91-100941 91 _1ab Dg'
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
#101
PERMIT NO. 91-0091 NR OWNER'S NAME GORDON CALVERT JOB ADDRESS 1908 S 294TH PL
CONTRACTOR GORDON CALVERT ADDRESS 23127 SE 436TH ENUMCLAW, WA CONT. PHONE 825-4123
CONT. REG. NO. GORDOCC210MT 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 I(UNITS ) MULTI. ADD. SIGN _ GRADING OTHER
TAX ACCOUNT NO. I. (1(0 6 LEGAL DESCRIPTION LOT 19 CALVERT ADD
ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 1-16-91
BUILDING INFORMATION
ZONE 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
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT NUMBER _
LAVATORIES 3 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES13X5- 65.00 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT
VALUATION 146,811.63 PLANNING DEPT APPROVAL: DRIVEWAY MUST BE LOCATED 25' FROM INTERSECTION.
PERMIT FEE 804.00 DB 1-28-91
PLAN CHECK FEE 593-00
• UMBING FEE 65_0.0 BUILDING DEPT APPROVAL: KC 2-4-91
CHANICAL FEE 18_50
TOTAL BLDG. FEES
PART P/C FEE (381.00) DATE:
SEPA REVIEW
WATER SERVICE AMOUNT:
$1,034.00
WATER MAIN CHG.
S.B.C.C. FEE 4_ 50
ZECEIPT:
OTHER FEES
AMOUNT DUE ____1,0_3_4_0D
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 i.{...1 f /4?4
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 I AM --- DATE OF APPLICATION
BUILDING INFORMATION
Ai NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT
III1FT 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 ANNING DEPT APPROVAL: DRIVEWAY WAY MUST BF i3OCAT iT, 25' .•r
PERMIT FEE
PLAN CHECK FEE -
PLUMBING FEE w .ea L G DEPT APPROVAL:
MECHANICAL FEE
TAL BLDG. FEES
ART P/C FEE 4h7,
SEPA REVIEW
WATER SERVICE . I 334 p,
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 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
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RECEIVED CITY OF FEDERAL WAY
JAN 2 3 1991 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY — Please Print—
BUILDING DEPT.
BOX 1 TENANT NAME:
OWNER cL r..,Iu e i SITE LOCATION
OWNER'S ADDRESS A t '2 7 c. r ti 3( 31 CITY fp,f ( [.Ja ei PHONE S'2 S 4 r )3
DESCRIBE JOB N.e .J (' Ll-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED L( PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C Ces,,rs r CONTRACTOR'S REG. #/ i)1) }c{
Card MUST be presented
CONTRACTOR'S ADDRESS 2 3 i Z 7 S c `'/ CITY Ew a,1/4-4 C c PHONE c <r/ ? -3-
EXPIRATION DATE &, -1
— 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 &-C c(v �r (�«l�"per l PHONE S'.(6.9/
BOX 4 SEWER DISTRICT Y1c2.4)r<< I tt a_�.r CU/_S WATER DISTRICT - _ _ , e
BOX 5 ESTIMATED PROJECT COST /s'(0670 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER Ree,'- ..i y..e)/// C! .4 )3
LEGAL DESCRIPTION /•. % /9 C«luo-,? 1144'c.1 7n ^cr1, (" ,
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # `/1 C// �, ?
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 12562 /.5i 2ND FLOOR 7s4j / Sic
Ir'• 3RD FLOOR / BASEMENT / DECK / GARAGE 7t ;` /
BOX 8 (x) SINGLE FAMILY (>0 NEW CONSTRUCTION r `
c/s'u
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE r v
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 7Z SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 30 ,44a d„' $ 2 '
Z BATHTUBS NO. FURNACE, ELEC. GAS . $ '°'°O
i SHOWERS cGAS HOT WATER HEATER $
7 LAVATORIES - '`CONVERSION BURNER $
D. SINKS BOILER, SIZE BTU $
j 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 At 13 $
13 TOTAL FIXTURES $
nS z TOTAL MECHANICAL FEE $ 4"`S_0
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: p ; l �Q DATE:
ANP-008 3/90
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) O9 V D- 3.RA
ZONE '12 SETBACKS: FRONT 1-: I �;SIDE J( REAR SJ HEIGHT LIMIT 1
(
PLANNING DEPARTMENT APPROVAL , `,,4 / Pe/9/
REMARKS: Pr/��2rt'c. 177�14f tk LDC ?.5' fro Y-)--, to
SEPA: EXEMPT L-------- NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 2-1/ - /
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL - DATE / - cf
REMARKS:
TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY R.3 TYPE OF CONSTRUCTION STORES
WV (c Sr BUILDING SQ. FT. / Z-5-C, @ 6 q = (6 .666t1
C/0.(l BUILDING SQ. FT. 716
@ I ? 3 _ / 2-‘iZ / . Yo
l ISS BUILDING SQ. FT. Q Z @ _ ( cr ZU
L�l�V 1 Z" BUILDING SQ. FT. TS ti @ 6F, c,o = 65-8z-6
J . BUILDING SQ. FT. @ =
BUILDING SQ. FT. @
//toot ( f(g_t" d c8 g `I
TOTAL SQ. FT. - TOTAL VALUATION t' y 6 g' ( ( ' 6 3—
BUILDING DEPARTMENT REMARKS: PERMIT FEE C`f
PLAN CHECK FEE ! 5 z3
PLUMBING FEE 6.S o o
MECHANICAL FEE (8• Sv
TOTAL BLDG. FEES _ l`r IC.S-
PART P/C FEE " • O<
SEPA REVIEW
S.B.C.C. FEE (cc)
OTHER FEES
AMOUNT DUE o 3 Y
RECEIVED ASSIGNED ADDRESS: Se- 2-T y p
JAN 2 3 1991 PARTIAL PLAN CHECK IEE RECEIVED
CITY OF FEDERAL WAY Amount t ''4a Date f 4i `I Receipt# 1 v
BUILDING DEPT.
BUILDING DEPARTMENT APPROVAL
RECEIVED BY _ —_ DATE ACCEPTED FOR FILING