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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: OWNER OP AEEr 7 __-__ DATE —._-. 1 \ 4 O T O O o v o Cl) m D m _, m E mm1 \ Z n J I Z O Ufi r D O O ZO' { '` O m Om N n m 0 ` C IW r , { W > Z co O `\ E- 1 z I O o 01 v J 1v � 0 0 Z 0 * O O G n D cn D D Dx SZ r o 4 I \ O Om FW -< 5 1 _< O Z 0 N. cn t\ , i , o g o K o -13 m r- m =m K p z 1 z �1 D n 1 o 7o D i O 1 O r Z ! o zD C O 71 I Z �� Om 1 O I 33 1� CO D Z r i 1 1 1 l Argon) 0 •rmit #____9 I - 5.-f 2 Zat 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 •6US7v/)'1L-k.' Qcz.0 oLCCX • '/-�Q b,e --s s : 3z z o zoo-/a ve-s Ler G l (cE 6,9,e c e k) F-��E2R41J y, eAM . 9sao3 Q GER : 44 ,6 -/f?c Horner 2--r!C. 14 OPE r1 P.EH CITY Cr "IRV D 'T. OF COMrteY DEVELT • NUMBER f(- Sri 2 / i./- • . • -i ss ,t• . , -iSS 3 --2t70 a,0 v.4 ADS. (- ' ( J im PLANS FOR Th v' kid s.A S-at G , OWNER b.)(-0--e. - - • DATE SUBMITTED 5- k --q i DATE APPROVED5 ZZ-cr ,, f APPROVED _ 54 tk� +VA(Ter S&A(I (S c� �t U ___.. ct (K- go/ kift o , L z_ ; � e , t-fts_fes ( 4 �(`ok sq (( lo ..�re ' akFc-� v- Hca 4 ` , ST,:Sc- �( bcA. S 4 )r() v c`d co ,z oaz\-e__ u G( kt-, - _ (.(( a laoc) (dufr,r_ .5‘041e_ Rtwe 12'czt CPAR PODI. (woo► ) r i b • . • (.1 Z I iN // 1 U n 1 -7 of e,,s 5 Y"/.. 4 7a fip nee e % I H y aq eel C'e"MEA Afie ee6e . tri lorOJidC_- e CAe__-: C sf-ore<A.pQd t S 0(VA 41( c ori st Ye L___1. RECEIV D MAY 0 8 1991 _ CITY Y UILFEDERAL AY DING DEPT. .22.'4°11... S . / 4 ,