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92-100441 CITY OF FEDERAL WAY 9�, IOU Y i/ 33530 Federal FiWayrst 661 4 `, ay South WA 98003 BUILDING PERMIT BUILDING INSPECTION 40 PERMIT NO. 92-405 MH OWNER'S NAME WINONA BURRIS SITE ADDRESS 32820 20 AVE S #51 CONTRACTOR OVERSON CONST _ ADDRESS 1908 S 341 PL FEDERAL WAY 98003 CONT.PHONE 874-3400 CONT.REG.NO. OVERSCC141 EXP.3/93 OWNER'S PHONE 242-5065 OWNER'S ADDRESS 32236 7 PL SW FED WAY 98023 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 INSTALL MOBILE HOME/CARPORT TAX ACCOUNT NO. 797880-0500 LEGAL DESCRIPTION LOT 51 CEDAR CREEK MOBILE HOME PARK KING CO WASH ISSUED BY ELIZABETH SNYDER DATE OF ISSUE C-- _3 - C;:2___ DATE OF APPLICATION 3/18/92 BUILDING INFORMATION *NE - RS 7.2 SET BACKS:FRONT 10 e SIDE- l' /9' REAR 11.5' HEIGHT LIMIT 30 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 0/S TYPE OF HEATNA BLDG.SQ.FT. 1356 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 DISIsWASHERS - _ _ TOTAL FIXTURES NONE DRYER - __- TOTAL MECHANICAL NON E_ AMOUNT NONE — VALUATION $7,848 — PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE $99.00 PLAN CHECK FEE 64.00 FIRE/BLDG DEPT APPROVAL = KEVIN ELIS PLUMBING FEE 4 ECHANICAL FEE IRT P/C FEE SEPA REVIEW PUBLIC WORKS - 4.50 S.B.C.C.FEE FIRE FEE DATE: 3 * ? OTHER FEES AMOUNT: $167.50 AMOUNT DUE $167.50 RECEIPT: 6_,- — /0 4- ,/ 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. 4),..._OWNER OR AGENT DATE `�� /qc2 CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS 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 ONE_ 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 sECHANICAL FEE - HART P/C FEE SEPA REVIEW - PUBLIC WORKS - S.B.C.C.FEE FIRE FEE - DATE: OTHER FEES - AMOUNT: AMOUNT DUE - RECEIPT: 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 I 1 I J J Y m z LU m Cr 0 LI-1 U 1 -cc j LL 0w z a „ a 1 o Z : .< CC -J o Q 1 cc 1 0 U ' Q ZZ m 1 E Q I • N D w v F J I- I- e 0 0 2 0 o �� 4.3J L, q) Q co ioth lcm I C Y 1 .�� IOw 00 z �L � A'\ J z_ O E_ ~ w a -� lil • O O S o Z o o q � � 0 m m >- } >-0 < ,k Q D LL 10 C7 I i U V m O O v ,Z.1\ V w w I- w Q w X I- - Z y 0 a < 0 0 LI 0 • #�:,C� � Pit (./('', . �, . ,,e.,4• 1 • ;R 18 i:, CITY OF FEDERAL WAY OF :;. BUILDING PERMIT APPLICATION JU$LOW( V:10.; — Please Print— BOX 1 TENANT NAME: OWNER W Ito oo A 13v,last]s SITE LOCATION 3(9-`‘ao a-c5Ave. So .1±5-I (L.eaa.r CrceL) OWNER'S ADDRESS3aa3 4. 7' P1. SLU CITY Fed ral LUooy PHONE?'2 -$O6S DESCRIBE JOB Mob t I h}o►.&e Sc- .- CAP 1 i/c o poc . THE PROPERTY IS OWNED BY: SINGLE/MARRIED )C PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Cue c s o.