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92-100885 CITY OF FEDERAL WAY co7 )`06 T<`5 33530 Federal Wat Way South y, W 98003 BUILDING PERMIT BUILDING INSPECTION661 4140 PERMIT NO. 92-919 MH OWNER'S NAME LOIS BELCHER SITE ADDRESS 32820 20 AVE S #28 CONTRACTOR OVERSON CONST ADDRESS 1908 S 341 PL #7 FED WAY CONT.PHONE 874-3400 CONT.REG.NO. OVERSCC141DU EXP. 3/93 OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAI COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER SET—UP MOBILE HOME/GARAGE/CARPORT TAX ACCOUNT NO. 144170-0280 LEGAL DESCRIPTION LOT 28 CEDAR CREEK MOBILE HOME PARK 1--. ISSUED BY EBS DATE OF ISSUE 7_ s / DATE OF APPLICATION 6/15/92 illBUILDING INFORMATION ZONE RS 7.2 SET BACKS:FRONT 10' SIDE 9' /2' REAR 20' HEIGHT LIMIT OCCUPANCY R3 TYPE OF CONSTRUCTION 5—N CENSUS NO. 0/S TYPE OF HEAT BLDG.SQ.FT. 2400 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 $18,076 PLANNING APPROVAL=DEB BARKER PERMIT FEE $198.00 "CARPORT SETBACK MINIMUM 10' FROM ROAD" PLAN CHECK FEE 129.00 LUMBING FEE FIRE/BLDG APPROVAL=KC ELLIS ECHANICAL FEE PART P/C FEE SEPA REVIEW - PUBLIC WORKS 4.50 S.B.C.C.FEE —.2%-52___FIRE FEE DATE: o , OTHER FEES AMOUNT: $331.50 AMOUNT DUE $331.50 RECEIPT: 02 " i 1 525 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 TR,E AND , ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET. �� OWNER OR AGENTi .��u`� ` DATE 7/ /a CITY OF FEDERAL WAY 33530 Federal FIWay, WA 98003 rst Way South BUILDING PERMIT BUILDING INSPECTION661-4140 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 ZONE __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 _ OLUMBING FEE ECHANICAL FEE PART 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 I BE MET. OWNER OR AGENT DATE SIJ 2 `� ,►J v J >- >- Ym Z m Q m 0 I O w 1\�I U CC I a ��JJ a w u- �� r- � \1. Z az 1 V Z I Q o . a cc O I Q l'N Z Z 0 0 ' I J . CO `Z S J \PL o w w 1- Q �h a a 2 o 5 a ,may 1 �,� L ik M I Q a NNi R d 1 4 Ck o m m 1 1 v\ u. O O O 1 o li Z o 11 LU cc E A N • o a a a a U 1 � I I I N z Z v') v Z m >- Q m a m 0 _ Er I oi 0 C LIJ o Al U N 0 1 N V1 a m 0 o 'v0 m w 2 w w Q w H F- 0 F- Y N Z V- all o Cl.0 0 1 0 CO } • Pest # RECEIVED CITY OF FEDERAL WAY ic/n. r JUN 15 1992 BUILDING PERMIT APPLICATION .d — Please Print— OY OF FEDERAL WAY INALOPO BOX 1 TENANT NAME- " OWNER Lois Belcher SITE LOCATION 32820 20th Ave. So, #28 OWNER'S ADDRESS CITY PHONE DESCRIBE JOB Mobile home – set–up w/site improvements THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Overson Construction CONTRACTOR'S REG. # OVERSCC 141DU Card MUST be presented CONTRACTOR'S ADDRESS 1908 So. 341st Pl. #7 CITY Federal Way PHONE 874-3400 EXPIRATION DATE 3-10-93 — 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 Kenny Gleed PHONE 874-3400 BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 