92-101629 CITY OF FEDERAL W�,lf B lJ I L D I N G P E I�M I T PERIVIIT iVO.: B%,D92-22 6
33530 First Way Sou4h BUILDING IfVSPECTION � 661-4140 I�SUED: 10/22/9a
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 26].1 S 2�8°%'� ST ��
PARCEL NO.: 283920�0000
PROJECT DESCRIPTION: MOBYLE HOME � PARRYa�lATE ESTATE� �4�
041NER CONTRACTOR LENDER
MEREDIAN MOBILE HOME RA[NIER PATIO SIDING
12414 S MERED[AN E 73616 8TH ST
PUYALLUP WA SUMNER WA
1271 840-1271
RAINIPS107CF
BLD?:X MEC?:? PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 7 COMP PLAN.........:HDR? FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 1350:sf STORIES........: 1 REQUIRED PARKING..: 0 SPRYNKIERS?......:? fINAL PLAN CHECK...* S 58.50
CENSUS CATEGORY.....:? 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS.e.:? BUILDING PERM[T....* E 90.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- F[RE FLOW....: 0 gpn SBCC SURCHARGE..,..� t 4.50
:R3 :? :? :? : OTHR: 0: O:sf EXISTe.S: 0 FRONT.........: 16.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 6753 SIDE..........: 4.00 ft HATER SERVICE..:FED
:5N :? :? :? : DECK: 0: O:sf REAR..........: 10.00:ft SEHER SERVICE..:FED
OCCUPANT LOAD------------ GAR.: 0: 308:sf RECEINED.:09/28/92
. 0: 0: 0: 0: TOTL: 0: 1658:sf YMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: 0 BOIIERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL fEES S 153.00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<700K..: 0 DUCT 410RK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS..........: 0
GAS HWT....: 0 NOOD 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 41ASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS-----____ ELEC HTR HEATERS...: 0 OTHER FIXTURES.: 0
""'^�,......: 0 <=10,000 CFM: 0 ABOVE GROUNO: 0 LAUN NSHR WTLTS...: 0
OGS...: 0 > 10,000 CfM: 0 UNDERGRWND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STILRTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DAYE OF ISSUANCE.
I CERTIFY THAT THE INFORM,RTI(�N 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 AGENT � .`J �Q�� DATE /�' - 'L Z µ�� �-�
bld�rmt 07/31/92
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CITY OF FEDERAL WAY
�EP 2 S 1992 BUILDING PERMIT APPLICATION
5'�K"�'�r�� � !�3 '5 �5, — Please Print—
�� � 4s4d�ri�{�9�r"w+'�"d{�
�="`y tp77.�{,�4",i��i Sa 15��
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BOX 1 TENANT NAME: S� ��, �-�
OWNER _�R��1 i���� �t .I-�;J' r�f,-��z, SITE LOCATION reK l�ti� ���n1�� �>y
OWNER'S ADDRESS i L y/� � �-y�r����,��;, '�=-' CITY�,��-�,��-� PHONE ��� `iZ7�
'� bESCRIBE JOB ��.�1 fi���Ll _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ��� ���� `�����; S � (l; :: ;�, CONTRACTOR'S REG. # �'��.�r-"s �9 7�-I=
Card MUST be presented
CONTRACTOR'S ADDRESS _%�3L%r E; � ��' ,5� CITY .SvM ii,�i i= PHONE__ .�wJ ` `�`�`��
EXPIRATION DATE / - � ? - `i3 y�k�=��;
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CNAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
80X 3 CONTACT PERSON �o�.. /�ti;Jtr� a• � PHONE__��5--�yy /
BOX 4 SEWER DISTRICT WATER DISTRICT �-
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ��� i�� �-�-`#�--��r- �'��(`��
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTA6E: (Existing/Proposed) 1S7 FLOOR / �� � '•' 2ND FLOOR _ / -
3RD FLOOR / BASEMENT / DECK / 6ARAGE / a . �`'
BOX 8 ( ) SINGLE FAMILY O NEW CONSTRUCTION - � � "
( ) MULi IFAMILY(N0. OF UNITS = ) ( ) EXISTIN6 STRUCTURE __. _ . _ _.
( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ �
BOX 9 PLUMBING FIXTURES(including rough-ins) � � � MECHANICAL APPLIANCES— BASIC FEE$��---- �
N0. WATERCLOSETS - GAS PIPING, FEET _ _ $.._ _
_ BATHTUBS N0. FURNACE, ELEC. GAS $
SH0INERS - -�-- -
GAS HOT WATER HEATER -- $""" -- --
LAVATORIES - - - - CONVERS��ON BURNER - - _ ____. $._
SINKS BOILER, SIZE BTU $
DISHWASHERS � � � AIR HANDLING UNITS -- y ��--""
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 $
l 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 FURTHERAGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAIM(INCLUDING COS�i S,EXPENSES,AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIG�;ED,
ArJD FILED AG�INST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES, UPON TNE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
O�NNER/AGENT: ������ ��'l�iz�.tfi�'I QATE: � -��' ���
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