91-101699 CITY OF FEDERAL WAY q��l�l(�g�
33530 First Way South BUILDING INSPECTI'ON
Federal Way, WA 98003 B U I L D I N G P E R M I T ss,-4140
PERMIT NO. 91-163H NR OWNER'S NAME ��ON CALVERT SITE ADDRESS 29318 19 PL S
CONTRACTOR GORDON CALVERT ADDRESS 23127 SE 436 ST FEDERAL WAY CONT.PHONE 825-4123
CONT.REG.NO��OCCZZOMT ExP.6/92 OWNER'S PHONE S�� OWNER'S ADDRESS SA�NR
TYPEJOB: NEWRESIDENCE XX ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER � ��D GAR�GE
TAX ACCOUNT NO. 131 OOO-OI�IO LEGAL DESCRIPTION �LOT 17.CALVERT ADDITION
SSUED BY ELI ZABETH SNYDER DATE OF ISSUE �.Z � ��e � �� DATE OF APPLICATION 11/2 5/91
BUILDING INFORMATION
ZONE 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 O1 TYPE OF HEAT GAS BLDG.SQ.FT. 2372 STORIES 2
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING FT. 2•�� GAS LOGS
rn RECEIVED
BATHTUBS 2 LAUNDRY DRAINS 1 FORCED AIR FURNACE"`�'S 1 O.OO DUCT WORK
SHOWERS 1 URINALS GAS HOT WATER HTR. 6.SO AIR HANDLING UNIT NUMBER
LAVATORIES 3 DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS 1 MISC. BBQ BASIC FEE
DISH4VASHERS 1 TOTAL FIXTURES �-2 X $S.O O DRYER TOTAL MECHANICAL 1 H.S O AMOUNT NONE
VALUATION $127�856 PLANNING DEPT APPROV�I, = DEB BARKER "DRIVEWAY SHALL NOT ENCROACH INTO
5' SIDYARD SETBACK. STRUCTURE FOOTINGS NOR OVERHANG N1AY NOT
PERMIT FEE �7 3 a.0 0 ENCROACH INTO DRAINAGE EASEMENT. DRIVEWAY SH�iLL BE PAVED PER
^LAN CHECK FEE 480_00--- $136.00 ZONING CODE CHAPTER 105.105. PLANNING DEPT SH�.�,I� BE APPRISED
UMBING FEE 60_00 OF ALL PROPOSED ROCKERIES OVER 1� TALL"
MECHANICAL FEE 18_50 pUBLIC WKS DEPT APPROVAL = TOM CO'��I,INS "A)LL DOWNSPOUTS,
344_001 — --PD 11/25/91 FOOTING DRAINS & DRAINS FROM ALL IMPERVIOUS SURFACES SUCN
PART P/C FEE -r
SEPAREVIEW #4308 AS PATIOS & DRIVEWAYS SHA�L BE TIGHTT�INED TO THE APPROVED
PUBLIC WORKS 45 00 pERM[ANENT STORNd DRAIN OUTLET. "
S.B.C.C.FEE 4 5�
FIRE FEE DATE: I� �G — S/ FIRE DEPT APPROVAL = REVIN ELLIS
OTHER FEES AMOUNT: �ZOO2.00 BLDG DEPT I�PPROVAL = PSIRE 1�ONEN
AMOUNT DUE �i n n�_pu� RECEIPT: �1���
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 —_��...^--�I DATE � Z — Z. C.� /
� 1��C:EIVED Peri � / _
NOV 2 5 � CITY O� FE�►ERAL WAY ���/
��ypFfEpE.RALWAY BUILDING PERMIT APPLICATION
�'��QE� —Please Print—
BOX 1 TENANT NAME:
OWNER n � � SITE LOCATION �9t/ f /� �P. ,��,
OWNER'S ADDRESS �3 �2 7 �F' Gr 3 cv CITY r� �r�f vr.��. PHONE ��J•`/�2 3
DESCRIBE JOB �(P� C.o,��_
THE PROPERTY IS OWNED BY: SINGLE/MARRIED�( PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �� t�P��,� �,�I��P�j ��,�.�s j CONTRACTOR'S REG. #�'-�C� UcC Ivi+aT.
• Card MUST be presented
CONTRACTOR'S ADDRESS � CITY ����-n PHONE P�S 4� /�i Z
EXPIRATION DATE --
,- — OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO D FbTTI S OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON �a�-�t�-�.� PHONE_��� `?`�Z 3
BOX 4 SEWER DISTRICT F_1.+� ��f p�- ¢ _�c?i.�r� WATER DISTRICT �'c{m�
BOX 5 ESTIMATED PROJECT COST J !(7 l��� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER � - o - o c�
LEGAL DESCRIPTION ? ,c��
(If necessary, please submit a separate page with the lega description.)