144170-0280-01 LEGAL DESCRIPTION Lot 28, Cedar Creek, a condominium - Sec. 16, Tvap. 21 N. , Range 4 EWM Federal Way, King Co. , WA (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 FLOOR 3RD FLOOR / BASEMENT / DECK / GARAGE BOX 8 ( X) 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 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 $ 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 INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP-008 3/90 • . OFFICE USE ONLY (PLEAS DO NOT WRITE BELOW THIS LINE) ZONE 1- SETBACKS: FRONT /0' SIDE / / Z ' REAR :--201 HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL C/. '3/94i- REMARKS: OCU pt)rf -ef ba-Gk i'n i kt ifl um ID' "-a vrw rcct_t�. SEPA: EXEMPT t"'' NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE (:. ' "(' -C( REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL Aiiin 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 F-') TYPE OFCONSTRUCTION VA/ STORES 1-t:�,t1�a-T-101.1 BUILDING SQ. FT. (6 Z_ ) @ S. 0 = >,( 6 n 6ccr- ..t BUILDING SQ. FT. 3 q0 @ / ((Q zS_ ? �.a r' Q r- 1- BUILDING SQ. FT. 3 7 0 @ l ) (3 C' _ 57 g 7 BUILDING SQ. FT. @ = BUILDING SQ. FT. @ r - _ BUILDING SQ. FT. @ SG( ( �--( r`_ 0 € c1 t TOTAL SQ. FT. TOTAL VALUATION (e 0 76 66 BUILDING DEPARTMENT REMARKS: PERMIT FEE f l PLAN CHECK FEE I Z--9 PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: S -" t..-?CS i'f RECEIVED PARTIAL PLAN CHECK FEE RECEIVED JUN 1 5 1992 Amount Date Receipt# `Y Q FEDERAL.WAY BUILDING DEPARTMENT APPROVAL W E�INQODPT BY DATE 11' I 2-R r Z- ACCEPTED FOR FILING ti t • • ' , . ... _ . , 50 / ...tr , -- , __ , FILE ,,, L, ) t. .0 , a2 (3,3 � he yn(n, rk+ed or_c4994.t,,1e Sept,,-c.f t9g.i iti a I I pe.- tiee Sec-fitAt Qi5030)��) Of t..4l'� ✓ 9s �l�o� Pc(el(eeor� ,Fars IN" 5'p/,/c-- core o/00r's CcJ,Se/e r�foc e s I ` IMoJ' -LA I _fg !"XISTINC,, I G- a-6 . I I '< Ii1. _� 1 �- /0� ��16T1I�1.- Willi NAME SHALL DISPLAY/0) yv�LAFD DEPT.OF L 8 I OR H.U.D.II 2.INS CATIONOF THEMOBILE HOMMANCTURR'S RECOMMENUAI I3.PROVID A JOB SITE COPY OF THE SFT-UP ,KLET Ja-'3'XS° 4 rAft, r> M.b,l How•0 Cog,... Lots r-Se\ctn« . - C4r,r Cr o.' re,.v, U v 1+3- (.131ga ID' D. 131 Yi 16 Sc.0\c . a -1",z.),csrA SKIRTI G SHALL NOT BE — T, LED BEFORE BLOC G 0 _'jD IE DOWN INSPECTION. a i .r\ 3'Y a ., 4 Il' a-7 i Q-/ l.i r A 1-1 1[ 3x3a if W i; 2 t o e w Fi„i Piro; \t/ i groOrY\ e a as c THERE ARE TO CE NO DEVIATIONS a Q Q V TO THE APPROVED DRAWINGS UNLESS OTHERWISE AP 9' VET PY THF FFI1RAL WAY BUILDING DEPT. VT)! OF FEDr^"'. WAY DEPT. C COMMUNITY t "7"7. ,1T FILEPERMIT 1�;UV. R 9 7 - ,�( /f (-I' _.DS 3 8 2.-0 O AZ S -o-..7y PLANS FOR )/(44-1L fit/ S ` ___ wetA OWNER 1 04,0 �I �u•v �"1 V 1VED rr_ ter! nq '�,�.�v DATE SUS'. W:)�is-�rl' DATE APPROVED V cvn _t JUN 15 1992 ' DROVED BY `� 0F FEDERAL WAY BUILDING DEPT