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92-100428 CITY OF FEDERAL WAY g�. /D D y�2.$� Fede al IWay`,NW 98003 B U I L D I N P E R M I T BUILDING INS 661 4140 G PERMIT NO. 92-393 NR OWNER'S NAME GORDON CALVERT SITE ADDRESS 31024 24 AVE S CONTRACTOR CALVERT CONST ADDRESS 23127 SE 436 ST ENUMCLAW CONT.PHONE 825-4123 CONT.REG.NO. GORDOCCZ�.ONT ExP. 6�92 OWNER'S PHONE S�E OWNER'S ADDRESS SAMF TYPEJOB: NEWRESIDENCE X� ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER • �AND GARAGE/DECR TAXACCOUNTNO. OS37OO-OSZO LEGALDESCRIPTION LOT 2 SHORT PLAT # 488016 ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE lr ` �Y DATE OF APPLICATION 3/17/92 BUILDING INFORMATION )NE RS 7�2 SET BACKS:FRONT 2�� SIDE 5� �5� REAR 5� HEIGHT LIMIT 3O� OCCUPANCY R3/Ml TYPE OF CONSTRUCTION 5-N CENSUS NO. 1 OI TYPE OF HEAT �S BLDG.SQ.FT. 2497 STORIES 1 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 25 FT. 2.OO GAS LOGS BATHTUBS 1 LAUNDRY DRAINS FORCED AIR FURNACE ZO.OO DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. � AIR HANDLING UNIT NUMBER LAVATORIES 2 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS 1 MISC. BBQ BASIC FEE DISHWASHERS �- TOTAL FIXTURES 9 X $�_ DRYER TOTAL MECHANICAL 1 H.S O AMOUNT NONE VALUATION $117,414 PLANNING DEPT APPROVAL = DEB BARRER PERMITFEE $703.00 "NO BUILDING S�iALL ENCROACH ONTO ANY BLDG SETBACIC LINE OR EASEMENT� PLAN CHECK FEE �137.OO 457.OO SHOWN OR NOT SHOWN� PLUMBING FEE 45.OO ECHANICAL FEE 18.50 FIRE/BLDG DEPT APPROVAL = REVIN ELLIS �RTP/CFEE3�17�92 �320.�� SEPA REVIEW 4934 PUBLIC WRS DEPT APPROVAL = JEFF S PUBLIC WORKS 35.00 S.B.C.C.FEE 4.5� � / � -F Z FIRE FEE DATE: OTHER FEES AMOUNT: 943.OO AMOUNTDUE $943.0� RECEIPT: �7- �� 2 4 � 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 �� "' f�E� �� ITY OF FEDERAL WAY �ede aFlWay`,NW 98003 B U I L D 1 N G P E R M I T BUILDING INS 661 4I140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT )CCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION ;�:.; - ___ _ ''3.:r.`--s.. '- _.�.�_ -_ _ _._ ,.yi . PERMIT FEE ��'�,Ml�}4�(� ,�`j�.: PLAN CHECK FEE �?�y [��` ��,)�' C PLUMBING FEE � ' MECHANICAL FEE ��F ('}E', ?'3�'.'�'!° � ART P/C FEE _EPA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: OTHER FEES AMOUNT: r 4MOUNT DUE RECEIPT: . ��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 REQUIREM N�F��I L 6E MET. � '' OWNER OR AGENT DATE SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK DATE-��/.!�zBY �Y _-- DATE _.7%GI L�,2 ...BY r1�?7 _ -_ DATE _ BY _ PLUMBING ROUGH IN WATER LINE O.K. _.__...-___-___-... MECHANICAL INSPECTION DATE_�t3�Z _ BY �.L _ _ GAS PIPING O.K._ ��h L ��'_ DATE ��_��~-(.._� BY _V`�"� . __ O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL � l DATE/P��lL�Z.1�Y ��' -_ DATE .� �_I C��. _BY t__�____....._ DATE ___ __ ---_.__BY __ _ _ __ � __ -- FINAL O.K. TO OCCUPY � � DCD PSD FD /� --- DATE !�'( � BY - -- __- i �= s �z ��1�;�,�t� d� %d( z ` I�o ,� b o�"wAsr6- A o - /� o`-- I� oIZ �i��r Z � /1��N9NaA/ d�6/��./ o lydd '� � v ?On/ ri crr �1'� : � of t l►iivC ' iu2 o�T,en�>'�Z � _ a � c T iu MG L i� j.f� r //J i�GGS'� /1✓ � . .- . i — �s x �� ~ I mit # t�� ,N�I�'" ��S��d �QR � � 1992 CITY OF FEDERAL WAY �� :T�-fi�;�:��,�y,� BUILDING PERMIT APPLICATION �y,, � ^' — Please Print— `�i�kLt. ..�Jj�.