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91-100742 ca.- JOO'7Yc CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. 91-727 MH OWNER'S NAME CASSANOVA JOB ADDRESS 32820 20TH AVENUE S #24 CONTRACTOR OVERSON CONSTRUCTION CQDDRESS 1908 S 341ST PL #7 FEDERAL WAY CONT. PHONE 874-3400 CONT. REG. NO. OVERSCC141DU OWNER'S PHONE 884-9533 OWNER'S ADDRESS P 0 BOC 484 LAKEBAY WA 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. 797880-0500-01/0525-02/058 ��ESCRIPTION (SEE ATTACHED) ISSUED BY JOANNE JOHNSON DATE OF ISSUE ( C7 / DATE OF APPLICATION 5-29-91 iBUILDING INFORMATION ZONE RS 7•2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1628 SET BACKS: FRONT 10' SIDE 10916' REAR 30' STORIES HEIGHT LIMIT PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND , WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER RECEIVED __ BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) S,'OWERS 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 UNIT HEATER TOTAL MECHANICAL _ AMOUNT VALUATION 12,032.06 PLANNING DEPT APPROVAL: DB 6. 11. 91 PERMIT FEE 144.00 BUILDING DEPT APPROVAL: KC 6. 12. 91 PLAN CHECK FEE 94.00 PLUMBING FEE ECHANICAL FEE OTAL BLDG. FEES / PART P/C FEE DATE: L -- / �( - / SEPA REVIEW WATER SERVICE AMOUNT: WATER MAIN CHG. _ $242.50 S.B.C.C. FEE 4.50 RECEIPT: �2- OTHER FEES 242.50 AMOUNT DUE 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 FURNISHE BY ME IS T AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY ::::77I.. IDATE K; //11l 9 1 CITY OF BUILDING INSPECTION FEDERAL WAY BUILDING PERU IT 941-1555 PERMIT NO. _ OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS _ 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. LEGAL DESCRIPTION ISSI!2D BY DATE OF ISSUE__ DATE OF APPLICATION 0 BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT. 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 RECEIVED BATHTUBS LAUNDRY DRAINS _ COMPRESSOR TANK(S) _ 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 UNIT HEATER TOTAL MECHANICAL AMOUNT VALUATION IANNiNG DEPT APPROVAL; De r . , e , n- PERMIT FEE 'UILDING DEPT APPROVAL: *CC o. 1.,.?. PLAN CHECK FEE DUMBING FEE CHANICAL FEE 1 TJTAL BLDG. FEES PART P/C FEE _ W?v SEPA REVIEW WATER SERVICEtilill TE 3 ,._,,3_,-- 3 WATER MAIN CHG. S.B.C.C. FEE DA OTHER FEES o 0 0 I dju .. AMOUNT DUE �Y 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: IOWNER OR AGENT DATE p m a 0 0 v 0 (n r D 741 -I m K m D N�- p aZ G in 0 C -1 O w r � O D O . O c Z 4 u) 00 2 0 1 - O a t` I c > co z m Ia n D c D yjo p m c (n 1 m D -D m 1 1 O Z \ \t Z O m N. O O W '\ CO _0 , I :)...... r CD i 14 > > m >> r- =m m m k,s1 W1 , I „ > ! , O r I.._ ` Z i ,z IN0 O m N m I 0 '4 7s Do I —411 CO O 7 I` C I I emit #RECEIVED • �� /� JUN 0 4 1991 CITY OF,FEDERAL WAY CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION BUILDING DEPT — Please Print— BOX 1 TENANT NAME: OWNER C A5 S 4tJ0 •A SITE LOCATION • 've. S. 2 G.C. OWNER'S ADDRESS } tD . Sox q KI CITY L4 KE f- Y PHONE a X4- `1. 