91-100311 4))-)ot 3)1
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
CEDAR CREEK PARK
PERMIT NO. 91-293 MH OWNER'S NAME WILLIE L HARDY JOB ADDRESS 32820 20TH AVE S #1
CONTRACTOR OVERSON CONSTRUCTION ADDRESS 1908 S 341ST PL #7 FEDERAL WAY CONT. PHONE 874-3400
CONT. REG. NO. OVERSCC141DU OWNER'S PHONE 784-4930 OWNER'S ADDRESS 7500 24TH AVE NW SEATTLE
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 CEDAR CREEK - MOBILE HOME SET UP
TAX ACCOUNT NO. 797880-0500-01/0525-02 LEGAL DESCRIPTION (SEE ATTACHED) WITH CARPORT
0580-08
ISSUED BY JOANNE JOHNSON DATE OF ISSUE__ Cr✓ 7 Cl/ DATE OF APPLICATION 3-14-91
BUILDING INFORMATION
ONE RS 7.2 OCCUPANCY R3/M1 TYPE OF CONSTRUCTION VN BLDG. SO. FT. 1329
SET BACKS: FRONT 20 SIDE 5 REAR 5STORIES. HEIGHT LIMIT 30
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 7, 392.70 PLANNING DEPT APPROVAL: ** DB 3-28-91
99.00 BUILDING DEPT APPROVAL: KC 3-26-91
PERMIT FEE
PLAN CHECK FEE 64 00
PLUMBING FEE
OCHANICAL FEE ** NO STRUCTURE OR IMPROVEMENT SHALL INCROACH UNDER OR INHIBIT STORM
(�TAL BLDG. FEES DRAINS ON SITE. DB
PART P/C FEE - DATE: 4"-/O -9/
SEPA REVIEW
WATER SERVICE AMOUNT: $167.50
WATER MAIN CHG.
S.B.C.C. FEE 4. 50 RECIEPT: ,.
OTHER FEES
AMOUNT DUE 167-50
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 INFORMATION FURNISHED BY ME IS IAA AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT ' - i 4. 1 DATE I/ I' t /`1 I
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
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. 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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEEil
--°-- 1,0 .Sa''�"T UCTUPE et F. IMPROVE X717! SHALL Ii-;CF?t AC.!i +i() it O:'.: 4L a '- S.'.r
CHANICAL FEE _ '-' N Oil `;I •. :)i
OTAL BLDG. FEES
PART P/C FEE ';;) ;' 'F:
_.___
SEPA REVIEW
WATER SERVICE $167.7)0
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
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 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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CITY OF FEDERAL WAY/, NI
BUILDING PERMIT APPLICATION
Cy/\� - Please Print— /1� . 14- t /,_ T��-
BOX 1 TENANT NAME: C `
OWNER \J Ic.LuC L . NARDY SITE LOCATION 3dtg9-0 4.01--t) Avc. 5.
OWNER'S ADDRESS 756O 01111-1-1 ,4 c• Al. • CITY -Etl PHONE 784 - X1930
DESCRIBE JOB t C3I t I4orvtE 5E7- U t� W 1*+•.'P Kb,'c,.&EA175 r?ori
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )( PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME OVRE a.) ok)S "f KuC.'T1010 CONTRACTOR'S REG. #.C)JETZSCC_ 14I DLL
CardMUST be presented
CONTRACTOR'S ADDRESS 19 0 c4 51 15=f-P1. 7 CITY F. . PHONE 77 Li -, 010,
EXPIRATION DATE ---Il)._< -____.
OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITI OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON �c.t\ivy GIct.A. "''`SNE $?4-34}-0'J
BOX 4 SEWER DISTRICT f. h..) • + WATER DISTRICT F. ,J •
BOX 5 ESTIMATED PROJECT COST /Oi E b 0 EXISTING BUILDING VALL. , Jt;j
BOX 6 PROPERTY TAX ACCOUNT NUMBER-117 M O - O6O 0 —&I f 797 15$/3 -05025-hot/777 TiceQ-65-`60 "ti
LEGAL DESCRIPTION Se_c 4 rfi -Cl+eD
(If necessary, please submit 73 ate page with the legal description.)
K.C. Plat Recording # ,,��..,,,,,��.,.,cc��
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR�`f;:1r6 //D cif O 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / E�� / .'{-a_
C.A Kra 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. WATERCLOSETS GAS PI' G, 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 W• UCH CL•IM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLO EES, UP N THE A CURA OF T.• INFORMATION ' PPLIED TO THE CITY AS A PART OF THIS APPLICATION.
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OWNER/AGENT: I -
lib,
DATE:
ANP-008 3/90
0 ' •
i
OFFICE USE ONLY (PLEASE DO NOT WRITE BLOW THIS LINE)
ZONEr6 1' SETBACKS: FRONT f4SIE 5 ( REAR HEIGHT LIMIT 3D"
PLANNING DEPjA`/��TMENT APPROVAL �1 � _ 3/2-fif/
REMARKS: NO 6 illidetK€/ 0-Y i 11) c� .U. �1,-12-fJi0d-C'l✓ /,r/l-1- e1---
,-L-2t ii,a-c't Siirfri /.4LZ.inS in
SEPA: EXEMPT ✓ NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE – Ej
REMARKS:
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 _". TYPE OF CONSTRUCTION ‘,141 STORES
Fouunu(a (ok BUILDING SQ. FT. VAC'O @ S.ere. = 5-11oU
(nf (')O j( t- BUILDINGSQ. FT. 2-LT7, @ I , , If e° = ?c2cd , O.
` BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ /lt°4.(E(N.(r = 6 ` o$
TOTAL SQ. FT. TOTAL VALUATION -7 3 1 i i 7D
BUILDING DEPARTMENT REMARKS: PERMIT FEE R tr
PLAN CHECK FEE 6 y
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES /A .106
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE /'—
OTHER FEES _
AMOUNT DUE /6 7. s z
ASSIGNED ADDRESS: S C-��5 f ( 7
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0 .... �w 24 s', PARTIAL PLAN CHECK FEE RECEIVED
c.1 Amount Date Receipt#
0 C ' 1*'" BUILDING DEPARTMENT APPROVAL G�
tEtlaDTud BY _ DATE S `' ACCEPTED FOR FILING
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