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94-100564 t � y �`` �'`� 7"r�' City of Federal Way �..� � _„ `�;: � �- .� �--.--•P�ZRt v`, �� . � ,� �g�: APPLICATION FOR BUILDING PERMIT j�"�#�n�a �TY OF FEDERAL��lA�f �UiI.DIf�G���T" APPL/CAT/ON#: �/LIJ��' � ��� PLEASE PR/NT A SITE LQCATION ;: Address � �� j . f�/� �'"' S T ���/ Tenant (if k�own) Lot# Assessor's Tax # As �er and Bett j��an FOG 18 .��3cC._�-G� - c?<-vt� Building Owner Name Address GOLDEN WEST HOMES 2�1�;5Pac�fic Hi hwa S . City state Zip Phone 5 0 3 9 2 6 8 6 31 NatureofWork Placement of a manti�factured home . APPLICANT...; Name (F,M,L) L & L CONSTRUCTION Address P.O . Box 24083 city S e a t t 1 e, state W a Z�P Contact Person Day Phone Other Phone Fax Ro er Edis�n _ .�, __ ___ _ _ __ _ __ _ BUII;DING CQ1�iTRACTOR: Company Name L & L CONST&UCTION Address ' P.O.Box 24083 city e a t t 1 e state WA ziP 9 812 4 Contact Person Phone Fax Roger Edison g�� Contractor's #(card must be presented) Expiration Date Verified ❑ Yes O No Ol / LLCON**110PS ARCHITECT Name GOLDEN WEST HOMES Address �44� Pacific highi-Tay South city ��bany stace zip Ore on 97 Contact Person Phone Fax Ron Rau 503- 9268631 800 858 3552 LEGAL DESCRIPTION PARKWOOD LANE (Mobile Home Park) , 2611 S. 288th StFederal hTay, 4da 98003 P/ease Comp/ete Reverse Side CD0492 IRev 4/931 STR�CT��`, F ig Use osed Use �„ Permit includes: Building O Plumbing ❑ Mechanical ❑ Other Type of Work: ❑ Residential O New ❑ Remodel ❑ Number of Units_ � Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other Enter 1 st Floor !S l� v sq ft 2nd Floor sq ft 3 Fl�or sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft �e��L sq ft Proposed Total Area sq ft Water Availability� Sewer Availability On-Site Septic System Availability � ' Project'Valuation S Zoning Lot Size Existing Bldg Va(uation S LENDER Name j, �� • �j ,�� /� Address . �jt/ ���, C�/ /�/��� 'C ���i—�"E-� City State Zip 1l�CHANTCAT:;CQNT'RACT`OR � r- Contractor Name Address City State Zip Contact Phone Fax license # Expiration Date Verified ❑ Yes ❑ No _.__ ___ __ _...___ _ __ __. .__..._ _ _ _. . _ _ PL�ZBTNG CONTRACTOR /�� � Contractor Name Address City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No PLun��'G FIXTiJRE COUNT �'v� ��- Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Washers Drinking Fou�tains Other Showers Electric Water Heaters Sumps Lavatories Washing Machine Drains Tatal>Fxture::Coun� ;: MECHA1vICAL UNIT COC7�1'�' � I{� Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Log Unit Heater 50+ Tons Furn >100 BTUs Fans Miscellaneous Fuel Ta�ks Gas Hwt Hood Boilere Above Ground Conv Bur�er Duct Work 0-3 To�s Underground BBQ's Wood Stoves 3-15 Tons Tota('Unit Caunt DISCLAIMER: I certify under penalty of perjury thet the information furnished by me is true end correct to the best of my knowledge end further that I am authorized by the owner of the above premises ta perform the work for which permit application is made.I further agree to cave harmless the City af Federal Way as to any claim(including coctc,expenses, a�d ettorneys'tees incurced 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 sucFrclaim arises out the relience of,�he City,inctuding its officers end employees,upon the accurecy af the information supplied to the City as a part of this application. �y '— \ ` � _/ � � �_.� � lJ� �pw�edAgent ^ \1 Date: nt , 9 y'ioos6 y 33530��irstLWay South L� � ���1 �� PEI�;11i�I T `-`E?