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91400s9/
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 91-866 NR OWNER'S NAME CHAFFEY CORPORATION JOB ADDRESS 34308 30TH AVE SW
CONTRACTOR CHAFFEY CORP ADDRESS P 0 BOX 560 KIRKLAND CONT PHONE 822-5981
CONT. REG. NO. CHAFFC15ONG OWNER'S PHONE 822-5981 OWNER'S ADDRESS P 0 BOX 560 KIRKLAND
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT No. 2y4450-0410 LEGAL DESCRIPTION LOT 41 PLAT OF GROUSEPOINTE
ISSUED BY JOANNE JOHNSON DATE OF ISSUE ' DATE OF APPLICATION 6-24-91
BUILDING INFOR ATION
NE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION _ VN BLDG. SQ. FT. 1989
SET BACKS: FRONT 20' SIDE 5' REAR 5' STORIES _ HEIGHT LIMIT 30' _
PLUMBING Na Na MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 2 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS" 1 LAUNDRY DRAINS 1 COMPRESSOR _ TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 2 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC
SINKS 1 MISC. _ CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES9XS— 45.00 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT
VALUATION 106,697.45 PLANNING DEPTIPPROVAL: LOT CORNER MARKS MUST BE AVAILABLE FOR BUILDING
INSHUTION TO CONFIRM SETBACKS. REQUIRED YARDS
PERMIT FEE 664_._00 MUST NOT BE ENCROACHED. DB 7-2-91
PLAN CHECK FEE 432.00
PLUMBING FEE 45-00 PUBLIC WORKS DEPT APPROVAL: TC 7-8-91
OCHANICAL FEE 20.00
TAL BLDG. FEES BUILDING DEPT APPROVAL: KC 7-10-91
PART P/C FEE DATE: l - — II
SEPA REVIEW
WATER SERVICE AMOUNT: 1,210.50
WATER MAIN CHG.
S.B.C.C. FEE 4.5 CEIPT: , 14-
OTHER FEES P WORKS 45.0
AMOUNT DUE 1,210.50
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 INFOR' I/�TION FURNISHF�BY ME/' - c4 & /
TRUE AND CORRECTTO THE BEST.,OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE Mt t\--
/ )
OWNER OR AGENT - DATE �~ �` /
CITY OF BUILDING INSPECTION
-FEDERAL WAY BUII_ DING PERMIT941-1555
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. SO. 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
r !u'r!I , DR' , RUVAL: 7,0T CORNER BARKS MUST BE ANiAT Y,A-P
1 �+ Y/� TO �s,*� �gy7���g p�yi�
1 i♦7t7b•7,1VW Tib C>.�ti7CIRC". SP7 1.
PERMIT FEE - - __ MUST NOT BE UNCROACHEP.
PLAN CHECK FEE
•PLUMBING FEE LICA X)P..Kfl nEPT L1 IvilOV.''s T is
MECHANICAL FEE
TOTAL BLDG. FEES __ —LTUNC '1).T .ti.$-PROV' "
PART P/C FEE ri
SEPA REVIEW _- i
WATER SERVICE , %'10.50
•
WATER MAIN CHG.
S.B.C.C. FEE i -"
OTHER FEES el --- --.
AMOUNT DUE
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 DATE14...„\i }
•
CITY OF BUILDING INSPECTION
-FEDERAL WAY B I L D I N G 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
411 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
PERMIT FEE
2-HR PLAN REVIEW W PEE @ $30.00 PR Hit = (-,
PLAN CHECK FEE
•PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW ._ - _ --
WATER SERVICE _ _•:0t111. $60.00
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
- AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
r
11110 REC8,fveD 6 limit # 7 l - � k- � /L i�,
JUN 2 71991 CITY OF FEDERAL WAY
CrrY
BUILDING PERMIT APPLICATION
ye 'NAY "���i��miT # ,�—sint
-- BOX 1 TENANT NAME:
OWNER �s "--9 '-_'/.1:A /LSITE LOCATION . •.!,# 4 E- 3,i
OWNER'S ADDRESS g_ G� 0 r CITY A 1...s.-:
/ ! ? "A. PHONE WPA i
DESCRIBE JOB i , Y� A - eii A —
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME Ci i E7R,420 TCONTRACTOR'S REG. #04741-Pic-� / Nw
Card MUST be presentee
CONTRACTOR'S ADDRESS moo, CITY gLIta3 PHONE I —1 i ,
EXPIRATION DATE 7/5"'%71
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON tve.c-��� � PHONE_61 _____
BOX 4 SEWER DISTRICTC!/19'Lf WATER DISTRICT � / O/7i
BOX 5 ESTIMATED PROJECT COST/t C9%62 vcE EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ��.q-i -i '` 04/0
LEGAL DESCRIPTION ' CA/ v — 01—_ 4°C7F
JVk>Yet; ,s.g_c_, ' 7 - Z/ /V/ ' " / R2,17,(If necessary, please submit a se arate �a a with the legal escrr'Ption.)
