93-101416CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0634
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/18/93
Federal Way, WA 98003 BY: FLF
6(;1-4000
SITE ADDRESS: 31813 21ST AVE SW Unit: #38
PARCEL NO.: 122103-9051
PROJECT DESCRIPTION: MOBILE HOME SETUP v INSTALL USED MOBILE HOME ON SITE. LOT 38 OF HIGHLINE MOBILE HOME PAR
OWNER
BILL HILLSTEAD
P.O. BOX 78025
SEATTLE WA 98178
0-1502 838-4395
BLD?:X MEC?: PLM?:
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :112
OCCUPANCY GROUP ----------
:R3
TYPE 6F CONSTRUCTION -----
:5N
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FLR--EXIST--PROP---
1ST.:
0:
924:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
O:sf
TOTL:
0:
924:sf
FUEL TYPES.:
0
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K..... : 0
BBQ........:
0
MISC..........: 0
GAS DRYER..:
0
AIR HANDLING UNITS
RANGE......:
0
<=10,000 CFM: 0
BAGS...:
0
> 10,000 CFM: 0
CONTRACTOR LENDER
*OWNER IS CONTRACTOR*
*OWNER*
DWELLING UNITS: 1
STORIES........: 1
HEIGHT.....: 0.00 ft
VALUATION----------
EXIST..S: 0
PROP ... S: 4066
RECEIVED.:06/09/93
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP. .... 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN ......... :HDR
REQUIRED PARKING..: 2
REQUIRED SETBACKS -------
FRONT ......... : 4.60 ft
SIDE..........: 1.00 ft
REAR..........: 5.00:ft
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpn
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
WATER CLOSETS......:
0
URINALS........:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
SHOWERS ............:
0
SUMPS..........:
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
SINKS..............:
0
DRAINS.........:
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0 ,
LAUN WSHR OUTLTS... :
0
FEES:
PLAN CHECK DEPOSIT.*
FINAL PLAN CHECK...*
BUILDING PERMIT....*
SBCC SURCHARGE.....*
S 46.80
S 0.00
S 72.00
$ 4.50
TOTAL FEES $ 123.30
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 REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bid_prmt 10/23/92
DATE (rx ^ / C�9" 9 a
V
P
�e-rlr /f/ice Al e
Sfr_B_At7Kt-AlqD-F0`OTINGS
DATE 7'J 43 BY ��%/1,(�
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY _
FINAL O.K. TO OCCUPY
DATE�'/y 93 BY �
DCD
PSD
FD
City of Federal Way
� F-rt�rrar.
BREWED APPLICATION FOR BUILDING PERMIT
JUN 0 9 1993
PLEASE PA FEDM ' IWAk APPL/CATION #:
Address S
...::.............. .
Lot # O
AdZ
dss aa
� ;74P4 Z 5. -
Zip 1rPj 7,::p
0-- DG 3V
.3 d'
Assessor's Tax #
Phone X,13 /S—C— z
Name (F,M,L)
Addres
City �c} ��
S -t—ateeAJ15.s14,1 Zip %
Contact Perso
Day P no
O er P ne Fax
Company Na TO j AIA
Address � D
City State Trp
Contact Pe n Phone Fax
Contractor' # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
A,11 4 --
Name
Address
City
State
Trp
Contact Person
Phone
Fax
LEGAL DESCRIPTION
sG-r -b
Please
P/ease Complete Reverse Side
CD0492 (Rev 4/83)
MURE <:
Permit includes:
` >> ? <> ::»':
Exiating Use
Building
❑ Other
Type of Work:
Residential
❑ Commercial
New
❑ Addition
❑ Other
Enter 1 st Floor
Area Basement
sq ft
sq ft
2nd Floor sq ft
Decks sq ft
sq ft
Water Availability ❑ Sewer Availability ❑ On -Site Septic
Fans
Zoning
Fuel Tanks
I Lot Size
/ZL_
❑ Plumbing
❑ Remodel
❑ Garage
3rd Floor sq ft
Garage sq ft
stem Availability ❑
Proposed Use
Address
❑ Mechanical
❑ Other
❑ Number of Units _
❑ Deck
❑ Shed
❑ Other
Existing Floor Area
sq ft
Proposed Total Area
sq ft
Name
Address
City
State Zip
lw�
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
'710'IBiNt<':ONTRA R<>>[i><<<;<''>
ATO<
Contractor Name
Address
City
State
Zip
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
WAN
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total'Fix>ifre`:Courit>>'•>'<`:><::.
