92-100731 9a4ab731
CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 92-756 MH OWNER'S NAME MR/MRS_ ERNEST LASSESONSITE ADDRESS 32820 20 AVE S #74
CONTRACTOR OVERSON CONST ADDRESS 1908 S 341 PL #7 FED WAY CONT.PHONE 874-3400
CONT.REG.NO. OVERSCC141DU EXP. 3/93 OWNER'S PHONE 838-0194 OWNER'S ADDRESS 2139 S 341 ST FED 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 & GARAGE
TAX ACCOUNT NO. 797880-0500 LEGAL DESCRIPTION LOT 74 CEDAR CREEK MOBILE HOME PARK
ISSUED BY E SNYDER DATE OF ISSUE 5
-
DATE OF APPLICATION 5/15/92
BUILDING INFORMATION
ONE RS 7.2 _SET BACKS:FRONT 10' SIDE 20' /35' _REAR 4' /11' HEIGHT LIMIT NA
OCCUPANCY R3/M1 _TYPE OF CONSTRUCTION 5-N CENSUS NO. NA _ _TYPE OF HEAT NA BLDG.SQ.FT. 2104 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 _ DRYER - TOTAL MECHANICAL AMOUNT
VALUATION $14,523
PLANNING APPROVAL = DEB BARKER
PERMIT FEE $324.00
PLAN CHECK FEE 105.00 "NO STRUCTURE OR INTRUSION INTO 20' SETBACK PER KCC 21:09"
PLUMBING FEE BLDG APPROVAL = KEVIN ELLIS
ECHANICAL FEE
ART P/C FEE --
SEPA REVIEW
PUBLIC WORKS -
S.B.C.C.FEE 4.50 -
FIRE FEE - DATE:
'��
OTHER FEES AMOUNT: $433.50
AMOUNT DUE $4-33' 50- RECEIPT: i 9 1 I '.----
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.
A/ PLe
OWNER OR AGENT ' 1. /l/4 4:,�( _ -- DATE .-91g— ///
' CITY OF FEDERAL WAY
ECTION
,33530Federal WayFIWay, WA 98003 BUILDING PERMIT rst BUILDING INS 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 -
!1 4 C.,
VALUATION PLANNLivi, ra44...h.uV.AL = DSR BARKER yy�
Illiii
IC9 (
PERMIT FEE ANO STRUCTURE OR INTRUSION INTO 2c '�FTPA► 'K �.,
PLAN CHECK FEE +�! I{ ',-.7;
PLUMBING FEE BLDG APPROVA� = KEVIN ELLIS ,:a •,Vi �' 1 w..
11. fidi
LECHANICAL FEEfilI. rill
ART P/C FEE —
e:'
SEPA REVIEW 4
PUBLIC WORKS - i' '
S.B.C.C.FEE 0 e. -
FIRE FEE DATE: te DFCC
OTHER FEES AMOUNT:
AMOUNT DUE - _ RECEIPT: Q�
''''
V
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 -
c
SET BACKS ND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
rade-
DAT _ BY BY DATE BY. _ DATE ......- ----
PLUMBING ROUGH IN WATER LINE O.K. ....... — MECHANICAL INSPECTION
DATE .. _BY .. GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE .. BY _ DATE BY ..— _ ._—__ DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
Q2 ) G4-/2/9-ciz j 2' "'lit. G- is rL/C
2 _5 z C/9/1_4G-/-" eti,e-z-G 4 _ /Tiz s7c1/ a,/4
•
.., •-
NOIR # � L
Mp/ i 5 1992 CITY OF FEDERAL WAY Y\NO
turd op, � r +AY BUILDING PERMIT APPLICATION
- Please Print—
BOX 1 TENANT NAME:
OWNER M .M R. I Yhrs. £rvtcs•E 6o__55e.5ori SITE LOCATION 3:2Ya-o and ffvc. Se.#71f
OWNER'S ADDRESS 139 S O. 3419* CITY Fc • Way PHONE 135-019 Lt
DESCRIBE JOB Mobil florAt Sef-u-p $ Garo.5e
THE PROPERTY IS OWNED BY: SINGLE/MARRIED X PARTNERSHIP_ CORPORATION
BOX 2 CONTRACTOR'S NAME ewe rs o n CO A'S'-• Co. CONTRACTOR'S REG. # Ou&IZScc1 4 I O Lt
Card MUST be presented
CONTRACTOR'S ADDRESS I q 0�( S o 3(f I �'�I''�. -4-. CITY Fe d. (-4-)a y PHONE g7 t/"3'400
EXPIRATION DATE 3/gym/h1 �- J
,i — 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 Ke v,mi C-�(ccd PHONE 579-3460
BOX 4 SEWER DISTRICT reaerod (•)0.y WATER DISTRICT G' dcea1 (Alki
BOX 5 ESTIMATED PROJECT COST I 51 O00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 197 I'l0 / 0S-6o -01 / o‹z.r-0a, i 6 5—TO —0
LEGAL DESCRIPTION Se Af,-Cc.ched
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR — / I 6614 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE — / `f 'c
BOX 8 (x) 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 UND 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 AC U ACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: Of DATE: 51/ /40-
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZON 1-2- SETBACKS: FRONT /D SIDE fit( 3 REAR 4/i�� HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL -.26 ii-
REMARKS: o build ng shall encroach(ont any buildings ack line or easement,shown or not shown:
NO 4 U(Jr)re_ 6r infrosib‘'i ?Ho 20 Se act lae.v kCC e2/-O.1.
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /V,� ) j� DATE
REMARKS: I
PUBLIC WORKS DEPARTMENT APPROVAL/ / // DATE
REMARKS: l//
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
.CCUPAN Y l -5 TYPE OF CONSTRUCTION VCU STORES
I"` kAGt. C a BUILDING SQ. FT. (6 6 y @ S( c)c = Ia3 Z_O
(,c(VC(-q Q-- BUILDING SQ. FT. L1Ko @ «- co B ( 2i `4
J BUILDING SQ. FT. @
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ r�- =
BUILDING SQ. FT. 4104--
(@ /V�c74 rter so
QTOTALS . FT. TOTAL VALUATION `f5-Z-3 S` Z
BUILDING DEPARTMENT REMARKS: PERMIT FEE 3 2- /
1)C,kbI - L aSSe-SS Qd X,S LJUr k ,L PLAN CHECK FEE /6 S`
PLUMBING FEE
0. S S f lar f
frcd I/` ]-d e--k ( l M CHANICAL FEE
(6 ZN Z _ 3 zt f TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE "( ` CO
OTHER FEES
AMOUNT DUE 4 i3.
ASSIGNED ADDRESS: S e-e- t' (S 1� G`-Cj
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVALp
RECEIVED
BY DATE _ -•"16--- ` 2- ACCEPTED FOR FILING
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SITE PLAN APPROVAI.y JJOI271.µ }
Permit Number: 0
Approved By: /
Date: l4L-' A Oto /'
Comments: Nv 5 cfvr-e O v
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OF pr. 992