90-101545 CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
#�01 9D-�o/SY.S
PERMIT NO. 9O-17F)O NR OWNER'S NAME ��ON CALVERT JOB ADDRESS 29416 19TH PL S
CONTRACTOR ��ON CALVERT CONST ADDf1ESS 23127 SE 436TH ENUMCLAW WA CONT. PHONE 8,2ri_=tj] 7�
CONT. FEG. NO. ��OCCZZOMT OWNER'S PHONE 825-4123 OWNER'S ADDRESS 2�� 7�] S, F 436TH ENLTM('Ll�1W
TYPE JOB: NEW RESIDENCE XX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
X ACCOUNT NO. 304022-OOZS-OO LEGAL DESCRIPTION •nT � CAT.VF:RT AnD Tn TCTNC� �_
ISSUED BY JOANNE JOHNSON DATE OF ISSUE �"[ �"" � � DATE OF APPLICATION ��-6-on
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 2,960
SET BACKS: FRONT ZO SIDE ri REAR � STORIES HEIGHT LIMIT �(1�
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING_�_2 FT. 2�n n BOILER
RECEIVED
BATHTUBS 2 LAUNDRY DRAINS � COMPRESSOR _ TANK(S)
SHOWERS �_ URINALS FORCED AIR FURNACE �n Q� AIR HANDLING UNIT NUMBER _
LAVATORIES _ � DRINKING FOUNTAINS GAS HOT WATER HTR. �,_�_�D MISC. _
SINKS �� MISCZSXS —�5�_QO CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS _]_ TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL ���� AMOUNT
LUATION � 5b,118 P�NING DEPT APPROVAL: DB 1-11-91
PERMIT FEE u�� nn BUILDING DEPT APPROVAL: MM 1-2-91
PLAN CHECK FEE ri d� n n
PLUMBING FEE 7� nn FIRE DEPT APPROVAI,: RC �.—H-91
MECHANICAL FEE _ �$��
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW Pjj11jOLINT: �f�-'�
WATER SERVICE �� �/
WATER MAIN CHG. DATE: � �/`'► ' 7 �
S.B.C.C. FEE d_ �i(1
OTHER FEES RECEIPT: � CC�p
AMOUNT DUE 7 d77 _ (1(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 ET:
f-- j c
{ _`�,:'=:5=: �" 1GENT� DATE ;
i
� -
,
� . �- 9c� — / 7� v �v
, . ; , �
���� -: �� ,,� .�--
2yylG ��-r`� >>��c Sv
! � �� ��...
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER ��v��I o r.r C�, (✓�� T' JOB LOCATION 1-`� r �'
OWNER'S ADDRESS� 3 t "2.. 7 S r= �/��-G CITY ��v vnn PHONE �S'z�s•`���- 3
DESCRIBE JOB l�(e t.J C� ,�s i
THE PROPERTY IS OWNED BY: SINGLE/MARRIED� PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ���,�:�v �.� C���u p�� �'e�ncs i CONTRACTOR'S REG. #������'2/u ,�t ?"
Card MUST be presented �
- CONTRACTOR'S ADDRESS ;2� t Z �7 S � y 3� CITY ��u�� PHONE �''z.�s ti � �2 '3
EXPIRATION DATE
— 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 �'��.�r:Pv ,�.r �?�fut_� i PHONE C�'L b�-1 t �. '�
BOX 4 SEWER DISTRICT t � c , WATER DISTRICT _�� ���
BOX 5 ESTIMATED PROJECT COST j��� � fo0. EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 3 �`���'Z Ovl�� c�J
� LEGAL DESCRIPTION l o T �Z 1-�c,��l s �r �n_ i/��_�-�c s
� ;. _ E(YOJ�(Jt 2 r!Y
�
` (It necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR� 2ND FLOOR �,�;��
3RD FLOOR / BASEMENT / DECK / GARAGE "'�
BOX 8 (� SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO.�WATERCLOSETS GAS PIPING, FEET <<'CC ` $ «tav
�BATHTUBS N0. FURNACE, ELEC. GAS_� $ 'c5 r�'
_�SHOWERS _�GAS HOT WATER HEATER $ , �'
�LAVATORIES CONVERSION BURNER $
1 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 $
��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 PER-
FORM THE WORK FOR HICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: DATE: "?'v� / �J�fo
ANP-006 2/90
� � �
� �
,:_. �
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE �•2 SETBACKS: FRONT�O� SIZE y� REAR��_HEIGHT LIMIT , � � . �
PLANNING DEPARTMENT APPROVAL l/!J��Cr I � � , `z. � 9� "
REMARKS:
.
