92-101362CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
ga.-10l36a
BUILDING INSPECTION
661-4140
92-0949 RA ROB
HENDRICKSON 32321 20TH PL SW
PERMIT NO. OWNER'S NAME
SITE ADDRESS
CONTRACTOR GDS DESIGN CONST ADDRESS
P O BOX 608 MILTON CONT. PHONE 922-7821
GDSDlC211Q1 5/93
874-4801 32321 20 PL SW FEDERAL WAY
CONT. REG. NO. Exp.
OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER ENLARGE KITCHEN / EATING AREA
TAX ACCOUNT NO. 0.0454-0420-02
LEGAL DESCRIPTION LOT 42 ALDERBROOK DIV 5
ISSUED BY JOANNE JOHNSON
DATE OF ISSUE DATE OF APPLICATION 6-23-92
BUILDING INFORMATION
RS 5.0 20
51 301
NE SET BACKS: FRONT
SID REAR -91 HEIGHT LIMIT
VN
37 96
OCCUPANCY TYPE OF CONSTRUCTION
CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS ELEC. HOT WATER HEATER
GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS
FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS
GAS HOT WATER HTR. AIR HANDLING UNIT
NUMBER
LAVATORIES DRINKING FOUNTAINS
CONVERSION BURNER MISC.
RETURNED
SINKS MISC.
BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION 6,251.52
PLANNING
DEPT APPROVAL: NO BUILDNG SHALL ENCROACH ONTO ANY BUILDNG SETB
LINE OR EASEMENT, SHOWN OR NOT SHOWN. DB 6-30-9
90.00
PERMIT FEE
59.0
PLAN CHECK FEE
PUBLIC
WORKS DEPT APPROVAL: DOWNSPOUT, FOOTING DRAINS, AND RUN—OFF FROM
PLUMBING FEE
IMPERVIOUS SURFACES SHALL BE TIGHTLINED TO
OCHANICABF FEE
IRT
THE APPROVED STOMR DRAIN CONNECTION AS
P/C FEE
REQUIRED PER CONDITION OF APPROVED PLAT.
SEPA REVIEW
DB FOR PW 6-30-92
PUBLIC WORKS 4.50
S.B.C.C. FEE
BUILDING DEPT APPROVAL: KC 7-14-92
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
$153.50
153.50
AMOUNT DUE
RECEIPT:
ALL PERMITS EXPIRE 130 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
1 CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
OWNER OR AGENT
DATE
kCK
CITY- OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92-0949
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/25/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 32321 20TH PL
PARCEL NO.: 010454-0420
PROJECT DESCRIPTION: ENLARGE
OWNER
ROB HENDRICKSON
32321 20TH PL SW
F* -4801 AL WAY WA 98023
BLD?:X NEC?: PLM?:
TYPE OF WORK:ADD USE:RES
CENSUS CATEGORY ..... :434
OCCUPANCY GROUP ----------
:R3
TYPE OF CONSTRUCTION -----
:5N
OCCUPANT LOAD ------------
. 0: 0: 0: 0:
SW
KITCHEN / EATING AREA
FLR--EXIST--PROP---
1ST.:
0:
96:sf
2ND.:
0:
O:sf
3RD.:
0:
O:sf
OTHR:
0:
O:sf
BSMT:
0:
O:sf
DECK:
0:
O:sf
GAR.:
0:
O:sf
TOTL:
0:
96:sf
FUEL TYPES.:?
?
FANS..........: 0
GAS PIPING.:
0 ft
HOOD..........: 0
FURN<100K..:
0
DUCT WORK.....: 0
GAS HWT....:
0
WOOD STOVES...: 0
CONV BURNER:
0
FURN>100K.....: 0
BBQ........:
0
MISC..........: 0
GYER..:
0
AIR HANDLING UNITS
R ....:
0
<=10,000 CFM: 0
GA LOGS...:
0
> 10,000 CFM: 0
CONTRACTOR
GDS DESIGN CONSTRUCTION
P 0 BOX 608
MILTON WA 98354
922-7821
GDSDEL211QI
DWELLING UNITS: 0
STORIES........: 0
HEIGHT.....: 0.00 ft
VALUATION----------
EXIST—$:
---------
EXIST—$: 0
PROP ... $: 6252
RECEIVED.:08/25/92
BOILERS/COMPRESSORS
0-3 HP......: 0
3-15 HP.....: 0
15-30 HP....: 0
30-50 HP....: 0
5+ HP.......: 0
FUEL TANKS ---------
ABOVE GROUND: 0
UNDERGROUND.: 0
COMP PLAN.........:?
REQUIRED PARKING..: 0
REQUIRED SETBACKS -------
FRONT ......... : 20.00 ft
SIDE..........: 5.00 ft
REAR..........: 5.00:ft
LENDER
SPRINKLERS?......:?
HAZARD CLASS...:?
