90-101184 CITY OF BUILDING BUILDING INSPECTION
FEbERAL WAY P E R M I T 941-1555
` #437
PERMIT NO. 90-1389 MH OWNER'S NAME DONALD & ROSEMARY KENDALL JOB ADDRESS 32820 20TH AVE S SP#49
CONTRACTOR OVERSON CONSTRUCTION ADDRESS 1908 S 341ST PL FEDERAL WAY CONT. PHONE 874-3400
CONT. REG. NO. OVERSCC141DU OWNER'S PHONE 1-423-3287 OWNER'S ADDRESS _. P 0 BOX 1785 LONGVIEW, 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 GRADINGOTHER MOBILE HOME FOUNDATION & CARPORT
TAX ACCOUNT NO. 797880-0500-01 0580-0B LEGAL DESCRIPTION (SEE ATTACHED)
-0525-02
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 8-21-90
BUILDING INFORMATION
INE_ OCCUPANCY_ - TYPE OF CONSTRUCTION VN BLDG. SO. FT. _.24.9.6
SET BACKS: FRONT 28X11X64=M1 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 9,743.36
PERMIT FEE 117.00
PLAN CHECK FEE 76.00
PLUMBING FEE
CHANICAL FEE - -
)TAL BLDG. FEES
PART P/C FEE
DATE: 3_-_:(e_:=9_(_SEPA REVIEW
WATER SERVICEAMOUNT: ( �/�J
WATER MAIN CHG. `
S.B.C.C. FEE 4.50 1 t4�_- I�(�J//�!1
RECEIPT: 1
OTHER FEES
AMOUNT DUE 197.50
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 INFORMA •N FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CJTY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:, I
D
.-q OR AGENT I - `' ,..-------- DATE U
I v�
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 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
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
�fNE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
-->
T 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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL AtiTAL BLDG. FEES
mizR P/C FEE
SEPA REVIEW .
WATER SERVICE ii-AINT v
WATER MAIN CHG.
S.B.C.0 FEE aL'F. `:
OTHER FEES ..'
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S 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
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• •mit # YU - /.3tT 141
RECEIVED
CITY OF FEDERAL WAY
AUG L 1 1990 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY - Please Print-
BUILDING DEPT.
BOX 1 TENANT NAME:
OWNER Dc..,...‘A 4 - t se ma ry Ke ywick1\ SITE LOCATION 3,915'9-0 ,;;1014---'' Ave, S �'P 4t y9
OWNER'S ADDRESS P-C. Ze x 1`I yS CITY l-o>‘3 vie PHONE 1 - q P-3-3 D.T7
DESCRIBE JOB Se A- t Rlo tic b i 1-{ o,1Ae / )e.dow, s $ C.arT1 r }
THE PROPERTY IS OWNED BY: SINGLEM) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 01/' ? r i c r\ Cc.1 S}r a.c k,o CL CONTRACTOR'S REG. # C +.'t'ZS c i 4l 1i,l,
Card MUST be presented
CONTRACTOR'S ADDRESS 1 `I b `C 5 3 LI I5 P1 . CITY Fc cic c- Hcy PHONE 814 7q--3l4D 0
EXPIRATION DATE c 3/ I D/1 l
- 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 i<e n nl G t. ca PHONE cicl 4`. 4oD
BOX 4 SEWER DISTRICT FecefccI l/.30.=vr WATER DISTRICT _FeCte c6.I I. CkI
BOX 5 ESTIMATED PROJECT COST /1/ OO' EXISTING BUILDING VALUATION —
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1c17`f"(' C - OSD 0 -e 1 -05(
j Z el 7`.(c' L-- b5a6-- -t l ?9 1(167 'C - G�S��
LEGA DESCRIPTION 5f'CA- r � Te w��
1 o � '1 - sb.‘? , 1 J11ct�rrt h �c. t�a�t J W M,
( AIS o - Sec ATTAc-H e.D )
(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 Fait /
3RD FLOOR / BASEMENT / DECK / / 16'4
BOX 8 (> 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. c9-- WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. 1 FURNACE, ELEC. GAS )C $
a SHOWERS GAS HOT WATER HEATER $
2 LAVATORIES CONVERSION BURNER $
3 SINKS \ LER, SIZE BTU $
t DISHWASHERS R HANDLING UNITS $
ELECTRIC HOT WATER HEATER / HEAT PUMPS, SIZE $
t' 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 IN ORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 46,A11.1 ( DATE: f/z] I 1 c�0
ANP-008 3/90
• . 0 .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ,
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL Ai/it
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL �)//� DATE
REMARKS: '"l!�'�
PUBLIC WORKS DEPARTMENT APPROVAL _ DATE
REMARKS:
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 12 3 `44 TYPE OF CONSTRUCTION STORES
.''kik- 4j 0 •, BUILDING SQ. FT. / 7 'T Z @ S-d6 = 6 T6 C
0. c BUILDING SQ. FT. ?0 y @ 0 3-#0 = /1-t` do
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ -
BUILDING SQ. FT. @ /ti(d f^/( ( F( 'r-- = t s g
• BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION
'T713 , 3,C
BUILDING DEPARTMENT REMARKS: 2a?C 6 Y PERMIT FEE 1 (7, OG
/( X Y Al / PLAN CHECK FEE 76 - c c
PLUMBING FEE J
MECHANICAL FEE O
TOTAL BLDG. FEES (?3. o (-
PART
PART P/C FEE C
SEPA REVIEW
S.B.C.C. FEE ye S L
OTHER FEES o
AMOUNT DUE / `77' 3-0
ASSIGNED ADDRESS: C c-� k ' < {----1 C g
J
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
RECEIVED Amount Date Receipt#
AUG 2 1 1990 BUILDING DEPARTMENT APPROVAL
CITY P ,
UQF FEDERALTS @�i)l�IIDEP WAY BY DATE DATE ACCEPTED FOR FILING