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Y OF FEDERAL WAY BUILDING PERIV1IT PERMIT NO.: BLD92-2216
3:-530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/16/92
Federal VJay, WA 98003 BY: MH
661-4000
SITE ADDRESS: 32820 20TH AVE S Unit #62
PARCEL NO.: 144170®0330
PROJECT DESCRIPTION: INSTALL MOBILE HOME
OWNER — CONTRACTOR -- LENDER
CHARLES MCCULLOUGH CASCADE SERVICES, INC.
36727 9TH AVE SW 1619 AUBURN WAY NO
FEDERAL WAY WA AUBURN WA
4654 852-4060
CASCASF153D8
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 1792:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' •' FINAL PLAN CHECK...* $ 64.35
CENSUS CATEGORY.....:? 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' BUILDING PERMIT....* $ 99.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm SBCC SURCHARGE * $ 4.50
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 10.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 7885 SIDE • 8.00 ft WATER SERVICE..:FED
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 350:sf RECEIVED.:09/24/92
. 0: 0: 0: 0: TOTL: 0: 2142: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 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
RA GE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
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 INFORMAT 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 AGEN (7.27f -� DATE /p"/C " /�Z.•
bld_prmt 07/31/92
'
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE 11 Li -qt•..._. BY_..4'^W_... DATE f"WBY XI A 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
/ J DCD PSD FD
DATE ii/// :-
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SEP 2 2 1992 CITY OF FEDERAL WAY tt
Velinit4G AY
mitt BUILDING PERMIT APPLICATION ►t
— Please Print— U5'!/
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BOX 1 TENANT NAME:
OWNER C ,A c13LES_.1{6/1� ! cuu.c�C1� SITE LOCATION U air 62 3 2sAo AO" M4ut $0.
OWNER'S ADDRESS 31.72. 1 4+`!'rut sw CITY FED ca PHONE 87444.54i
DESCRIBE JOB =fa Mob► rtoME
THE PROPERTY IS OWNED BY: /MARRIED x PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CASCADE 4 G-AUICCS =kV-. CONTRACTOR'S REG. #CASC ASO 5-34D$
Card MUST be presented
CONTRACTOR'S ADDRESS gig A•viurZA) 1.43M )30 CITY e t 2ukt.) PHONE 852, 406a
EXPIRATION DATE 3 p,s-f 93
— 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 '1 rvv M 4-Cu 1.4.0ua 4 PHONE $s?`1040
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 5,004 EXISTING BUILDING VALUATION NA
BOX 6 PROPERTY TAX ACCOUNT NUMBER / `f �r-7 t`� ! '`� (73 j
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # - 711-
BOX
'1'fBOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST• FLOOR /106-/ 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ()� SINGLE FAMILY (Xi NEW CONSTRUCTION 114O$1iL. NO' F
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE _ . .. .
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$" -
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 $
9TIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
-URTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
'CURBED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
'D AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING ITS
AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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DATE: C01 9l
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