93-100439 �' 93� �Day39
33530OF i rst�EWay Sout h B U I L D I N G P E R M I T PERMSSUED� 03/04/9386
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 10/04/95
RENEWED PERMIT
ADDRESS:30Q1 S 288TH ST Unit : 194
NO. : 042104-9231
PROJECT DESCRIPTION:I�OBILE HOME SETUP - CAIIELOT S�UARE, LOT #194
� ONNER J CONTRACTOR IENDER
VICTORIA #l�Y�Ib� F�d� NORTHMEST SERYICES
3001 S 288TN ST 614 191TH AVE CT E
FEDERAL WAY YIA 98003 SUMNER MA 98390
839-1515 135-162I
NORTHS�t10JG
BLD?:X IIEC?: PLM?: fLR--EXIST--PAOP--- DMELLIN6 UNIT3: 1 COMP PLAN.........:HDR FEES:
TYPE OF wORK:NEM USE:RES iST.: 0: 1113:sf STORIES........: 1 REQI�IRED PARKIN6..: 2 SPAINKLEAS?......:? PLAN CHECK DEPOSIT.; ; 52.65
CENSUS CATEGORY.....:112 2ND.: 0: O:sf HEIGNT.....: 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK...= : 0.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOw....: 0 gpn BUILDING PERIIIT....� � 81.00
:R3 :? :? :? : OTHR: 0: O:sf E%IST..�: 0 FRONT.........: 20.00 ft SBCC SURCHARGE.....# f 4.50
TYPE OF CONSTRUCTION----- BS�iT: 0: O:sf PR4P...=: 10195 SIDE..........: 3.00 ft MATER SERVICE..:FED BUILQING PERMIT....� = 81.00
:5N :? :? :? : DECK: 0: O:sf REAR..........: t0.00:ft SEMER SERVICE..:FED SBCC SURCHARGE....._ : 4.50
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:02/19/93
. 0: 0: 0: 0: TOTL: 0: 1113:sf IMPERY SURFACE: 0 sf SENSITIVE AREAS?.:N
fUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES � 223.65
6AS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<t00K..: 0 DUCT MOAK.....: 0 3-15 HP.....: 0 SHOMERS............: 0 SUWPS..........: 0
GAS HMT....: 0 NOOD ST4VES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS..............: Q DRAINS.........: 0
88a........: 0 MISC..........: 0 5+ NP.......: 0 DISIT YIASHERS.......: 0 LAMN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC MTR HEATERS...: 0 OTNER FIXTURES.: 0
RANGE......: 0 <=10;000 CFM: 0 A80VE GROUND: 0 LAUH WSNR OUTLTS...: 0
GAS L06S...: 0 > 10,000 CFII: 0 UNDER6ROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO wORK IS STARTED. RESIDENTIAL AND GRADING PERAITS E%PIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT T E NFORHATION FURNI D AY AE IS TRUE AND C6RRECT TO THE BEST OF WY KNOMLEDGE AND THE A PLICABLE CITY OF fERERAI NAY REQUIREIIENTS NILL BE WET.
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, OWNER OR AGEN i ������� �11�' ------------------------- QATE _ �� �.�_L���
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SE76QCKS'& FO�TINGS
Date �-��-,- �S BY f°'i
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN,'
Date By
GAS'PIPING
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1 ST LAYER
Date By
GWB - 2NQ LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date �r���`��J BY rti
OTHER
Date By
OTHER
Date By
CD0783
_ � ,
� F nit # �l-��� � �� ���
���'�����` CITY OF FEDERAL WAY
F�B 19 1993 BUILDING PERMIT APPLICATION
�j:�,�,��������x�,=; —Please Print—
�►�!P�!��°11'!!��`1'
BOX 1 TENANT NAME:
OWNER �' �: ; a I , � °:' ; �, SITE LOCATION = �'L'� - `� � �" ` "�' �%�� �
OWNER'S ADDRESS �`�G�l �_S(�,._�X,�''�_�_`���#� �y CITY �r(,(�i�/ (,j%.�,��; PHONE .�"i'j 7�S 7> > >� 1�
DESCRIBE JOB i� �•i�r,1G t- `�ir�:-�; c IY�t;f�` `
THE PROPERTY IS OWNED BY: SINGLE%MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ,,,'r%'h:`,� � r ' f�r���C fTLii� CONTRACTOR'S REG. # IVC�f;i/f.5 �//�
Card MUST be presented
CONTRACTOR'S ADDRESS j,�l�- I�17 �� �«,� , r� . � CITY � Z���'r/�r_r'" `/�'S'%I� PHONE�;?r:� 7�'`; /(; �1 �)
EXPIRATION DATE iC� !,� -rl 3
— 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 �_-}.-��i�r(r�� ��Zll��'�f PHONE ,�' �S s 3 ) ��
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION ' ;
� _^! _� <�
BOX 6 PROPERTY TAX ACCOUNT NUMBER ��/z i'� Y — 4 Z�/
LEGAL DESCRIPTION
(tf necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR ll7 S / 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 G,4 IPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS �AS HOT WATER HEATER $
�'� LAVATORIES CbiyVERSION BURNER $
�_SINKS BOIL�R,,SIZE BTU $
�_DISHWASHERS AIR HANbbING UNITS $
\ELECTRIC HOT WATER HEATER HEAT PUMP3;�SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS� $
URIIVALS AIR COOLING UNIT , SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SpR lNKLER 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,�. , _—�L�/���''��: ( .� ��C�r ��''«�� DATE: ;�-/ %�`��
4
'-' ANP�008 Ji90
C-'i�Y OF FEDERAL WAY B U I L D I N C� PE R M I`T PERMIT NO.: BI�D93-01�6
??,530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/04/93
Fu�eral Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 3001 S 288TH ST Units #�.94
PARCEL NO.: 042104-9231
PROJECT DESCRIPTION: MOBILE YiOME SETUP — CAMELOT SQIIARE, LOT #194
OWNER CONTRACTOR LENDER
VICTORIA ANTUNA NORTHNEST SERVICES INC
3001 S 288TH ST 614 197TH AVE CT E
FEDERAL 41AY NA 98003 SUMNER 41A 98390
7575 735-1627
NORTHS*110JG
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DNELLING UNiTS: t COMP PLAN.........:HDR FEES:
TYPE OF 410RK:NEW USE:RES 1ST.: 0: 1173:sf STORIES........: 1 REQUIRED PARKING..: 2 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* E 52.65
CENSUS CATEGORY.....:112 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK...* S 0.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- RE�UIRED SETBACKS------- FIRE FLON....: 0 gpm BUILD[NG PERMIT....* $ 81.00
:R3 :? :? :? : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 20.00 ft SBCC SURCHARGE.....* E 4.50
TYPE Of.CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 5161 SIDE..........: 3.00 ft IJATER SERVICE..:FED
:5N :? :? :? . DECK: 0: O:sfi REAR..........e 10.00:ft SEYER SERVICE..:FED
OCCJ;�ANT LOAD------------ GAR.: 0: O:sf RECEIVED.:02/19/93
. 0: 0: 0: 0: TOTL: 0: 1173:sf IMPERV SURFACE: 0 sf SENSdTIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL �fEES f 138.15
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT NORK.....: 0 3-15 HP.....: 0 SHOLJERS............: 0 SUMPS..........: 0
GAS HNT....: 0 WOOD 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 NASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
I OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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 B ST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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A�proved By: � -- �;
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