91-101342 CITY OF FEDERAL WAY 9) ' )D 13`x?
33530 First Way South BUILDING P E R M I T �� BUILDING, 661-4140 INSPECTION
Federal Way, WA 98003
CAMELOT SQUARE
PERMIT NO. 91-1291 MH OWNER'S NAME STEVEN/MELINDA FITZER SITE ADDRESS 3001 S 288 ST #203
CONTRACTOR OWNER ADDRESS 35011 100 AVE E EATONVILLE CONT.PHONE 846-0829
CONT.REG.NO. NA _ EXP. OWNER'S PHONE WK-544-4453 OWNER'S ADDRESS 35011 100 AVE E EATONVILLE
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 ONLY
TAX ACCOUNT NO. 042104-9222 LEGAL DESCRIPTION SPACE 203 CAMELOT SQUARE FEDERAL WAY KING CO
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE I )q( DATE OF APPLICATION 9/18/91
BUILDING INFORMATION
RM ZONE 3600 SET BACKS:FRONT 12, SIDE 4,/1`9' _REAR 10' HEIGHT LIMIT NA
OCCUPANCY 0
R-3 TYPE OF CONSTRUCTION 5—N _CENSUS NO. 0/S TYPE OF HEAT NA BLDG.SQ.FT. 924 STORIES ONE
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER - GAS PIPING FT. - GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE - DUCT WORK
SHOWERS - _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. BBQ BASIC FEE
DISHWASHERS _ _ TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $4,065
PERMIT FEE $72.00 PLANNING DEPT APPROVAL = DEB BARKER
PLAN CHECK FEE 47.00 _
PLUMBING FEE FIRE/BLDG DEPT APPROVAL = MIKE MONEN
MECHANICAL FEE
PART P/C FEE "PERMIT IS FOR SET—UP ONLY — NO FEE CHARGED FOR CARPORT, GARAGE
EPA REVIEW OR DECK"
UBLIC WORKS -
S.B.C.C.FEE 4.50
FIRE FEE DATE:
OTHER FEES AMOUNT: 123.50
AMOUNT DUE $123. 50 RECEIPT: 1
I V
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 „N
BE MET. \ N
OWNER OR AGENTdir dili”l 4I 6 _ _ _ DATE _ j-J 1< I
G Nlg�
CITY OF FEDERAL WAY
.33530 First Way South BFederal Way, WA 98003 UILDING PERMIT BUILDING INSPECTION
661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR ADDRESS _CONT PHONE_ ._
CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEWRESIDENCF ADDITION NEW INDUSTRIA' 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
ZONE_ SET BACKS:FRONT SIDE _ REAR HEIGHT LIMIT / I-
OCCUPANCY _ TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT _BLDG.SQ.FT._ STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS _ ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK -
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS _ MISC. BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES __. DRYER TOTAL MECHANICAL AMOUNT
;4 iNc.
VALUATION
PERMIT FEE T)7 ZSlillIN{"', DEPT APPROVAL = DEB BARKER
PLAN CHECK FEE
PLUMBING FEE _ _. _:::ItILDG DEPT APPROVAL = MIKE ! ow
MECHANICAL FEE
PART P/C FEE aPF'RMI a 13 F-rlr, E T-.UP D3'".,5. -.
SEPA REVIEW t►& +'37'1``}c."
_::,;; .
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE: '.
OTHER FEES AMOUNT: 2
AMOUNT DUE RECEIPT: DATE
/�i —
BY ^
""."."."h*
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 REQUIREM ILL
BE MET.
i OWNER OR AGENT DATE
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RECE#1!'ED
SEP 1 8 1991 CITY OF FEDERAL WAY
O Y OF FEDERALWAY BUILDING PERMIT APPLICATION
MUM DEPT - Please Print—
BOX 1 TENANT NAME:
OWNER 1 EVEN 4. 4 HELI/VOA L. /''//ZOITE LOCATION 300/ Se 2£ g/h 203
OWNER'S ADDRESS 350/ /c)7?/ ,4VE E' CITY i`'A A////LLc, 4 PHONE el6--0e2)
DESCRIBE JOB IAISTALI. MOBILE /I WE IN MCBi LE /k'/-IE P/1R/ illh 5,0—445 3 a-Js
THE PROPERTY IS OWNED BY: SINGLE/MARRIED - PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME S E t- t CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
— 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 5' v /V 1. I-/TZE-R PHONE g46G/c%Z`j
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION /
BOX 6 PROPERTY TAX ACCOUNT NUMBER 012104 — 922 2.-00, 042/04 52 3/ —05 042/C04 -9/5s"-a/
LEGAL DESCRIPTION -5 E A l!ACHED
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / % 2ND FLOOR / Ai/A
3RD FLOOR / 1\1/? BASEMENT / N/A DECK / GARAGE / N/A
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL 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. i GAS $
SHOWERS GAS HOT WATER HEAT R $
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 $
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� (./ 01÷7 DATE: -)////)/
ANP-008 3/90
• 0 .
OFFICE USE ONLY (PLE),SE DO NOT WRITE BELOW THIS LINE)
ZONE 6003 SETBACKS: FRONT 12 t SIDE LI f1'11 REAR 1°1 HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 614/q l i)
REMARKS:
SEPA: EXEMPT / NOT EXEMPT
FIRE DEPARTMENT APPROVAL YYl. -k L VVIcrQ' DATE 0051 qi
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL W)k 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 . �. cekars.
OCCUPANCY TYPE OF CONSTRUCTION VA) STORES O/
FoLA- 0-X-�c�,r, BUILDING SQ. FT. )`i @ Saw' = yLan
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. _ @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ 17l, Stj c X• ire =
TOTAL SQ. FT. 711 TOTAL VALUATION '11)4'5 '4,6
BUILDING DEPARTMENT REMARKS:
PERMIT FEE V .0 G
PLAN CHECK FEE y7 . as
Pet
`k �` _ �� 641 _ PLUMBINGAC FEE -�
�-�'f (I.J,J MECHANICAL FEE .40.-
Ale) cLar t1 car pa4 �q� TOTAL BLDG. FEES ti4san
r� r U PART P/C FEE
Of Lzc-l< • SEPA REVIEW
S.B.C.C. FEE LI. C,
OTHER FEES
AMOUNT DUE 1-4-3.•SP
ASSIGNED ADDRESS: Se m -�C(�- &L-c)
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
SEP 1 8 1991 Amount Date Receipt#
cgry Or PEDefiNi..WM BUILDING DEPARTMENT APPROVAL
"Mr BY dJ- "l z-t ./ner-iry DATE `l ata/?/ ACCEPTED FOR FILING
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