Loading...
91-101828 o11ijbtgag" CITY OF FEDERAL WAY 33530 First Way South BUILDING P BUILDING INSPECTION Federal Way, WA 98003 661-4140 CEDAR CREEK MOBILE HOME PARK PERMIT NO. 91-1767 MH OWNER'S NAME MR/MRS BILL QUILLEN SITE ADDRESS 32820 20 AVE S #52 CONTRACTOR OVERSON CONST ADDRESS 1908 S 341 PL #7 FEDERAL WAY 98003 CONT.PHONE 874-3400 CONT.REG.NO. OVERSCC141DU EXP. 3/92 OWNER'S PHONE 852-2145 OWNER'S ADDRESS 31326 12 AVE SW FEDERAL 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/CARPORT/AWNING TAX ACCOUNT NO. 797880-0500 LEGAL DESCRIPTION LOTS 86/89/90 OF SUPPL STATE PLAT AS RECORDED IN VOL 42 OF PLATS PGS 23/24 & RECORDED UNDER AUD FILE # 797880 ISSUED BY ELIZABETH SNYDER DATE OF ISSUE / /r -42 . DATE OF APPLICATION 12/20/91 BUILDING INFORMATION ZONE RS 7.2 SET BACKS:FRONT 10 1 SIDE 5' /10' REAR 5' HEIGHT LIMIT NA OCCUPANCY R3/M1 TYPE OF CONSTRUCTION 5-N CENSUS NO. O/S TYPE OF HEAT NA BLDG.SQ.FT. 2120 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 $14,447 PLANNING DEPT APPROVAL = DEB BARKER PERMIT FEE $162.00 PLAN CHECK FEE 105.00 FIRE/BLDG DEPT APPROVAL = MIKE MONEN LUMBING FEE ECHANICAL FEE - "DECKS OVER 30" ABOVE GRADE REQUIRE A PERMIT" PART P/C FEE SEPA REVIEW "CALL 661-4140 FOR ALL REQUIRED INSPECTIONS" PUBLIC WORKS S.B.C.C.FEE 4 50 FIRE FEE DATE: / /" i ' OTHER FEES AMOUNT: $27/1.50 AMOUNT DUE $271.50 - RECEIPT: ' 7 7 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. 1 Of , I OWNER OR AGENT . ,. DATE q CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 REVISION ONLY y PERMIT NO. 91-1767 OT OWNER'S NAME QUILLEN SITE ADDRESS 32820 20 AVE S #52 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 PLOT PLAN CHANGE — RELOCATE STORAGE SHED TAX ACCOUNT NO. 144170-0520 LEGAL DESCRIPTION _ ISSUED BY E SNYDER _ _DATE OF ISSUE b 1 DATE OF APPLICATION 5/29/92 BUILDING INFORMATION "DONE RS 7.2 SET BACKS:FRONT 22' SIDE 10'/5' REAR 5' 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 PLANNING APPROVAL = DEB BARKER PERMIT FEE BLDG APPROVAL = KEVIN ELLIS PLAN CHECK FEE $30.00 PLUMBING FEE DECHANICAL FEE ART P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C.FEE 6 ,,,,,f...._G FIRE FEE DATE: t OTHER FEES AMOUNT: $30.00 AMOUNT DUE $30-00 RECEIPT: Q-7 1 q 2-0 c' 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 } r; AL4 _ DATE 1 5U-i'ke )(l CITY OF FEDERAL WAY 33530 First Way South F.derraI Way, WA 98003 BUILDING PERMIT 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 ADO. 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 BONE SET BACKS:FRONT _ _ SIDE REAR HEIGHT LIMIT CCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SO.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 I AMOUNT _ VALUATION PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE . ART P/C FEE -- EPA 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 BE MET. OWNER OR AGENT DATE Li•3.1\ L-( l *` /11 �N ,CITY OF FEDERAL WAY 33530 First Way South BUILDING PERMIT BUILDING INSPECTION Federal Way, WA 98003 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 ONE _.