93-102431 q3- i6 ? �3/
CITY OF
FEDERAL
South B U I L D I NG P El�:M I T PERMIT21
ISSUED: 10/05/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/03/94
ADDRESS:28637 28TH PL S
NO. : 399900-0120
PROJECT DESCRIPTION:MOBILE SETUP - TO REPLACE MOBILE HOME THAT WAS FIRE DAMAGED IN JUNE 93
OWNER — CONTRACTOR — LENDER
ito[
PAIGE JOHNSON HORIZON CONSTRUCTION SRVC INC
28637 - 28TH PL S 1940 ELM ST SE
FEDERAL WAY NA 98003 AUBURN NA 98002
838-8218 922-9800
HORIZCS132LA
BLD?:X NEC?: PIM?: FIR--EXIST--PROP--- DWELLING UNITS: I COMP PLAN -SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1494:sf STORIES - 1 REQUIRED PARKING..: 2 SPRINKLERS/ -9 PLAN CHECK DEPOSIT.* $ 58.50
CENSUS CATEGORY -112 2ND.: 0: 0:sf HEIGHT - 0.00 ft HAZARD CLASS .7 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpu BUILDING PERMIT....* $ 90.00
:R3 : OTHR: 0: 0:sf EXIST..=: 31460 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...=: 6574 SIDE 5.00 ft WATER SERVICE..:FED PUB WKS PLCK(SF)..93 $ 40.00
:5N DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:09/21/93
0: 0: 0: 0: TOTL: 0: 1494:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS - 0 URINALS • 0 TOTAL FEES f 193.00
Amok GAS PIPING.: 0 ft HOOD - 0 0-3 HP - 0 BATH TUBS - 0 DRINKING FOUNT.: 0
imp FURN<IOOK..: 0 DUCT WORK - 0 3-15 HP . 0 SHOWERS • 0 SUMPS • 0
GAS NWT • 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 AORRECT Ti THE BEST 1 MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
DWNE OR AGENT _ .,..-- 11_,------
/,. _ _ DATE �O•S �.�.
FILE COPY
Ad03 0131d
\Z 4%' --- ._ r ' 31+10 :%�'`-- ., i. -- -- --- 314Na
til- '
10 111* - 1$311100311 AWA 101131131 10 1113 31001I1ddV 3111. ONV 3903100141 AM 0 1939 301 01 1331111'' v V 30111 SI 3M A0 03SIN1143 NOI1V14I0101 341 !001 AJI11133 I
'33NVOSSI JO 3100 11310 11031 100 311IdX3 911143d 911I00S9 0140 iVI1N30IS311 •031IVIS SI MM0N ON 1I 0104991 11311V SAVO 081 311IdX3 S!I14113d
0 :•0$001191130140 0 :1433 000`01 < 0 :...5901 SV9 I
0 :•"S111n0 USN NOV1 0 :00410H9 IA090 0 :1433 000`0I=> 0 • 39018 t
0 :•5311(11X13 1131110 0 :••11131V30 1110 3313 --------SIM 1341 SIINn 911110111M 11IV 0 :••1131110 SV9 •
0 :51131111I11dS NNV1 0 • SOWN N5I0 0 - dH aS 0 • 3SIM 0 "•'"-'009
0 • SNiV110 0 • MINIS 0 . dN 0S-Of 0 . 1001<N1101 0 :113NNOS AN03
0 :•"•S1131V3110 3VA 0 • S3INOIVAV1 0 :"-ds Of-Si 0 :"••S3A01S 0000 0. :'•'•!MH SV9
0 • SdWOS 0 • 5113NONS 0 • dN St-f 0 • 1110* 1300 0 :"100144101 i
0 :111401 91111NI80 0 • S0n1 HiV0 0 • dN f-0 0 "
-,, .110011 11 0 :•9$Idld SVM
00•'61 t 53311V101 0 - ••STVIWIIM 0 - S13S013 1131V1131111SNOSS311dWN13/S1131I00 <, ,, '~ 1 :'S3dA1 1301
,: ,"»
N:•ZSV311V 3AIIISN3S Is 0 :33V13i1S AtOdWI " o :0 :0 :0 :0 •
-, - 'I 0001 !NVdn330
"
031:-331/03S 113N3S 11:00.5 • .110 . r- ,' -, " Q„ : r • t : NS:
00°0t $ f6"•(1S)131d S14 9444 , 11111:-377 .vo 'IIS � 1 '6 0 ' �3 -----001134111S003 JO 3dA!