-' (orus-r, L 0 . CONTRACTOR'S REG. #0v'eres cc.)4 I OL Card MUST be presented CONTRACTOR'S ADDRESS 419 o� 5 3 y I -- P) • CITY F do ra 1 lam.)a\ PHONE 5-7q---34 o 0 EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON Kt n n..1 C 1 c.c d- PHONE Pi"3 4 0 p BOX 4 SEWER DISTRICT rtSt r.,-1 W el WATER DISTRICT IF?dc cc ) LAI 0-._ BOX 5 ESTIMATED PROJECT COST 1/7600 - EXISTING BUILDING VALUATION — BOX 6 PROPERTY TAX ACCOUNT NUMBER 7`1'7 tc%0-05 0 0 -CI / 79151 re- o5ac-oa /791 TS'c- 05$'O -o S' LEGAL DESCRIPTION Set PE•E.a -Le A. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /D q 2 2ND FLO > 3RD FLOOR / BASEMENT / DECK / GAAGE• _ /011.t/ BOX 8 X) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBINp FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ NO. WATERCLOSETS GAS PIPI G, FEET $ BATHTUBS NO. FURNACE, ELEC. GAS $ SHOWERS LAVATORIES GAS HOT WATER HEATER $ 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 _ $ 1 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 HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. / ,OWNER/AGENT: d •••• c3 DATE: II /1 a- I ANP-008 3/90 • . OFFICE USE ONLY (PLE):1/4 DO NOT WRITE BELOW THIS LINE) ZONEP-? SETBACKS: FRONT l(,)/ SIDE j/i REAR //l/ l HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL / / ' REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE 3 `Ly - q ?- REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL Oh 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 TYPE OF CONSTRUCTION STORES r� a 1 BUILDING SQ. FT. (a cr Z @ S—, 0 = . Y6 o (.a G7°v t" BUILDING SQ. FT. z4 y @ r_ ( ( = '(sBUILDING SQ. FT. @ = BUILDING SQ. FT. @ = BUILDING SQ. FT. @ J . = BUILDING SQ. FT. ( _ @ /ROM( •=-e-C- 6 - S 8 TOTAL SQ. FT. I i'•-) `� TOTAL VALUATION 7 °6 Y FI? ( ( q BUILDING DEPARTMENT REMARKS: q 9 PERMIT FEE PLAN CHECK FEE 6 y PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE yes O OTHER FEES II -i c( AMOUNT DUE ASSIGNED ADDRESS: (e-k_..- e.-�( S )L(,4- J RECEIVED MAR 1 a 1992 PARTIAL PLAN CHECK FEE RECEIVED art OF�uefiAL14 Amount Date Receipt# BUILD DEBUILDING DEPARTMENT APPROVAL RECEIVED BY DATE ACCEPTED FOR FILING r =.N, .' SITE PL APPROVAL UN Permit Number. c... f CITY OF FEDERAL WAY Approved By: t DEPT. C r COMMUNITY C. - ?PMENT Date: /2 //i2 PERMIT NUA`3ER 92 — `/CJS /i/A, Comments: ADCREC3_ 3-a8 z(1) •-a 0-(C. .5-.._.-_.'-Ji PLANS FOR; 0 -fie. Ce cy77c_zti110-1/ . ,/�UblII/o# �LorJOwN`71 ,J ,%ri. -n( 6 ulv� �`DsT CL' 3-6 — • DATE APPR' . 2 Z r -ROVED BY il 4111 . 13 ),v ‘ ' A •""n CA t,'Dr'1 V s O .J kn J1 O s ' �- 6 •x -.1 4- LA Z R _ �, MOb(I HOMC rOR; e c. VI,t4oua Ivor 1:, S R 7•1C.C. *?SI S?i )i'r 9, 0 ,Q o 5, oZ b Y4'1- R% J ‘" A OQ ... De : L 1 ..it MOBILE HOME SHALL DISPLAY A PERMANENTLY 1 AFFIXED DEPT.OF l&i OR H.U.D.INSPECTION LABEL 6 2 2.INSTALLATION OF THE MOBILE HOME SHALL BE PER lC��morl MANUFACTURER'S RECOMMENDATIONS. -.1 n ` rltrA /4' f✓omm0, 3.PROVIDE A JOB SITE COPY OF THE MANUFACTURERS 1 YA7N BET-UP BOOKLET. 14%), < 09 ; il 'I\' -< c44((i :0 Lo. va Pot kcr 11ONS RECEIVED ;YL-ti 41SE APPRO ED BY MAR 1 8 1992 frh_r 1.L)LrsHL WAY CUL ING DEPT. CITY Y GP FEDERAL WAY BUILDING DEPT