91-100508 9/-/'6 05.-C
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
•
1904 SW 358 CT
PERMIT NO. 91-469 NR OWNER'S NAME CASTLEWOOD HOMES INC JOB ADDRESS_ ------------ LOT 5 HAMPSTEAD GREEN
CONTRACTOR CASTLEWOOD HOMES INC ADDRESS 14040 NE 181 NE, WOODINVILLE 98072 CONT. PHONE 486-1700
CONT. REG. NB.ASTT,H2010Z 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. 25-21-03-05;14;44;49 LEGAL DESCRIPTION LOT 05 HAMPSTEAD GREEN
252103-0005 !�
SUED BY_ JOANNE JOHNSON DATE OF ISSUE 6 —3 — -- / DATE OF APPLICATION 4/17/91
BUILDING INFORMATION
ZONE RS 9. 6 OCCUPANCY R3 _ TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 1 1898
SET BACKS: FRONT 20 SIDE 5 REAR_____ 5_ __ STORIES HEIGHT LIMIT 30
1 -
PLUMBING Na Na MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING _ FT. 3_90 BOILER
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10_00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS 1 MISC. CONVERSION BURNER _ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 12X5 60.00 UNIT HEATER TOTAL MECHANICAL .2 .JJ0 AMOUNT
VALUATION 101,099.85— PLANNING DEPT APPROVAL: NO BUILDING SHALL ENCROACH ONTO ANY BUILDING
SETBACK LINE OR EASEMENT, SHOWN OR NOT SHOWN.
PERMIT FEE 647.00
PLAN CHECK FEE128.67 421.00_ PUBLIC WORKS APPROVAL: TC 5/21/91
UMBING FEE
.CHANICALFEE 60.00_
20.00 FIRE/BUILDING DEPT APPROVAL: KC 5/10/91
TOTAL BLDG. FEES _ 1,148.00
PART P/C FEE 292.33 DATE: L., -- `) /;/
SEPA REVIEW
WATER SERVICE AMOUNT: $895.17
WATER MAIN CHG. � s-�
S.B.C.C. FEE 4.50 RECEIPT:
OTHER FEES PW 35.00
AMOUNT DUE 895.17
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMIT-S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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CITY OF FEDERAL WAY IJ\L-
BUILDING
PERMIT APPLICATION
—Please Print—
BOX 1 TENANT NAME:
OWNER C'A R 1✓t,3Oo n Ito►"I I AX- SITE LOCATION S C^3 3 c7 7e, n`�, F OL--. P\---r
OWNER'S ADDRESS I'tO410 AE.- I e I 5r 016 N E CITY (--.>P/0 v 1- 980 PHONE 1 •--1 7 o 0
DESCRIBE JOB '• 1- R-.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Wim" i CONTRACTOR'S REG. # C ASP--(-)-Z o(G4
Card MUST be presented
CONTRACTOR'S ADDRESS - rte- CITY PHONE
EXPIRATION DATE "/moi i —
'� OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON . AW F S • /'h t 0 Ail PHONE q6 /71)d
BOX 4 SEWER DISTRICT t->-O v Pr Y WATER DISTRICT F ED ,---)A---Y
BOX 5 ESTIMATED PROJECT COST 5°/ 5C1 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER( C� 2-/--0 3 c c, 2-1-- a /— c fir-/41 2 S'-2 i-O 3 - ¢'�j 45-2-/-0 3-3-'1-1LEGAL DESCRIPTION LOT 5 1 f'ST$/cf c-,./zf N)
(If necessary, please submit a separate page with the legal descr' ion.)
K.C. Plat Recording# °il v ) Z/O X4'7
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR , / 2ND FLOOR 7Z0 /
3RD FLOOR — / BASEMENT — / DECK -- / GARAGE 4 3c /
BOX 8 (X) SINGLE FAMILY () NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY GI 2 /6 SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $ 3,5-c,
I BATHTUBS NO. ‘ FURNACE, ELEC. '- GAS X r/A $ /o OG
t SHOWERS k GAS HOT WATER HEATER $ 6 -3-0
G( LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
I DISHWASHERS AIR HANDLING UNITS $
— ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
C LAUNDRY WASHER OUTLET UNIT HEATERS $
— URINALS AIR COOLING UNITS, SIZE $
— DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
l Z TOTAL FIXTURES $
)( = 60 , 6 (y:) 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 HE CURAC OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: 0, DATE: ili/7/11
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE6944 SETBACKS: FRONT c70 1 SIDE 5" REAR HEIGHT LIMIT ,C7 I
PLANNING DEPP RRTMEN APPRQVAL Si `i ' /A/:%.,4
REMARKS: /LU ,�) , ' / _� ✓ ' ° `� ,4.44ILe
C, ...4-: :82 ,e .cam --� _k-Av—u i`i— U, -- _„.i.1 .,..,,
7>i vot m a sl—be 51 -gores 3ide fit - Lorre c + i--e�v is`an
SEPA: EXEMPT "./-. NOT EXEMPT tekJ y/2VW '�r
FIRE DEPARTMENT APPROVAL L DATE S i0 ` Ti
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL / - DATE -5 </ 9/
REMARKS:
T LJ -1-; c f'S wer 4vat(Q ( ( i 1Hl Ci l
TYPE OF JOB: NEW RESIDENCE )C RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY Y{J TYPE OF CONSTRUCTION VA/ STORES
't ,,•1"_ g-crF(ca- BUILDING SQ. FT. 7'i @ 72 ,90 = S`() 2q 2_
q I d ffd0V BUILDING SQ. FT. 7 2,0 @ ,f- = 5-2-L(86
G Q YJ J BUILDING SQ. FT. 113 C @ (8,3 a = 7%7
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ /mad( r I-(e-(e. = U ` 5 n
TOTAL SQ. FT. TOTAL VALUATION (o/09 9 . 8S
BUILDING DEPARTMENT REMARKS: PERMIT FEE 6 V 7
PLAN CHECK FEE L( Z f
PLUMBING FEE 60
MECHANICAL FEE 2_0
TOTAL BLDG. FEES I/418
PART P/C FEE of 2-.33
SEPA REVIEW
S.B.C.C. FEE if' 5o
OTHER FEES � �
AMOUNT DUE ri` ` I '4
ASSIGNED ADDRESS: 160(1 S• la) h 3 s$/4( Cf-
Q Q
PARTIAL PLAN CHECK FEEFEERECEIVED r/
cc, 1::.? Amount 2 z< 3 3 Date `! ( Receipt# 2''T 8 9
O BUILDING DEPARTMENT APPROVAL 9
acCEI`�$D Om BY F�� -- DATE 0- ( ACCEPTED FOR FILING
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