Fuel Type (electric/other)
Gas Dryer 71
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 Tanks
Gas Hwt
Hood
Boilers
Above Ground
Conv Burner
Duct Work
0-3 Tons
Underground
BBQ' s
Wood Stoves
3-15 Tons
Total U' hh Co: u.
DISCLAIMER: 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 wh h perm lication 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 de se of such im), 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 th reliance of City, incl ding its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
Owner/Agent: Date:
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
SITE ADDRESS: 31813 21ST AVE SW Unit: #38
PERMIT NO.: BLD93-0634
ISSUED: 06/18/93
BY: FLF
PARCEL NO.: 122103-9051
PROJECT DESCRIPTION: MOBILE HOME SETUP — INSTALL USED MOBILE HOME ON SITE. LOT 38 OF HIGHLINE MOBILE HOME PAR
VKNCR
BILL HILLSTEAD
P.O. BOX 78025
CONTRACTOR
*OWNER IS CONTRACTOR*
LENDER
SEATTLE WA 98178
1502 838-4395
*OWNER*
BLD?:X MEC?: PLM?:
TYPE OF WORK:NEW USE:RES
CENSUS CATEGORY ..... :112
OCCUPANCY GROUP----------
:R3
TYPE OF CONSTRUCTION-----
:5N : :
OCCUPANT LOAD------------
FLR--EXIST--PROP---
1ST.: 0: 924:sf
2ND.: 0: O:sf
3RD.: 0: O:sf
OTHR: 0: O:sf
BSMT: 0: O:sf
DECK: 0: O:sf
GAR.: 0: O:sf
DWELLING UNITS: 1
STORIES........: 1
HEIGHT.....: 0.00 ft
VALUATION----------
EXIST—$: 0
PROP ... $: 4066
RECEIVED.:06/09/93
COMP PLAN ......... :HDR
REQUIRED PARKING..: 2
REQUIRED SETBACKS-------
FRONT.........: 4.00 ft
SIDE..........: 1.00 ft
REAR..........: 5.00:ft
SPRINKLERS?.....:?
HAZARD CLASS....:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:FED
SEWER SERVICE..:FED
FEES:
PLAN CHECK DEPOSIT.* $ 46.80
FINAL PLAN CHECK...* $ 0.00
BUILDING PERMIT....* $ 72.00
SBCC SURCHARGE.....* $ 4.50
0: 0: 0: 0:
TOTL: 0:
924:sf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:N
TOTAL FEES $ 123.30
FUEL TYPES.: FANS..........: 0 BOILERS/COMPRESSORS
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0
FURN<IOOK..: 0 DUCT WORK.....: 0 3-15 HP.....: 0
GAS HWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0
CONV BURNER: 0 FURN>1OOK..... : 0 30-50 HP....: 0
BBQ........: 0 MISC..........: 0 5+ HP.......: 0
GAS DRYER—: 0 AIR HANDLING UNITS FUEL TANKS---------
E......: 0 —10,000 CFM: 0 ABOVE GROUND: 0
LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
WATER CLOSETS......: 0 URINALS........: 0
BATH TUBS..........: 0 DRINKING FOUNT.: 0
SHOWERS ............: 0 SUMPS..........: 0
LAVATORIES.........: 0 VAC BREAKERS...: 0
SINKS ..............: 0 DRAINS.........; 0
DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
LAUN WSHR OUTLTS... : 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 BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bld_prmt 10/23/92
DATE