FIRE FLOW....: 0 gpm
WATER SERVICE..:FED
SEWER SERVICE..:FED
IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
WATER CLOSETS......:
0
URINALS........: 0
BATH TUBS..........:
0
DRINKING FOUNT.: 0
SHOWERS............:
0
SUMPS..........: 0
LAVATORIES.........:
0
VAC BREAKERS...: 0
SINKS ..............:
0
DRAINS.........: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS: 0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.: 0
LAUN WSHR OUTLTS... :
0
FEES:
FINAL PLAN CHECK...*
BUILDING PERMIT....*
SBCC SURCHARGE.....*
TOTAL FEES
$ 58.50
$ 90.00
$ 4.50
S 153.00
ALL 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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bld-prmt 07/31/92
DATE/��G
WED
JUN 2 31992
a011V90PSAL Wmv
BOX 1 TENANT NAME:
0 Pero# �- �4�
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER X-06 AleeAeb kla< igigg SITE LOCATION G
OWNER'S ADDRESS 2-Z 240Waj+ CITY YAD .--41A!, PHONE 15-74- 4901
DESCRIBE JOB D a
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S REG.
CONTRACTOR'S ADDRESS P'0186x CITY Mu. reg rJ PHONE q2$L- `tel
EXPIRATION DATE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TnEFI TIONS OF OR
CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
PHONE '72A-79;4
BOXY S—EW DISTRICT IA/- 1AA I WATER DISTRICT /7, 1i1& W T,
BOX 5 ESTIMATED PROJECT COST S EXISTING BUILDING VALUATION (7,_11
BOX 6 PROPERTY TAX ACCOUNT NUMBER O I 5v' a Y-xo- O -A Lo -r 40,2. Cop tr 12aa'
LEGAL DFCRN '
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FL00R !�_16_ 57r 2ND FLOOR /
3RD FLOOR------/— BASEMENT______J_ DECK / GARAGE /
BOX 8 (/j SINGLE FAMILY ( ) N ONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (prtXISTING STRUCTURE
( ) COMM ERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. 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 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: 6�
ANP4= 3/901\
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE'® SETBACKS: FRONT �� SIDE REAR �� HEIGHT LIMIT''
PLANNING DEPARTMENT APPROVAL !�/ 4-
REMARKS �N0 building shall encroacin ono a y bullding se ac c neo a�3no�en ornvrs ,
SEPA: EXEMPT V NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL W�G) _ Fyc.o DATE C.-,
REMARKS:
I@ tho apDr®ved sirm drain connection as rewired per condition of approved Plat.
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 93 TYPE OF CONSTRUCTION �
L L/ r 14 'BUILDING SQ. FT.
BUILDING SQ. FT. @
STORES
00 — C7
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT.. @
BUILDING SQ. FT. @ a
TOTAL SQ. FT. TOTAL VALUATION ZS Z,
DIIII nikin nCDADTIIAMIT DGIIAADI[C-
RECEIVED
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL U G{
BY r v DATE
ACCEPTED FOR FILING
Ci7YOF FEDERAL WAY
BUILDING PERMIT
3-3530 First Way South BUILDING INSPECTION - 661-4140
T--xderal Way, WA 98003
661-4000
SITE ADDRESS: 32321 20TH PL 8W
PARCEL NO.: 010454-0420
PROJECT DESCRIPTION: ENLARGE KITCHEN / EATING AREA
OWNER
ROB HENDRICKSON
32321 20TH PL SW
FEDERAL WAY WA 98023
1
CONTRACTOR
GDS DESIGN CONSTRUCTION
P 0 BOX 608
MILTON WA 98354
922-7821
GDSDEL211Q1
LENDER
PERMIT NO.: 92-0949
ISSUED: 08/25/92
BY: JJ
BLD?:X MEC?: PLM?:
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN.........:?
FEES:
TYPE OF WORK:ADD USE:RES
1ST.: 0:
96:sf
STORIES........: 0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
FINAL PLAN CHECK...* $ 58.50
CENSUS CATEGORY ..... :434
2ND.: '0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
BUILDING PERMIT....* S 90.00
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
SBCC SURCHARGE.....* S 4.50
:R3
OTHR: 0:
O:Sf
EXIST..$: 0
FRONT.........: 20.00 ft
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:Sf
PROP ... $: 6252
SIDE..........: 5.00 ft
WATER SERVICE..:FED
:5N
DECK: 0:
O:Sf
REAR..........: 5.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:08/25/92
0: 0: 0: 0:
TOTL: 0:
96:sf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:?
TOTAL FEES $ 153.00
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
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
YAC BREAKERS...:
0
CONV BURNER: 0
FURN>10OK..... :
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---------
IELEC WTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS... : 0
so OGS...: 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL 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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT DATE
bld_pant 07/31/92
0 0
SET BACKS AND FOOTINGS
DATE -BY /�25—
h
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY _
O.K. TO ENCLOSE FRAMING
DATE lD =FAZ BY 07'3
INSULATION �
DATE /a->.,�'y/
WALL BOARD AND FIRE WALL
DATE avm BY _
FINAL O.K. TO OCCUPY
DATE/1-13- S Z- BY (
DCDPSD
FD
y=/ 2