91-101587r
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
9t-�a/ 587
BUILDING INSPECTION
661-4140
PERMIT NO. 91-1557 NR OWNER'S NAME CASTLEWOOD HOMES INC SITE ADDRESS 35810 20TH AVE SW
HOMES INC (35810 20TH AVE SW RES) 14040 NE 181ST ST V
gppXkWgLLE 486-1700
CONTRACTORCASTLEWOOD ADDRESS
CONT. REG. NO. CASTH2O1OZ Exp. 9/92 OWNER'S PHONE 486-1700 OWNER'S ADDRESS 14040 WE 181ST STREET WOODINVI
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. 306560-0100 LEGAL DESCRIPTION LOT 10 OF HAMSTEAD GREEN DIV I
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 11-04-91
BUILDING INFO MATION
RS 9.6 201 5 y 51301
ZONE SET BACKS: FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY R3 TYPE OF CONSTRUCTION VN CENSUS NO. 101 TYPE OF HEAT �'S BLDG. SQ. FT. 1902 STORIES
PLUMBING NO. NO.
MECHANICAL APPLIANCES AMT. AMT.
BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER
GAS PIPING -1 -0 -FT. 2.00 GAS LOGS
BATHTUBS 1LAUNDRY DRAINS �-
FORCED AIR FURNACE 10-06 DUCT WORK
RECEIVED
SHOWERS 1 URINALS
GAS HOT WATER HTR. 6"50 AIR HANDLING UNIT
NUMBER
LAVATORIES 3 DRINKING FOUNTAINS
CONVERSION BURNER MISC.
SINKS 1 MISC.
BBQ BASIC FEE 18 • 50
RETURNED
DISHWASHERS I TOTAL FIXTURESI IX5 55.00
DRYER TOTAL MECHANICAL
AMOUNT
VALUATION 101,836.94
PLANNING DEPT APPROVAL: SITE DISTANCE CRITERIA IS APPLICABLE WHEN SIDE
11-12-91 DB AND REAR YARDS ABUTTING 358TH CT SW ARE FENCED.
PERMIT FEE 647-0 n
PLANCHECKFEE 121.00 421-0n
PUBLIC WORKS APPROVAL: ALL BUILDING DOWNSPOUTS, FOOTING DRAINS AND DRAINS
PLUMBING FEE 55-00
FROM ALL IMPERVIOUS SURFACE AREAS SHALL BE CONNECT
MECHANICAL FEE 18-5
SAC 11-11-91 TO THE APPROVED PERMANENT STORM DRAIN OUTLET.
PART PIC FEE (300-0 n
SEPA REVIEW
FIRE/BUILDING DEPT APPROVAL: ICC 11-20-91
PUBLIC WORKS 45- - nn
S.B.C.C. FEE 4-50
FIRE FEE
DATE:
OTHER FEES
AMOUNT: $891.00
AMOUNT DUE 291-1110 nn
RECEIPT:
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.
1�VY1�`. C���
OWNER OR AGENT DATE d
IE
-3('10 f 11182 -
RECEIVED
,`NOV 6419M
4rOF FEDERAL
SUIU
BOX 1 TENANT NAME:
P,itx yl -ISSN
CITY OF FEDERAL WAY i—A6--
BUILDING PERMIT APPLICATION
— Please Print —
OWNER LF - HOMES SITE LOCATION .1581 O 4201" /+Ve 51A/
OWNER'S ADDRESS 1400 NE 18`1 s4 5+ CITYJVQ4RLL VI LLE PHONE 118'4L -1700
DESCRIBEJOB SINGLE. FAr►V L -V R>`610BNCE
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION ✓
BOX 2 CONTRACTOR'S NAME CASTL.@W60D J401VJ =s INC • CONTRACTOR'S REG. # 6A6TLH * mol O4-
Card MUST be presented
CONTRACTOR'S ADDRESS SAme CITY PHONE
EXPIRATION DATE 9 2
-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 XIM Cb I=5 ryvv64.: sAAG PHONE 48l0 - 1760
BOX 4 SEWER DISTRICT •FLxDF_QAL. WAV WATER DISTRICT FEDS11AI,. WAY
BOX 5 ESTIMATED PROJECT COST( L)I ( I A-) ) EXISTING BUILDING VALUATION
BOX PROPERTY TAX ACCOUNT NUMBER -2S-a)-03-05-.25-911-03-v4. og-.2-1-0 -yy: 425-.11-03-q1
LEGAL DESCRIPTION t -a' 10 Or HAMPSIACAD &A9C-N bly. X.
