92-101364 � 9a-�a �3 � y
CITY OF FEDERAL WAY B� � �.D� i� C� P E R M I T PERMIT NO.: BLD92—2 093
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 10/05/92
Federal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 32820 20TH AVE S Unit: �59
PARCEL NO.: 144170-0330
PROJECT DESCRIPTION: MOBILE HOME SET—UP AND CARPORZ°
OWNER COMTRACTOR LENDER
fRANCIS POE OVERSON CONSTRUCTION
32820 20TH AVE. S. #59 1908 S 341ST PL #7
FEDERAL NAY 41A 98003 FEDERAL 41AY NA 98003
���-5057 874-3400
OVERSCC141DU
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:8? FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 1144:sf STORIES........: 1 RE�UIRED PARKING..: 0 SPRINKLERS?......:N FINAL PLAN CHECK..e* S 58.50
CENSUS CATEGORY.....:112 2ND.: 0: O:sf HEIGHT.....: 0.00 fit HAZARD CLASS...:LIT BUILDING PERMIT....* $ 90.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- RE�UIRED SETBACXS------- FIRE FLOL1,...: 0 gpm SBCC SURCHARGE....,* S 4e50
:R3 :? :? :? . OTHR: 0: O:sf EXIST..S: 0 FRON''.e........ 10.00 ft
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 6333 S[DE..........: 10.00 ft WATER SERVICE..:FED
:5N :? :? :? : DECK: 0: O:sf REkR..........: 71.00:ft SEWER SERVICE..:fEO
OCCUPANT LOAD------------ GAR.: 0: 492:sf RECEIVED.:08/25/92
. 0: 0: 0: C: TOTL: 0: 1636:sf ;MPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRES502S WATER CLOSETS......� 0 URINALS........: 0 TOTAL FEES S 153.00
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 IiRTH TUB�..,.,.....: 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SNO!JERS.,...... ...: 0 SUMPS..........: 0
GAS NWT....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: U VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SIN!:5............... 0 DRAINS.......... 0
BB�......... 0 MISC........... 0 5+ HP........ 0 DISH �lASHERS........ 0 LANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------� ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
"' 'OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSU�4NCE IF NO WORK IS SYARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND COR TO TFiE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY Of FEDERAL WAY REQUIREMENTS WILL BE MET.
,� - a
OWNER OR AGENT �- DAl'E �� L� ��`
bld_prmt 07/31/92 Q�� r 1
�;,�� "
V�
�'(�cjlis�� � �/>=D<<,=�'�' �0-fr-s=a �h�,J
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
C/�A- 1°�2 !
DATE_.�6 �,/6_j1 BY_._�-___ DATE ..._—...____—.__BY —__._—....--- DATE _— _ BY _
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE__ ___.__BY . —_---..... GAS PIPING Q.K.--...,�-'Sf�`�'.�eCJ.___ DATE __ ____ ___BY ---
O.K. TO ENC�OSE FRAMING iNSULATION WALL BOARD AND FIRE WA�L
DATE _— --...._--. BY ___._.. DATE _ ___—......BY ---..- -- __ DATE __ ____ __ BY _ __
FINAI O.K. TO OCCUPY
DCD PSD FD
DATE ___ ___. ..__.-.BY _---_ __-
s��3 -9 2 � �:c�i ��,� �2 s rz l .vG s . �t
,L�-i�i 9 L �a�iti�� »��,-�s' �<<<. 3
�,
' Permit # ��� 1 Z- �13
.���1�"��
�UG 2 5 19��� CITY OF FEDERAL WAY
���,,,���,��,,�, w��B� BUILDING PERMIT APPLICATION
J� t z�y- —Please Print—
�i::� . .
BOX 1 TENANT NAME:
OWNER RAAC. 9 � SITE LOCATION u�- �
OWNER'S ADDRESS.�'�Ir� S� I37 — CITYs��c�-�1� � PHONE a24��ds'7
DESCRIBE JOB i'� �1 �-!e mE S�t-u � Cc.r�;,��-k
THE PROPERTY IS OWNED BY: SINGLE/MARRIED )C PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME v�t t'S �r� CE����-• �c; • CONTRACTOR'S REG. #1�1V��5 CG i`F 1 I�LI
Card MUST be presented
CONTRACTOR'S ADDRESS I�C� `� S� • �`�t�-} �I•�7 CITY ��de r0.I u,'c. PHONE�?4-�y� �,L
EXPIRATION DATE Q3..f�o(4 3
— 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 �e�n v�V G�t< �. PHONE Ci,��-3 y� D
BOX 4 SEWER DISTRICT F� U�.� WATER DISTRICT (-- l.� �
BOX 5 ESTIMATED PROJECT COST �JGGi% �— EXISTING BUILDING VALUATION �
BOX 6 PROPERTY TAX ACCOUNT NUMBER ��}4'� 7 t�i � � �G -d �
LEGAL DESCRIPTION L�• +=( . C�d�.� C r ec�'�(�p,� :,v�cic m ►►�u,-.,,�- �t�J�T7"w�, :ZI ". I�''t.�a� �l-
�,;t�i'V\ t E +"C� �1 � r � C�� �
(If necessary, please submit a separ e page with the legal escription.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR � /�� 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / P�rRftEiE — /��
BOX 8 (�SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. 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 $
TOTALFIXTURES $
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.
1 �
OWNER/AGENT:O � DATE: ��
ANP-008 3/90
� e,j
.
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL 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
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
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
�, ASSIGNED ADDRESS:
C ef�.��f�:.
� t; �,
�' ��e� PARTIAL PLAN CHECK FEE RECEIVED
.�� ,
�,� � '�� mount Date Receipt#
�� ,�`
�� `�6 BUILDING DEPARTMENT APPROVAL
RECEIV DATE ACCEPTED FOR FILING
