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91-101531 Ro _ /0/63/ CITY OF FEDERAL WAY 33530Federal IWay`NW 98003 BUILDING P E R M i T BUILDING INSPECTION661-4140 PERMIT NO. 91-1495 MH OWNER'S NAME JOHN/NORMA DALLEN SITE ADDRESS 32820 20 AVE 'S -T CONTRACTOR HORIZON CONSTRUCTION ADDRESS 1940 ELM ST SE AUBURN CONT.PHONE 939-1342 CONT.REG.NO. HORIZCS132LA EXP10/92 OWNER'S PHONE 824-5448 OWNER'S ADDRESS 20825 8 AVE S FEDERAL WAY 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 ET—UP MOBILE HOME/CARPORT & GARAGE TAX ACCOUNT NO. 144170-0750 LEGAL DESCRIPTION LOT PLAT OF CEDAR CREEK CONDOMINIMUM FEDERAL WAY KING CO WASHI (REVISION — LOT 47) 51q I ELIZABETH SNYDER 1/.2 ISSUED BY DATE OFUE DATE OF APPLICATION - 10/23/91 IPBUILDING INFORMATION ZONE RS 7.2 _SET BACKS:FRONT 10' SIDE 5'_ REAR 5 V MIN HEIGHT LIMIT 30' OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5—N _ _ CENSUS NO. 0/S TYPE OF HEAT NA BLDG.SQ.FT. 2510 STORIES NA 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 NONE DRYER - TOTAL MECHANICAL NONE AMOUNT NONE _- VALUATION $18,255 PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE _ $1911-00 PLAN CHECK FEE$ 30. 00 ± 9_a 0 "SETUP MOVED FROM LOT 75 TO LOT 69. **SETBACK MINIMUMS OF SIDE UMBING FEE0 REVISION YARD SHALL BE MAINTAINED. GARAGE AND CARPORT ALSO APPROVED" =CHANICALFEE *** SET—UP THEN MOVED TO LOT 47 RESULTING IN ANOTHER PLANNING SITE VISIT. $30.m FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS PART P/C FEE SEPA REVIEW PUBLIC WORKS CALL 661-4140 FOR ALL REQUIRED INSPECTIONS! ! 4.50 S.B.C.C.FEE FIRE FEE DATE: 2 OTHER FEES AMOUNT: $361.50 $361.50 AMOUNT DUE RECEIPT: 43-1) 1 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 �':` \ G. .,'Y� DATE \\ -epa '3 _9 } CITY OF FEDERAL WAY 33530 First Federal Way`, ay South WA 98003 BUILDING PERMIT BUILDING INSPECTION661-4140 PERMIT NO. OWNER'S NAME _SITE ADDRESS 4_ ' CONTRACTOR _ _ _— ADDRESS CONT.PHONE CONT.REG.NO. EXP. 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 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE SET BACKS:FRONT SIDE_ REAR —_ HEIGHT LIMIT 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE — FIRE FEE -- DATE / —_ OTHER FEES y AMOUNT: yo /AMOUNT DUE --- RECEIPT: Q�TE ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITSV 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. 1 OWNER OR AGENT _ DATE __ _ _ jk V X. m Z m Q m o4 cc ? c ti Q OLI _O Q iI Z Z m Q 1 [0 t 2 0 w 0 w -I w I- I- Q ~ a o w o o P S' d 46to -o, J I o co < a N Z N. O Y • i O 0 w % t cc 0 Z Oa J O C a F- w a c O~ iiiLU (i) -' H o i A,,,, ..} F- m m m a m �;O \ 0 1 0O z w V m o Y `2 ' S co w w w w . .% \ z F- LU o aon O o uo - i;-. ..za.coyfp, ,Afisik---1 NI FL-- / . C-;• S 1 - . , , II .1; to -\ 31{ o — ....r.k. 4zz iu-.--' 4 1 iv he LliII I Ni al gg 1 , momil .•` c) , re.c. ;.?-_- - LI... is o 7 al v)- _- - '.1.. t Q f' [` 11 Do J r- cQ ,T,_ 0 i K I fib ' _ '( V • ,[ 1 a. 311-72 -- _Lvod�-te0 9Ni..191 Perm # 7 / CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION FILE — Please Print— BOX 1 TENANT NAME: OWNER - brei NORMR .0aLL-E4 SITE LOCATION erbife !EEEA 3zSzo bog-Au s_ 2, OWNER'S ADDRESS -zs gzS et' Au 6$ CITYFs-D ER/31. W Ay PHONE 7;44•Sifia DESCRIBE JOB LE ccaT 1 ,9LA( THE PROPERTY IS OWNED BY: SINGLE I BRIF PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME aelza'r/ &r/STieeieniAl CONTRACTOR'S REG. # //oR/ZCS /324,4 Card MUST be presented CONTRACTOR'S ADDRESS /g4/0 EL4 T. SSC CITY ,41, -4'6' / PHONE ei 3,- 13 42 EXPIRATION DATE /O-//- qi — 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 P/ae gDlsoN PHONE 714-775/2. BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBE' O - 07S0 LEGAL DESCRIPTION LOT g • • PLAT rEmR C'QEt- ' ( .blip ieeeA( Carvt.clAt/Nur i P€-Rc'vr g 3/4 (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # 960 5-62_01 (QS- BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE / BOX 8 ( —)'SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /782. SO 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 EMPLOY , UPON THE ACCU'AC IF HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: ('14�� DATE: /0- ANP-008 3/90 • . 1 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT /0f SIDE 5 ' REAR 5‘nr-)r HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL 10/31M %REMARKS: ---#4,9 n'-k-ed �- Cita" 7S /o 60-r 69. bs J -"X-Alkyl:A-a 66/;Zr vaiab 7074 ..j SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL [ ', DATE (O `- V - �- REMARKS: t_ PUBLIC WORKS DEPARTMENT APPROVAL 2 % DATE REMARKS: /L11(ifj TYPE OF JOB: NEW RESIDENCE )C RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY t (UNIT ) MULTIFAMILY ADD/ALT TENANT IMP. OTHER OCCUPANC M TYPE OF CONSTRUCTION V N '_ STORES Td #. ' e BUILDING SQ. FT. (752- @ S- _ 2)1,(0 L' • BUILDING SQ. FT. 2b co @ / 3/ t = 37 `t 6(6 JIM I BUILDING SQ. FT. ({ 1(Z @ i & 3° _ 86 `ab BUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ /Koi ( f(e,b—y O' t S TOTAL SQ. FT. TOTAL VALUATION ifp-S S, 78 BUILDING DEPARTMENT REMARKS: PERMIT FEE (c PLAN CHECK FEE ( 2q PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE W,5-0 OTHER FEES AMOUNT DUES- 1 ASSIGNED ADDRESS: Se-Q- e.�( c f-1 p RECEIVED PARTIAL PLAN CHECK FEE RECEIVED OCT 23 1991 Amount Date Receipt# OM;FEDERAL DAY BUILDING DEPARTMENT APPROVAL RECEIVED BY 1- '. DATE - ACCEPTED FOR FILING