93-102164 �
r 93- lb�/Gy
CITY OF FEDERAL WAY B U I LDI: G PE1�;MI T PERISSUED: 09J03/9338
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/02/94
ADDRESS:3001 S 288TH ST Unit: #282
NO. : 042104-9231
PROJECT DESCRIPTIOM:MOBILE HOlIE SETUP ONllf, CAMELOT MOBILE NOIIE PARK,
OIIMER CONTRACTOR LEMDER
VIR6IMIA NUTESOM NORTNMEST SERYICES INC
3001 S 288TH ST #282 614 197TH AYE CT E
FEDERAL MA11 MA 98003 SUMRER MA 96390
859-7575 735-1627
MORTHS;110J6
BLD?:X NEC?: PLM?: FLR--EXIST--PROP--- DMELLIN6 UMITS: 1 COMP PLAN.........:NDR FEES:
TrPE OF MORK:MEM USE:RES 1ST.: 0: T84:sf STORIES........: 1 REGUIRED PARI(IN6..: 2 SPRIpKLERS?......:? PLAN CHECK DEPOSIT.i = 40.95
CENSUS CATE60RY.....:112 2MD.: 4: O:sf NEI6HT.....: 0.00 ft HAIA(� CLASS...:? BUILDIN6 PERMIT....� = 63.00
OCCUPAMCY 6ROUP---------- 3RD.: 0: O:sf YALUATIOM---------- REQUIRED SET�f(5------- FIRE FLOM....: 0 gpi SBCC SURCHAR6E.....x = 4.50
:R3 : : : : OTNR: 4: O:sf EXIST..�: 4 FROMT.........: 18.00 ft FINAL PLAN CHECx...* = 0.00
TYPE OF CONSTRUCTIOM----- BSMT: 0: Q:sf Pt�P...=: 3450 SIDE..........: 14.00 ft MATER SfRYICE..:FED _�
:SN : : : : DECK: 0: O:sf REAR..........: 13.00:ft SEMER SERYICE.,;FED
OCCUPAMT LOAD------------ 6AR.: O: O:sf RECEIYED.:08/24/93
. 0: 0: 0: 0: TOTL: 0: 784:sf IMPERY SURFACE: 0 sf SENSITIYE AREAS?.:N
FUEL T1fPES.: FAMS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES = 108.45
6AS PIPIN6.: 0 ft NOOD..........: 0 0-3 NP......: 0 BATN TUBS..........: 0 DRIMKIN6 FOUNT.: 0
FURN<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 SHOMERS............: 0 SUMPS....,.....: 0
-"- HMT....: 0 IIOOD STOVES...: 0 15-30 HP....: 0 LAYATORIES.........: 0 VAC BREAKERS,..: 0
I BURMER: 0 FURM>lOOK.....: 0 30-50 HP....: 0 SIM[S..............: 0 DRAINS.........: 0
BBG........: Q MISC..........: 0 5+ HP.......: 0 DISH MASNERS.......: 0 LAMN SPRIRKLERS: 0
6AS DRYER..: 4 AIR HANDLIM6 UNITS FUEI TANIIS--------- ELEC MTR HEATERS...: 0 OTNER FIXTURES.: 0
RAN6E......: 0 <=10,000 CFM: Q ABOYE 6R�11�: 0 LAUN MSHR OUTLTS.,.: 0
6AS L06S...: 0 > 10,000 CfM: 0 UNDER6RWIID.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF MO MORK IS STARTED. RESIDEMTIAL AND 6RADIM6 PERlIITS EXPIRE OME TEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INfORMATIOM FURMISED B1( ME IS TRUE AND CORRECT TO TNE BEST OF MY KI�MLED6E AND T8E APPLICABLE CITY OF FERERAL MAY REWIRENfMTS MILL BE NET.
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a„� G City of Federal Wa�
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� APPLICATION FOR BUILDING PERMIT �
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PLEASE PR/NT � APPLICAT/ON #: �J ,a �.���
STTE LOCATION ` ,address
Tenant (if known) Lot A' Asse�or's i eCx�! � 1
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Buildinp vy r Na"�e , � Address �
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City - � ���� � � � State �� Zip �. ���� �•� Phone
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Nature of Work '� � a �� ' t � },� ,
�IPPT.IC�T '
Name (F,M,L)
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Address j
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City State �
� 1� Zip L` �, � G
Contact Person Day Phone Other Phone Fa
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BUII,DING CONTRACTOR
Company Name
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Address '
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City �y� 1— State
• ) Zip C. 'i
Contact Person Phone Fax
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Contractor's # card musi be presente ) Expiration Date Verified ❑ Yes � No
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ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
Please Comp/ete Reverse Side
CD0482 IRev 4/931
$TRUCTURE : ' E� i Use sed Use
Permit includes: � Building ❑ Plumbing O Mechanical O Othar
♦
Type of Work: ❑ Residential ❑ New O Remodel O Number of Units_ ❑ Deck
O Commercial ❑ Addition ❑ Garage O Shed ❑ Other
Enter 1 st 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 ❑ Sewer Availability ❑ On-Site Septic System Availability O Projeci Veluation $' '
Zoning Lot Size 6cisting Bldg Va{uation S '
_ _ _ _ _ __
_ _ _ _ _ _ __
_ _ ___......__ _. __ .
____ __ _. _.. _ ..____
__ _ _ _ . ... _ __ _...
LENDER
Name Address
City State Zip
b�ECHAI�IICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUI�ZBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes O No
PLUI�ZBING FIXTURE COUNT '
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Orinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count i
11TECHAIVICAL 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 Boilere Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under panalty of perjury thet the information furnished by me is true end correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to periorm the work for which permit application is made.I further apree to save harmless the City of Federal Way as to any claim(including costc,expenses,
and attorneys'tees incurred in inveStipation and detense of such claim►,which may be made by any parson,includinp the undersigned,and filed against the City of Federal Way,
but only where such claim arises out of the reliance of the City, includinp its officers and employees,upon the accuracy of the information eupplied to the City as a part of this
application.
I
Owner/Agent: Date: __
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SITE P AN APFROFI � `�
Permit Number. : —� .�y�' � � � O � � ��r _-
A�;pmved By:
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Date: �J \ � ��`, � �
Comments• ' (�4� z
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