90-100648 9v-/ob 6.YS
CITY OF BUILDING INSPECTION
FEDEPIAL WAY BUILDING PERMIT 941-1555
4( (43 7
PERMIT NO. 90-1284 MH OWNER'S NAME CAROLE SEXTON JOB ADDRESS 32820 20TH AVE S #37
CONTRACTOR OVERSON CONSTRUCTION ADDRESS 1908 S341ST PL #7 FEDERAL WAY CONT. PHONE 874-3400
CONT. REG. NO. 797880-0500-01/0525-02/g5 +0NE 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 carport
ISSUED BY JOANNE JOHNSON DATE OF ISSUE Q ✓ I S —/ 0 DATE OF APPLICATION 8-2-90
BUILDING INFORMATION
ONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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.
SINKS MISC. DRAIN 5.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 8,168.69
LEGAL DESCRIPTION
PERMIT FEE 1080.0 Lots 86, 89 & 90 of Supplemental State Plat as recorded in
PLAN CHECK FEE 70.00 Volume 92 of plats, pages 23 & 24 & recorded under Auditor
File No. 797880; except the east 1/2 of the south 316
PLUMBING FEE S.00 feet; except the south 120 feet of Lot 90; together with
,CHANICALFEE _ the northerly 86.219 feet as measured along the east line
of Lot 87 of the above cited Supplemental State Plat.
TOTAL BLDG. FEES
PART P/C FEE DATE: 7---- (J -9
SEPA REVIEW
WATER SERVICE AMOUNT: a'7• 5 J
WATER MAIN CHG.
S.B.C.C. FEE 4.50 RECEIPT: / 4 w 311
OTHER FEES
AMOUNT DUE 187. 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 TRUE • •• •'RECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: �,� . �j 9 /�
OWNER OR AGENT $ --��,�/V/ J • ,' DATE Ah9 . IS-, / ( ` V
1
i
•rmit #
lii k tel: CITY OF FEDERAL WAY RECE
BUILDING PERMIT APPLICATION AUG 0 2 1990
\\k$i5A - Please Print— CITY OF FEDERAL WAY
BOX 1 TENANT NAME:
OWNER Cole Ze V"PC)Y"'N SITE LOCATION 3acga0 &ot±` Ave. S . I'_- 7
OWNER'S ADDRESS a79 Oa PvLc-% c 14 iwcky 5 . CITY FFa.ec go Way PHONE 9 IfI CSO ya.
DESCRIBE JOB 1'\ko\ \ \-lr orrme SA--- %.,,,p I 1p\pck T.e.- 0rr,3n v,/ 4,,\- covcrr vc\
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ?c PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Ove (S o r\ C c, 1,\5-I-r‘v.c A 1 o r Co . CONTRACTOR'S REG. # 0YFr?5c-L I - I Dv.,
Card MUST be presented
CONTRACTOR'S ADDRESS 1`101 S 34-1' }\ . #7 CITY I ecieco.1 Wo,_v PHONE x'14 -314D1J
EXPIRATION DATE 3 I t o I i i / 1
( — 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 1<e r.Y.\I Ci\c' a PHONE $C14--n 0 0
BOX 4 SEWER DISTRICT Fea--c^ 1 llu.)o_y WATER DISTRICT F{deCc'\ A3 1/4)
BOX 5 ESTIMATED PROJECT COST bOO 00 6e EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 791 S"S"O —050 0 -o 1 /o -02. / 0 56 6-C1
LEGAL DESCRIPTION Secy-\oh l6 T0v..>Y\?4\.? a1 /0oI }-1^ "ec,,1„, ‹, Lf Lo,s1-/ V'. ►v\,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /0 f 0 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK /
VIM 13c -
srP�.-
BOX 8 (4 SINGLE FAMILY ( ) NEW CONSTRUCTION rit` :1
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE V P _�
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 30,00 , Q FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. a WATERCLOSETS GAS PIPING, FEET $
0 BATHTUBS NO. I FURNACE, ELEC. X GAS_ $
SHOWERS GAS HOT WATER HEATER $
/ LAVATORIES CONVERSION BURNER $
A SINKS BOILER, SIZE BTU $
A DISHWASHERS AIR HANDLING UNITS $
al 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 $
c S 0 Cj 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 ES, UPQ THE £C UR,CY IF THE I s' 1 , ION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: /` - 4./ DATE: (^ - ( O
ANP-008 3/90
As i
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
/J
PUBLIC WORKS D ARTMENT 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 /C TYPE OF CONSTRUCTION V STORES
F ttN�cf �(c)0 BUILDING SQ. FT. (C _, 3 @ S'‘ --o = 5-Z6_.c.. 0
(--CW(O d"f BUILDING SQ. FT. 3-2-Lf @ P- ` `{0 _ (c (7, 6 0
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ (R C- v$
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION cC ( 6 ? ` 6 7
BUILDING DEPARTMENT REMARKS: PERMIT FEE ►CS ' c)G
PLAN CHECK FEE 7d• C'L
PLUMBING FEE S, ° c)
MECHANICAL FEE
TOTAL BLDG. FEES /r3 . c-c
PART P/C FEE o
SEPA REVIEW v
S.B.C.C. FEE y,
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: e_k <S ��f
1 Nypo.,
0^-, �() `/47/ 9 PARTIAL PLAN CHECK FEE RECEIVED
06/C`>� "0 --Amount Date Receipt#
��� , '� BUILDING DEPARTMENT APPROVAL
RECEIVE
BY ( DATE ACCEPTED FOR FILING
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