93-100997 93-laog97
ky OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93'-0436
330 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/29/93
eral Way, WA 98003 BY: FC
-4000
SITE ADDRESS: 2101 S 324TH ST Unit: #93
PARCEL NO.: 162104-9037
PROJECT DESCRIPTION: MOBILE HOME SETUP ON 2 LOTS IN BELMOR MOBILE HOME PARR
OWNER CONTRACTOR LENDER
WMC/NANCY WINCHELL NORTHWEST SERVICES INC
2101 S 324TH ST #93 614 197TH AVE CT E
FEDERAL WAY WA 98003 SUMNER WA 98390
41119252 735-1627
NORTHS*110JG
1 I
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 1 COMP PLAN •B FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1716:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? . PLAN CHECK DEPOSIT.* $ 64.35
CENSUS CATEGORY •112 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •7 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 99.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 10.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 7550 SIDE • 5.00 ft WATER SERVICE..:FED
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:04/23/93
. 0: 0: 0: 0: TOTL: 0: 1716:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 167.85
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
Re . 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
l OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL 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.
OWNER OR AGENT .-6,124 , .a./Lyi / DATE
bld_prmt 10/23/92
. 1 dj
J
SET B S O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE S BY _....._. DATE ._..BY _ DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE.._ -.__BY GAS PIPING O.K. _.. ...._ -_....._ DATE _.....----.....-_. .. BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE_ -_ BY ... DATE BY - - DATE -__ _ BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY - -......._-
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,�„� City of Federal Way
\v 41= t , PPLICATION FOR BUILDING PERMIT
APR 231993
-..zry vi.;,..-Lz (61/ DA'3'' OLf-f.9%
PLEASE PRINT tIO 'b{' :: APPLICATION #:
SITE LOCATION Address Z(G ( So. 3 2 y 1111 S(''�C L' C( 3 j-E R).k L v ' w1 Cf 'Q '3
Tenant (if known) Lot# r Assessor's Tax #
WM C . c N(AM cy f4, n( C
Building Owner Name Address
SA w E !h S 4 B a V'_
City Fr_ p[14,1c- (,(illy State w15 J4 , zip ggoO 3 Phone0_QG)e 7q 25
Nature of Work SL T- v P Mo 6 I L E 1--(6fir-
APPLICANT
Name (F,M,L)
\Jto , c. F N *Nc7 (( . NcF{(.=LL-
Address
2( 01 So , 3Z`-1t-t
City Fi2A(--- kin , State VJ(A$ 4_ Zip
Contact Person Day Phone Other Phone Fax
,j--7 - 'j2s
BUILDING CONTRACTOR'I
Company Name
c4ScADF (-EoM(= S
Address
2 "7 1 2_ fvBvRN wAY N,
City i U B V (2 N State (A)11.-.5 Zip 9 p, O o 2_
Contact Person Phone 3_373 3 Fax
STr v S r'REA -
�
Contractor's # (card must be presented) Expiration Date Verified E Yes ❑ No
ARCHITECT-t_ .
Name ,,teen //
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492(Rev 4,'931
ill
g Use Proposed Use
STRUCTURE p
Permit includes: �� VBBuilding El Plumbing ❑ Mechanical ❑ Other
Type of Work: 'EdResidential New ❑ Remodel ❑ Number of Units_ II] Deck
El Commercial El 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 Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 15/ Sewer Availability 527 On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Ed ' X E 0 r Existing Bldg Valuation $
LENDER
///
Name Address
City State Zip
MECHANICAL CONTRACTOR ‹ , / .
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified El Yes ❑ No
PLUMBING CONTRACT O •fr.' x l(
Contractor Name / Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT /h.
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 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: Q -a , 0 _—_ Date: av/(241>2 3� 1 l !