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92-100764 CITY OF FEDERAL WAY 9�' ��y 33530 First Way South g V I L D I N G P E R M I T BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMITNO. 92-812 MH OWNER'SNAME BRIAN A WOOD SITEADDRESS 3001 S ZH8 ST �94 CONTRACTOR NORTHWEST SERVICES ADDRESS 614 Z9�I AVE CT E SUMNER CONT.PHONE 588-1131 CONT.REG.NO. NORTHS*ZZOaTG EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEW PUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER SET—UP MOBILE HOME ONLY TAX ACCOUNT NO. 042104-92� LEGAL DESCRIPTION SPACE 94 C,AMELOT SQUARE MOBILE HOMF PARK �� ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 5/2 2/92 BUILDING INFORMATION )NE RM 3600 SET BACKS:FRONT ZrJ� SIDE ZO� �4� REAR ZO� HEIGHT LIMIT NA CCUPANCY R-3 TYPE OF CONSTRUCTION S—N CENSUS NO. O�S TYPE OF HEAT BLDG.SQ.FT. 1232 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 VALUATION $5,420 PERMITFEE �81.00 F'�NNING DEPT APPROVAL = DEB BARRER PLANCHECKFEE 53.00 "NO BLDG SHALL ENCROACH ONTO ANY BLDG SETBACR LINE OR EASEMENT� SHOWN O PLUMBING FEE NOT SHOWN� MECHANICAL FEE "MANUFACTURED HOMES SHAI,L MEET ALL CITY CODE DEFINITIONS — RETAIN RTP/CFEE SIGNIFICANT TREE� PROTECT AT DRIPLINE DURING COACH PLACEMNT" ,._PA REVIEW PUBLIC WORKS 4.50 FIRE/BLDG APPROVAL = REVIN ELLIS S.B.GG FEE FIRE FEE DATE: OTHER FEES $138.5� AMOUNT: �1.3H.�JU AMOUNT DUE RECEIPT: ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGENT DATE �� -��v�'�'�. �ZC�� mit # `7 � � 4 rZ.�1l> - ��' �/`��3_ p� 2 219��', �� a �. , � � �- �-�� r-- M CITY OF FEDERAL WAY � ��,�� BUILDING PERMIT APPLICATION � G�'`�"` —Please Print— �� BOX 1 TENANT NAME: ��.;�;.� � L,}'✓cy!� ' OWNER z"��-r E�c*-Z Sc,�,,c�.,,..� SITE LOCATION �� ' t �� # � OWNER'S ADDRESS CITY �� PHONE DESCRIBE JOB '�ik�j��rc: I_��hi C�F �K V � THE PROPERTY IS OWNED B�': SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME I CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS CITY PHONE EXPIRATION DATE — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON 1�1;�� .Jrr�CA PH01��77f3 �v0/9 BOX 4 SEWER DISTRICT �'� WATER DISTRICT � BOX 5 ESTIMATED PROJECT COST �- EXISTING UILDING VALUATION � BOX 6 PROPERTY TAX ACCOUNT NUMBER O� — 2 —OU o� �2/v c — � C��'>d� ;T — S S—O LEGAL DESCRIPTION �...`tac}��---�#. 9 y _�� `'��'j�cxt','F' .�CC'JG( S�` � �,P4� -�d L<J�—��`��CZ� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR� y�/ 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 SINGLE FAMILY O NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE , ( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY �(a.�/ �O,U SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. WATERCLOSETS GAS PIPING, FEET $ BATHTUBS N0. FURNACE, ELEC. GAS $ SHOWERS GAS 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 AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS 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 AGRINST 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 HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGEN � DATE:� � 90� ANP-008 3/90 OFFICt USE ONLY(PLEASE DO NOT WRITE BELOW Th�� LINE) ZONEI�3�SETBACKS: FRONT �l SIDE �d` �� REAR �� HEIGHT LIMIT � PLANNING DEPARTMENT APPROVAL '� 9 �J1' . . «�,. _ 4Y�r--�..�,•- �rnt nr �1F,..� .... REMARKS: .u.,..;:, � � ->�,,w,.,,.t �r�:Y;� , „> > __ �hv w...l.�t:l� '..�tc..��i�v�•.�..t.oc v.�w c..�� U411u�"�-�.r.� :ii. l�i�C... �.,....... .��. '� �°11�J � C.'J_. � (� � � �n � SEPA: EXEMPT / NOT EXEMPT ��`' . FIRE DEPARTMENT APPROVAL �� DATE j- �� L REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 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 TYPE OF CONSTRUCTION STORES o C' C ( c% BUILDING SQ. FT. � Z 3 � @ J • � _ � C� BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ < _ BUILDING SQ. FT. @ /�6 � c � � `= (7 ' `� `� TOTAL SQ. FT. TOTAL VALUATION -S� �� ` � BUILDING DEPARTMENT REMARKS: PERMIT FEE �� PLAN CHECK FEE S PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE �� v OTHER FEES�D�' AMOUNT DUE ASSIGNED ADDRESS: �e' ?� C� ��wY�� PARTIAL PLAN CHECK FEE RECEIVED f� �;., Amount Date Receipt# MAY Z 2 199� BUILDING DEPARTMENT APPROVAL ��ry��:��.a��'� ��,� BY _�� DATE s� � � z— ACCEPTED FOR FILING