90-101453 9i - 101 Y53
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
C1/4
PERMIT NO. 90-1671 MH OWNER'S NAME LAVONNNE GILLIS JOB ADDRESS 32820 20TH AVE S #58 (CEDAR CREEK)
CONTRACTOR OVERSON CONST CO ADDRESS 1908 S 341ST PL #7 FEDERAL WAY CONT. PHONE 874-3400
CONT. REG. NO. OVERSCC141DU OWNER'S PHONE 391-7154 OWNER'S ADDRESS 3941 226TH PL SE #211 ISSAQUAH
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. 797880-0050-01/0525-02/0 6,41- /RIPTION LOTS 86, R9 & 90 OF SUPPT.EMTAL STATE PLAT _AS REC TN
VOL 42 OF PLATS, PGS 23 & 24 AND RECORDED UN AUDITOR FILE #797880; EXCEPT THE E 1/2 OF THE S316 FT;
EXCEPT THE SOUTH 120 FT OF LOT 90; TOG WTTH THE NORTRT.y 86-214 FT AS MEASURED. ALONG THE F T.TIE**
ISSUED BY_ JOANNE JOHNSON DATE OF ISSUE „1 C.%.- A ;'� DATE OF APPLICATION 10-16-90
--- ** OF LOT 87 OF THE ABOVE CITED SUPPLEMH.;�IAA4G iki ,AT.
1OCCUE_
N
PANCY P3/M1 TYPE OF CONSTRUCTION BLDG. SO. FT..
T BACKS: FRONT SIDE REAR_ STORIES HEIGHT LIMIT
PLUMBING Na Na 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 _
SINI;S` MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
" VALUATION 15,282.78 - BUILDING/FIRE DEPT APPROVAL KC 10-23-90
PERMIT FEE 171.00
PLAN CHECK FEE 111.00
PLUMBING FEE
CHANICAL FEE _
Ili
TAL BLDG. FEES I (.). (371 _9()
DATE:
UT P/C FEE
SEPA REVIEW AMOUNT: 2,10, 5-()
WATER SERVICE
WATER MAIN CHG. > L
S.B.C.C. FEE 4.50 RECEIPT: L34i7
OTHER FEES
AMOUNT DUE 286.50
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 FURNISHE BY ME IS..TRUE AND ECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: Ai i L� ,/`
OWNER OR AGENT - �riL�t./10 r DATE /t / ( 6:
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
eNE_ 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 FEE
SCHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
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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RECEIVED Ole • ,
OCT 1 61990 CITY OF FEDERAL WAY NA ,
GM OF FEDERAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT - Please Print-
BOX 1 TENANT NAME:
OWNER LAV 0 NA) E GILL'S SITE LOCATION 3:2'M ?O Ave- S. 44-6s- Cc j,q (g�tk 04.4
OWNER'S ADDRESS I'f/ aat(p€? 1, Si~ 4t,2/1 CITY ISSAQ 0,144 PHONE 3'I I -715'
DESCRIBE JOB nkteit_E NON.IT-u is Y/5t-r� �e inApvt meNT5
THE PROPERTY IS OWNED BY: IGL /MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME !)VE 236N CoivST. Cc,Mq4.IQp CONTRACTOR'S REG. #OV LSCC. r 4 i bu.
Card MUST be presented
CONTRACTOR'S ADDRESS Iq a '. S ci 1-1:' P . CITY F c1- OO.y PHONE 8P-t•- 4-1 O
EXPIRATION DATE 3//ok9 J / /
- OR -
I HAVE READ CHAPTER 18.27.010 RE A ING 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 'e1\r\y G1e ea PHONE D79-3'f-C,
BOX 4 SEWER DISTRICT ' - ro.1 + WATER DISTRICT $e c1e('a 1 L_DOTy
BOX 5 ESTIMATED PROJECT COST 19, bOO 'D tO EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 79 7`arc -es a o- 01 I a—6 -0,4 056 t,-CS*
LEGAL DESCRIPTION Set ATT,C-t e.D
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / r- la 2ND FLgQf /
3RD FLOOR / BASEMENT / DECK / GAlidg / Tl ..
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 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 $ ----
site
—
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 EMPL YEES, UPON TH ACCURACY OF THE-tt FORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: �'
I� DATE: r,
r
ANP-008 3/90
i
41110 11140
OFFICE USE ONLY (PLEASE DO NO;WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
jfr 9IOWA(v1 (Aril l g ic(* firEv f o ws l 77
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL X--C' DATE rd` —3 Fr
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL ./vi� 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
OCCUPANC f TYPE OF CONSTRUCTION STORES
l.G`Ca MA o& fUILDING SQ. FT. / ? 8 Z @ S• & 0 = 017 0
caV" C►v-- f" /BUILDING SQ. FT. (0(0Z @ %Z • (ID = `{ - $O
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ �O� ( (� O
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION f S_ z 2. r 78
BUILDING DEPARTMENT REMARKS: ( 7 4. co
PERMIT FEE
PLAN CHECK FEE ) f J ,. c"-c-%
PLUMBING FEE 0
MECHANICAL FEE O
TOTAL BLDG. FEES ZE Z U"
PART P/C FEE O
SEPA REVIEW C
S.B.C.C. FEE y` S—v
OTHER FEES 0
AMOUNT DUE 2....A6 ,3- 0
ASSIGNED ADDRESS: SEe-- t-6, (S/ «`q
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE M —Z3 0 ACCEPTED FOR FILING