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90-101574 .�' .:._ CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 9� -1 o�.�7 PERMIT NO. 90-1792 NR OWNER'S NAME___ _ GQRDON CAI,VERT JOB ADDRESS 29322 �.9TH PL S CONTRAGTOR (iQj�QN CAI�VERT CQNST ADDRESS 23127 SE 436TH ENUMCLAW CONT. PHONE 825-4123 CONT. REG. NO. ��QCCZZOMT OWNER'S PHONE 825-4123 OWNER'S ADDRESS 2312�I SE 436TH ENiJMCLAW 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. ��t�.A2A—O,��O—QO LEGAL DESCRIPTION LnT � CALVERT ADDITION ISSUED BY `7OANNE aTOHN ON DATE OF ISSUE "`� � `-� '" � / DATE OF APPLICATION BUILDING INFORMATION ZONE � OCCUPANCY R3 TYPE OF CONSTRUCTION � BLDG. SQ. FT. Z417SF SET BACKS: FRONT �� SIDE � REAR__ rj STORIES HEIGHT LIMIT 3O _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING_3.0FT. 2___=__`nn BOILER RECEIVED BATHTUBS LAUNDRY DRAINS _�_ COMPRESSOR TANK(S) SHOWERS 1 URINALS FORCED AIR FURNACE ]_Q��D_ AIR HANDLING UNIT NUMBER _ LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. ���Q. MISC. RETURNED SINKS MISC. CONVERSION BURNER BASIC FEE DISHWASHERS 1 TOTAL FIXTURE�3X5= 65.OO UNIT HEATER TOTAL MECHANICAL _],.��50 AMOUNT VALUATION 122,829 PLANNING DEPT APPROVAL: DB 1-11-91 PERMIT FEE 720.00 BUILDING DEPT APPROVAL: MM 1-2-91 LAN CHECK FEE 46H.OO LUMBING FEE 65.00 FIRE DEPT APPROVAL: RC 1-8-91 MECiiANICAL FEE �.8.S O TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW AMOUNT: ��77�_(�n WATER SERVICE ' / WATER MAIN CHG. DATE L � '"�y � � I S.B.C.C. FEE 4.5� orHER FEEs RECEIPT: � ��� AMOUNT DUE 1�276.OO ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I r'ERTIFY 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: �'1 � n � �?NER OR AGEN�"��SJA �i ��V�r��/ DATE � __ � � / � �� � Pe� # ��L� `" I �'t � � /�'�� CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION J — Please Print— _ I - , BOX 1 TENANT NAME: OWNER �.�o���v,v �., l�a� 1 SITELOCATION LoT /D �4/Cs e��r� 7���fS OWNER'S ADDRESS �3 � 2 � S�,3 �� %`� CITY �.�.�M� iu�tl PHONE Y i� �/i�>'3 DESCRIBE JOB l � -r•-, �� i THE PROPERTY IS OWNED BY: SI GLE/MARRIED �, PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME C'�o�d�r-� (�,6 (u�� 7 �o� s T CONTRACTOR'S REG. #bnR D �c� :lto�,�]` Card MUST be presented CONTRACTOR'S ADDRESS � � I Z. ) .S'/= ��"3C� CITY ��vi+��_PHONE �'z � ti i 2:'3 EXPIRATION DATE � - d - �// — 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 � �a r�.Q v�-� e�(��r.% PHONE S�2'S• b /2'3 BOX 4 SEWER DISTRICT F�dp�,(�, Gci%-S' WATER DISTRICT ..�•�m p BOX 5 ESTIMATED PROJECT COST l `1� .37/ d EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER *-i 3 U Gf O�� �—v I 5 0 --vo LEGAL DESCRIPTION �o T' /O �� /C s Q c�e� 1`�c� c,�s (If necessary, please submit a separate page with the le al description.) K.C. Plat Recording # �b'c� :3 3 � i 2 � 3' BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR DL�LJ 2ND FLOOR � O 3RD FLOOR / BASEMENT / DECK / GARAGES�Ca / BOX 8 (►() SINGLE FAMILY ( K) NEW CONSTRUCTION ( ) MULTIFAMILY(N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAVINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ NO.