91-100160 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-0135MH OWNER'S NAME ROBERT BOFTO JOB ADDRESS 3001 S 288 ST #230
CONTRACTOR DESIGNER HOMES ADDRESS 9816 S TAC WAY TACOMA CONT. PHONE 581-5544
CONT. REG NO. DESIGHS1O1BE 11/91 OWNER'S PHONE 870-0463 OWNER'S ADDRESS 1624 S KENT DESMOINES RD DESMOINES
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER SET-UP MOBILE HOME
TAX ACCOUNT NO. 042104-9155 _ LEGAL DESCRIPTION SPACE 230 CAMELOT SQUARE MOBILE HOME PARK
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE • PP,iLil'V DATE OF APPLICATION 2/6/91
BUILDING INFORMA ION
'ONE RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SO. FT. 1,456 SF
SET BACKS: FRONT 20' SIDE 3' EACH REAR_ 7' STORIES NA HEIGHT LIMIT NA
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $6,406.00
PL $90.00 _
PLANNCHECK FEE 59.00_0 PLANNING DEPT APPROVAL=DEB BARKER ON 2/8/91 (SETBACKS AS NOTED ABOVE)
PLUMBING FEE
ECHANICAL FEE
TAL BLDG. FEES $149.00 BLDG DEPT APPROVAL=KEVIN ELLIS ON 2/12/91
PART P/C FEE
SEPA REVIEW
WATER SERVICE
t )/
WATER MAIN CHG.
..._,/
S.B.C.C. FEE 4.50 DATE PD 9 AMT 1 REC'T 10j2-1
FEES
AMOUNT DUE $153.50
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT Ts THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
I REQUIREMENTS WILL BE MET: `
...-2/� �
,rNm, . --•.T , A .i . 1S. DATE
CITY Y OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN- GRADING OTHER
TAX ACCOUNT NO._ _ LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ONE OCCUPANCYTYPE OF CONSTRUCTION 1 . _ BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRY DRAINS _ COMPRESSOR _ TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. _ MISC
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 4c
PERMIT FEE tss !ewn7..-.sr' DEPT APPROVAL=DEB HAPKER ON 2/8/91 (SS?.''rDAC}. '_
PLAN CHECK FEE
•PLUMBING FEE / /
ECHANICAL FEE — -LiDG DEPT AP!'ROVAi.=KEVIw EL.i..:IS OH 2/ 1.2/ 91
DOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE I-)
WATER MAIN CHG. O
S.B.C.C. FEE rJ% .i-'1.1 / . 1 N :`r` i ^:(_4`1`
OTHER FEES
AMOUNT DUE
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
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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 Na
REQUIREMENTS WILL BE MET: çij� I�
OWNER OR AGENT DATE /
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Permit # l / _ /,. S i1
RECEIV '"D
CITY OF FEDERAL WAY
FEB 0 6 1991 BUILDING PERMIT APPLICATION
CITY OF f=t=t`-': ;,1 Alie -Please Print-
-
BOX 1 TENANT NAME: 3 20 / S . c=S-A 3 0
OWNER ' 'Ok C4 .rf:0-,C IN k SITE LOCATION ' ` _ r C.. • • • S`. utA, - 81'
OWNER'S ADDRESS ►e u• - to ITY - • ' ,iii. PHONE . U •
DESCRIBE JOB ur it ' v • MIIM. _ • W\0 ' . S- U1A-V
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP(K 'ORPORATION
BOX 2 CONTRACTOR'S NAME ,�SIQ✓\e - �VptAAPS r CONTRACTOR'S_ REG. # 1�cSI 66k S 101 €E
J Card MUST be presented
CONTRACTOR'S ADDRESS ('l C� • 1 k (. LA--) I CITY PiCC,/v1 A PHONE S -SS L1
EXPIRATION DATE I I. 1 i 915-> �h v t S 1
— OR —
J
I HAVE READ CHAPTER 18.27.010 RELATING 0 DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WIT OUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 'e_eNh I. S V\/1 v5 s'c v1 s, L'� 140.44c S ) PHONE SE/-SS CI U
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BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 0Y a\c -94 a—b 8" -1- cryo 1o( ) - q.).; G
LEGAL DESCRIPTIO C y 1 l®y - 9t s -OO
lit
necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # /
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR I Ys.6/ 2ND FLOOR /
3RD// FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (``/4 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 3.c- a ? SQ FT
BOX 9 PLUMB! G FIXTURES (including rough-ins) MECHAPPLIANCES — BASIC FEE$
NO. ATERCLOSETS GAS PIPING, FEET �� — ,63_ $
BATHTUBS N0. FURNACE, ELEC. i. GAS $
L SHOWERS 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 ,IR COOLING UNITS, SIZE $
� DRINKING FOUNTAINS _COMMERCIAL HOOD $
0. SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
r DRAINS $
OTHER _ $
. --TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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.
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OWNER/AGENT: / -��c41DATE: 0 /b
ANP-008 3/90
�J,,, OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
fin»344TBACKS: FRONT .�--i- ' _ SIDE 2 / REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL �4' /
REMARKS:
SEPA: EXEMPT , NOT EXEMPT
FIRE DEPARTMENT APPROVAL /)/n DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL A01 DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY ' I. TYPE OF CONSTRUCTION `i/A1' STORES
f cil,(flMOL,. BUILDING SQ. FT. t'151 @ ` r = -77,.50
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ 4/l_GC((�(€1 = a
BUILDING SQ. FT. @ _ /
TOTAL SQ. FT. TOTAL VALUATION 6 L(0 6 • "f 0
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7 0
PLAN CHECK FEE 5-9 .
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES , `/q • d v
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE T'Iq,S O
OTHER FEES
AMOUNT DUE /53. S-c
ASSIGNED ADDRESS: SC-E' c_ (( 5 fi &G R
J ECEIVED
PARTIAL PLAN CHECK FEE RECEIVED FEB 12 1991
Amount Date Receipt# Cl Y OF BUILDING DEp TAY
BUILDING DEPARTMENT APPROVAL L
RECEIVED BY DATE ACCEPTED FOR FILING
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BUILDING DEPT.
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