—_ 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 PINNING DEPT APPROVAL = DER BARz__t'_ PERMIT FEE PLAN CHECK FEE `IRE/BLDG DEPT APPROVAL = MIKE MONEN PLUMBING FEE MECHANICAL FEE "DECKS OVER 30" ABOVE GRADE REQUIRE A PERMIT" ART P/c FEE "CALL 661-4140 FOR ALL REQUIRED INSPECTIONS" .,EPA 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 BE MET. OWNER OR AGENT _ ____. DATE r SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE_-_ BY DATE -.... -.... BY DATE __ -- BY PLUMBING ROUGH IN WATER LINE O.K. ..... —_- MECHANICAL INSPECTION DATE.....- BY __.-_..... GAS PIPING O.K.__....... _........ DATE BY- O.K. TONCTLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL Col f'A DATE T(v'7 -BY ob-__ DATE .BY _..... DATE BY FINAL O.K. TO OCCUPY DCD PSD FD DATE_..._ �-`714-92- BY 5_ �G -9-2 i1 Az6C7-//1 Qo ..tis a,X, 5- 2 7-$)L _ S/lia%/N C- 4MA'A-S C-/ S2 ,) cA4A127,— yeol- ft- eye, • Alif • Emit # 4fiverol - 9( . 06-7 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print- BOX 1 TENANT NAME: OWNER Ail /3;:L( =�' SITE LOCATION CePOIL C+'ezi OWNER'S ADDRESS_3 LSF 2-c - .1...o 5,.i it(2, CITY I'iz/i 1.,-4 , PHONE K/.4 - 3/o n' DESCRIBE JOB Zc tirusc.e l A- p.04..-- y-r.('-CA-4- 3 S-& ( - THE PROPERTY IS OWNED BY: INGLE ARRIED fIAMAAZzel , PAR ERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME L i''t i a-4 A \) 6 0-e '� CE'M- CONTRACTOR'S REG. # Card MUST be presented CONTRACTOR'S ADDRESS Nos c-c, -It(' It PL 7 ' CITY 7c,t • l i-A{i PHONE Y 7`( r oo EXPIRATION DATE i" It.' -i.3 S, -47 (7,-,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 �t<C$A. \A (C')--ti/e1 `( .1 ' PHONE 0 7 ' 3 ' t2 ' BOX 4 SEWER DISTRICT etc A ' CJAti - WATER DISTRICT -:� ( ti BOX 5 ESTIMATED PROJECT COST Svc .— EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER i L-04 - (7 0 0 5�2-O 0 I ' LEGAL DESCRIPTION (A-AAA- OS 2- Cr_V)P12_ C_ILCe 1. (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR / 3RD FLOOR BASEMENT / DECK / __ GARAGE / BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION ( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ 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: fi I'1 �-Sa.`k DATE: 1 7- ANP-008 3/90 • 11011 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW TT LINE) ZONEK7 •Z SETBACKS: FRONT 2 2 i SIDE /Oki S( REAR 5 1 HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL � z- REMARKS:1Wo but!'ing shall encroach onto a y building setback line or easement,shown or not shown." SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE_ REMARKS: ,, J PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: /117/ 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 TYPE OF CONSTRUCTION STORES BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION BUILDING DEPARTMENT REMARKS: PERMIT FEE pF rtu( S(o /,‘ PLAN CHECK FEE 3o �G PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: SC-- C x(S l PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# —_ BUILDING DEPARTMENT APPROVAL RECEIVED BY DATE S _C( Z.. ACCEPTED FOR FILING i- Jaw ' )(2e-\) ( c e __, ( / ( v v\ 4 75' r ►` J I ...• 1 0'—N. 1.45...). 111.1 1 11 i, T T T T T T T T T .may 3.5' X 19' Conc. Av } U) CO ~ r'g 0_ Z O ui a. URN � ow HA 11.11 Ln or., .x _.