90-100218 90-►ba ai S
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
Lor / 3
PERMIT NO. 90-299 MH OWNER'S NAME LAKESHORE HOMES INC JOB ADDRESS 32820 20TH AVENUE S. (1203?-1-1-)--
CONTRACTOR D & R CONSTRUCTION ADDRESS 904 YUMA ST MILTON, WA 98354 Q 922-7837
CONT. REG. NO. DRCON**204BT OWNER'S PHONE 536-9584 OWNER'S ADDRESS 11305 223RDco T NUE—S. •
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER / �
TAX ACCOUNT NO. 797880-0500-01;0525-02; Oq r CRIPTION (SEE BELOW) tfri— )3 ir
ISSUED BY JOANNE JOHNSON) DATE OF ISSUE DATE OF APPLICATION 4-16-90
BUILDING INFORMATION
ONE OCCUPANCY B3 TYPE OF CONSTRUCTION VN BLDG. SO. FT. 1456
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT ._.
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
BATHTUBS LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES 1 UNIT HEATER TOTAL MECHANICAL N/A AMOUNT
VALUATION $6,406.40
LEGAL DESCRIPTION
LOTS 60,69 8 90 OF SUPLIMENTAL STATE PLAT AS RECORDED IN VOLUME 42 OF PLATS,PAGES 23 6 24 6 RECORDED
PERMIT FEE 90-00 AUDITOR FILE 4 797000:EXCEPT THE EAST 1/2 OF THE SOUTH 316 FEET:EXCEPT THE SOUTH 120 FEET OF LOT 90:
PLAN CHECK FEE 59-O 0 TOGETHER WITHAL STATETHE O T.HERLY 06.214 FEET AS MEASURED ALONG THE EAST LINE OF LOT 67 OF THE ABOVE CITED
PLUMBING FEE 5-00 SITE IN NE.1/4 OF SW.1/416.21-4 Tax#797880-0500-01
ZONING:RD-3600-P
CHANICAL FEE SITE AREA:9.66 AC. 797850-0525-02
AL BLDG. FEES SEWER&WATER TO SITE BY:FEDERAL WAY WATER 6 SEWER- 797880-0560-08
31622 181 AVE.SOUTH-FEDERAL WAY,WA (941-1516) _. �./� G,.,.A,.
PART P/C FEE P�^' .11.•••••••
SEPA REVIEW
WATER SERVICE DATE: / AP
WATER MAIN CHG. m
S.B.C.C.FEE 4.50 AMOUNT: ,`�
OTHER FEES to AMOUNT DUE 1Sg_5ORECEIPT # __�js71� 5 q
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 INFORMAT URNISHED BY M IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: l--
OWNER OR AGENT /, / / DATE r-02. ��
,SLOG/,//V G- . S/tAA.Jl/✓G- r 0
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE 3° -C BY—L7 DATE S.--...3°- %BY _l0`S_-..._ ..... DATE —... BY
PLUMBING ROUGH IN WATER LINE 0 K. —__.. MECHANICAL INSPECTION
DATE... —......BY —_...... GAS PIPING 0. 5'•■•23 `.g-d...._ „,,) DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE _-- BY DATE____“. BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 42-76 ' CJ BY /11)
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qp0/i,j_ 4/3p(�G� CITY OF FEDERAL WAY GOA.40 /A �O
BUILDING PER1eMIPTtAPPLICATION .0 .9,
BOX 1 OWNER e�a4 ---c. -//e ,� ''- ► JOB LOCATION .... .-r z ' f.3
OWNER'S ADDRESS /l�es,S' .1:42, n-c ..� S', CITY Tai `1JVS PPONE .5736 - 15gy
DESCRIBE JOB l.�,� 5�.-7—
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 4-------
BOX 2 CONTRACTOR'S NAME ON 1L Q Ce►, �- CONTRACTOR'S REG. #fDie C4 q/Xx.7oVV7
���-- Card MUST be presented
CONTRACTOR'S ADDRESS 90 - CITY ai-d-- --` PHONE 9 257?
EXPIRATION DATE ay..2 /rzcJcr ,',S'y
— 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 ,a (; ' -%1-C�`Y �'''': a4-4,-.'4S-SY A J/ PHONE 1yq^3 S%3.0
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST/195-O6 EXISTING BUILDING VALUATION _ 4X6 O '
BOX 6 PROPERTY TAX ACCOUNT NUMBER __ tf�` —
LEGAL DESCRIPTION —.Ce.,-- 40-.."- � ,,.-
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 2ND FLOOR I
3RD FLOOR / BASEMENT / DECK GARAGE /
BOX 8 ( 04INGLE FAMILY ( EW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /9'5i 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 $
j DRAINS $
OTHER $
TOTAL FIXTURES $
xC c:7 p 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 PER-
FORM THE WOR. 0• WHICH PERMIT_A/PPL�N IS MADE.
OWNER/AGEN =� ,. A, v DATE: '�� ��
/ ANP-008 2/90
•
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIZE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL "1'l9 So-
REMARKS: A '?ro f -O 1PLP.N -c?L seTC3hz-icS
SEPA: EXEMPT k) NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: /1)7/1-
PUBLIC
)7/1-
PUBLIC WORKS DEPARTMENT APPROVAL ,, / DATE
REMARKS: 41in
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. ROOF OTHER
OCCUPANCY K 3 TYPE OF CONSTRUCTION VA/ STORES
1% 6tri o GA BUILDING SQ. FT. 1 c(.r6 @ S = 7 z30 cd
BUILDING SQ. FT.
BUILDING SQ. FT. @ _
BUILDING SQ. FT.
BUILDING SQ. FT. @o • i i er d.
BUILDING SQ. FT. @ = 606
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT NO. PL HECK FEE RECD RECEIPT NO.
PERMIT FEE 1'6, 00 PLAN CHECK FEE =clo-- PLUMBING FEE — ( '—MECH. FEE -8--
TOTAL FEES ISS'(- od SBCC SURCHARGE 'lc S 0 ENERGY SURCHARGE &- AMOUNT DUE /
BUILDING DEPARTMENT APPROVAL DATE `I- /i—.70
REMARKS:
ASSIGNED ADDRESS: 3 242-0 2-014 AVe-3z. # f
Q
RECEikitjr ACCEPTED FOR FILING