91-100088 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
#101 9J /000 . 3--g
PERMIT NO. 91-0093 NR OWNER'S NAME GORDON CALVERT JOB ADDRESS 1909 S 294TH PL
CONTRACTOR GORDON CALVERT ADDRESS 23127 SE 436TH ENUMCLAW, WA CONT. PHONE 825-4123
CONT. REG. NO. GORDOCC21OMT OWNER'S PHONE 825-4123 OWNER'S ADDRESS 231 SE 436TH ENUMCLAW, WA
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.-11 I 0 ej C' LEGAL DESCRIPTION LOT 1 CALVERT ADD
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 4-77-..---71- ) I ' DATE OF APPLICATION 1-16-91
BUILDING INFORMATION
ONE RS 7.2 OCCUPANCY R3 _ TYPE OF CONSTRUCTION VN BLDG. SQ. FT.
SET BACKS: FRONT 20 SIDE 5 _ REAR 5 _ STORIES HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 30_FT. 2.00 BOILER
RECEIVED
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS 1 URINALS _ FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
RETURNED _
SINKS 1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES 13X5= _69-00 UNIT HEATER _ TOTAL MECHANICAL 1R. 50 AMOUNT
VALUATION 173,011 _5Q PLANNING DEPT APPROVAL: DRIVEWAY MUST BE SITED 25' FROM INTERSECTION
DB 1-28-91
PERMIT FEE 724_0_0_ FIRE/BUILDING DEPT APPROVAL: KC 2-4-91
PLAN CHECK FEE 471-CM
LUMBING FEE 65_0_0
CHANICAL FEE _ 18_50 /��il"' I
, TAL BLDG. FEES DATE: ?r, 1/ �
PART P/C FEE (347.50)
SEPA REVIEW AMOUNT: $935.50
WATER SERVICE _
WATER MAIN CHG. RECEIPT: \ ?.°r1 I PS.B.C.C. FEE 4. 50
1
OTHER FEES
AMOUNT DUE 935. 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:
IOWNER OR AGENT CV r (. '. /- `_7 DATE ' �`‘
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
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. SQ. 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 .rAi Igr.i DEpip APPROVAL: DRIVEWAY+7AY : 1:3.- ,Y sTTED 2:.
PERMIT FEE tREISUILDIM DEPT APPR.WMAL. '* 4 .f 1
PLAN CHECK FEE _
PLUMBING FEE
MECHANICAL FEE _
TOTAL BLDG. FEES Y' -_.
PART P/C FEE _.
SEPA REVIEW 935`
WATER SERVICE . 1
t -
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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:
OWNER OR AGENT DATE
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• •mit # - 66 93 NC
DECEIVED •
CITY OF FEDERAL WAY
JAN 23 1991 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY —Please Print—
BUILDING DEPT.
t.BOX 1 TENANT NAME:
OWNER . r SITE LOCATION
4, OWNER'S ADDRESS 2 i3 2 ') 3 cc, "`' CITY t-c oAA PHONE Er>
DESCRIBE JOB /j)ecJ_ Cv_.vs /•�; /
THE PROPERTY IS OWNED BY: SINGLE/MARRIED A PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME t cT CONTRACTOR'S REG. #�,cI l7ycc ) Jc �l�"T
Card MUST be presented
CONTRACTOR'S ADDRESS 2 3 1 2. 7 .5 y y.36, CITY FK enc l4.n . PHONE 2 j t /2
EXPIRATION DATE (,r - / -
— 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 Ca n rct p.c"i Ca l v.a T PHONE 3 2 S / ).
BOX 4 SEWER DISTRICT • - _ et L WATER DISTRICT .a _
BOX 5 ESTIMATED PROJECT COST 1 3 C' or) 0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION zc, I i C K 1v.t' i /7 cl c( J'c /C //4"c? C'c,
(If necessary, please submit a separate page with the legal description.) 'Ys
K.C. Plat Recording # c//c r/i C 2 7 3 p4<(/
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR Si= 2ND FLOOR 'P) / �G
3RD FLOOR / BASEMENT bECK / GARAGE ."Sac( / St
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) 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 4/2reX ,11 o d $ 2_.e C'
BATHTUBS NO. FURNACE, ELEC. GAS $ i G • C c
/ SHOWERS GAS HOT WATER HEATER 'occ $ G • S 0
L-/ LAVATORIES CONVERSION BURNER /3 7`c.) $
/ 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 $
(3 TOTAL FIXTURES $
CS---")c> TOTAL MECHANICAL FEE $ I r G
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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
— ,
OWNER/AGENT: . _ DATE: ?'
ANP-008 3/90
0 `
i
1,,,., : , , ,_ _,
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) UEV!3O3R
ZONE S' .2 SETBACKS: FRONT SIDE r ' REAR HEIGHT LIMIT ra.„ 0 i
PLANNING DEPARTMENT APPROVAL -vsciA_A_tom' �,�"/ ; �
',.
REMARKS: vetc . "' /nusf ,2e sing �7�' /-- in/.-Sec/ice-► --
SEPA: EXEMPT NOT EXEMPT `�
FIRE DEPARTMENT APPROVAL C DATE 2-- l —qt
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL C DATE/ ` tf ` Cf
REMARKS:
TYPE OF JOB: NEW RESIDENCE -k RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPPNCY 1 % TYPE OF CONSTRUCTION U41 STORES
t- v (p‘• '-s-r BUILDING SQ. FT. • I6r11 @ 6 RT, a C = 72-72-6
6ct ' e._ BUILDING SQ. FT. S @ I sr - 30 = q0 q 1 C 2 0
L( vi - Z ' BUILDING SQ. FT. g 1/6 @ 4Q c ao _ 5- 7 et 6 O
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ rr =
BUILDING SQ. FT. @ / lir a<( 1 (e_ O - `3`
TOTAL SQ. FT. TOTAL VALUATION / yid/it S v
BUILDING DEPARTMENT REMARKS:
. PERMIT FEE Z av 00
PLAN CHECK FEE /7/. 'U
PLUMBING FEE 6S- 6
MECHANICAL FEE I g. S-o
TOTAL BLDG. FEES 1-2--7g .c 0
PART P/C FEE 1%/7 CZ'
SEPA REVIEW
S.B.C.C. FEE `-f, r0
OTHER FEES
AMOUNT DUE '3S-SO
ASSIGNED ADDRESS: fa O q So. 2-17 `f ti` PA
RECEIVED
JAN 23 19912' PARTIAL PLAN CHECK FEE RECEIVED
CITY OF FEDERAL WAY Amount �", ,1) Date ("/)ii ! Receipt# 1?-3D
BUILDING DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY "• ° DATE ACCEPTED FOR FILING