„..., .z. 1- 1- Ne- iso mai . • �, GLEN R IVER_ 4 a -- m U a < __ o = Levi u,LL N w CE t=- w W Z 0 c 27' X 60 ' 30. tw ci� a ¢ o Li, M 11 C ww55a§ wwccnnw ye OJp F—U u..,or, cc m w u- az oic, = oZ = 52.500' i 4 . Z.--.4 . CV /"— - �4 b4- wood vegetaoles Covered Deck �� A v�' 3. 5' x 17 ' Conc. 2 Carport d' 9' X 20' 1. m.®. .< i' Truss t — r ( 17 ' X 27' T T T • z REVISION (° r � tl �,, f. - - ham-- -- - -- IVED T 411110 T T 0 T MAY 2 8 1992 c ;tea; ■k. - / © 5. MP MP MP MPS Y mac` 30 . ' lc-- Home for Mr. & Mrs. Bill Quillin Landscape oriental style with LOT # 52 • • lava rock all around 32820 20th Ave So. *52 SITE PLAN Cedar Creek Mobile Home Park Y May 1992 scale 1 " = 10' - 0" 5/20/ 1992 - 2'74 - 0369 RECEIVED ^ DEC 2 0 1991 Per. # I � cm of- FEDERAL WAY CITY OF FEDERAL WAY M\ BUILDING DEPT. BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER M;z Mrs Qin L ©vi\ler. SITE LOCATION 3, `6?-0 :,)-f,T{` Ave5-A OWNER'S ADDRESS 31 3.7 10 1.) t 4v e. _ 5 4.: CITY f L PHONE - 145 DESCRIBE JOB itikcA,;1 e-c-LL p IfinprOIC aNe,v( (ce.cpc r t� THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME Ov-eCSC A LC.ns-i �c1:,c . Cc CONTRACTOR'S REG. #C3V'C� - Card MUST be presented CONTRACTOR'S ADDRESS 19 C)% 5 `J- 1 i 7 CITY Fede re:_I (,Jev) PHONE '14-3yc C' EXPIRATION DATE 3Iio pi — OR — I HAVE READ CHAPTER 18.27.010 REL G 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 K:e n,,. (J��r ! PHONE V, 9-340-C of BOX 4 SEWER DISTRICT ( WATER DISTRICT rte- BOX 5 ESTIMATED PROJECT COST /„V.-)-yl EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER `7c;i`61ct-uSoo --ut Ids ) 6;- t - c ' LEGAL DESCRIPTION See tto,chec► (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording # BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR — / /t-) C 2ND FLOOR / 3RD FLOOR / B EMFEN-T / I (ec DECK / GARAGE / 11C 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 $ 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 )?lE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT:.. f-1L DATE: /01//119 ANP-008 3/90 • • 4 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE l'S7 2-- SETBACKS: FRONT SIDE 51/°' REAR 'l' HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL l/ /f �� REMARKS: /( SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL rrkk :•. 4Y\MA.%, DATE Li ` REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL 4//4 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 Q3/in/ TYPE OF CONSTRUCTION 1/i1/ STORES Gml P couv ,,t-ki ,\ BUILDING SQ. FT. l(02O @ r.O•f = $/00.00 6Af 1t- BUILDING SQ. FT. 34/0 @ 19. g 6 = (®222 .00 Awtti9 BUILDING SQ. FT. X60 @ 13. 10 = 2.0q4 • JO 0V' BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = I VI 16.00 BUILDING SQ. FT. @ /Ytarirht/ x• 25'`& = TOTAL SQ. FT. 21 / 20 TOTAL VALUATION I y( qq7. 'q BUILDING DEPARTMENT REMARKS: PERMIT FEE I Cs2.b0 pQc.ks OVe f 30" G,6o‘04.. i 4.. 2 PLAN CHECK FEE /O S %00 (/ PLUMBING FEE 224v.✓e_ A. cPw.. . MECHANICAL FEE Av TOTAL BLDG. FEES 2 L 7.00 PART P/C FEE SEPA REVIEW S.B.C.C. FEE y 30 OTHER FEES ' AMOUNT DUE 1 t• J C ASSIGNED ADDRESS: SQ-e- - X (S /( 1-vy PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt# BUILDING DEPARTMENT APPROVAL RECEIVED BY Iffy 0 ../„.., /1 L. DATE /A/74Z ACCEPTED FOR FILING