95-100431 i
CITY
335300FirstF DEWay South RAL WAY BU I LD I NG P T PERISSUED: 03/08/95NO: BLD95 52
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 09/04/95
ADDRESS: 32820 20TH AV S
NO. : 144170-0570
PROJECT DESCRIPTION:MH SET-UP, LOT 57
OWNER -- CONTRACTOR -- LENDER
JAMES REETZ s=; OWNER IS CONTRACTOR ;_;
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32820 20TH AVE S
FEDERAL WAY WA 98023
941-1279
US NONE k;R
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •B FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1188:sf STORIES • I REQUIRED PARKING..: 1 SPRINKLERS? .? PLAN CHECK FEE $ 52.65
CENSUS CATEGORY •112 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .? FINAL PLAN CHECK...; $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 81.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 7.00 ft SBCC SURCHARGE _ $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 5221 SIDE • 10.00 ft WATER SERVICE..:FED
:5N :? :? :? DECK: 0: 0:sf REAR • 10.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:02/24/95
0: 0: 0: 0: TOTL: 0: 1188:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 138.15
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<1OOK..: 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
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -16.1111
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RECEIVED
ar"F G City of Federal Way
SFr APPLICATION FOR BUILDING PERMIT FEB 241995
CITY OF FEDERAL WAY
BUILDING DEPT.
PLEASE PRINT . 8r C O / APPLICATION it �
: �5' ( / 152-
k
SITE LOCATION Address CGpd3.(Z c!(2C(ilL Cyasnc; 1
Tenant(if known) ` /\ A _. P_F-P,-2 Lot # Assessor's Tax #
Building Owner NameAddress ld
Nti 17; S2---'--- (( T ��
City F-C-0 U1 C State t)j IN Zip ",2_'I) Phone 9 4 L t 2_7 47
Nature of Work 1--C)C.-�}% MO Q (L r Holm
APPLICANT
Name (F,M,L) ' _
Ak-M \--s S , \2Et:r7-.
Address ,C") ? -C-9,-. —j 1 fiA t GU
/`�
City .(; lA.: State U,AZip C(q1' )- 7,
Contact Person
,> Day Phone ` I l2 ( Other Phone Fax Jr► t h� 1= iz- -----
ie
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BUILDING CONTRACTOR
Company Name
Address Ow
F
() 6
City
State Zip
Contact Person Phone
Fax
P
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
L ACHITECT
Name
Address t C)eat Y'1 41 14 t,L,
r
City P/ il\u.._py.'( State \l Zip of 7
Contact Person Phone Fax
5(IIv yv ,��.� 4-t-,-- 6,2_ g4-, v 7 7
LEGAL DESCRIPTION
U hA 51 , C- Cre {' ()u1r (C e pak
Please Complete Reverse Side
CD0492(Rev 4/931
STRUCTURE xisting Use I IliProposed Use
Permit includes: ElBuilding ❑ Plumbing ❑ Mechanical ❑ Oth r
Type of Work: ?/Residential p New ❑ Remodel ❑ Number of Units LI Deck
❑ Commercial ❑ Addition LI Garage ❑ Shed ❑ Other
Enter 1st Floor i sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area ! i TI, sq ft
Area Basement sq ft Decks sq ft Garage_- sq ft Proposed Total Area sq ft
Water Availability- Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S ; '400••••� i
,I "
Zoning Lot Size Existing Bldg Valuation S �f (�I'
_. .. _ .... f `Ali
LENDER
Name Address
City State Zip
MECHANICAL''CONTRA.=: :
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMR
ING CONTRACTO
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING`FIXTURE COU IT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHAI1ICt L Vi�iIT CQ
...........................................................................................
............................................................................................
Fuel Type (electric/other) Gas Dryer 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
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit 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 l 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 its officers and employees,upon the accuracy of the information supplied to the City as a part of this
application. I /
1
Owner/Agent: / �� • t "' Date: `
2 2 ? + CITY OF FEDERAL WAY
I 0 D DEPT.OF COMMUNITY DEVELOP.I T
SKIRTING SHALL NOT BE _ 1� 7 , a
INSTALLED BEFORE BLOCKING I .7 dS •
I �� �'' r Ei .� ', w.p L Ga t! �: € of
AND TIE DOWN INSPECTION. Z di 1 I-4 4 (Hit SE i UP':?
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cc L 6” 'c`____ DATE SU 3MI TED WOE APPROVED3'7- 1'3
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`ur"� PT.OF L&I OR H.U:Q.WSPECTiON LABEL
1 7j C ; -\1,..___
s 2 INSTALLATION OF THE MOBILE HOME SHALL BE PER �,� r 1
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MANUFACTURER'S RECOMMENDATIONS. t
3 '� 3.PROVIDE A.(OB SRI COPY OF THE MANUFACTURER'S
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co 1111 LA- P�1, APPROVAL
- Permit Numbe -►� ' S - - Z
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