92-101738 �CITY OF FEDERAL WAY !.J U I L�� � C P E R M I T' PERMIT iUO.•� BLDJ2 2�5
�33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/21�92
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2611 S 288TIi ST Unite �9
PARCEL NO.: 283920m0000
PROJECT DESCRIPTION: INSTALIo FOIINDA°d'ION E°OR MOBII,E HOME
OWNER CONTRACTOR LENDER
ODEGARD DEV VALUE ALUMYNUM ANNING
123 105TH AVE SE 11309 36TH AVE CT E
BEILEWE WA PUYALLUP NA 98373 I
770-0590
VALUEAA09*DD
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:HDR FEES:
TYPE OF 410RK:NEW USE:RES 1ST.: 0: 1456:sf STORIES........: 1 REOUIRED PARKING..: 2 SPRINKLERS?......t? FINAL PLAN CHECK...* S 58.50
CENSUS CATEGORY.....:112 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HA2ARD CLASS...:? BUILDING PERMIT....* $ 90.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOW....: 0 gpm SSCC SURCHARGE,e.,,"� S 4,50
:R3 :? :? :? . OTHR: 0: O:sf EXIST..S: 0 FRONT.......... 10.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP,..S: 6406 SIDE..........: 9.00 ft NATER SERVICE..:FED
:5N :? :? :? : DECK: 0: O:sf REAR..........: 5v00:ft SEWER SERVICE..:FED
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:10/08/92
. 0: 0: 0: 0: TOTL: 0: 7456:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS 41ATER CLOSETS......s 0 URINALS........: 0 TOTB.L FEES S 153.00
GAS PIPING.: � it HOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS..........: 0
GAS HWT....: 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 LA41N SPRINKLERS: 0
GAS URYER..: 0 AIR HAt�DLlNG UNYTS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER fIXTURES.: 0
.......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 ,
� .
ALL PERMITS EXPIRE 180 DAYS 61FTER ISSUANCE IF NO WORK!S STARTED. RESIDENTIAL AND GRADING PERMiTS EXPIRE ONE YEAFi AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION F ISHED BY ME IS TRUE AND CO�RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICA�LF CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
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OWNER OR AGENT DATE � 2 �� - '
bld_prmt 07/31/92 -—" �i
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE��/QZ __BY ____ _ --- DATE _-_ __- ---_BY __ ._ __
_._.-_BY_ _ DATE
� �
P�UMBING ROUGH IN WATER LINE O.K. __.__-___ MECHANICAL INSPECTION
DATE _ __ -.._BY _____ GAS PiPING O.K._ _._-_ __- ___- _ DATE ___BY _ __
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE__- ___ ___ BY ____ __ DATE __BY DATE BY __ _ _ _.
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE������_-BY _( /C/� _ __
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''`���,`�����'`� CITY OF FEDERAL WAY `�`' � `� �`�D1��
��T � 7 ���'� BUILDING PERMIT APP�ICATION ��6N��.�-
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BOX i TENANT NAME: �"e,���-1,� '[���� ��`� _s �S(o .--(�^
OWNER Ob�-z.� "U�! . SITE LOCATION �\ l.c�
OWNER'S ADDRESS t"Z3 ti oS' ✓-�v� S� � CITY PHONE.�S'4 - ���Z-.
�� bESCRIBE JOB '�S�n..t_ �r'��� F'-ivti. ✓�c��� � -,�,,,tc.
THE PROPERTY IS OWNED BY: SIN6LE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME vA-�JF� �.1vv iv.4� CONTRACTOR'S REG. # � �� � -��'�
i�}- p��'�'--�' �c� Card MUST be presented �
CONTRACTOR'S ADDRESS �� S�� g� �� � � CiTY PHONE �7"�� �S�`Ta
EXPIRATION DATE �T 1 _ 93 �g3.��
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO OEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AfJD
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON ���-�- PHONE �7 � C�S`t,(�
BOX 4 SEWER DISTRICT WATER DISTRICT ��
BOX 5 ESTIMATED PROJECT COST Cooc�c� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ��`'�`��: � " � ` `� �"- � '
LEGAL DESCRIPTION Lc�C" 2�-t t�4r� 1�--..��p L„r��,,�-
(If necessary, please submit a separate page with the legal description.) �
K.C. Plat Recording# -
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST� FLOOR Zg `�.�� ' 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 �'
BOX 9 PLUMBING FIXTURES(including rough-ins) -� - �-� � MECHANICAL APPLIANCES— BASIC FEE S�---� -
N0. � WATERCLOSETS GAS PIPING, FEET . c�..._ .
- -.
BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS - - � - �-- GAS HOT WATER NEATER� � - ---- $-�" -" �-
� � LAVATORIES - CONVERS�ON BURNER - -- -- _ ____ $._ ._ ..
� SINKS BOILER, SIZE BTU $
DISHWASHERS - " " AIR NANDLING UNITS - g -��-� ��
ELECTRIC NOT 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 C:_
-- - 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
a�dD FURTNER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM TNE WORK FOR WNICH PERMIT APPLICATION IS
';�ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLIIDING COSTS,EXPENSES,AND ATTORNEYS'
=EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCN CLAIM), WNICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ardD FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WNERE SUCN CLAIM ARISES OUT OF THE RELIANCE OF TNE CITY,INCLUDING ITS
�FFICERS ANO EMPLOYEES, UPON TNE ACCURACY OF TNE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
�l4'NER/AGENT: DATE: �� � -I � �Z'
•NG•pOE 3r90
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