91-100623 ) dooloa3
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-592 MH OWNER'S NAME DELORES WILCOX JOB ADDRESS 32820 20TH AVE S LOT 61
CONTRACTOR HORIZON CONSTRUCTION INJDRESS 1940 ELM STREET SE AUBURN CONT. PHONE 939-1342
CONT. REG. NO. HORIZCS132LA OWNER'S PHONE 228-5270 OWNER'S ADDRESS 32820 20TH AVE S LOT 61 FEDERAL, W.
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. 900502-0165 LEGAL DESCRIPTION '
W/407
ISSUED BY JOANNE JOHNSON DATE OF ISSUE -i DATE OF APPLICATION 5-7-91
BUILDING IN ORMATION
E RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1484
SET BACKS: FRONT 10' SIDE 9' REAR 5' 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 8,411. 39 PLANNING DEPT APPROVAL: DB 5-15-91
PERMIT FEE 108.00
PLAN CHECK FEE 70_00 BUILDING/FIRE DEPT APPROVAL: KC 5-22-91
PLUMBING FEE � '
HANICAL FEE
IAL BLDG. FEES 1/J I
PART P/C FEE DATE:
�/ 1
SEPA REVIEW
WATER SERVICE AMOUNT: $182.50
WATER MAIN CHG. 33.67
S.B.C.C. FEE 4.50 RECEIPT:
OTHER FEES
AMOUNT DUE 1R2-50
ALL PERMITS EXPIRE 180 DAYS A R ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR -TIO RNISHED BY , IS U. AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M- : / r','
OWNER OR AGENT A :/ J ‘."--_` , DATE bf/
CITY OF BUILDING INSPECTION
FEDERAL WAY Br..
DING 941-1555° ,
PERMIT
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADL;,. 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 OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT _ SIDE REAR _ Si)RIES HEIGHT LIMIT _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. _ BJ LER
RECEIVED
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS URINALS FORCED AIR FURNACE AIP HANDLING UNIT NUMBER _
LAVATORIES DRINKING FOUNTAINS GAS HOT WATER HTR. MI`,C
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION .1_ c_- :+.. ._-.-- a r_ . —,—.:—/2‘1,:. 1)1. j1 -i..,)--
PERMIT FEE "Trsf.CNG/Fwpr' ' EPT APT_I,P0Ala'
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE . S /
TOTAL BLDG. FEES /ii I
PART P/C FEE `a
I t
SEPA REVIEW '7� "x a $182.50
WATER SERVICE
WATER MAIN CHG. JI
S.B.C.C. FEE i: `T �� �, .3,4 ,m
OTHER FEES
AMOUNT DUE ______—]
ALL PERMITS EXPIRE 180 DAYS Ar'. :+:'-. ANCE " 'ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION F,i. NC:il 1UE AND CORRECT TO THE BES- V MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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MI Q % SO CITY OF FEDERAL WAY
GnOF �R�WA BUILDING PERMIT APPLICATION
pomite -Please Print—
BOX 1 TENANT NAME:
OWNER !»'FRES (4.,,zeoX SITE LOCATION _3zgZo -z. g'-Aue-, S cc-�Tlo/ (cepAQc ccg)
OWNER'S ADDRESS 31-$20 2.611-Rvl5. Lel- l CITY Fe TkA/ 0.-A1 PHONE LZZ'-5:270
DESCRIBE JOB MC&Le -form E SET
THE PROPERTY IS OWNED BY: SciNdnitaltalErr ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME CAthrtI c2 NST&t(CT/eNI .IJV L CONTRACTOR'S REG. # /-/v ri z c s/T 2-
Card
Card MUST be presente
CONTRACTOR'S ADDRESS /`7 410 F-L-/YI 5 r ,-5.T- . CITY ,7oACi,e 1 PHONE 9'r -/34.
EXPIRATION DATE /6-// -q,
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECT' T ,C►,' RACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. -U- ---
BOX 3 CONTACT PERSON /6c'1 -ga -Ws.°g 'HONE Y74-7Y 42-
BOX
2BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST ,-../0,00OtlKA' EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /44 1'70 - C(a,jO
LEGAL DESCRIPTION LOT NOni& k K/ PAT' CCLLRR ekeek CEDAR (72E5Z 6,IA^i trils,ry)
P�kc ./vr7 er VALE 1. '31
(If necessary, please subjQit a separate page with the legal description.)
K.C. Plat Recording # `t C 5 U ZCt `s
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY / 7C SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
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 FOUNTAI COMMERCIAL HOOD $
SUMPS, SPRIIKER VACUUM BREAKERS OTHER $
DRAINS - $
7OTHER $
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 C TY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEE., UPON THE ACCUR, OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: .�!Cj4-- DATE: ;'i--- .../~ 7 /
ANP-008 3/90
410 • 1 ;ticr.*'...7, ').3?.,
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE Tit SETBACKS: FRONT /01 SIDE GI' REAR 5 HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL 51/94/ 4.x to
REMARKS:
SEPA: EXEMPT L NOT EXEMPT _
FIRE DEPARTMENT APPROVAL (_ DATE 5- 2 -cf i
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
/j/:
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 1!N STORES
vuA (U1A BUILDING SQ. FT. f-2-7C) @ 7( 00 _ (D(D 0
Civ b V' BUILDING SQ. FT. 26 I @ (3 ( (0 = 3C(53.zio
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ A� �, _
BUILDING SQ. FT. @ /v`Od l e r = 0' p
TOTAL SQ. FT. TOTAL VALUATION SLI (( ` 3 1
BUILDING DEPARTMENT REMARKS: PERMIT FEE (fit
PLAN CHECK FEE 70
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES I ? g
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE Y(C-°
OTHER FEES
AMOUNT DUE
c slZ ,Yz)
ASSIGNED ADDRESS: - C',( l S`( (A-j
PARTIAL PLAN CHECK FEE RECEIVED `
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL G�
RECEIVED BY DATE '7---42,--- l( ACCEPTED FOR FILING
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L___1. RECEIV D
MAY 0 8 1991
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UILFEDERAL AY
DING DEPT.
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