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL +=-- � DATE � - �; `f ,�
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL ��""�- DATE '�� � � t
REMARKS:
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. ROOF OTHER
OCCUPANCY R3 TYPE OF CONSTRUCTION !/-^/ STORES ����
/s` FL�•�� BUILDING SQ. FT. /Cllf� � @ �9. ` _ `T9?7`�
��'°` ���✓ BUILDING SQ. FT. `T95'� @ G�`j �" _ �`�G��S
G�����s� BUILDING SQ. FT. S/ `� � @ /�7.3G = �497f3
BUILDING SQ. FT. @ _ �'7 7�Ya 7
BUILDING SQ. FT. @ %''�'��•�'�•z •R�
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION � ���
EBUILDING PERMIT N0. PLAN CHECK FEE REC'D RECEIPT N0.
PERMIT FEE �� PLAN CHECK FEE ���---- PLUMBING FEE — �`=-- MECH. FEE /�' �� `
TOTAL FEES ly�.� ��^ SBCC SURCHARGE �/ j� ENERGY SURCHARGE -- AMOUNT DU / �
BUILDING DEPAaTMENT APPROVAL �i��'�-��y��--�:------------ DATE � _��
/�-a?- �'� ,��
REMARKS:
L� r lc�:..w 1�1
ASSIGNED ADDRESS: �`71?r�- ,l_c� '��` I��-.� c� t�?11� �> -C- ,
RECEIVED
����� � � 1990
cirY oF r-�u��H�wa
BUILDING DEPT. ACCEPTED FOR FILING
RECEIVED
i:
� � O
S �
. _ _ . - � e
'"_ ,---.,._,��_�--`_ � � -}}
4�-
� �_ � s� W
��_ '
� � /�3, 4�.� �
--- - - _ -�
- - G . _
1 " J
`- /
� - _..
' / ,
�
i
/
�
�
4 �
I
� r �
� �
� � � '
f� � � �
q' O ,
� ; a ,
; o , �
� � 'I
� ,
; Q - _ . _ �°_ _'"'.�v_ --'�
i ���
, � � ,
; � '�.
I �
, A \�
i �
�
i . I° .
, ..
' � ' � � � .� � ' � 1 ,_ \ �
I� _� _. L C ` -'-
�
C� �/�(.�
� z � N �
... . . . ,�
CITY OF BUILDING INSPECTION
�EDERALWAY BUILDING PERMIT 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 GRADINC� OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION
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 LAUNDRY 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
"LUMBING FEE
CHANICAL FEE _
TOTAL BIDG. FEES
PART PIC 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 �,I �
; � : �
�' M,� �
� � 'C� `� ' `
J �
�- r J r - 'J
Y m Z m � m �.-_
� a
o � i � � o
� v I � � J i � �
o w � LL ��, �J ' �
Z i � ��.� p � i
� Z � p '� � `
o z .� Q
� J pt ��
� I a �I � \i
Cf3 ' CJ M I, Q
Z i Z i m � v '�
pp ' Q
� W � W � t17 � � �
W Q
a o � o � o a
�, -� dr �
i I �� i . �
� � � ,. � '1 �
J ~ � � � � �
� � � �i a �
z � � �� � �" �
o �
Q m �i m , � . �
z �' � M; �� � -� �
�
O i y: Y i i �k p ``�
M� o
� ��' W � Z � � i
�
a�. 4 .� Z � �``I `l� Y
a '
O w a Q . -�-� r> ,.�'
� � F � � F o �
Y Q Q Q cn Q U �
� O o 'S C7 Z 0 � °J � � v
� �
� � � ' �
' �I c--- J _ `-' �
j � � 4 �
� � � � � . O
� � � � �
� � � � Z : �
� m � m � r >- ' ,J `�i
a m a m �
� � � � \ l
¢
O ��I = w � (� `
:� �
(� l�
�Z ^ I 0 ,,��� �� O C�I� � � � S, �' A
� � � l,� U �; � `� � �
Y � I C7 '�` Z Y \�'�� � � �/1 �
U ` Z �� W Cr�l O `'� \� � � V O
Q cn O � �
m w � w � w Q w
~ Y Z J I
(n o a. o O o li a '� r^, L � + ..