90-100786 6 -/Dt) 7S ,
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING
ILDING PERMIT 941-1555
PERMIT NO. 90-1184 RA OWNER'S NAME CASTLEWOOD HOMES JOB ADDRESS 35344 10TH PL SW
CONTRACTOR CASTLEWOOD HOMES ADDRESS 14040 NE 181ST STREET WOODENVILLE 981 PHONE 486-1700
CONT. REG. NO. CASTLH2O1OZ OWNER'S PHONE 486-1700 OWNER'S ADDRESS 14040 NE 181ST ST WOODINVILLE 9807
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 DECR
TAX ACCOUNT NO. 502860 1785 05 LEGAL DESCRIPTION LOT 185 MADRONA MEADOWS
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ISSUED BY JOANNE JOHNSON DATE OF ISSUE �`�� DATE OF APPLICATION 7-19-90
BUILDING INFORMATIO.
E OCCUPANCY M2 TYPE OF CONSTRUCTION _ BLDG. SQ. FT. 80
SET BACKS: FRONT SIDE REAR STORIES HEIGHT LIMIT
PLUMBIV 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 800
PERMIT FEE 21 .00
PLAN CHECK FEE 14 .00
LUMBING FEE —
4 ,
HANICAL FEE C
i HAAL BLDG. FEES 0I
PART P/C FEE
6
SEPA REVIEW DATE: v
WATER SERVICE �/i�
WATER MAIN CHG. AMOUNT:
S.B.C.C. FEE 4.50 ________,:; L-2,/
MFEES
AMOUNT DUE 39.50 RECEIPT: I004.---1 (02}
AL�
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 S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WIL BE MET ``
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JUL 191990 CITY OF FEDERAL WAY
CI JJfEORALWE AY BUILDING PERMIT APPLICATION
DEpT — Please Print— *
K.C. 89 /g3o(P
BOX 1 TENANT NAME: ''
OWNER �.� - oo4 21.. - SITE LOCATION 353 VQ ill — Pl. L. Lu.
OWNER'S ADDRESS / to t/o /v 6 6�1� S CITY PHONE VS' -i7c)
DESCRIBE JOB S, r WDeck a( .
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME S ►e , 4-i%-J-e- CONTRACTOR'S REG. #(/s7 1- f.2D/ O *2"
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE I/I'6 -/ 7!!0
EXPIRATION DATE W9D
— 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.
iC
BOX 3 CONTACT PERSON o2J 1-?',z PHONE5��6 _C_
BOX 4 SEWER DISTRICT Fed . !.W�I WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 4,2So. Oa EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 5-0,2 $40 - f 7$'1 •O 5
LEGAL DESCRIPTION Lb F /85' iv) /on plc,. /lcoc„)dw/
(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 $O ye / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (X) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET _ $
BATHTUBS NO. 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 $
IRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $ AA
AI OTHER $ gr�
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 EMPLOYEES, UPON THE ACCU: •CY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG,rraNI�I��� — DATE: 7/ i/ d
ANP-008 3/90
4110 •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) •` to '`.
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING CEPARTMENT APPROVAL
REMARKS: (17
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
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 /42 TYPE OF CONSTRUCTION STORES
k? C BUILDING SQ. FT. ed @ _ SOU
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION e'cc;
BUILDING DEPARTMENT REMARKS: PERMIT FEE `'t'
PLAN CHECK FEE f Ye v c'
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES 35
PART P/C FEE C
SEPA REVIEW Z'
S.B.C.C. FEE el` J
OTHER FEES D
AMOUNT DUE "5 R S o
,:e 0. ASSIGNED ADDRESS: C ( S f(G
(7, 8/
8! ,y4 PARTIAL PLAN CHECK FEE RECEIVED
/, � �!' 00 Amount Date Receipt#
6/ BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
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