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95-100446 95-/06 y44, CITY OF FEDERAL WAY BU '1 ID %G PERMIT PERM 56 33530 First Way South ISSUED: 03/08/95 Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 661-4000 EXPIRES: 09/04/95 ADDRESS:31813 21ST AVE SW Unit : #25 NO. : 122103-9051 PROJECT DESCRIPTION:MOBILE HOME SET-UP - 891 SF I HIGHLAND PARK, SPACE 25 = OWNER — CONTRACTOR — LENDER GABRIEL RODRIQUEZ 813 21ST AVE SW 822 NUMERAL WAY WA 98023 162-1358 BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ADR FEES: TYPE OF WORK:NEW USE:RES 1ST.: 0: 891:sf STORIES • 1 REQUIRED PARKING..: 1 SPRINKLERS? .? PLAN CHECK FEE $ 40.95 CENSUS CATEGORY •112 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .? FINAL PLAN CHECK...* $ 0.00 OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* 8 63.00 :R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 7.00 ft SBCC SURCHARGE $ $ 4.50 TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 3920 SIDE • 10.00 ft WATER SERVICE..:FED PUB WKS PLCK(SF)..93 $ 40.00 :5N :? :? :? DECK: 0: 0:sf REAR • 10.00:ft SEWER SERVICE..:FED OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:02/28/95 0: 0: 0: 0: TOIL: 0: 891:sf IMPERV SURFACE: 891 sf SENSITIVE AREAS?.:N 4111kL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 148.45 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 CONV 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 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 INF RMATION FU ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEBERAL WAY REQUIREMENTS WILL BE MET. OWNER OR AGE DATE )7J' 9 FILE COPY MOO 0131d , f' '131! 38 11I* S1N3113810038 AYA 1VH3831 JO A113 318VOI1ddY 3H1 ONY 39031*0N11 AN 10 1538 3111 01 1338800 ONV 3081 SI 3N A8 03S 01 NOIIY$H JN1 Jil lYHI A111833 I' 33NYOSSI 10 31Y0 01JY HY3A 3N0 381dX3 S11N83d 9NIOYH9 ONY 1YI1N30IS38 '0318Y1S SI INA ON 1I 3ONYQSSI 83110 SAVO 091 38I01'3 51I$83d 0 :'0110089830Nl 0 :N13 000`01 ( 0 :'"S9O1 SO 0 :'"S11100 USA NfY1 0 ;ONfOH9 JAO8V 0 :NJO 000'01=> 0 • 39108 0 :11801)11 83810 0 :"'58311138 NIA 0313 ---------S1fWV1 13111 S11Nn 9NIi011Y11 HIV 0 :"83A80 5119 0 :5831)INIHd5 NAY1 0 • SH3NSV* NS10 0 • dM +S 0 • 3SIN 0 • 0088 0 • SNIVBO 0 • SINIS 0 • dH 05-0£ 0 • NOO101801 0 :83$808 ANOO 0 :"'S83SIV3N8 DVA 0 • S31801YAY1 0 : dH OE-St 0 :"'S3A01S 000A 0 • 1AN SY9 0 • SdNOS 0 • SHAMS 0 • dH S 1-E 0 : )HOA MO 0 :"100011801 0 :'1111101 9911111180 0 • S8f11 HIV8 0 : dH E-0 0 • 000H 11 0 :'9NId1d 01811 t S331 111101 0 • S1VNI8fi 0 : 5135013 831VA SHOSS38dNO3/S8311o8 0 • SNY1 1 6:13dA1 1 N:'1SY384 3AIIISN3S 1 168 •33V1811S A83dNI s 4 I ,..0'\::',,:1101 :0 :0 :O :0 5 no O � :Dk� i s .- 031:' 3OIAH3S H3A3S 11:00'01 • H R ‘�� `�,zx ,, Y9 -01101 iNVd0550 *4,0$ s , .. dI 1: 1: 1• 115: 00'0, $ £6"(1S11131d SII* 1104 031:"33IA83S H31VA 11 00'01 • "atS fes - - 411314, 0,0 �� N0113f01SN03 JO 3dAl 05't $ 39811 01083s 0 �'is 3 , 4t: �•!0 *. : is 6: 1: E8: 00'£9 t *""1INH3d 9NI01108 ,tr, ' _-3„ 101 -Si:Y81!S c 4, ,.. - IVf A ,, 1s:0 p ;1).',,- -,„ dflOH9 AONYdA33ti 00'0 $ ,'..1133HO NYld 1YNI1 � � c„ ;H , O0'o --i".16011 �,. I'N� 4, " NZ Ztl• AH093IYO SASN33 S6'0t $ 331 !133113 NYld - " M ITT '° t°- +8 0 "g trul t"6t**° "463II .5 4 is:168 :'1S1 S3H:3S0 A3N:kj0A JO 1111:5331 80H: NV id WO 1 :SIMI ,$1111N�1 ---di x3--811 :did :13311 X:1018 8SE1-Z91. , ___ ii---------------=------- ---- - EZ086 VA AYA 1Y830 U. AS JAY 1512 £181E 2311018008 13188VS 8301131 8013YH1k03 -_ _.. -- __ __. ._ -. ..0 ._-__.-.__..,_. _ 83NAO - SZ 33Yd5 'XHYd ONYIH9IH 135 168 - d0-135 311OH 311140$:NOIldIli3S30 133(`Ot3d 1506-£OLZZI. : 'ON 5Z# : 1Lufi MS 3AV ISLZ £ t8t6:SS3800V 56/170/60 :S33IdX3 00017-J9;4 3j :A8 Obt17-199 slsenbe8 uotloedsul 6uLp[ Ln8 £0086 YM 'ARM lsJepai S6/90/E0 :#33SSI991.0-96018 :ONn 1111483d ..1. it Ak-33d (1-1 II fli3AVM 1 83033= 3O A113 y 4 c. 1 1 STRUCTURE •xisting Use h C _ •ProPosed Use ' ZG1/14/ / 'NO -1 Permit includes: ❑ Building ❑ Plumbing ❑ Mechanical ❑ Other Type of Work: n Residential 0 New El Remodel ❑ Number of Units 0 Deck ❑ Commercial ❑ Addition ❑ Garage ❑ Shed 0 Other Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area - c/'% sq ft .