92-101221 C'TY OF FEDERAL WAY BUILDING I TPERMIT NO.: BLD92—2028
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/10/92
federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 32820 20TH AVE 8 Unit: #38
PARCEL NO.: 144170-0330
PROJECT DESCRIPTION: MOBILE HOME SET-UP WITH GARAGE
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OWNER CONTRACTOR -- LENDER
GRIL SWIESO OVERSON CONSTRUCTION
32820 20TH AVE S #38 1908 S 341ST PL #7
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
874-3400
OVERSCC141DU
B X MEC?: PLM?: FLR EXIST PROP - DWELLING UNITS: 1 COMP PLAN FEES:
T OF WORK:? USE:? 1ST.: 0: 1568:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS ' FINAL PLAN CHECK...* $ 93.60
CENSUS CATEGORY •112 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS BUILDING PERMIT....* $ 144.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm SBCC SURCHARGE.,...* $ 4.50
:R3 :? :? :? : OTHR: 0: 0:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...S: 12399 SIDE • 0.00 ft WATER SERVICE..:?
111
:5N :? :? :? DECK: 0: 0:sf REAR 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 336:sf RECEIVED.:08/10/92
I— 0: 0: 0: 0: TOTL: 0: 1904:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 242.10
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
ALL
"HITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
14I CE "Y 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.
14 OWNER OR AGEN4A_ZaDATE k) )I(Ai 2
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION `
—Please Print-
BOX 1 TENANT NAME:
OWNER MR. t Mrs. CRIT. 5ix) iesa SITE LOCATION &$gO aot Ave- So *ST
OWNER'S ADDRESS/DG 3/ 4 txs-Ecv DcZ. CITYSvn Ci sty / rAZ PHONE 91-16- is 3T
DESCRIBE JOB A.6.6.,1 iso me et-txp w/(,o -
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )(r PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 0 Y(cSDn Co n5#• C o • CONTRACTOR'S REG. # 0 V8 IZ 5 CC pi I Du
Card MUST be presented
CONTRACTOR'S ADDRESS 19 0 1( Se . '3 1 � r I•-7 CITY PA e c el 100,v PHONE S7 f--Syc)0
EXPIRATION DATE 3!iD l°13 l
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Ke r r1 Com\e e4 PHONE W7 y- 3 y O 0
BOX 4 SEWER DISTRICT - 4 _ C 1 WATER DISTRICT Fe d LUwki
BOX 5 ESTIMATED PROJECT COST /O(O DC7. EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NyMBER j4 I q q l7 a - ( 3TO i 0 d
LEGAL DESCRIPTION Sec ' -� P • a N•/
S 3% Cea.o.c Cree kc a Cov4 cw.intti•.-. -
�o.v,ge. 4 EWrr\ (' ds-�1 , cyr le-UAC-o , WASNttic,Te
(If necessary, please submit a separate page with the regal descrEEtion.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORS / 156 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE / 3k,
BOX 8 (SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
/ SHOWERS GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
KINKING FOUNTAINS COMMERCIAL HOOD $
MPS, SPRINKLER VACUUM BREAKERS OTHER $
D AINS $
0 HER $
OTAL FIXTURES $ \
TOTAL MECHANICAL FEE $
I CERTIFY UNDER P NALTY 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 ITS
OFFICERS AND EMPLIYEES, UPON THE ACCURACY I E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
I
OWNER/AGE ,g7 4!.:/ .// .44L_IIs DATE: 74 / ?
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON 1 Z SETBACKS: FRONT_/ SIDE 7 3�f REAR 2 0 HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 9/2.-t/9 Z 013
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: itc
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: (A
TYPE OF JOB: NEW RESIDENCE )" RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY /A I TYPE OF CONSTRUCTION VA/ STORES
tov\Vva4 a►n BUILDING SQ. FT. S(;I) @ �< c)O = 7u L
(Akv G( BUILDING SQ. FT. 33& @ •
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. =
BUILDING
A �l =
BUILDING SQ. FT. @ (t I 3 ���
TOTAL SQ. FT. TOTAL VALUATION `
BUILDING DEPARTMENT REMARKS: PERMIT FEE t(4T
PLAN CHECK FEE q'1
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
, a
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 5Pid-/ (2-4 4i"
(
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL �t
RECEIVED BY E DATE J 1 3 �c1 Z ACCEPTED FOR FILING
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PECTION LABEL 2 21992
C� 2.INSTALLATION THE MO ILE HOME L.BE PER f(
�! MANUFACTU R'S RECOIMENDATIO . Q�
&PROVIDE JOB SITE COPY OF THE MAN ACTURER'S • oA c<<t P_ /
SET-UP 1
TH RE ARE TO Bp NO DEVIATIO S
T THE APPROVED DRAWINGS ) Fi I LE
NLESS OTHERWISE APPROVED
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