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00-101112 � : • 1/�'��r Federal Wa ' ' � � it�0 - 101112 - 00 - SF �;ty°f y Building - Single Family Perm conarnudcy ne.relopmenc servioes 33530 1 st Way S Inspection request line: 253.661.4140 Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: MOSS(NEW MAl� Project Address: 32820 20 AVE S Pazcel Number: 797880 0500 Project Description: NEW MOBILE HOME IN A PARK**THIS PERMIT IS TO FINAL EXPIRED PERMIT 92-0885*** Owner Applicant Contractor �d� BEA MOSS WILLIAM DEAN WEYER NONE NONE 32820 20TH AVE S LTNIT 32 4318 183RD AVE E FEDERAL WAY WA SUMNER WA NONE Includes: Census category: 112-New rr #1 #2 #3 #4 Occupancy Group: R-3 Construction Type: Occupancy Load: Floor Area(Sq.Ft.): 1 st Floor Proposed Sq.Feet.................................1640 Census Category......:.......................................... 112-New manufactured/factc Occupancy Group#1...........................................R-3 Total Building Sq.Feet....................................... 1640 Total Proposed Sq.Feet.......................................1640 PERMIT EXPIRES September 19,2000,IF NO WORK IS STARTED. Permit issued on March 23,2000 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. � � Owner or agent: Date: � `o'� 3 � 0 � ;��i��'� J/c' �� . BUII.DING DIVIS[ON �� 33530 First Way South -'�' F'�E.IZAI_ ��.: ~��.�� Federal Way,WA 98003 uV F=1Y � (253)661-4000 (�� :;� Fax(253)661-4129 v,i , �.; : ._.._.;C'.� vV�Y ��' APPLICAT1011� �'�`�M�UILDING PERMIT PLEASE PR/NT APPUCATION # �C,� � I�� I �— :.�>::>::>;;::::::::>::::::::>::>:::;<:>::>.::::<::::>:::;::<::<::::;::>::»>::>:::>::;::::>::::>:::::::::>::;::::>:::;:::::::::»::>:: ::;::;:: Site address � ��i.�.'�:::��>:::;z:::::#:�>:::':?<%�:z�;::::::,'•.:::::.`•,•`::::�:<:>:�:�>:�:<=>:�>"<:.::::: Tenant name �l �.�, Lot# �� Assess�'s Tax# � �- �. Building Owner's Name Add ess _ .�. -L , i �- � r <, l� - i �v �S` Ci �r � l • v State � � T.� � �' 3 Phone /ao2 -3 Z �S3 Descri tion of Work ' � � 6(p E1 ;� ........................................................................................... ........................................................................................... ��:':.::�i'::"::�`::�::>;y:.`�><`�:::;::;:`.'<�::�:<�:�>`:�:�>:�:i�:�`s:�;.>';�:"�>:�:<�:= Name(F,M,L) + f / ��1 \ V L � I"\ �U•� � �?%- Address '` t 3 •� 1�c�- f=— Ci 1�1 r State /'� Zi �'�'. G' Co�tact Person Day Pho e � Other Phone Fax .�5.3 �v2-�'.3 � Z— ............ ............................................................................. <:::�:<::;::;:<::�::::=>::;:::::::; :�3��:��`��:�:��:T�:�'�`��::::>:�::::<::::>w:::::::::::::::<:;«<;:: Federal Wa Business License # .. ... ........ . ............................................ ...... ..... Company e Address Ci State r Contact Perso� Phone Fax Contractor's #fcard must be p�esuKedJ ~� Expiration Date Verified ❑ Yes O No a / - ::ivj;::Si?S:>;�'<:�:i: � {'�' ::iift��n\�v{:i:i:::::L:iYi:iY�: ::v}:ii:•:�'•ii:�::::::•:v •::4{..;;:i:ii�i'ri}i::�'rJ?: ... ................ . .. ...:.........r......��.��.........:.w::.v..:v..._ :��{:�i��:�i:<:i:�::?:::�:?:�'�iii:(�}}:-}:�::.:}}::'fi:X...l...�..v.............. .............................................:::n......................................... Name Address Cit � State Zi Contact Person i Pho Fax LEGAL DESCRIPTION / P/ease Comv/ete Reverse Side y y Y°g y�43 'n U e !.e.�bt t�r ro osed Use �isti s P ;�;:.:�:[:i7.:;�;:.,'�.:��.��i7G�<::::::<:::::::::::::[:>::::iE::<:::':::�>::::::::::�::::<::;i::::>�:::f:::>:�:��::>i`::tv::<:s.. 9 :�.......J��............................................. ......::.......... Permit i�cludes: uildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: �Residential J�New ❑ Remodei ❑ #of bedrooms ❑ Deck ❑ Commercial ❑ Addition ❑ Re air ❑ Gara e ❑ Shed Enter 1 st Floor 1��sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuatio� 5 Zonin Lot Size Existin Bld Valuation S Ilin : '��N[�R»�<::::::�::::>;:«<:>::>::>:::<::<>`:«`:`<':`:>`<:;`<�:�::>:<�<::;:::<:`:::::`;::';>..:>�>::`�::::�::>:: w r i n ia/on/ - Pro osed se cost: S For ne es de t y p e Address Cit State Zi ......................................................................................... .......................................................................................... .......................................................................................... �.it1�4N��A�s<::��'�: �.��,'�#`�R;><>::>�:��:�:<:::<:�<::<:: Contractor Name Address Ci State Zi Contact Ph e Fax License # Ex iration Date Verified ❑ Yes ❑ No ................................................................................ ....................................................................................... ........................................................................................... ...................................................................................... ........................................................................................... ..................... :. . . ............ ;#?�i�1�IS�M�:<:.�. N7`�R. ;:: :R:��:>�:::;`:::>?:::::::`;:>:<:'«<':':::::::: ............................................................................ Contractor Name Address Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No �iiVl�ti��<:��t�;:�t��ir:�::<:>;�;:::::::;:�>:<:<:�:�:�: � ................................................................... Water Closets Si s Uri Is Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains �'aYaf Fixture:Count :: L 1 N NLY S HANI AL EVA T O O s1f��A�I��EE:>�4��<�:�fl��'��.`�;��:::::>::::::>:::<:::>::>:::<:>::><:;:`::; MEC C .....................................................: ................................... Fuel T e ( as/elect"/other) Gas D er Air Handlin < = 10,000 CF 15-30 Tons Len th of Gas Pi fn ' Ran e Air Handlin > = 10,000 CFM 0-50 Tons Fum <100K8TUs Gas Lo Unit Heater 50+ ons Furn >100 BTUs Fans Miscellaneous Fuel Tank Gas Nwt Hood Boilers Above Groun Conv Burner Duct Work 0-3 Tons Under round i �" BgQ's Wood Stoves 3-15 Tons Tot�l Unit Couni DISCLAIM ER:I ceitify under penalty of perjury that the infonnation fumished by me is tcue and comect to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perfortn the wodc for which permit application is made.I further agree to save hamiless the City of Federal Way as to any claim(including costs,expenses,and attomeys'fces incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed aga'u�st the City of Federal Way,but only where such claim arises out of the reliance of the city,including its office�s and employees,upon the accuracy of the information supplied to the city as a pazt of this application. � � � � Date: 7 � X Ow r/Agent•' � WC '� ~aJ — `'� �� BuxuxaAsr REvs[o 5/18I99