90-101201 9t- lel aD/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-1407 MH OWNER'S NAME WAYNE & BETTY CLIFFORD JOB ADDRESS 32820 20TH AVE S #65
CONTRACTOR LANCOR DEV INC _ ADDRESS 24 FIRST ST SE AUBURN CONT. PHONE 833-7878
CONT. REG. NO. LANCODI144B7 OWNER'S PHONE 833-8650 OWNER'S ADDRESS 24 FIRST ST SE AUBURN
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 MOBILE HOME
TAX ACCOUNT NO. 144170-0650-03 LEGAL DESCRIPTION
SUED BY JOANNE JOHNSON DATE OF ISSUE ' /D -_7l DATE OF APPLICATION 8-724-90
BUILDING INFORMATION
ZONE OCCUPANCY_._._ R3TYPE OF CONSTRUCTION _ VN BLDG. SQ. FT 2344
SET BACKS: FRONT SIDE REARSTORIES 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 9,229.44
PERMIT FEE 117.00
PLAN CHECK FEE 76.00 CEDAR CREEK
UMBING FEE DeScpiyt ivn_of Land
ECHANICAL FEE
TOTAL BLDG. FEESADDRESS: 32820 20TH AVENUE S.
PART P/C FEE D (QQ` (0 - 'o LEGAL DESCRIFTIUN
SEPA REVIEW
WATER SERVICE 7
Lots 86, 89 & 90 of Supplemental State Plat as recorded in
/ S 0 Volume 42 of plats, pages 23 & 24 & recorded under Auditor
WATER MAIN CHG. _ File No. 797880; except the east 1/2 of the south 316
S.B.C.0 FEE l 7 /C51
4.50 / 7� (7 feet; except the south 120 feet of Lot 90; together with
the northerly 86.214 feet as measured along the east line
OTHER FEES /q of Lot 87 of the above cited Supplemental State Plat.
AMOUNT DUE 197.50
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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: ,
IOWNER O AGENT c -- DATE L I o '" 6
I
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 _- OCCUPANCY TYPE OF CONSTRUCTION __. _ BLDG. SQ. 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 c�, -°? .4 4
PERMIT FEE ';
PLAN CHECK FEE CEDAR CREEK
PLUMBING FEE
Descr.iptiOn_Qf Dsi
MECHANICAL FEE
TOTAL BLDG. FEES ADDRESS: 32820 20TH AVENUE S.
PART P/C FEE
LEGAL DESCRIPTION
FEPA REVIEW
WATER SERVICE Lots 86, 89 & 90 of Supplemental State Flat as recorded in
Volume 92 of plats, pages 23 & 29 & recorded under Auditor
WATER MAIN CHG. File No. 797880; except the east 1/2 of the south 316
S.B.C.C. FEE feet; except the south 120 feet of Lot 90; together with
the northerly 86.214 feet as measured along the east line
OTHER FEES of Lot 87 of the above cited Supplemental State Plat.
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S 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 CITY OF FEDERAL WAY •
AUG 2 4 1990 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print— �, �i/�Sa, 6
BUILDING DEPT32.E Z c� 20
BOX 1 TENANT NAME: ^ _ CC��
SITE LOCATIONL
OWNER Wayne? Betty Clifford 3ot�#�65, Cedar Creek
OWNER'S ADDRESS C/O 24 First St. SE CITYAuburn PHONE833-8650
DESCRIBE JOB Place Manufactured Home on lot 65
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME `LANCOR DF.v. Inc. CONTRACTOR'S REG. # LA''CfDI144B7 5c„.e
Card MUST be presen
CONTRACTOR'S ADDRESS 24 First St. S.E. CITY Auburn PHONE8337878
EXPIRATION DATE Dec. 31, 1990
— 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 Larry Leach _ PHONE 833-7878
BOX 4 SEWER DISTRICT Fed. Way WATER DISTRICT Fed. Way
BOX 5 ESTIMATED PROJECT COST $75,000 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION Lot 65, Cedar Creek
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1728 / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (X ) SINGLE FAMILY ( X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 5,000 0 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
______\„\ls3ATHTUBS NO. F RNACE, ELEC. GAS $
ROWERS GAS HOT WATER • ATER $
LAVATORIES CONVERSION :+'NER $
SINKS BOILER, SIZE BTU $
DISH AS RS AIR HAND NG UNITS $
ELECT' ' HOT WATER HEATER HEAT • PS, SIZE $
LAUND'\ WASHER OUTLET UNIT ATERS $
URINE'LS\ AIR '0011(\,1G UNITS, SIZE $
DRIh,KING Fl NTAINS Co MERCI L HOOD $
SU PS, SPRI LER VACUUM BREAKERS I HER $
I•AI NS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL F $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORR CT TO THE BEST OF MY KNOWLEDGE
AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK POR 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 EMPLIYE1, UPON THE ACCUR,, Y OF TH/INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNE /AGENT. \\ �1' ' DATE: U ")---1 -ft-.)
ANP0083/90
• i
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: N41-
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /07A DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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 L�2� STORES
OCCUPANCY r TYPE OF CONSTRUCTION
.—� r.0. (v BUILDING SQ. FT. @ S< GO _
0 . BUILDING SQ. FT. @ =
./_O- Q D BUILDING SQ. FT. _ @ 5,10 ) = ( a Y t,
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ fr(Cd(F{e G = G
BUILDING SQ. FT. @ =
TOTAL SQ. FT. TOTAL VALUATION
rZ 2.-cciy
BUILDING DEPARTMENT REMARKS: PERMIT FEE 117' Ue'
PLAN CHECK FEE 76 '6 o
PLUMBING FEE C
MECHANICAL FEE 0
TOTAL BLDG. FEES /q3.- Co
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE Y" C;
OTHER FEES �
AMOUNT DUE I Y 7• S__c.
ASSIGNED ADDRESS: z-132-O w 4-1'1 40Q- 3°'
--1:26S---
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
AUG 2 41990 Amount Date Receipt#
CITY
I BUAY
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL`
RECEIVED BYE DATE 7 C(.0 ACCEPTED FOR FILING
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