K.C. Plat Recording # q l� �i/ o'���3
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR�J� 2ND FLOOR /���
3RD FLOOR / BASEMENT / DECK / GARAGE �� /
BOX 8 (�) SINGLE FAMILY ( ��NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
O COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY ]"� Do SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO.�WATERCLOSETS GAS PIPING, FEET i.���c,�-�" I (�l? � $ �
�BATHTUBS N0. FURNACE, ELEC. GAS SS� $
�SHOWERS ��GAS HOT WATER HEATER $ . �
�_LAVATORIES CONVERSION BURNER $
/ SINKS BOILER, SIZE BTU $
�_DISHWASHERS AIR HANDLING UNITS $
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 $
�
� � 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 ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT�,��,.� 1 �.�� il DATE: 3' , i Z-- � Gj I
ANP-008 3/90
� . ' ,
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE��•2 SETBACKS: FRONT ?—O� SIDE 5� REAR �� HEIGHT LIMIT ��
PLANNING DEPARTMENT APPROVAL /?L�/9'/ l2�l8
REMARKS:�r%V !'L4�� %/t� 3`S S�i�E. . <S�'vGl�t�i-C. f06-7`� �c-s J
83��'
/ / ' �f2c �f�( eo s�.- /' �:._!.l_
SEPA: EXEMPT � NOT EXEMPT
FIRE DEPARTMENT APPROVAL ��- DATE ��� � � � � � �
�
REMARKS:
PUBUC WORKS DEPARTMENT APPROVAL �/ DATE ���'� —`��
REMARKS:��� ��'-�,r�c�..�r.�sp��uTs �c�oTti��f �,�.u5 �rv✓� .r'R.9-�'',vS F.2tJ-� .�-�-c rs-�i��et�����
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'�a'' ��L�'6,0 �1' F'E�'�.4.✓.�-.�tf SrZ°�N� .G�iQA-'n1 Ou-�Z�Ei—
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 ��3��?i TYPE OF CONSTRUCTION d �' STORES �i��
l5r -�L���-v � BUILDING SQ. FT. ���'� @ 'n2- `�l = 7� C'� S . oZC';
��"�' �1�-r,�� BUILDING SQ. FT. ��7� @ �7�, `%l' _ ��l U C7� � 2 C
L��c�«a,-,---- BUILDING SQ. FT. .����' @ �`'� _�G = �,� �`�/ ., �l`�'
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _ � L� �1� `1 /� �!
BUILDING SQ. FT. @ /��� ; �y�;' ;� �` _
TOTAL SQ. FT. ��_ ,� TOTAL VALUATION � �� � �J��� ` 2 ',
BUILDING DEPARTMENT REMARKS: PERMIT FEE 1�%, �%�'
PLAN CHECK FEE���� `� '-
PLUMBING FEE '�
MECHANICAL FEE '
�� TOTAL BLDG. FEES �t f
� PART P/C FEE
SEPA REVIEW
; �,✓ . . _ _ .��-S�o
S.B.C.C. FEE �
OTHER FEES �
AMOUNT DUE
I ���;�-.`�-`
ASSIGNED ADDRESS: �`� �`� -� � �
PARTIAL PLAN CHECK FEE RECEIVED
Amount � �ate � �� Receipt# �
BUILDING DEPARTMENT APPROVAL
RECEIVED BY �2�-,��=r_�,,� 1� �i '«� i DATE��/,_G�s-� ACCEPTED FOR FILING
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CITY OF FEDERAL WAY
33530 First Way South g V o L D I N G P E R M I T BUILDING INSPEGTION
Federal Way, WA 98003 661-4140
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 Q
TAX ACCOUNT NO. LEGAL DESCRIPTION
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
—lNE 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
.�'1.1)Ys►i� ..`�'2S'i`�,SAI..�C. 'btNE�C`3�t��t.C'"; t';fX)'4.'3.l+¢�:�.s'' i*�CA�: 1�4r�,#2N�..�ly
PERMIT FEE 'CPOACIf �� E1�,�1��AG� EAS�I�A�'f'. -.IV�iFSY SEi�IaL ?�'�
PLAN CHECK FEE ��T�T� {�latiPT�S1�Z �.U��I��J. .�.�L�r�a��I�ICa �s�`..P`.0 S�.ALa� ��'. -
PLUMBING FEE ��OPOSLD RC�KERxuS OVF,R 1' 3'A�L"
MECHANICAL FEE -�LIC i�KS L}P.PT APP'?'C,3��., -"= TC1M G��.LINS *Aea�r �'._
aT Pic Fee :~S� t�B.A.�?+�S & �7tAI�+1:a �'t�U�'�i %��° �'•�r,�����f=r-� �;wY���t•--�, F
PA REVIEW ;i PATTC)� & �1RIVEI�IAYS SHAIsL
PUBLIC WORKS �� DT{AZAI UUT`L�T .
S.B.C.C.FEE
FIRE FEE DATE: � ��� ��p�u
OTHER FEES AMOUNT:
AMOUNT 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 REQUIREMENTS WILL
BE MET.
OWNER OR AGENT DATE
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