93-101762 - . 9�- 10 �76�
: CITY OF FEDERA� WAY BlJ I LDI IV G PEF�I�/I IT PERMIT NO.: BLD93�0766
',?:3530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/17/93
Federal Way, WA 98003 BY: FC
�6i�1-4000
SI1"E ADDRESS: 31105 24°��I AVE S �
�Pl�.RCEL NO.:
PFiOJECT DESCRIPTION: NSF' �T/PI,YTMBIPTG & Hi7AC rR+y� 43
LOT 2 CALVERT SHORT PLAT #788027 ��N ��
OWNER COPITRACTOR � LENDER
GORDON CALVERT CONSTRUCTION GORDON CALVERT CONSTRUCTION
23127 SE 436TH 23127 SE 436TH
ENUMCLAW I:A 98022 EWUMCLAN 41A 98022
4123 825-4123
GORDOCC210MT
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- D4IELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF WORK:NEN USE:RES 1ST.: 0: 771:sf STORIES........: 2 RE�UIRED PARKING..: 4 SPRINKLERS?......:? PLAN CHECK DEPOSIT.* S 429.33 �
CENSUS CATEGORY.....:101 2ND.: 0: 718:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLON....: 0 gpm OTHER MISC REVENUE.. E 3925.00
:R3 : : : : OTHR: 0: O:sf EXIST..f: 0 FRONT.,.......: 20.00 �t FINAL PLAN CHECK...* i 0.00
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 105313 SIDE..........: 15.00 ft WATER SERVICE..:FED BUILDING PERMIT....* E 660.50 --
:5N : : : : DECK: 0: O:sf REAR..........: S.00:ft SEWER SERVICE..:FED SSCC SURCHARGE.,...* S 4.50
OCCUPANT LOAD------------ GAR.: 0: 510:sf RECEIVED.:07/14/93 MEC APPLIANCE FEES.* S 42.00
. 0: 0: 0: 0: TOTL: 0: 1999:sf [MPERV SURFACE: 0 sf SENSITIVE AREAS?.:PI PLUMBING FIXT,...93* i �4.00
RADON KIT..e......93 $ 20,00
FUEL TYPES.:GAS ? fANS..........: 5 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES S 5205.33
GAS PIPING.: 30 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS.,........: 2 DRINKING FWNT.: 0
fURN<100K... 1 DUCT NORK...... 0 3-15 HP...... 0 SHOWERS............. 0 SUMPS........... 0
GAS HWT....: 1 4100D STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 3 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30-50 HP..... 0 SINKS............... 2 DRAINS.......... 0
BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH NASHERS......., 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
F ......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR WTLTS...: 1
G )GS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS R�FYER ISSUANCE IF PIO WOPiiC IS STARTED. RESIDENTIAL AND GRADIWG PERMiYS EXPIRE ONE YEA6i AFTER DATE OF ISSUANCE.
6�CFRTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEOERAL WAY REQUIREMENTS WILL�E MEY.
OWNER OR AGENT _./ � �� DATE ,� � / � � 3
bld�rmt 10/23/92
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�„�,� City of Federal Way ^
-�- �---r-�rr�
:�ou � APPLICATION FOR BUILDING PERMIT .
�� �,�� Co-� �er,-�.� � - � .
PLEASE PR/NT APPL/CAT/ON #. �J �- �J 4 � -1,j I C=z �.
STTE LOCATION Address x u G', �'� ,
Tenant (if known) Lot # Assessor's Tax #
S�fi /u�' ����1
Building Owner Name Address ,
��� � v x 12.. L `� CF .cF�....c c�c.c E-�>
City State Zip Phone
Nature of Work v�S � ,
APPLICANT
Name (F,M,L) /�
C� � v n / lU S /
Address
��
City cJA�I L M OZ� State �.cJ�-F Zip Q�J'P 2. Z
Contact Person Day Phone Other Phone Fax
� i� D S�'-��J ��/ G
BUII.DING CONTRACTOR
CompanyName �
�
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
�o < <� s��r ��� r �` ��o ��
Please Complete Reverse Side ��� � � ���y�
`� CD04921Rev4l931
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STRUCTURE Existinp Use Proposed Use
Permit includes: F Building � Plumbing � Mechanical ❑ Other �
Type of Work: � Residential f$New ❑ Remodel D Number of Units� ❑ Deck
. O Commercial ❑ Addition ❑ Garage O Shed ❑ Other •
` Enter 1 st Floor�sq ft 2nd Floor��sq ft 3rd Floor sq ft Existing Floor Area sq h
Area Basement sq ft Decks sq ft Garage ,S�sq ft Proposed Total Area sq ft
Water Availabilit �
y P,�- Sewer Availability �$- On-Site Septic System Availability ❑ Project Valuatio� S C'� -��:�
Zoning 5 � 6 Lot Si � Existing Bldg Valuation $ '' -� '
..�- �j''S``�/-�
LENDER �
Name , Address
f U�/ �, f` C,L ��5/ �oUSv..�f
City � c f r State ��c./ Zip �Ll '�7
MECHANICAL`CONTRACTOR '
Contractor Name Address
(� r
City << „ �� State Zip
Contact . Phone Fax
�n% �Y/•�l��>`�
License # Expiration Date Verified ❑ Yes ❑ No
PLLtb�BING CONTRACTOR:
Contractor Name Address
- r u�
City � State Zip
Contact Phone � Fax
�o� �3,� 3��
License # Expiration Date Verified ❑ Yes ❑ No
PI,LTI�TBING FIXTURE COUNT
Water Closets Sinks � Urinals Lawn Sprinklers
Bathtubs Dish Washers � Drinking Fountains Other
Showers Electric Water Heaters � Sumps
Lavatories Washing Machine Drains Total Fixture Count ;j,�
n��HE1NICE�I. UNIT C�UNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping � Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs S�Opp Fans Miscellaneous Fuei Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the intormation turnished 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(includinp costs,expenses,
and attorneys'fees incurred in investigation and defense of such claim�,which may be made by any person,inciuding 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 intormation supplied to the City as a part of this
application.
Owner/Apenl: �[�jt���`i_�� � _ �/ Date: 7 � 1 Z,"� 7 3 _
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SITE P A�N, �P�tOV�
Permit Number. `�� � ��
A�;proved By: �
Date: �� �� `' CALVERl CONSTRUCTION
Comments: � ��� PAR KWOO D ES TA TES
LOT 2
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J U L 1 4 1993
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