92-102129 e
� B lJ I L D I IV C P E R IVI I 9�-/� a'a 9
�.`!TY ��= FEDERAL WAY �
PERMIT NO.: BLD92-2496
'�;i3G � �rst Way South BUILDING INSP��TION - 661-4140 ISSUED: 01/2fi/93
� P;deral Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 2611 S 28�TH ST IInit: 75
PARCEL NO.: 283920-0670
PROJECT DESCRIPTION: MOBII�E �iO1�IE — PARRLAPTE ESTATES #75
INSTALL MOBILE HOME FOR USE AS � COMMIIAIYTY BIIILDYPIG
OWNER CONTRACTOR LENDER
ODEGARD OEVELOPMENT ODEGARD CONSTRUCTION GENERAL
12414 S MEREDIAN E 123 105TH AVE S E
PUYALLUP WA BELLEWE NA 98004
1271
ODEGAGC091DD
BLD?:X MEC?: PLM?:? FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN.........:UR FEES:
TYPE OF NORK:NELI USE:COM 1ST.: 0: 1788:sf STORIES........: 1 REDUIRED PARKING..: 0 SPRINKLERS?......:W PLAN CHECK DEPOSIT.* $ 299.00
CENSUS CATEGORY.....:3�8 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HA2ARD CLASS...:LIT PUB NORKS-PLAN CHECK E k0.00
OCCUPANCY GRWP---------- 3RD.: 0: O:sf VALUATION---------- RE�UIRED SETBACKS------- FIRE FLON....: 856 gpm PLCK-FIR comml only* S 4.95
:A3 :? :? :? : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 20.00 ft SBCC SURCHARGE.....* S 4.50
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 7867 SIDE..........: 20.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* S -234.65
:5N :? :? :? : DECK: 0: O:sf REAR..........: 20.00:ft SEUER SERVICE..:FED BUILDING PERMIT....* S 99.00
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:12/01/92 BONDS............... S 13908.00
. 86: 0: 0: 0: TOTL: 0: 1788:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES S 14120.80
GAS PIP!NG.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
FURN<100K... 0 DUCT NORK...... 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 BURN°R: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS............... 0 DRAINS......... 0 ' "'"`
. . . c � �
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 D1SH NASHERS.......: 0 LAWN SPRINKLERS: 0 ���
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 0 OTPIER FIXTURES.: 0 -� �!
.......: O <=10,000 CFM: O ABOVE GROUND: O LAUN NSHR OUTLTS...: O '� ,_. , ` ,.:.
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. V
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 ��
'; �..--
OWNER OR AGENT DATE
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bld_prmt 10/23/92
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, ' t��cE�vE����� Permit ## ��� �� � 2 �f��
� ��'UNITY DEVELOPMENT U�,��'� '��; , .
�� _ �r�
DEC O 1 ���Z � CITY OF FEDERAL WAY , ,; � -`G - ��� zj�
BUILDING PERMIT APPLICATION ��� � �'`!'���-
— Please Print—
BOX 1 TENANT NAME:
OWNER �-�17i= 6.��-O -C�=�;r,1�� SITE LOCATION '2.(�.1 1 �-�• �"r,°; ' ;;rJ(f ' ?,5
OWNER'S ADDRESS i Z2 i C���''}` ,r" ��Ty � . �i.�.-�.� PHONE `�- 4S�}- �L y �
�� DESCRIBE JOB � � t � � L� �-:�.�'ts�" �' � ��;�«�� i�' Cc�- - -
THE PROPERTY IS OWNE BY: SINGLE/MARRIED � PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C%V-; ��,C� � � ��r�I CONTRACTOR'S REG. #
" Card MUST be presemed
CONTRACTOR'S ADDRESS �Z.3 t C� /� �F'. CITY 'R`.T=-�L�� PHONE y-���t 32�-��
EXPIRATION DATE ;
— OR — c7�i-��c:t'?4..t:�t�
i HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CNAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON _ �'�'�c t7 v=- �jv i� - PHONE ���I--''�'z-;;- Z..-
BOX 4 SEWER DISTRICT r-�:��/a2. �✓�7 WATER DISTRICT � `-
BOX 5 ESTIMATED PROJECT COST ���' �`�%� EXISTING BUILDING VALUATION ��v ��.�:,
BOX 6 PROPERTY TAX ACCOUNT NUMBER Z-"�-' �� Zv �,C- �?G` ��`
LEGAL DESCRIPTION �: ,:i � !��,'�t�-c;t�n (� If Z-�c%�' -. ��4�Z
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST� FLOOR ��'� 2ND FLOOR /- - -
3RD � FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY O NEW CONSTRUCTION
( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE __. _. _. __
O COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY ;`�- � ���Z-- SQ FT
BOX 9 PLUMBIN� FIXTURES{including rough-ins) -��- ��� - MECHANICAL APPLIANCES— BASIC FEE$'----- -"
N0. 'z% WATERCLOSETS GAS PIPING, FEET . . $..._ _
BATHTUBS N0. FURNACE, ELEC. GAS �
SHOWERS � � - �-- GAS HOT WATER HEATER� � - �-- $�- -- �--
l.AVATORIES - - - - CONVERS��ON BURNER - -- - - _.__ $._ ._
���SINKS BOILER, SIZE BTU $
� DISHWASHERS � - �---- AIR HANDLING UNITS -- �"�-�-"�
` 1 ELECTRIC HOT WATER HEATER -- - - HEAT PUMPS, SIZE _ ___ $__ _ _
L1�UNDRY WASHER OUTLET UNIT HEATERS $
URINALS ` -�-- AIR COOLING UNITS, SIZE -� - � � $ ��" � �- -"
DRINKING FOUNTAINS - - - CONMERCIAL HOOD . �
SUMPS, SPRINKLER VACUUM BREAKERS OTNER �
-- - - - DRAINS . ._ _ ___ . . . _ . -- $ - -- -- --
OTHER �=.
� f 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 FURTNER THAT I AM AUTHORIZED BY THE OWNER OF TNE ABOVE PREMISES TO PERFORM THE WORK FOR WNICH PERMIT APPLICATION IS
'�1ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAI WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
=EES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WNICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ardD FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WNERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUDING iTS
�fFICERS AND EMPLOYEES, UPON TNE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
-�:�,
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�1�'NERlAGENT: __ ���_���--"�'�=--���� DATE:
ANP.