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98-103223 _ qit03,:)a3 CITY OF FEDERAL WAY PERMITBLD98 N O-: B D9 -0576 33530 First Way South 1:311„,11." .. .,N.. ..ii "' �;..,�i I..,, F ;;!:, 'l.:;!1 ,.,N,., . ISSUED: 08/25/98 Federal Way , WA 98003 Building Inspection Requests 253-661-4140 BY: FC2 253-661-4000 EXPIRES: 02/21/99 ADDRESS: 2611 S 288TH ST Unit : 22 NO. : 283920-0000 PROJECT DESCRI PTI ON :MOBILE HOME SETUP Parkwood Lane, Lot #22, 9! OWNER -- -- -- a CONTRACTOR ----- -- -- T LENDER --------- . - = GARY AVERY ANDERSON DEVELOPMENT 2611 S 288TH ST #22 FEDERAL WAY WA 98003 J c),,,,, 4,\� .0 A\rJ5\3 \ H L--��4 v 1 t 110 ANDERLD023JD -- ---•-•::_..-----r -. -- - _ _ ;:— *** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE : 8.6% XXX BLD?:X MEC?: PLM?: FLR EXIST PROP DWELLING UNITS: 0 COMP PLAN HDR s FEES: TYPE OF WORK:NEW USE:RES 1ST.: 0: 1291:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS' •' 1 BUILDING PERMIT....* $ 144.00 CENSUS CATEGORY •112 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50 OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLAN CHECK FEE $ 93.60 :R3 :U1 :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 12830 SIDE • 0.00 ft WATER SERVICE..:? :5N :5N :? :? DECK: 0: O:sf REAR • 0.00:ft SEWER SERVICE..:? OCCUPANT LOAD GAR.: 0: 540:sf RECEIVED.:08/21/98 E : 0: 0: 0: 0: TOTL: 0: 1831:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? 1 - =•----• --- _ - -----I ._ -- FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS j WATER CLOSETS • 0 URINALS • 0 I TOTAL FEES $ 242.10li GAS PIPING.: 0 ft HOOD • 0 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0 URN<100K..: 0 DUCT WORK • 0 3-15 TON 0 SHOWERS • 0 SUMPS • 0 S HWT • 0 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 0 VAC BREAKERS...: 0 CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 0 DRAINS • 0 , BBQ • 0 MISC • 0 50+ TON • 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 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 HILL BE NET. OWNER OR AGENTQ�— �.._L�------ DATE _ v a -9(' ALE COPY « BUILDING DIVISION r.oF G 33530 First Way South -=� EDEI-ZAL Federal Way,WA 98003 uV F-IY (253)661-4000 RECEIVED Fax(253)661-4129 ' r , 2 i888 APPLICATION FOR cpyy� SING PERMIT BUILDING DEPT, � PLEASE PRINT APPLICATION # \ 0 (('� �}/k,-O d e Ad r ss Tenant(if known) /' Rzy �U� y Lot # Assessor's Tax # l� Building Owner's Name Address _j/i�vAL A 4vv,2:, City State Zip Phone Nature of Work 1MLT31Lt, 0vo"AC 1N';TA-Lt-ftV\v`--1 ................... ............................ .................. ...........N ............... .................................... .................................. ................... ............................ .................. ............... .............. ....... ........................... .................................. .....�.y............. ............................ .................. ............... ... ....................................................................................... Name (F,M,L) Az vvk ,pt 1.....c z -„, l_PUv L C120.4_,-, E-L,ti.....A Address i ' C,)55 ?RC-1 (I L '-143'y -k) . City RcLo,tivt pr State ltiInv Zip `z<6,—K-1 Contact Person Day Phone Other Phone Fax TI W1 b. -)R;-- i_ X53 l �\\`b , -53. 5z-a-35(?) < FEDERAL WAY BUSINESSLICENSE B[ ILINGC NTRACTQR. Company Name ( t 1 It' rLZ� KJ['3 ' (^C v is iK17-- Address r i City State Zip Contact Person Phone Fax 2.. -?C`5-212_5 Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No ............................................................................................ G t TECT:':::::>f[ -] <':>mi.mg > » » a Name Address City State Zip Contact Person Phone Fax LEGAL DESCRIPTION Please Complete Reverse Side Existing Use •roposed Use iL (LAI Permit includes: Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: 'a Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1st Floor \.%. 1 L sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area cit sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft Water Availability .s Sewer Availability On-Site Septic System Availability ❑ Project Valuation _$ Zoning I Lot Size "i 'i i I Existing Bldg Valuation $ (. _ LEND. >'>` `< > > > <> > > `< ' : >: '> ............................................................................................ Name A _ Address ' City C_LRLv� KP, 'AS State V tC.:: _Zip .......................................................................?i i.:::: :........ .......................... ...................................... ......... .... ................................................................................ ........ .......................... ...................................... ......... .... ;MECHANICALCd I' RACTO ..;.>:;' `:; : Contractor Name Address City State Zip Contact Phone Fax License # _ Expiration Date Verified ❑ Yes ❑ No ......................................................................................... ............................................................................ .......... ........................................................................................ ............................................................................ .......... ........................................................................................ PLUMBING CON.T"RA:CTOFt ::iM .;:.. .., ......................................................................................... Contractor Name Address City State Zip Contact Phone Fax License # ,Expiration Date Verified ❑ Yes ❑ No ............................................................................................ ........................................................................................... ............................................................................................ ........................................................................................... ............................................................................................ f'C UiVI;BENG N*1)CTUR <C E1i1['C`'>.> » <>;;>; ............................................................................................ Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fountains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains TottiFFixture:Cbtint .................................... ........................... ................... .............................. ............. . .................................. .................................... ........................... ................... .............................. ............. . .................................. .................................... ........................... ................... MECHANICAL UUNJI .OUNT>_»i::::i > > MECHANICAL EVALUATION ONLY $ ..................:.......................:.............................:....:............ 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/hit 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: --- �� ' Date: `a-Z QtR‘ RUIIDI, .Acr REV5E0 8/28/87 1 0 r° It h • . o o 9 o� U' y 1110 n 1 - , 4. o rt, 1 J f 0 S- • 3 t � \ �,cU r n Hj fi� r0J. s „, 0 G � 0 ivies Cr , -,..-7 ›, AC\ l,1 � s �/ ; _ i __--�r-�--�-�_ j 0 sem,,1G ;�� ;,t': _ S ! 1' 3 e1F . G V ^' vi1. m y - am„ a i -.-p-/ t7.., ....4.:aa. <k mr a ,. l