K.C. Plat Recording # i 1 L 1 11-* /7 S 7/ —7'3
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /_ -z---if-2ND FLOOR / —
3RD FLOOR / '' BASEMENT / _---, DECK / GARAGE / .4
BOX 8 K SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE r-
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 72/5 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $ 3-S�'
BATHTUBS NO. _FURNACE, ELEC. GAS $ (Q ,�6
SHOWERS / GAS HOT WATER HEATER $ (- - e
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 $
L(S_vo TOTAL MECHANICAL FEE $ -tea
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 SUC CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPL(7S, UPON iv URACY OF THE Foy,T II. SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ffr'NER/AGENT: /// I' . L/ Ato _ DTE:• 62 '24/1/
'' 1
ANP-008 3/90
v Imer
OFF•SE ONLY (PLEASE DO NOT WRITE BELOW TINE)
ZONE ?i Z- SETBACKS: FRONT zoo SIDE `� REAR `, HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: 1-Ot (ornev MetI-1(5 trust be ova;Ia.l,le r oui1diKy ,1;15p,
10 Gor rw �'e, �ri c ks. ytt,t1r) / -eco-ii rui- �tG
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL / DATE 7-1 O ''(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 7G DATE 7/0 I
REMARKS:
TYPE OF JOB: NEW RESIDENCE 'V- RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY P..5 TYPE OF CONSTRUCTION V STORES
L f u ( a- 57- BUILDING SQ. FT. ( S Y Y @ 7Z - Qo = ( ( 3zZ6 . 60_
OR e- BUILDING SQ. FT. (3 S @ (8.349 = 7g6o -SO
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ 4A-00(0C( .2._o^ o 66 $
TOTAL SQ. FT. TOTAL VALUATION l R 7,
BUILDING DEPARTMENT REMARKS: PERMIT FEE 66`f
PLAN CHECK FEE 113 ZPLUMBING FEE YS
MECHANICAL FEE 7�
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
law 45: as
S.B.C.C. FEE `� r 5o
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: '3'130'6 3DB Ove -5.. k
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
,SUN e. 7 1,:.0 Amount Date Receipt#
ary of FEN:*tA ..t
BUILDING DEPARTMENT APPROVAL Q
8U%Wt DEA'L �i DATE �� l
RECEIVED BY ACCEPTED FOR FILING
• 4111/
M _ 0 _ W .T3F3 3LI3D$ - Arc_ s w
Professsional Land Surveyor
1420 NW. Gilman Blvd. t? - 70-6 c(3
Suite ?_295
Issaquah, Washington 98027
Phone: (206) 392-6868
t
CLIENT: CHAFFEY CORPORATION DATE: 6/04/1991
205 Lake Street South JOB NO: 91022
Suite 101
Kirkland, WA 98033
Regarding : Lot 41 - GRODSEPOINTE
Gentlemen.
This memo will serve as certification that I have reviewed the
site and foundation plans provided by your office for the home
planned for the lot indicated above. The foundation for this
lot was staked on Tuesday, June 4 and conforms to the building
set backs as shown on the site plan provided and shown on the
reverse side of this certification.
Please contact my office should you require any further
assistance.
/
�G��, . ..... 44;�bk Michael S. Webb, PLS
�,'�t, w �_� Certificate No. 16230
/ rte ;
* i 8230 - *
9
�
8 ¢o •
(7�Fs%ftE6rSTEPEu•rP,�y I
s
Op• co- 'r
A( IANO
411
M. S. WEBB
May 31 . 1991
JOB NUMBER: 91022
CHAFFEY CORPORATION
Plat of GROUSEPOINTE
**** Lot 41 ****
SCALE: 1 INCH = 20 FEET
COORDINATE BOUNDARIES:
NORTHING = 600. 0000 TO 700. 0000
EASTING = 900. 0000 TO 1060. 0000
28 27
. - 5���~�'�
9 204 ^ 205—f99 ' 1�
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