�WATERCLOSETS GAS PIPING, FEET �¢�j>io A ?,�a $ �`` �BATHTUBS N0. FURNACE, ELEC. GAS� $ ��``'� � SHOWERS _�1�GAS HOT WATER HEATER 5�o�� $ � �_LAVATORIES CONVERSION BURNER $ l 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 � � $ 1�_TOTAL FIXTURES $ ;�( ���� _ (, ��`' TOTAL MECHANICAL FEE $ �`c� '` 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: �Jou �a i y �n ANP-008 3/90 . '.�..��R:�'-`""�'`-.�-`,�'�wa:a�:: ,.�i:s��i.%:f?ttt�;�ps+.i,`'_ .. F....�:!rv- 1���.�: e.. Y-:c.u.. ..Y. ...g,. . 1 OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE �� SETBACKS: FRONT�_SIDE ���REAR � HEIGHT LIMIT 30� PLANNING DEPARTMENT APPROVAL _� ��� �f 1 � (�-- - � � 0% OL��v�O�- ` REMARKS:._�• �� I��� vw ° t�u'► 2 i� I W(�'�^- w�-i_ '�_ ��n-fvv vrdt,�-;s� . {?,� � riJ �s � SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL K-�� DATE % �" � `T � REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL I��� DATE / �" �% � �� 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 OCCUPANCY C� '� TYPE OF CONSTRUCTION U-►'v STORES �� iY �� BUILDINGSQ. FT. �ds� @ ��'c` _ ��• S�q ,�"J f��J BUILDING SQ. FT. �`/C� @ 6 9'" - � 9� �``-` �- BUILDING SQ. FT. �'3E @ /7 �3� _ � ["�`�9 BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ �-3� �5�7� BUILDING SQ. FT. @ ���'�'� �� p�� TOTAL SQ. FT. a'�1�� TOTAL VALUATION �"�T���T BUILDING DEPARTMENT REMARKS: PERMIT FEE �a 0 PLAN CHECK FEE � PLUMBING FEE �S MECHANICAL FEE �� `` TOTAL BLDG. FEES ' S� PART P/C FEE SEPA REVIEW S.B.C.C. FEE L� �'4 � OTHER FEES AMOUNT DUE � '- ASSIGNED ADDRESS: ��3 L�, i � �`��� �'�� �c� s'�'����� RECEIVED NQV 1 � 1Q90 PARTIAL PLAN CHECK FEE RECEIVED CITY OF FEqERAL WAY Amount Date Receipt# BUILDING DEPT gUILDING DEPARTMENT APPROVAL RECEIVED BY `���Z��'�,� /ylz�'— DATE /-�' `�� ACCEPTED FOR FILING 75.Z"1 0 � �� � � �,= y ,� � � N �, �� � � � � _ � � _ � � . � n cmi� O � -c f� o � � o � 2 O n p � _ \ � \\ � ~ � \ � � � �\\ y � � ¢�'± n � • � O � y Z • /08.90 � � � �i O � 2 CITY OF BUILDIhIG INSPECTION FEDERAL WAY BU I LDI NG PERM IT 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 I TAX ACCOUNT NO. LEGAL DESCRIPTION I' 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 �AUNDRY 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 � PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW WATER SERVICE 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 ' i � � v � �' +� , � � � J �� � � J > Y m z m Q m 'L CC Q � ' Q w � � U [ � \I � p W � y� Z �, � � i "� � � �'�' Z � � O � Z ��i''; Q � �' � � � J �' � � i / � Q �� � � � � ' U C`� Q • 1 '' � Z I Z m �� m Q � � U � � � _'e w Q � o � o � o � � l�,, ; ,I '� b �t � �n J � � � I � J 7 � �� a � Z :r O f� � i-- m " m � O a ' � ' 0� � � � Z .� � � \ I � o r�, Y Y ��v ,� w Q � ° o �`"�. �' �. � W o � I z Z o� a � � a �. � � � W � a � W �: � F � � � � Q � o 'S (`3 Z � o � "'� I I , � � � i � I �fi i �'' ��' �C � �,� � � � � � � � .� � � � z .. Z > } � } } � � � � m Z m Q m a m' v !� � \ � v c-�, O a �\ W �i � � �, � � 1 � � � ��' \ 1 Q M� o � I ° � O � '.� � /11 cn h, U , ., � \1 Y , U � Z � W �I' � � v � . Q m � o " , m W � W � W � W r , a C � ~ � ~ Y ~ Z ~ cWi� o a o O o � o