=tISSUED: O�/06/94�� Federal Way, WA 98003 Suilding Inspection Requests 6b1-4140 BY. FG 661-4000 EXPIRES: 04/06/95 RDDRESS:2611 S 288TH ST Unit= #18 NO. : 283920-0000 PROJECT DESCRIPTION:P90BILE HOME SETUP 6 CARPORT ADDITION O�NER CONTRACTOR LENDER AS6AR/JEAN FD6 L 6 L COMSTRUCTION 2611 S 288TH ST #18 P.O. BOX 24083 fEDERAL �AY 4�A 98003 SEATTLE IdA 98124 926-8631 999-1212 877-9835 LiCON#x110P5 SLD?:X MEC?: PLPI?: FIR--EXIST--PROP--- DIdELlIN6 UNITS. I COMP PLAW.........:NDR FEES: TYPE Of �dORK:PQE�O USE:RES 1ST.: 0: 15b0;sf ST4R��S.....,:.: 1 REAUIRED PARKING.,: 2 SPRIPEK�ERS?......:? PLAM CHECK DEPOSIT.i = 93.60 CENSUS CATE60R1'...,.:112 2ND.: 0: O;Sf �IEiGN;.....: O.OQ ft NAZA$D CLASS,.,:'? = BUILDIN6 PERMIT.,..= = 144.00 OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VAtUATIO�---------- AE�llIRf.D S€TBAC�S------ �iR� Fi.O�,...� fi g� S8CC SIIRCHAR6E.....; t 4.50 :R3 :M1 : : : OTNR: 0: O:sf EXIST:.#: 4 FRON?.........: P.40 ft FIIIAL PLAM CHECK...r = 0.00 TYPE OF CONSTRUCTION----- $SMT: '4- 4:Sf PROP.,.=: 12269 5i1?E,,..:.....: ;3.04 #t �ATER SERYICE..:�ED ` ` .5R :5M : : : DfCK: 4: O:sf k�AR..........: 2Q.GO:fi SEMER SEii'siC"t..:FED OCCUPANT IDAD------------ 6A13.: 0: ��2:sf RfCEIVfD.:43f�4j94 , 0: 4: 0: 0: T�TI; Q: 2022:sf IMPERV SURFACE: 0 sf 3EN5ITIVE AREAS?.:N FUEL TYPES,: FAPES:;........: 0 SOILERSfCOMPRES50R5 bOATER CLDSETS...,..: 0 URINAIS........: 0 TOTAL FfES = 242.10 6AS PIPIN6.: 0 ft HOOD........,.: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRI►IKIM6 FOUNT.: 0 FUR�I<100K..: 0 DUCT IOORK...,.: 0 3-15 HP.....: 0 SHOElERS............: 0 SUP9PS..........: 0 6AS HECT....: 0 IEOOD STOVES...: 4 15-30 HP.,..: 4 LAVATORIES.........: 4 YAC BREAKERS...: 0 CONV SURPIER: 0 fURN>100K.....: 0 30-50 RA....: 0 SINKS..............: 0 ORAINS.........; 0 BBQ........: 0 �9ISC..........: 0 5+ Hp.,.....; 0 DISH IOASHERS.......: 0 LA�IM SPRINKLERS: 0 &AS ORYER..: 0 AIR HANDlIN6 UNITS FUEL TANKS--------- ELEC O�TR HEATERS...: 0 OTHER FIXTURES.: 0 RAM6E......: 0 <=10,000 CfM: 0 ABDVE 6ROUkD: 0 LAUN aSNr� DUTLTS...: 0 6AS 106S...: 4 > 10,000 CFN: 0 UNDER6ROUND.: D PERMIiS EXPIRE 180 DAYS AFTER ISSUANCE If NO �iORK IS STARTED. RESIDENTIAL AND 6RADING PERtfITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT T NFORMATIOi4 fURNISED BY ME IS TRUE AkD CORR�CT TO THE BEST OF M1( KA06ELED6E AMD THE APPLICABIE CIT1( Qf �EP.ERAL MAY RE9UIREPiEWTS �CILI 9E MET. / T `� ����,�,���ER o� aG.^:- `�,�-'�-�---�=-�=��`'-�o r�.�1.-------------- ��A�� �._ b � `1 , -- -- �----�-----�--- . FILE COPY Ad00 O131� � _ , _ . _. . .__,. _ . _ _ ._ . . +iti+r ., y i�� ' . .0 � � '1�M 39 11IN S1ft3013�t111l38 ANIf llf�:��3� �0 1;1I� 318tl�liidd 3H1 OIIV 39031NON� AN a0 1S38 3Ni Ol 1338i10� �IIV 311�! SI 3N A8 03SIM�Ai N11Ilt�101MI 3N1 1tlFtl A�118�a I '3�VtISSI .�0 3Ltl0 b31�tl �Y31 3N0 3�Idl(3 SlIiR13d 9Nii�9 4NIV 1�lItN3UI53U '{131�tllS SI �i�! 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SE,/�U/trO �S3�iIdX3 OOOt�—T9., , J� =J18 t3i�Tb—T99 s�sanbaa uot��edsuI BuLPr�nB �00�36 VM `��M i�'��R�� tsiZO/i�6U18 =0Nn1IW�l:�c� �I����d ����� I � � !��l JM �aa�o3.�L����.�i� , � SE76ACKS & FOOTINGS Date ��-/3-51�� BY/y/ir/ -ilV�rL�S Y7��.,.c�n i' 'iC -� a, - C`) - J C:-v i� �>w',i'S r�'� , ��5 / � � l L a �,�'--; �;� -�f'-/ lL fZ --t 1> >✓ r/c Date By C'o��'1VG<« ) nr,�,a PLUMBING GROUNDWORK � � ' Ddil�/'G7 N 5 „� •.. ��..�K p ,,,/s U(� � �`_`� c Date By UNDERFI.QQR FRAMING : �-���-,�'�/ `�''�� f=��n �' �vo,��r"- �1��. 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