98-100275CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
253-661-4000
Building :Inspection Requests 253-661-4140
ADDRESS:31813 21ST AVE SW Unit: :1.6
NO.: 122103-9051
PROJECT DESCRIPTION:MANU HOME - SETUP OF 907 SOFT SINGLE -WIDE MANUFACTURED HOME
OWNER___________________________________________=__=====7= CONTRACTOR
LOUISE BAKER
31813 21ST AVE SW 416
FEDERAL WAY WA 98023 1
99-1Do�,l �J
PERMIT NO: BLD98-0041
ISSUED: 02/10/98
BY: FC
EXPIRES: 08/09/98
LENDER
BANK AMERICA HOUSING SERVICES
1010 S 336TH ST
FEDERAL WAY WA 98003
9 1
*t= CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.6% US
BLD?:X MEC?: PLM?: FLR--EXIST--PROP---
? TYPE OF WORK:NEW USE:RES
1ST.:
0:
907:sf
CENSUS CATEGORY.....:112
2ND.:
0:
O:sf
OCCUPANCY GROUP----------
3RD.:
0:
O:sf
:? :? :? :?
OTHR:
0:
O:sf
TYPE OF CONSTRUCTION-----
BSMT:
0:
O:sf
:? :? :? :?
DECK:
0:
O:sf
# OCCUPANT LOAD------------
GAR.:
0:
O:sf
t . 0: 0: 0: 0:
TOTL:
0:
907:sf
RECEIVED.:01/28/98
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FEES:
PLAN CHECK FEE
BUILDING PERMIT....*
BUILDING PERMIT....*
SBCC SURCHARGE.....*
FINAL PLAN CHECK...*
0 FURN)100K.....: 0
DWELLING UNITS:
0 1
COMP PLAN.........:?
? FANS..........:
0
STORIES........:
0
REQUIRED PARKING..:
0
SPRINKLERS?......:?
HEIGHT.....:
0.00 ft
0 ft HOOD..........:
0
HAZARD CLASS...:?
VALUATION----------
0
REQUIRED SETBACKS-------
0tqr
FIRE FLOW....: 0 gpm
EXIST..$:
0
FRONT.........:
0.00 ft
SHOWERS .............
PROP... $:
3991
SIDE..........:
0.00 ft
WATER SERVICE..:?
0 WOOD STOVES...:
0
REAR..........:
O.00:ft
SEWER SERVICE..:?
RECEIVED.:01/28/98
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FEES:
PLAN CHECK FEE
BUILDING PERMIT....*
BUILDING PERMIT....*
SBCC SURCHARGE.....*
FINAL PLAN CHECK...*
$ 40.95
$ 63.00
$ 63.00
$ 4.50
$ 0.00
$ 171.45
CONV BURNER:
0 FURN)100K.....: 0
30-50 TON...:
0
FUEL TYPES.:?
? FANS..........:
0
BOILERS/COMPRESSORS
WATER CLOSETS......:
0
URINALS........:
0
(� TOTAL FEES
PIPING.:
0 ft HOOD..........:
0
0-3 TON.....: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0tqr
[
N<1DDK...
D DUCT WORK......
0
3-15 TON..... 0
SHOWERS .............
0
SUMPS...........
0
0
GAS HWT.... :
0 WOOD STOVES...:
0
15-30 TON...: 0
! LAVATORIES.........:
0
VAC BREAKERS...:
0
$ 40.95
$ 63.00
$ 63.00
$ 4.50
$ 0.00
$ 171.45
CONV BURNER:
0 FURN)100K.....: 0
30-50 TON...:
0
SINKS ..............:
0 DRAINS.........: 0
BBQ........:
0 MISC..........: 0
50+ TON.....:
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
,
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 JI'NFORMATION 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 AGENTk/ C�''-4------------------------------------------- DATE _
FILE COPY
f Ty 01 1J_I)f."*'!"t*s1_ PERMIT 1,40:
BUILDING PEAR(Il''t
vlay, wi') 9" If -ft Itulidinq Ing pe(*'ti.4:)ii.i�,^r,.4i.,=.T-,t. v c
L' I'f I Jllf',/09/90
-10, 90 1
`.OT L
T)F,"Cl 1,F'1 L 14 NANU NONE SIMP Of 907 SBFT '4KLE-WIDE MiNkNACTURED NON'
+ OWNER (03IR40OR LEND'R
LOUIS[ BAKER --BANK AMERICA 90trUN6 'JERVI(15
31311 21ST AVE SW 116 1010 S 336TH ST
FEDERAL WAY #A 98!23 FEDERAL MY WA 9MO3
Cokfw104-1,t�, ISE, W110110 'Cl
K SAtES TAX I'M MJCCIS 1119111 Tit fY Of ILKRA1 MY. TAX RATE 8.6%tte
OtD?-Y MEC?: PIN?: FILR --EXIST --PROP- �M#P PLAN........... FEES -
IST... 901 s s IRFD PARKING..: 0 SPRINKLERS.......:? PL4 ('HFCK FE1, 40,95
([NS9S (AIKIORY.....'112 2ND. 0 - s t Bigot
MILDING PERNIT..i.t # 63.00
atsf V AT 0
FIRE
0 Hp BUILDING PERMIT.... 63.00
Z" W'�
FRONT
? "o �-'o - s f u- F 1.
? 0100 f t�" SOCC S�JR(HARGI ..... 4.50
k W
-
TYPE OF (ORSTOCTION ----- -- Mffll P* ........ A: 1A RR SEPVttt... rl"t 4ttTl ("Icy ... 0.90
RIP
cri 0 T'
R ....... 11.00: ft SEWER SERVICE..:?
