94-101925 (44- tilM1
CITY OF
33530 First Way South BUILDING P EI�;M I T PERMIT NO:ISSUED: 11 72
0/04/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 10/04/95
ADDRESS:3OO1 S 288TH ST Unit: #347
NO. : 042104-9231
PROJECT DESCRIPTION:DECK ADDITION TO MOBILE HOME
OWNER - CONTRACTOR - LENDER
JEFF MORGAN *** OWNER IS CONTRACTOR *** OWNER
3001 S 286TH ST 1347
FEDERAL WAY NA 98003
529-3831
*** NONE ***
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN 0 FEES:
TYPE OF WORK:ADD USE:RES 1ST.: 0: 0:sf STORIES - 1 REQUIRED PARKING..: 0 SPRINKLERS'' ./ PLAN CHECK DEPOSIT.* $ 16.25
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT - 0.00 ft HAZARD CLASS .' BUILDING PERMIT....* $ 25.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gm SBCC SURCHARGE * $ 4.50
:M1 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...=: 986 SIDE - 0.00 ft WATER SERVICE..:?
:5N : DECK: 0: 112:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:10/04/94
. 0: 0: 0: 0: TOTL: 0: 112:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
Amok FUEL TYPES.: FANS - 0 BOILERS/COMPRESSORS MATER CLOSETS • 0 URINALS - 0 TOTAL FEES $ 45.15
IlipAGAs 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 5t HP - 0 DISH WASHERS • 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC FR 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
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 CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _ L---, �-- a DATE ( � 5
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«,.� 0 City of Federal Way• ...
�`� FirN' APPLICATION FOR BUILDING PERMIT t
PLEASE PRINT
APPLICATION #: (._-.D 6772.
SITE LOCATION Address 300/ S' 26:-ki w"_-7--- 64,77-- 7-:>1',7
Tenant (if known) Lot # Assessor's Tax #
54/-7
U%2/o ,9Z /
Building Owner Name Address 3
1115
SE€F /71e,z_,el _3L='r� / S . z p-,5---'" Si'- q41City //-cc-/e-f-- .. / L,J� State C.v 4 Zip 9 g c o '3 _Phone 5 2 C j 3 3 7
Nature of Work d i,LI Q De c k
APPLICANT.. >::::
Name (F,M,L)
3-6'f i - /t--- -w7- /17 v /r 61-.,q,,.
Address
re-de
/ s. -zed �� 3y7
City ,C_a#C9r / �...i'cc.i State 6L'j Zip 1Qcj) _
Contact Person Day Phone Other Phone Fax
s2g 3e 3 7 5-2 - 3 F 3 7
............................ .
BUILDING CONTRACTOR
. .... ...........................:....:.:
Company Name r—
cr_ 4-E-,7- /via,e3-#3.°L,/
Address
•54h-, "15 /4 60 v�
City -
State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City
State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION 7 r
..‘ecridifi"Les_(!
t, r r- -5'V7
/
Please Complete Reverse Side
CD0492(Rev 4/931
SrRY1CTCJRR><'`?<'z`>'<z`:: ::`'`? > ' <:::E > > <
E � Use sed Use
L � N1f9 * f)EC(C
Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential CI New ❑ Remodel CI Number of Units E3. Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Deckssq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S y , :'
Zoning Lot Size Existing.Bldg Valuation ;> :;::;:
.............h- ::::h ..................... . ._._.. ::.h: ...... ........
LENDER
Name Address
City State Zip
.............................. .....................................................
........................................................ ..............................
.............................. .....................................................
........................................................ ..............................
MECHANICAUCONMACTOREMM
...........................................................................................
...........................................................................................
...........................................................................................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
..........................................................................................
........................................................................ .................
..........................................................................................
........................................................................ .................
PIMMBING:CONTRAC'AOR::: :> :inh:
...........................................................................................
...........................................................................................
...........................................................................................
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
................. .............................. ............................... ....
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.................................................. ....................... ...... ....
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.................................................. ............................... ....
PI*UMBINO.BOrru;1 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 :],X, :::K*]:i::":::
.............................. ...............................
..................................................................
...........................................................................................
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............................................................................................
EC C h UN ::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 Counf
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: (.._---'; 11/ ,... - Date: 7'.6"/Y( 7
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