OS•t $ t 3SINMNNA5 ►. 9 4 11 0 ,� I i i 3 1L : : c
00'OFf $ 11-1Ii113d M$1O1i' • a s +,
: � .� ,:� `- � 1 �x�A 1 •0 �f d0(N19 A311Vdn33t1
00.0 $ t'"�1t3303 NVld 1VNI1 6• SSW)) 011VZVH OSS p' 145`31 Is :0 1 IIZ in. .111093103 5flSN33
OS'OS $ i"lISOd30 13303 NVld c• 658311NIHdS z :'•91111SVd 0311100314 '''-' - "-77r19t is. iPI :0 `1ST 5311:390 430:11100 10 3dA1
:5333 VS- NVld 4103 ' : IINO 44/111 d0110-.-1,SIX3-- 11 :aid :0314 X:1011
V1U1S37I11011
0006-ZZ6 81.10-$f0 a
10006 VS NiI000V 4'0096 VN AVN 1011303.1
3S 1S 013 Otbt S ld H1.0Z - Lf90Z
1M7 3AtS 00113081SN03 N07ISON NOSNNOf 3MIVd
3NNo
f6 300' NI 039V4V0 3411 SVN NH MOH 311000 33V1d311 01 - d0US 31I000:NOI1dflOS3O 133tObd
OZTO-006667 : "ON
S ld H18Z L7983:SS3b4Qtl
66/20/60 :S3bIdX3 0006-199
3.3 :A8 OtTV-I99 sisanbab uoTloadsui 6utpitn8 20086 VM `AeM Te.i9pa3 1-
S
TZOT- 6618 :ONO1IWAd IIIAIllad OUI AVM 1Vb3033 iAOOAlIO
0)
0)0
0
U
0
ci
.1-----: \
!J
n
Q,--
10-.!
AJ
0 I
J
11
illZ. ...-;-
IZO
41
T m CO- CO'T T m T T T T T T T T T
m m Y m m CO m m m CO m m m m m m
C7 CC
co 0 C Z
0 D g CO 0 0 w w Ii U. N �. CC r r 'm` Q Q 2' Q J0 O a 0 Z 0 0 0 F- Z FE m 14'' oc m a Q Q Z N a j Z a: O w w
Ill co 0 co J co Z: co Z m ,; co Q m w co w co cc ca co co D ca g co Z co m ca co F- co F— co
U) 0 w 0 a 0 '::3: 0 0 0 a: 0 0 0 2'' 0 2 0 u_ 0 z 0 C) 0 0 0 c1 0 s: 0 w 0 ti 0 m 0 0'' 0 0 0
RECEIVED410
33 -oq
CITY C3 y= FEDERAL WA.
SEP 2 11993 • BUILDING PERMIT APPLICATION (J 3 io )
CITY OF FEDERAL WA` — Please Print —
BUILDING DEPT.
BOX 1 TENANT NAME: Jh`/;'Ir ,S )GJAE-Ve_—
OWNER 7)4/1,4 T 714)-C 1 SITE LOCATION
OWNER'S ADDRESS_Ze -,37 Z8-f-i- /741° Sc.,07-7/ CITY reVeidfc Amy/ PHONE - 52 78
DESCRIBE JOB ;2-- -7"://-4-c.— /Qc c .y'I7 JT ,47c 3/ct //Dyne:
THE PROPERTY IS OWNED BY: SINGLE/MARRIED /_� _ PARTNERSHIP, ___ _ CORPORATION
BOX 2 CONTRACTOR'S NAME h' ,./Z4-,A1 C��.cJ577 c'C/� 'kms' / T — CONTRACTOR'S REG. #710'0LCS11Z44_
Card MUST be Imes>:
CONTRACTOR'S ADDRESS /7/el -SL. CITY0vRAI PHONE -43'/.3/L-
EXPIRATION DATE /v- // 93 `...
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 ,C•7-6tJc-x) 5 1.--C—i✓i'ESZl7 - S,y,S7&11 PHONE W-Z-?eo'
BOX 4 SEWER DISTRICT __ _ z k4V , WATER DISTRICT _f606714z--141`,/
BOX 5 ESTIMATED PROJECT COST -4/57/ DC � EXISTING BUILDING VALUATION AIX/9-
• BOX 6 PROPERTY TAX ACCOUNT NUMBER 3999CO -6/20 —oa
LEGAL DESCRIPTION et,0 .r
/2 . . 3<:17_6. yy 5"-7 /I/08' /76/4E
(II necessary, please submit a separate page with the legal description.)
K.C. Plat Recording q
')X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR AI/d_J_P/9V 2ND FLOOR ----" E __-
3RD FLOOR_._--- BASEMENT --- / DECK_
BOX 8 ( 'SINGLE FAMILY ( 0/NEW CONSTRUCTION
( ) MULTIFAMILY (NO OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY '7,.2o 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 $ _ •
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER — $ —__
DRAINS $
OTHER__ $
TOTAL FIXTURES __ $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLL
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATIC
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORN€
-ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIG'
.i'iD FILED AGAINST THE CITY OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY,INCLUP
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICAT
OWNER/AGENT -- _ DATE: 9 (-?/' ' y�
JIzz— .j22
r ^ h .9 -1,-, I _ . r X W
a �' exiyis 774/6 G
: jS6�- V
L'J 2fid /,,) /4x C
N.: / /mac �.9y eLve,e__‹-0 6
Syo0 n .j O
i
N
i ri '- Z qi o
,. N ...A\.A
rn
m ° 1
,k