91-100373 q)->ob��3
CITY OF BUILDING INSPECTION
FEDERALWAY BUILDING PERMIT 941-1555
PERMIT NO. 91-329 MH OWNER'S NAME TRUDY & DENNIS SPANGLER JOB ADDRESS 3001 S ZH8 ST �ZS
CONTRACTOR CUSTOM INSTALLERS ADDRESS POB 17101710 GRINITE FALLS CONT. PHONE 691-4766
CONT. REG. NO. CUSTOIZOZOL 9/91 OWNER'S PHONE 946-6821 OWNER'S ADDRESS $AMR
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MUITI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER SET-UP MOBILE HOME
TAX ACCOUNT NO. 042104-9232 LEGAL DESCRIPTION SPACE ZS CAMELOT S UARE MOBILE HOME PARR
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/25/91
BUILDING INFORMATION
ZONE RM3600 OCCUPANCY R-3 TYPE OF CONSTRUCTION rJ-N BLDG. S�. FT. ZrJF)8
SET BACKS: FRONT 2O� SIDE 5� EACH REAR S� 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 NS�_ UNIT HEATER TOTAL MECHANICAL �Q]3E AMOUNT NONE
VALUATION �6�,899.��
PERMIT FEE $9 0_0 0 p�ING DEPT APPROVAL = DEB BARRER ON 3/2 8/91
PLAN CHECK FEE 59_00
PLUMBING FEE SEPA: EXEMPT STATIS
ECHANICAL FEE _
TOTAL BLDG. FEES
PARTP/CFEE FIRE/BLDG DEPT APPROVAL = MATT BODHAINE ON 3/29/91
SEPA REVIEW
WATER SERVICE �j
WATER MAIN CHG. ' l
S.B.C.C. FEE 4.50 DATE PD � AMT $153.50 REC'T C�''
OTHER FEES
AMOUNT DUE $ZS3.5O
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.•RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION ,
— Please Print— '
BOX 1 TENANT NAME� ��A�� �.. ��f��j S�`C�f1�( I`�1�'
OWNER SITE LOCATION 3�'� : `-�- ��� �'� -
OWNER'S ADDRESSy. ' � aS CITY � .-• '��� �' � PHONE `i"'-fW"la�j-�
DESCRIBE JOB ��,,,r.�v r'"�- ��+'f i'e �.i�'r'�-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ���i��N����,5 ��'`� �-• CONTRACTOR'S REG. #��°��� � 1�.�� ���
Card MUST be presented �`
CONTRACTOR'S ADDRESS �`C''���� �'7f'�` ����' CITY ��r�tu�-- i�.11� PHONE�1 ��� ��� 7��'
EXPIRATION DATE
-� — OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
" BOX 3 CONTACT PERSON ���'`a S S�<<�d ��!' PHONE � �'��-���� ���',
BOX 4 SEWER DISTRICT --- WATER DISTRICT �"-'
BOX 5 ESTIMATED PROJECT COS " � C' � EXISTING BUILDING VALUATION
;� BOX 6 PROPERTY TAX ACCOUNT NUMBER G �?dU 'U �'�� -p �4
� ;LEGAL DESCRIPTION �Zr" t a-, L� � r�t �'! , � ,,
(If necessary, please submit a separat�e with the legal description.) �� i _ �
K.C. Plat Recording # 2�-� � C.J�
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR �
3RD FLOOR / BASEMENT / DECK / GARAGE_�
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE _
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PI�ING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS� $
SHOWERS i GAS HOT WATER HEATER
LAVATORIES �� CONVERSION BURNER ,,.-- � $
SINKS BOILER, SIZE "� BTU $
DISHWAS S' AIR HANp NITS $
ELECT HOT WATER HEATER HEAT PS, SIZE $
LA RY WASHER OUTLET HEATERS $
INALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTRMIS COMMERCIAL HOOD $
SUMPS, SPRINKLER VR�UUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PfNALTY 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 WHIC�i PERMIT PiPFLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAIM(INCLUDING COSTS,EXPENS�S,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� �f11�-�"�i �- �!�'�- ' i� DATE: 3�"�� ���
'J"�� ANP-008 3/90
�
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE�I'�'� � SETBACKS: FRONT � SIDE .3 ' .5� REAR '-''� s HEIGHT LIMIT •�'
PLANNING DEPARTMENT APPROVAL �„fL.'j1<.�1ECv" 3�1�.��4'
REMARKS:
SEPA: EXEMPT 4 NOT EXEMPT
FIRE DEPARTMENT APPROVAL ...�;fs' DATE 3 ' ��� I/
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 '�N STORES
�_�,�,��i»-iion, BUILDING SQ. FT. / S � `� @ � �.o��� _ � � y��.
BUILDING SQ. FT. @ _ �
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ l`�� >>lf//��' _ • � �
TOTAL SQ. FT. TOTAL VALUATION � �� �� �2�'
BUILDING DEPARTMENT REMARKS: PERMIT FEE G�'��'�
PLAN CHECK FEE � �x�
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE - ��'�
OTHER FEES
AMOUNT DUE 3� 1 '
�. ASSIGNED ADDRESS: Siz i� i"`X/Si%iZ Cy
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