—'.- Water Availability X Sewer Availability I, On-Site Septic System Availability ❑ Project Valuation $X 7�5-/ 9 , Zoning Lot Size Existing Bldg Valuation $ LENDER Name Address City State Z1p- ---_.____,_, MECHANI •L CONTRACTOR Contractor Nam. Address City State Zip Contact Phone Fa License # Expiration Date Verified El Yes ❑ No .PLUMBING'CONTRACTOR Contractor Name Addr•: City State Zip Contact Phone Fax License # Expiration Date Verified ❑ Yes ❑ No • .............. ..... .... ........................................................ ...................... ..................................................... . ... PLUMBING:FIXTURE COUNT 0 Water Closets Sinks Urinals Lawn Sprinklers Bathtubs Dish Was ' s Drinking Fountains Other Showers a Elect ' Water Heaters Sumps Lavatories „ashing Machine Drains Tota :Fitit4 O `''»> >`>'> ' MECHANICAL UNIT CO .................................................. ... .. . . .... .............. ... .. Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-'• Tons Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 ens Furn <100K BTU- Gas Log Unit Heater 50+ Tons Furn >100 : . s Fans Miscellaneous Fuel Tanks Gas Hw Hood Boilers Above Ground Co Burner Duct Work 0-3 Tons Underground :BQ's Wood Stoves 3-15 Tons Total Unst Count 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 which permit application 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 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 it • and employees,upon the accuracy of the information supplied to the City as a part of this application. y 5-- Owner/Agent: & ©I ,�• , ` 4 — ,C `2 L rbc • /It>.t.:r- Date: / � -w RECEIVED �,� G City of Federal Way Fr FEB 2 81995 APPLICATION FOR BUILDING PERMIT CITY OF FEDERAL WAY BUILDING DEPT. � � v3 L-D15 -O/5(2 PLEASE PRINT r 1 ,5""/ 3 / 5JI. Q,u,(, 51ePL/CAT/ON #: SITE LOCATION ddress 46/y y Tenant(if known) Lot# Asses is Ta?L# 6r c,/ G(. otic/ I ��/a, / o��/, 'e2 (ad.I(�3 -4 ��, 051 I3T Owner Name Address • /' G� /[ K1 &' /tea Y 4( S/Y -c- 71— City ,3/�/ 3 �� 51` S/�/- 9� 0,23 �€Y fL v�af State G/��, Zip I Phony, e.,6/ 7:2-X55 — Natur of Work 5 ,4-___ — � /() /�f / ( I) F 'r fig, " �l APPLICANT Name (F,M,L) // / t...-- Address �r �JY/ C�/ p. O �Y/U(/L�' G!/it1 l i�/��` �G� �f�Y/ vEaZ Address b �� 3139 /5 oz / f7`/e__ /� 9F l a City (; e' // / _ State L� -','2 Zip 9s-/ U c- Contact Person Day Phone Other Phone Fax (o c) G,2— /35- BUILDING CONTRACTOR Company Name Address City State Zip Contact Person Phone Fax lib Contractor's #(card must be presented) Expiration Date Verified ❑ Yes 0 No Altrilluzj Name Address City State Zip Contact Person Phon Fax LEGAL DESCRIPTION Please Complete Reverse Side CD0492(Rev 4/93) ��ti �DI 5 - 0I � . Fa 440 MiIJ )Mo ci .yq,V , � I O M EN 'f't" NJ I )1 5 eYL t-( 'Lr" SPACE 29 5\� 4.�4.s*,0 �� f TREE Af 4�Q.. 4Q' c." POWER N V� . • -` WATER . 2,s,, 0 0 i� SEWER- tit it. INiNtor1 V -71 .. ' ` p�' ��-Ec,1 `' ski - CT M� �ift�S p 4. Sc-Pc-�PT 0 M'oiMJM M �rz- w. * , ra �arN I . 1 SKIRTING SHA•pRE B OC NG o a � INSTALLED WN INSPECTION. 0 ANDTIED / Dlsel A4 eEE SHNa- iNSPS�gEPER . k- 0.2i� :.111:.:11X180,1/40\ju.),:!:?"14::.00:E1141-91..W1&„025avail I&tOR�+� /,�$, � ♦ (G/ 2HS ER� FACYUFt�-X1 ` G4 NCOOF• • SET-UP -O.� ' \�7- THERE ARE TO BE N0 DEVIATIONS lo� ° TO THE APPROVED DRAWINGS //34; UNLESS OTHERWISE APPROVED BY THE FE©ERAS WAY BdIE61NG BEP T. HIGHL1NE PARK STREET M1/-o1T RECEIVED HIGHLINE PARK ace m� ItIAR 0 1 1995 SITE PLAN BUILDING DEPT. Scale 25 - 11n, -- 10 ft. Drawn: R. Laustsen ,: TY OF FEDERAL WAY