12/24/95
ADDRESS:3OO1 S 288TH ST Unit: 217
NO. : 042104-9231
PROJECT DESCRIPTION:MOBILE HOME - INSTALLATION OF 1568 SQFT MOBILE HOME.
CAMELOT SQUARE MOBILE HOME PARK, LOT #217.
p_ OWNER = ____ _______= CONTRACTOR =_____= LENDER
CURTIS BURRIS HORIZON CONSTRUCTION SRVC INC
3001 S 288TH ST, #217III 1940 ELM ST SE
FEDERAL WAY WA 98003 AUBURN WA 98002
922-9800 381-6867 922-9800
HORIZCS132LA
3:: CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.2% ***
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BLD?:X MEC?: PLN?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •LDR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1568:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' •9 PLAN CHECK FEE $ 58.50
CENSUS CATEGORY •112 2ND.: 0: 0:sf HEIGHT • 0.00 .ft HAZARD CLASS •' BUILDING PERMIT....# $ 90.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpi SBCC SURCHARGE * $ 4.50
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 10.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 6899 SIDE • 10.00 ft WATER SERVICE..:FED
:? :? :? :? DECK: 0: O:sf
OCCUPANT LOAD
4111/
REAR • 10.00:ft SEWER SERVICE..:FED
0: O:sf RECEIVED.:06/20/95
0: 0: 0: 0: TOTL: 0: 1568:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:H
_ _ s ssxa_ssxs_sa=_ssaaastss:
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 153.00
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
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
L___ = __ ___________ m__ ==== __ _ ===-.= = _ =___xs�
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. -.IDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION ISN BY ME S TRUE A +T TO 'E : OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER A GENT ___ ./I _�_�___r�__� DATE ___4271,.....r
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m key City of Federal Way
v FA' MPLICATION FOR BUILDING PEIt
RMIT
GIT BUILDING D PT"
PLEASE PRINT APPLICATION #: J4 5 -OUT...
SITE LOCATION Address ✓5196)/ 5 ;ereY3 57. 0-2/•7
Tenant (if,cnown) Lot # Assessor's Tax
( j/i 1...S �0. 6v<AiS Z/7 oq{ .( cry '123/
Building Owner Name Addr
e")d/ SoL)7 i e ? kST.
City State Zip [Phone
Nature of Work 2$7/¢-Z—C—, /Ph)6.-L6- E //) 44,,...,-4,„-r Spv € mo'3iZE' _-/_' ,_
APPLICANT
Name (F, L)
Address Z6/g.
s, a /& V * 7-/o/
City Ln' ATaXieJ State J�
` /is e Zip 4e,)/2,e,
Contact Person Day Phone Other Phone Fax
_clatF S7aZ7SV3cr17 722- 'goo 3ai. 68 C7 2Z- Z3//
BUILDING CONTRACTOR
Company lamp
Ole/'Z(.)/1/ 6/tlS7 xt/C'T/'Iti S&I-0/X f
Address
/pyo eZdil S'/— ..Se---
City ,e/ 1 -ziv State /l J Zip ye.5 !�
Contact Person Phoneys'1 Fax 7
t3"'"jfC SI G�]v5�'� 7LG_(� c,9� 7.20. -C..-w
Contr c or's # (card must be presented) Expiration Date Verified 0 Yes 0 No
/ZCS/J2 1-/Y //
‘
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Z t7-7— *2/ 7 of C' e_ -r Si=%i.4-E /ri7aefice" /6/7-r,'
/A)fre-kc
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE ` •xisting Use .916/4 �j /6;,..t (Proposed Use J.-
Permit includes: Ill Building ❑ Plumbing ❑ Mechanical ❑ Other t
Type of Work: Residential ❑ New ❑ Remodel ❑ Number of Units__ ❑ Deck
❑ Commercial ❑ Addition ❑ Garage [1 Shed ❑ Other 111
Enter 1st Floor r'61LZ 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 EBS Sewer Availability l-L-' On-Site Septic System Availability ❑ Project Valuation $
Zoning — . --4 x:-/,,,,O.- 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
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
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 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 .im),whic.may be made by any person,including the undersigned,and filed against the City of Federal Way,
but only where such claim arises •. • th• -liance of the C i.cluding' officers employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: / . _ 7 / Date: 6/1-__2(-.) 7