92-1012660 BUILDING
r1TY OF FEDERAL WAY P
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31813 21ST AVE SA Unit: #19
PARCEL NO.: 1221.03-9051
PROJECT DESCRIPTION: MOBILE HOME SETUP
OWNER CONTRACTOR
BILL HILLSTEAD A&B MOBILE HOME TOWING, INC.
31813 21ST AVE. SW P.O. BOX 98827
FEDERAL WAY WA 98023 9822 32ND AVE. CT. S.
TACOMA WA 98498-0821
3308 588-0626 800-422-2015
ABMOBI215L5
BLD?:X MEC?: PLM?:
TYPE OF WORK:? USE:?
CENSUS CATEGORY ..... :112
OCCUPANCY GROUP ----------
:R3 :? :? :?
TYPE OF "n STRUCTION-----
:5N :? :? :?
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
FLR--EXIST--PROP---
1ST.:
0:
784: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:
784:sf
FUEL TYPES.:?
?
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
GA,&'IGS... :
0
> 10,000 CFM:
0
DWELLING UNITS: 1
STORIES........: 1
HEIGHT.....: 0.00 ft
VALUATION ----------
EXIST—$: 0
PROP ... $: 3450
RECEIVED.:08/13/92
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..: 0
REQUIRED SETBACKS -------
FRONT ......... : 7.00 ft
SIDE..........: 3.00 ft
REAR..........: 3.00:ft
LENDER
SPRINKLERS? :N
HAZARD CLASS ... :LIT
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
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORTS 15 STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE -A-01.
OWNER OR AGENT
btd_prmt 07/31/92
p
I
42 - lot �V�q
PERMIT NO.: BLD92-2054
ISSUED: 09/16/92
BY: MH
FEES:
FINAL PLAN CHECK...* S 40.95
BUILDING PERMIT....* S 63.00
SBCC SURCHARGE.....* S 4.50
TOTAL FEES S 108.45
DATE
Peri # & �d q,-) -'�"'d
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: jvI// zF
OWNER s7_x-,4b SITE LOCATION W4? 2 /.o 7_4 zwe ,f�J
OWNER'S ADDRESSCITY PHONE_J_�oL 330
DESCRIBE JOB -
J w 4 itis 2R&
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X _ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME r7 `d'/0 ff2,9&4.z,- 2n, �2f&c r CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS P22CITY �l�— PHONE cn�
EXPIRATION DATE
—OR— L
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 l `% PHONE 0 LAI 3 3 �
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST S� EXISTING BUILDING VALUATION 6719
BOX 6 PROPERTY TAX ACCOUNT NUMBER / 7 i /e� –73 5'A V
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /Xy 2ND FLOOR /
3RD FLOOR / BASEMENT____J_ DECK I -GARAGE____j_
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS $
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
------AIR HANDLING UNITS $
HEAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
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 OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO 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 AC URACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
C
OWNER/AGENT: DATE:O p
ANP -M 3/90
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 31813 21ST AVE SW Unit: #19
PARCEL NO.: 122103-9051
PROJECT DESCRIPTION: MOBILE HOME SETUP
rm
PERMIT NO.: BLD92-2054
ISSUED: 09/16/4&
BY: MH
%m rm
I.UM1KALIUK
LCMUCK
BILL HILLSTEAD
A&B MOBILE HOME
TOWING, INC.
31813 21ST AVE.
SW
P.O. BOX 98827
FEDERAL WAY WA
98023
9822 32ND AVE. CT. S.
TACOMA WA 98498-0827
395-3308
588-0626 800-422-2015
ABM081215L5
BLD?:X MEC?:
PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 1
COMP PLAN ......... :HDR
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
784:sf
STORIES........: 1
REQUIRED PARKING..:
0
SPRINKLERS? ......
:N
FINAL PLAN CHECK...* $ 40.95
CENSUS CATEGORY .....
:112
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS ... :LIT
BUILDING PERMIT....* $ 63.00
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
SBCC SURCHARGE.....* S 4.50
:R3 :? :?
:?
OTHR: 0:
O:sf
EXIST..$: 0
FRONT.........:
7.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... S: 3450
SIDE..........:
3.00 ft
WATER SERVICE..:FED
:5N :? :?
0
DECK: 0:
O:sf
REAR..........:
3.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:08/13/92
0: 0:
0: 0:
TOTL: 0:
784:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES $ 108.45
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......: 0
BATH 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
CONY BURNER: 0
FURN>100K..... :
0
30-50 HP....: 0
SINKS ..............:
0
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...
: 0
GAS LOGS...: 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. 0
1 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_pant 07/31/92
DATE
0