(If necessary, please submit a separate page with the legal description.)
lk K.C. Plat Recording # °)10321 D 8q7
X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR 6 1 /
3RD FLOOR I BASEMENT - / DECK --=--J— GARAGE Z0 /
BOX 8 (,9.,) SINGLE FAMILY ()0 NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 65-67 SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES - BASIC FEE $
NO.___;3WATERCLOSETS
GAS PIPING, FEET 430 $ Z' ��
1 BATHTUBS
N0. I FURNACE, ELEC. GAS_ C $ 10° 0®
___L__SHOWERS
-,s- v
__AGAS HOT WATER HEATER $ 6-,s-
3 LAVATORIES
CONVERSION BURNER $
___L_SINKS
^ BOILER, SIZE BTU $
I DISHWASHERS
AIR HANDLING UNITS $
e ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET
I_ UNIT HEATERS $
URINALS
AIR COOLING UNITS, SIZE $
'^ DRINKING FOUNTAINS
--= —COMMERCIAL HOOD $
`- SUMPS, SPRINKLER VACUUM BREAKERS
.- OTHER $
°-- DRAINS
$
'- OTHER
$
_TOTAL FIXTURES
$
K' = S -
TOTAL MECHANICAL FEE $
1 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
MDE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
S 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.
OWNER/AGENT: id i ��
DATE: 11-4)- 9I
ANP4009 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ' %,
14 SETBACKS: FRONT ZO' SIDE 5 REAR 6 HEIGHT LIMIT -3d'
PLANNING DEPARTMENT APPROVAL
af"&-A - � of ' sw a re -Fen
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCF�_ RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY i* � = TYPE OAF dONSTRUCTION
c v�V� BUILDING SQ. FT. ' 66 q ° ' @
BUILDING SQ. FT. @
- BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @
BUILDING SQ. FT. @
TOTAL SQ. FT.
BUILDING DEPARTMENT REMARKS:
RECEIVED
STORES
a _ x-® 51- 7-
5 aA40
TOTAL VALUATION
PERMIT FEE
(o
PLAN CHECK FEE
gzj
PLUMBING FEE
5-5'.00
MECHANICAL FEE
o
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
plvef Fee
�S�
S.B.C.C. FEE
_—
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3 010 ZO +-k A VE-- -C ° W,
O
MARTIAL PLAN CHECK FEE RECEIVED I
Amount Date Receipt # 44
BUILDING DEPARTMENT APPROVAL
BY DATE
ACCEPTED FOR FILING
.01tY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS
CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL 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.
'CRIES
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
ART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C. FEE
FIRE FEE
DATE:
OTHER FEES
AMOUNT:
AMOUNT DUE
RECEIPT:
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
6 4ruornfrelov.
-.25 9z
SET BACKS AND FOOTINGS
3�
DATE 2-- -� BY 4-16
O.K TO POUR FOUNDATION WALLS
DATE 1-22122_13Y "�_
PLUMBING GROUNDWORK
!,
DATE BY _
PLUMBING ROUGH IN
DATE' 111-? 2 BY 2
WATER LINE O.K.
GAS PIPING O.K. =2` �2 0%�
MECHANICAL INSPECTION
DATE 2`7707"t BY
O.K. TO ENCLOSE FRAMING
DATE �j ' �- l/Z BY %�
INSULATION
DATE J s �Z BY l
WALL BOARD AND FIRE WALL �J
DATE �' BY :
FINAL O.K. TO OCCUPY
/`
DATE f �G- �l BY �'%3
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