�'1; BOX 1 TENANT NAME: OWNER r - �` ,usT SITE LOCATION 3jz +- zut`' �� OWNER'S ADDRESS_�3t Z_� �� 2�„ CITY ��.ur-� PHONE i� "Z� 4-I 2Z DESCRIBE JOB 7'J�c�l'csx� T THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �o�c�tr� C�_r�Pu�ti� C�TCS% CONTRACTOR'S REG. #��U�L�I�GG�Jo�i% Card MUST be presented CONTRACTOR'S ADDRESS "'L �- 1�'� CITY �.co�a�+v ��c�t� PHONE �2 j�/�� EXPIRATION DATE — — OR— I HAVE READ CHAPTER 18.27.010 RELAT T EFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON �a�oLcs z� f' PHONE�.1� � Y l`��_ BOX 4 SEWER DISTRICT �._ %�J WATER DISTRICT �'•� Lc.� BOX 5 ESTIMATED PROJECT COST c/ 3 . c) c� � EXISTING BUILDING VALUATION �� BOX 6 PROPERTY TAX ACCOUNT NUMBER f eS_3 �oo -- c s i0. LEGAL DESCRIPTION L�.c�' �, S G� � p/t �et. Y��C�f� (If necessary, please submit a separate page with the legal description.) K.C. Plat Recording# � �?'Z� `3 j��"2_ BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1(ay�r^l 2ND FLOOR / 3RD FLOOR / BASEMENT / DECK / GARAGE��/ BOX 8 (,� SINGLE FAMILY (1O NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE I,, ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY �l! � SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANC S — BASIC FEE$ N0. � WATERCLOSETS GAS PIPING, FEET 2�� -a� $ � � c`t� � BATHTUBS N0. I FURNACE, ELEC. GAS � $ r"- � �_SHOWERS �_GAS HOT WATER HEATER ssv�� $ �y -�'� ��LAVATORIES CONVERSION BURNER ''�r� $ _�SINKS BOILER, SIZE BTU $ 1 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 $ ?C:�� S �- �"'�' TOTAL MECHANICAL FEE $ �.Sy� 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. r�'1 �- OWNER/AGENT: �„�� ,�.� DATE: � -- Cs� � C/ � - ' ANP-008 3/90 • � . .�� OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW Thw LINE) - r . ZON S�•Z SETBACKS: FRONT � SIDE 5 r REAR S HEIGHT LIMIT �G� PLANNING DEPARTMENT APPROVAL REMARKS: '"l�fo bui'C�ng shatfencroacA onto any bu7ding setback tine or easement,shown or not shown." SEPA: EXEMPT c�' NOT EXEMPT FIRE DEPARTMENT APPROVAL ��—' DATE�/�` �`��L- REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE 3'�z��z REMARKS: 71 ff L�/vE P.-�oF f �r/rZi6 � /��U/oU5 Sc�P.��S �o �� -�'a2.� GJ�q.� S�/S-7�=y�` 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 P 3 TYPE OF CONSTRUCTION �'V STORES � � BUILDING SQ. FT. I�� @ �L � ��' = I � ��3 � � C��C�` � BUILDING SQ. FT. ��3 @ �g� 3a = I��S/• �' Q-�-' BUILDING SQ. FT. �u @ �6 = LSSU BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ �� e-�'~ `= �` � TOTAL SQ. FT. TOTAL VALUATION t( 7 � I � L� BUILDING DEPARTMENT REMARKS: PERMIT FEE � �3 PLAN CHECK FEE �� S PLUMBING FEE MECHANICAL FEE L�� SO TOTAL BLDG. FEES PART P/C FEE ;:: ' SEPA REVIEW . f'�8�f� �c..�2�5 �•«� S.B.C.C. FEE �(.S� OTHER FEES � AMOUNT DUE ASSIGNED ADDRESS: Z Z �- Sd- �PARTIAL PLAN CHECK FEE RECEIVED Amount Date ��1�� Receipt# � BUILDING DEPARTMENT APPROVAL �1 , G RECEIVED BY �� DATE -1 �J � � � ACCEPTED FOR FILING i � • �� ► 'r • �(U° 66. �0 'r � c. ,- � t � �� ;, � dec k �� , // ' // �' PRO OS D r � `" �� RESIDENCE � o� 8` r� m N / � / - /_ / Zf�' I'YICI � EAS EMEI�T _ � 5�,� �� _ DRIVEWAYo PLAN Ap��pVg� � u-{�� —perm�t- U ber _. ts-�-�- APPI"o�' �—_"' ..�� , y� �, — q 3 �v �� " 62.6 6 Comments: d t ��,�. PRIVATE ROAD � U�n� UTI L 1 TI ES EASEMEN T �------�---�---�- --m__m..�, � ��u� :� S 1 T E P L A N N �.� -� � . � ,._ Zo' �b'�� ' � �'�� - �` CALVERT CONSrRUCTION � � = s;� �� LO T 2 r �1l�Yi�pN �-;.` ��,I,G �� 11�V ��,.�. R�C�i VED APR - 3 t�qqZ ,, , .�.�.., .�.�� i�S,� � ;..,s°`�e��'e�s�� E:! � 5 _ �� j �