J E
O(COPAOT LOAD—— , J, S
0: 0: TOT 1 a 441N IPEPV SURFACE: 0 sf SENSITIVE AFEAS'...
FUEL TYPES,:? FANS'.... BOILERS/COMPRESSORS WATER CLOSETS......: 0 URIARS, ........ 0 TOTAL FEES f 171.45
j�PIPING.: 0, ft' HOOD......... ... 0 0-3 TON ...... 0 RAIN TUBS .......... 0 DRINKING FOUNT.: 0
MR..: 0 ly')CI0 3-15 TON... .. : 0 SHOWERS............
0 SUMPS.. .. __: 0
-TAS of_.: Q WOOD STOVES_: 0 15-30 TON...: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
1i�;omv "NER: 0 FORK"1001 ..... : 0 30-50 0 SINK!^) .............. 0 DRAINS.........: 0
oo ......... o "IS( ........ _: 0 504DISH WASHERS ....... 0/ IAWN SPRINKLERS: 0
SAS DYER..: 0 AIR HANDLING UNITS FUEL TANKS --------- ELI( WIR HEATERS...: 0 OTHER FIXIMES.: 0
RANGE.....,: 0 <-10,000 cr": 0 ABOVE GROUND: 0 LAUN WSHR OUR IS...: 0
GAS L0QS ... : 0 > 10,000 crm: 0 UNDERGROUND.: 0
Itmifs upyn too PAYS MILP lisamcc IF go ow is STARILD. RES]KNIIM AND GPAMIr. KMD'S EXPIRE 0kT Y[,AR AFTER )Alf Of ISSUWE.
1 Q*1IFY IIAT (Ift 1PRORAMION 1UFN1vH[o PY ME IS IRVt 09 CWFCI TO 101 BEST Of MY KWAFK[ AND iflf A94-[(A1L[ CITY K TEKW MY RfjNjjff#EKTS Vjtrj it *1
Y
tftOR AGENT
DA
FIELD COPY
CD0193 (Rev 4/97)
1
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P..Usuip: WORKS FiNAL....
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CD0193 (Rev 4/97)
r
COT OF G • •
vw-
�_
IV FED
SAN Z LAP
PLICATION FOR BUILDING PERMIT
G►TY �FNFPTAd
PLEASEPR/NT gjp�G DE
APPLICATION it
i`);: i; 1 ••`: ':>''•': .<>' A<:`' >' < Address j <• 'j A/
Tenant (if known)Lot # 1�
Building Owner's Name Address
BUILDING Divm07
33530 First Way SoL
Federal Way, WA 9800_
(253)661-4000
Fax (253) 661-4129
Assessor's Tax #
122 ire 2--> -moi
( Nature of Work -'-! "c; L0 "lil�IiY► Lc _ ., I/Vl,-, L`)1 i i I Jr ,,,n i— 1
Company Name
Address
Address V
State
Cit U:c V ( L.l—E-7
State I5),
22...
Contact Perso,11.1 \ Gj 1,-4N
1 !-�
Done aq
F3cor RIK -0 114
Contractor's # (card must be resented)
G L ` C>��
Expiration -20 - of
Verified ❑Yes ❑ No
w � U- I, )-� c tzl 5�
(/u A i r -i 5 1`'�Z 1
Name
Address
City
State
Zi
Contact Person
Phone
Fax
LEGAL DESCRIPTION
Please Comv/ete Reverse Sid
ppr 7
1�e:.::::::::::: _
istin Use
9
City
roP osed Use
Zi
Contact
Permit includes:
❑ Building
❑ Plumbing
❑ Mechanical
❑
Other
Type of Work:Residential
❑ Commercial
❑ New
❑ Addition
❑ Remodel
❑ Garage
❑ Number of Units _
❑ Shed
❑
❑
Deck
Other
Enter 1st Floor 01 sq ft
Area Basement sq ft
2nd Floor
Decks
sq ft 3rd Floor sq ft
sq ft Garage sq ft
Existing Floor Area
Proposed Total Area
Above Grou
sq ft
sq ft
Water Availability ❑ Sewer Avail Hit
❑ On -Site Septic System Availability ❑
Project Valuation
$
Wood Stoves
Zoning
Lot Size
Existing Bldg Valuation
$
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Contractor Name
Address
City
State
Zi
Contact
Phone
Fax
License #
Expiration Date
Verified ❑ Yes ❑ No
Water Closets
Sinks
Urinals Lawn Sprinklers
Bathtubs
Dish Washers
Drinking Fountains Other
Showers
Electric Water Heaters
Sumps
Lavatories
Washing Machine
Drains Total Fixture Count
CHANIOA iJNtfi;;aUNT':>?'>�
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other)
Gas Dryer
Air Handlin < = 10,000 CFM
15-30 Tons
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
30-50 Tons
Furn <IOOK BTUs
Gas Log
Unit Heater
50+ Tons
Furn > 100 BTUs
Fans
Miscellaneous
Fuel Tanks
Gas Hwt
Hood
Boilers
Above Grou
Conv Burner
Duct Work
0-3 Tons
Under roun
BBQ's
Wood Stoves
3-15 Tons
tita!uhit�ri rr
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 perfo the work for which permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses, and
attomeys' fees incurred in ' esti tion e e f uch claim), which may be made by any person, including the undersigned, and filed against the City of Federal Way, but only
where such claim I
es,' f e cc f cr , including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application.
�1
OwneI/Agent: Date:
BOLDIN .Arr
REVCED 8/28197