3 DESCRIBE JOB Moto 14c r"-e. - x p - ( " ; t r_" 1 tv.p c t e rvNe r• THE PROPERTY IS OWNED BY: SINGLE/MARRIED )C PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME O U'e 1-5 c&J C©,.J T-ru c-f"r c r,i C&: : CONTRACTOR'S REG. #U V Z:LY"C� /L( kw� _ Card MUST be presented CONTRACTOR'S ADDRESS 1`(0`ii S a`F 1 ISI 7 CITY 1 -ed e cal Way PHONE c1 1. -34-t) EXPIRATION DATE 3 jr e (G a — 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 n nq CSI d. PHONE (61 y '3`k C`1) BOX 4 SEWER DISTRICT `e e t I l WATER DISTRICT 1-4 d. ra I A.)a�1 BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 71 -060 - O J/7 j 75s Y ti 05>5-o) 17 "7 c5-Cc 050 -e LEGAL DESCRIPTION 5 e e (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 (I 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 $ 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 ACC RA Y OF T E INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. / j 4/r „ . J OWNER/AGENT: Y-L_,�°,.�{,� DATE: � ! 9 1 ANP-008 3/90 Ili ....„ 6 tes q-- • r fi C1 3Y13V3R OFFICE USE ONLY (PLEASE D0 NOT WRITE BELOW THIS LINE) ZONE l l: SETBACKS: FRONT 10 1 SIDE /c1/6/ REAR -5°1 HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 6l/ilf/ J5— 64.4.A____ i`4 C a41,_ REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL VX_ DATE 6— l-•—` q( REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL /V / DATE REMARKS: 1 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 ' l OCCUPANCY 12-3V3 TYPE OF CONSTRUCTION .ti STORES ft,UCA0(0.4-( BUILDING SQ. FT. f7-1Z @ S ,& _ 6.060 (oaray Q BUILDING SQ. FT. +f@ (w- 30 = 76 ( Z - 8 J BUILDING SQ. FT. @ BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ M'©ct( l[ `R e�- ` 0 ` 5t.) TOTAL SQ. FT. TOTAL VALUATION /-7---C)37- ` 06 BUILDING DEPARTMENT REMARKS: PERMIT FEE /11E1 PLAN CHECK FEE 4 f PLUMBING FEE MECHANICAL FEE 0 TOTAL BLDG. FEES 2-3 8 PART P/C FEE SEPA REVIEW S.B.C.C. FEE Lf`s0 OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: ce-e e1( ( +7 1 PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING ,r 41, r � C TY OF FEDERAL WAY DEPT. OF COMMUNITY DEVELOPMENT ' PERMIT NUMBER Q (— 72 7 M (-/ A ADDRESS 5 c..) ,--6 7`4 4u 5-_- _, N PLANS FOR )'A.t.r&r?c -c _,:c OWNER_ (11 DATE SUBMITTED 4,--((-- % DATE APPROVED6- 1.The mobile home shall display a permanently affixed Dept of LAI.or H.U.D.inspection label 2.Installation of the mobile home shall be per APPROVED BY F-�'L manufacturers recommendations. 3.Provide a fob site copy of the manufactuerers set-up bi,okiet. A .� t r5 II F , L (( Cn(f,s t. .r-”/ k`r � 1.�. I ''C' ( t-K S--((b 7)(fel - G WS 3C( , Q- S (de. i?--6 If • . ) ,,,,,, , L So $,'_x , L- / 3f 1(4). .S Q d �LA3 �ouwoAntw � �� k ntoLY ,_fit v Ui ,y1,..._,-r.tr ?wit1 r Llick, 6,A, I o Petr 3 fj L „ur, i.The motile home shall display a permanently �G r tt �1 " K •C E affixed Dept of L41,or H.U.O.inspection label b G -e_ 2.Installation of the mobile home shall be per I CtP" U e : Manufacturer's a rer spy the mnnutec�uarere I� t/� IA t CoN 3.Provide !c>W �l(C V� e- V V ee►tirp booklet Oke VRvv�wRl 1S mare ret f. Ve r,Rs ANo,,a C .DPP Ce(<r 8aq- - 3 '' 0 C -- - - - - - n \ / _7 �o ��e So, a`� _ ____v Ac, C l-rAor L c 3N1 0 i JC ALE V' . lot IL �J GC ? - *A"FRE ARE TO BE NO DEVIAT"`' ;S T APPROVED DPA'.• t 7HERWSL APPRt:. f 1 ;_DERAL WAY BUILDINJ LCPARTMENL ----- _ _______ S 3 aV RECEIVED FILEJUN 041991 CITY OF FEDERAL WAY BUILDING DEPT.