90-100306CITY OF
FEDERAL WAY
0 llll '' I''
�?6-/6o3ow-
BUILDING INSPECTION
941-1555
PERMIT NO. 90-417
OWNER'S NAME
JOSE & EVELYN CASTELLAR JOB ADDRESS 34446 21 AVE SW
CONTRACTOR PERMABILT
ADDRESS 16521 HWY 99 LYNNWOOD CONT. PHONE 743-1555
CONT. REG. NO. PERMABI179JR
6/90
OWNER'S PHONE 952-6125 OWNER'S ADDRESS 32517 39 PL SW FEDERAL 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 "CONSTRUCT POLE BUILDING"
TAX ACCOUNT NO. 24'2103-90$5
LEGAL DESCRIPTION ATTACHED ("
ISSUED BY ELIZABETH
SNYDER
DATE OF ISSUE DATE OF APPLICATION 4/24/90
BUILDING INFORMATION
NE RS7 • 2
OCCUPANCY M-1
TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 1960 GARAGE
SET BACKS: FRONT 201
SIDE
5 EACH REAR -51 _ STORIES NA HEIGHT LIMIT 30' MAX
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
NONE
UNIT HEATER TOTAL MECHANICAL --NONE
AMOUNT NONE
VALUATION $25,009_00
PLANNING DEPTAPPROVAL = BILL KINGMAN (SITE VERIFIED ON 5/3/90)
PERMIT FEE $259
00
SEPA = EXEMPT
PLAN CHECK FEE 16
$ 0 0
FIRE DEPT APPROVAL = NOT NECESSARY PER KEVIN ELLIS ON 5/1/90
PLUMBING FEE
_
CHANICALFEE
PUBLIC WORKS APPROVAL = KNOT NECESSARY PER KEVIN ELLIS ON 5/1/90
TAL BLDG. FEES
497.00
BUILDING DEPT APPROVAL = KEVIN ELLIS ON 5/1/90
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE PAID rl -- U
WATER MAIN CHG.
S.B.C.C.FEE 4.50
AMOUNT PAID
OTHER FEES
RECEIPT #
AMOUNT DUE $431-50
ALL PERMITS EXPIRE 180 DAYS
AFT R ISSUANCE IFN ORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
r
I CERTIFY THAT THE INFORM
ION URNISHE
E UE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M
/ �J
OWNER OR AGENT
DATE
E
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 TENANT NAME:
OWNER �'`�c a'' _ SITE LOCATIO v�� S.cC 1, "/*
E
OWNER'S ADDRSS -3 Z � 3. / 1CITY ��6'/-tL. PHONE
DESCRIBE JOB Ti� Er SDE
THE PROPERTY IS OWNED BY: SINGL /MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / � f'll _ ! CONTRACTOR'S REG. #?c �' 7 � 12 =�
Card MUST be presented
CONTRACTOR'S ADDRESS �1�s2l<<�>�1 �� CITY �yi� ��-E'���% -PHONE-
EXPIRATION
HONEEXPIRATION DATE 6
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 PHONE 71/3 -/S
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST•U i - co EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR / 2ND FLOOR /
3RD FLOOR__ BASEMENT
/ DECK------/— GARAGE / %
BOX 8 ( ) SINGLE FAMILY
(�) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
( ) EXISTING STRUCTURE ��
( ) COMMERCIAL/INDUSTRIAL
TOTAL AREA OF PROPERTY i
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
$
TOTAL FIXTURES
$
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 EKLOYEES, UPON THE ACCURACY OF TIE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNE
DATE:
ANP -008 3/90
0 0
OFFICE USE ONLY (PLEASE DG NOT WRITE BELOW THIS LINE)
ZONEA�ETBACKS: FRONT Z" SIDE S REAR S HEIGHT LIMIT' --)O'
PLANNING DEPARTMENT APPROVAL S r le -0 S- 3- [r—
REMARKS:
SEPA: EXEMPT � NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
z- • C�r_
PLAN CHECK FEE
IG9
PUBLIC WORKS DEPARTMENT APPROVAL
U
DATE
REMARKS:
TOTAL BLDG. FEES
7
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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 M -
I TYPE OF CONSTRUCTION
STORES
(!-Q Q-
BUILDING SQ. FT.
@
/`�< Sy = z�5 q
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
@
@
`
G `M ' <
TOTAL SQ. FT.
TOTAL VALUATION 2 1 Cc PC? ' C 0
BUILDING DEPARTMENT REMARKS:
ASSIGNED ADDRESS:
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
z- • C�r_
PLAN CHECK FEE
IG9
PLUMBING FEE
U
MECHANICAL FEE
0
TOTAL BLDG. FEES
7
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
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
NE
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
_
�Su�tAf:5d3,ie�car 'RE1�.`w „'�
!�`'v1'.+s�' *ON
PERMIT FEE
PLAN CHECK FEE
F11" D ` "PRMAL
NOT NECESSARY PER KEVIN ELLIS ON 5/l/90
PLUMBING FEE
PUBLIC 9 APPROVAL
#NOT- NEC$SS".Y PER KEVIN QTS O 5/1l9
ECHANICAL FEE
)TAL BLDG. FEES
_
UILWIN , DRYT APPROVAL
KEVIN B'LLY 5/l/90
PART P/C FEE
SEPA REVIEW
WATER SERVICE
ATE PAID
WATER MAIN CHG.
�+�
eni�A'�OW PAI
S.B.C.C. FEE
OTHER FEES
"'yR "! L✓�►Y'
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 AND FOOTINGS
DATE 5�qo-Y
- D __
OX TO POUR FOUNDATION WALLS
DATE ...... . .... __ __BY . ... ..
PLUMBING GROUNDWORK
DATE BY
PLUMBING ROUGH IN
DATE—
WATER LINE O.K.
GAS PIPING O.K.___
MECHANICAL INSPECTION
DATE --BY
O.K. TO ENCLOSE FRAMING
DATE . ..... . .. .... ___ BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE -_,__-_BY
FINAL Q.K.TOO CUPY
DATE 4 -BY -
DCD _TPSD
FD
� c, ent
2cz; o T -H (f7 S TH E
x c -,r -p -r-