92-100468 CITY OF FEDERAL WAY g� f D6 (aQ'
ECTION
33530Federal IWay,Way South
WA 98003 BUILDING PERMIT BUILDING INS 661-4140
PERMIT NO. 92-429 MH OWNER'S NAME LAND-PAC HOMES SITE ADDRESS 32820 20 AVE S #39
CONTRACTOR HORIZON CONST ADDRESS 1608 132 AVE E SUMNER CONT.PHONE 939-1342
CONT.REG.NO. HORIZCS132LA EXP. 10/92 OWNER'S PHONE 874-7842 OWNER'S ADDRESS 32820 20 AVE S #8 FED 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 INSTALL MOBILE HOME (MODEL) & CARPORT
TAX ACCOUNT NO. 144170-0390 LEGAL DESCRIPTION LOT 39 CEDAR CREEK MOBILE HOME PARK KING CO WASH
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE z / l DATE OF APPLICATION 3/23/92
0BUILDING INFORMATION
ZONE RS 7.2 SET BACKS:FRONT 10' SIDE 10' /3' REAR 5' HEIGHT LIMIT 30 g
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 0/S TYPE OF HEAT NA BLDG.SQ.FT. 1802 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 $9,653
PERMIT FEE $117.00 PLANNING DEPT APPROVAL = DEB BARKER
PLAN CHECK FEE 76.00
PLUMBING FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS
•CHANICAL FEE
PART P/C FEE
SEPA REVIEW
PUBLIC WORKS 4.50
S.B.C.C.FEE / / C
FIRE FEE DATE:
OTHER FEES AMOUNT: $197.50/ J
AMOUNT DUE $197_ 50 RECEIPT: 0.3 � fCi 7�a
ALL PERMITS EXPIRE 180 D AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORM 10: FURN HED BY M= IS T' AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
• BE MET. / f
OWNER OR AGENT f '' -'-Z 1 ,r /("'"_'I, DATE "(s 1-.
1
CITY OF FEDERAL WAY
33530Way South
Federal FIrst Way, WA 98003 BUILDING PEI:IR/11T BUILDING INSPECTION
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
.JNE 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 =.—NNING DEPT APPROVAL = DEB BARKER * . ,
PLAN CHECK FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS .
PLUMBING FEE - .
gliMECHANICAL FEE 3
ART P/C FEE
SEPA REVIEW <.,
r:.
PUBLIC WORKS °^ G _n
S.B.C.C.FEE yr 4.` �G
FIRE FEE DATE: D�
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
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RECEIVED • Pest
MAR 23 1992 CITY OF FEDERAL WAY
CflYOFBUILDING DER
BUILDING PERMIT APPLICATION
DER — Please Print—
BOX 1 TENANT NAME: ,%/g Z),_fi46- 4/07-72 L.,-,75 (plc A et )
OWNER /-+9,1.Q-PeC SITE LOCATION Ccbile CP_ee :422,711 zerz-/ gs. 1.4,1-31
OWNER'S ADDRESS 33074, Z0 Rc1C- LTi CITY fr-2-73ERA-L i.oAy PHONE Y
DESCRIBE JOB .'Yia 13/id5 S'G f' 4P
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME '?C/O,'/u'4/'!/ 4.-•13-12 rC77e t'/ CONTRACTOR'S REG. # 'CJoaeiz CS i 3.-L-/t
Card MUST be presented
CONTRACTOR'S ADDRESS Aft . 2' flvE E CITY -5ld011`1._ PHONE l'I'.3el-/5r12-
EXPIRATION DATE (d"//- V7-
— 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 M'ek. /W1150,/ PHONE
BOX 4 SEWER DISTRICT -- WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 5b ewe . EXISTING BUILDING VALUATION ----
BOX 6 PROPERTY TAX ACCOUNT NUMBER / /7e - 03W •
LEGAL DESCRIPTION ?' .tl 4 5`I 'i: -65--) .,P _ �k b , ' re ��r lLk�K2/,v'tu�t
P e ?/r f 1JA E 1.3 .
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # ger
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT I DECK 1 GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY s' --e 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 $
I• NKING 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 KN LEDGE
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 TH OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMP . EES! PON THE ACCU'ACY : THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
-
OWNER/AGENT: G : - --DATE: -1-2-2-9.2.-
ANP-008 3/90
OFFICE USE ONLY(PLE'SE DO NOT WRITE BELOWHIS LINE) + ,
(
ZONEf S Tz SETBACKS: FRONT /C) /1 SIDE /0'31 REAR <- HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL , )//QZ l '
REMARKS:
SEPA: EXEMPT /-- NOT EXEMPT
FIRE DEPARTMENT APPROVAL i�/ DATE 3`?Ai-1Z
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
(1)(A.
TYPE OF JOB: NEW RESIDENCE -k RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCPANCY 12.-5 TYPE OF CONSTRUCTION VN STORES
CNoc�G�.(t0.t(o I^ BUILDING SQ. FT. tS 6 O @ . BO = 78 U 0
ca.rr (r f BUILDING SQ. FT. Zy @ /3, (6 = 3 ( 7O• ZO
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @
BUILDING SQ. FT. @ /Add( I`'€ ` 0 0:3 sr ,
TOTAL SQ. FT. I TOTAL VALUATION R(D 53' 7 a
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE 2 CI
PLUMBING FEE
• MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE <<csf)
OTHER FEES
AMOUNT DUE I -`) l�
ASSIGNED ADDRESS: 5eX--- V--.(-- 1--/(^-1
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY f i v DATE 3-1'9 ` -I d
Zd ACCEPTED FOR FILING