91-100243CITY OF
FEDERAL WAY
ioi
BUILDING PERMIT
91./a as V3
BUILDING INSPECTION
941-1555
PERMIT NO. 91-199 NR
OWNER'S NAME CASTLEWOOD HOMES JOB ADDRESS 36018 20 AVE SW
CONTRACTOR CASTLEWOOD HOMES—OWNER ADDRESS 14040 NE 181 ST WOODINVILLE CONT. PHONE 486-1700
CONT. REG. NO. CMTLH2O10OZ 9/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX
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. 306560-0480 LEGAL DESCRIPTION LOT 48 HAMPSTEAD GREENS I
ISSUED BY ELIZABETH
SMMER DATE OF ISSUE — DATE OF APPLICATION 2/22/91
BUILDING INFORMATION
NE RS 9.6
OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. 1898
rzsp(,,LT BACKS: FRONT 20'
SIDE 5' EACH REAR 5 STORIES 2 HEIGHT LIMIT 30' MAX
UMBING NO.
NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3
ELEC. HOT WATER HEATER
GAS PIPING FT. 3.50 BOILER
RECEIVED
BATHTUBS 1
LAUNDRY DRAINS
COMPRESSOR TANK(S)
,#HOWERS 1
URINALS
FORCED AIR FURNACE 10.00 AIR HANDLING UNIT
NUMBER
LAVATORIES 3
DRINKING FOUNTAINS
GAS HOT WATER HTR. COVE_. D MISC
RETURNED
SILKS 1
MISC.
CONVERSION BURNER BASIC FEE
DILOHWASHERS 1
TOTAL FIXTURES 12 X $5.0O
UNIT HEATER TOTAL MECHANICAL 13 _ 50
AMOUNT NONE.
VALUATION 95,683.00
PLANNING DEPT APPROVAL = DEB BARKER ON 3/22/91
"NO ENCROACMENT ON SETBACKS PERMITTED.
PERMIT FEE $622.00
PLAN CHECK FEE 404_00
-------106.50
DUE PUBLIC WORKS APPROVAL = TOM COLLINS ON 5/13/91
LUMBING FEE
60-00
BLDG/FIRE DEPT APPROVAL = KEVIN ELLIS ON 4/3/91
CHANICAL FEE
13 _ 50
TOTAL BLDG. FEES ---$Iftgc
PART PIC FEE
(297,50)—-
---PAID ON 3/12/91 REC'T #1983
-g(-Rp,7Iw P. WORKS
35.00
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
4.50
DATE PDG f AMT $841.50 AEC' T 3 3 e
OTHER FEES
_L—,-
AMOUNT DUE $841.50
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:
r
OWNER OR AGENT ,
DATE
0
v&m,t # q ( - � � q
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME: �f�rf7���� /�'1�� . 1Ml1 G
OWNERSITE LOCATION
OWNER'S ADDRESS 141 a y O IV -C- / $1— Sk, CITY W PHONE S12062
DESCRIBE JOB s
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION A--"-
BOX 2 CONTRACTOR'S NAME M� - CONTRACTOR'S REG. #6i4VT_Lf D/B
Card MUST be presented
CONTRACTOR'S ADDRESS !t%D S/7S 6(F— IS/ CITY � J 0 PHONE 70�
EXPIRATION DATE -//91
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS
BOX 3 CONTACT PERSON
BOX 4 SEWER DISTRICT
BOX 5 ESTIMATED PROJECT COST
OX 6 PROPERTY TAX ACCOUNT N
LEGAL DESCRIPTION
NG PERMITS WITHOUT PROOF OF REGISTRATION.
WATER DISTRICT
EXISTING BUILDING VALUATION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
IST FLOOR 2YR / 2ND
FLOOR as /
3RD FLOOR / BASEMENT / DECK /
GARAGE yy6J
BOX 8 ( SINGLE FAMILY
(v-I'NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL
TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES — BASIC FEE $
NO.___!__WATERCLOSETS
GAS PIPING, FEET
$ rc)
I BATHTUBS
N0. FURNACE, ELEC.
GAS $/0-00
_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
$
FIXTURES
$
__%2__TOTAL
X S ` 60
TOTAL MECHANICAL FEE
$ v
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 ACC CY OF THE INFORMATION
SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
c
OWNER/AG
DATE:o g2 /q I
ANP4= 3/80
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SO4 SETBACKS: FRONT SIDE REAR HEIGHT LIMIT 3�
PLANNING DEPARTMENT APPROVAL Wz_gq_/
REMARKS: A)Q gym.
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 3 `(f ' L
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE 3 - (o - I
REMARKS: 7-L 0006wa4;" E-/3-9/
F JOB: NEW RESIDENCE_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
MMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
AM ILY ADD/ALT TENANT IMP. OTHER
i I `FANCY S� TYPE OF CON STRUCTION STORES
BUILDING SQ. FT. 7 Y % @ f 1
"- BUILDING SQ. FT. -7-2,0 @
BUILDING SQ. FT. `'f 0 @ )7-30 _ N 3 q
BUILDING SQ. FT. @ _
BUILDING SO. FT. @ _
BUILDING SQ. FT. @ ® -
TOTAL SQ. FT.NY TOTAL VALUATION 'A 3
BUILDING DEPARTMENT REMARKS:
RECEIVED
FEB 2 2 1991
CITY OF FEDERAL
BUILDING DEPT.
RECEIVED
PERMIT FEE
6 iZ
PLAN CHECK FEE
PLUMBING FEE
D oo
MECHANICAL FEE
13-3-0
TOTAL BLDG. FEES
PART P/C FEE
a
SEPA REVIEW
P w
` Sd
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
• �d
ASSIGNED ADDRESS: 1606 1 gio Aver 3 0,
-
PARTIAL PLAN CHECK FEE RECEIVED
Amoun Datej7_ Receipt #
BUILDING DEPARTMENT APPROVAL /
BY DATE
ACCEPTED FOR FILING
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
941!N 55ECTION
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
PLAWIING DEPT APPREYYAL = DEB . CYN
VALUATION
�3g7/4-92/911
Yy��RKERy
� T
PERMIT FEE
106.50 � U PUBLIC � �A A PROVA - �`t COLLINSWl 5/13/91
PLAN CHECK FEE
r s
LUMBING FEE
BZ �''I DE �.PPR(.� AL � SIN FEUD ON 4/3/91
!
, ECHANICAL FEE
TOTAL BLDG. FEES
""PAI',) ON RFC' T #1983
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
DATE PT) 74A %° !�9411 _90 REG"
OTHER FEES
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
DATE
SET BACKS NNjD F OTINGS
DATE /� BY
OX TO POUR FOUNDATION WALLS
DATE BY
PLUMBING GROUNDWORK
DATE -- BY
PLUMBING ROUGH IN
DATE 7 3`W -BY
WATER LINE O.K. —�r
GAS PIPING O.K. /— 9� /73
MECHANICAL INSPECTION
DATE i - BY
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DATE ��TT BY _
INSULATION
DATE BY
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WALL BOARD AND RE WALL
DATE 7119 BY �- -
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