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:._�•
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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
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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
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