91-100539 9'1-406 5,3 ,
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-502 MH OWNER'S NAME LAND-PAC HOMES JOB ADDRESS 32820 20 AVE S -#8-- #27
CONTRACTOR HORIZON CONSTRUCTION ADDRESS 1608 132 AVE E SUMNER CONT. PHONE 939-1342
CONT. REG. NO. HORIZCS132LA 10/91 OWNER'S PHONE 874-7842 OWNER'S ADDRESS 32820 20 AVE S -I24-FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIJ8 PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER SET-UP MOBILE HOME AND GARAGE
TAX ACCOUNT NO. 144170-0270 LEGAL DESCRIPTION LOT 27 CEDAR CREEK MOBILE HOME PARK
ISSJED BY ELIZABETH SNYDER DATE OF ISSUED DATE OF APPLICATION 4/24/91
BUILDING INF•RMATI•N
ZONE RS 7.2 OCCUPANCY R-3 M-1 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 1484
SET BACKS: FRONT 10' SIDE 5' REAR 9' STORIES ONE HEIGHT LIMIT 30' MAX
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 _
LAVATGniES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $9,619.00
PERMIT FEE $117_00 PLANNING DEPT APPROVAL = DEB BARKER ON 4/29/91
PLAN CHECK FEE 76-00
OMBING FEE FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS ON 5/2/91
CHANICAL FEE
TOTAL BLDG. FEES $193.00 PUBLIC WORKS DEPT APPROVAL = TOM COLLINS ON 5/21/91
PART P/C FEE
S rr EvI r P. WORKS 35.00
WATER SERVICE /2-3/Q
______::::: 57
WATER MAIN CHG. DATE P G l AMT $232.50 REEC'T
S.B.C.C. FEE $4.50
OTHER FEES
AMOUNT DUE $232.50
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 INFO I N FURNISHED BY M RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE9vME
i, 7-5- q
/ / ' =f'O -- DATE � - / /
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
ZONE OCCUPANCYTYPE 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
eUMBING FEE
lik
CHANICAL FEE J )"�
TOTAL BLDG. FEES _ i01‘? .- 1/
PART P/C FEE , /
SEPA REVIEW -_- OPS
WATER SERVICE _
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES VI
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:
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BUILDING PE APPLICATION
•Print—
BOX 1 TENANT NAME: /440-Jq 6, ,Wcw7c—s .�sre _ m( FG * ,9—
OWNER - ` - a'.' ..if S _ SITE LOCATION 7_442 _ ' - 4-ex A0 . - . --:.-.-
OWNER'S
-==OWNER'S ADDRESS.272e) Ar -Adams Ler- + I�Y �F. e..eQ i 9�! PHONE 37' -75?g2.
DESCRIBE JOB /Ji0/%c ff . •/-7-71a,D ( _
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME /GI),fit/ G 17"M/ei/OM/ CONTRACTOR'S REG. # .//r'.F/z es 1'3zL 9
Card MUST be presented
CONTRACTOR'S ADDRESS ,1608 1".73AbbRdE E. CITY SC1annlE -,Oil PHONE j31-/34/2
EXPIRATION DATE i--i/- 9l
— OR—
I HAVE READ CHAPTER 18.27.010 RELA N 0 DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSONe-A t \ SCS,',! PHONE /74/ -72'42
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 467COO EXISTING BUILDING VALUATION
:,BOX 6 PROPERTY TAX ACCOUNT NUMBER 1(1-41'7C17 7C •
LEGAL DESCRIPTION ZerAiup1A .27 PL'-r C'eMc.epe& cp-bR�f C'FeE */X Ce, 7/141 UM-
..�c'e.Nr ,oF y/AxC-rE //•3/ ' i
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 9 C 502.c 14:6—
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION \'Z2.0 S('
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE r
( ) 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 $
SU i '', SPRINKLER VACUUM BREAKERS OTHER $
'RAINS $
A OTHER $
MI TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
I CERTIFY UND'R PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MNO_ EDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERRM�T APPLICA'ION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES;-AND•ATT1 EYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSNED,
AND FILED AGAINST THE . ' OF FEDERAL WAY,BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDG ITS
4
OFFICERS AND EMPLO /'ON THE ACCURACY !F THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATIQ( �,
C��l ,7 -
OWNER/AGENT: i ��i DATE: QI
ANP-008 3/90
I
0
OFFICE USE ONLY (Pu -\, RITE BELOW THfSLINE)
ZON '.Z- SETBACKS: FRONT /0 I SIDE .3sAlhq ' HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 4/214/
REMARKS:
SEPA: EXEMPT ti NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 5—'7-- cj
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL ";' =- DATE s Z/—I/
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
OCCUPAN��Y 3 TYPE OF CONSTRUCTION 1/4/ STORES
FOutIn S (Ok BUILDING SQ. FT. jZ--t% @ S-- _ (00
CoctG—G(j e— BUILDING SQ. FT. `7-C,y @ (S -.n = '463(` 2....0
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @
BUILDING SQ. FT. @ fid( (e-s� - 0 ` 8 g
p
TOTAL SQ. FT. TOTAL VALUATION l 6 (CT e L(.6
BUILDING DEPARTMENT REMARKS: PERMIT FEE I ( 7
PLAN CHECK FEE ?6
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES (c{ 3
PART P/C FEE
SEPA REVIEW
PI,, 3 S.OG
S.B.C.C. FEE ci`c--O
OTHER FEES _
AMOUNT DUE ____2,7-Z.50
} ASSIGNED ADDRESS: - �X(S 1( V -
la E g
> PARTIAL PLAN CHECK FEE RECEIVED
e., faz Amount Date Receipt#
LUki_ii"
� 3BUILDING DEPARTMENT APPROVAL s 2-- � '
RECEID BY DATE ACCEPTED FOR FILING