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92-100602 CITY OF FEDERAL WAY 91-loo�oa Feder�aFlWay\CW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4'140 PERMIT NO. 92-622 NR OWNER'S NAME ��ON CALVERT SITE ADDRESS 29418 19 PL S CONTRACTOR S�E ADDRESS 23127 SE 436 .ST ENiJMCLAW CONT.PHONE 825-4123 CONT.REG.NO. ��OCC21 OMT EXP. 6 92 OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE XXXqDDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. _INDUSTRIALA�D. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER • •AND GARAGE TAX ACCOUNT NO. 13�.000�0040 LEGAL DESCRIPTION LOT 4 CALVERT ADDITION ISSUED BY E SNYDER DATE OF ISSUE DATE OF APPLICATION 4/2 0/92 BUILDING INFORMATION ZONE RS 7.2 SET BACKS:FFONT ZO� SIDE S��S� REAR S� HEIGHT LIMIT 3O� OCCUPANCY R3/Ml TYPE OF CONSTRUCTION S-N CENSUS NO. ZOZ TYPE OF HEAT GAS BLDG.SQ.FT. 3ZS3 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS � ELEC.HOT WATER HEATER GAS PIPING�Q__FT. 2.OO GAS LOGS RECEIVEO BATHTUBS � LAUNDRY DRAINS 1 FORCED AIR FURNACE �Q._OO DUCT WORK SHOWERS �--- URINALS GAS HOT WATER HTR. ��_rJO AIR HANDLING UNIT NUMBER LAVATORIES � DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS � MISC. BBQ BASIC FEE � DISHWASHERS � TOTAL FIXTURES IZ X $5_OO DRYER TOTAL MECHANICAL 1..8_._rj_� AMOUNT NONE . VALUATION $1 g 1�2 9 9 PLANNING APPROVAL = DEB BARRER PERMITFEE $927•00 "DRIVEWAY STEM PAVING MAX = 10' . CHINNEY & FIREPLACE SHALL EXTEND NO PLANCHECKFEE $173.00 603.00 MORE THAN 18" INTO REQUIRED SIDE YARD PER ZONING CODE 115.115". PLUMBING FEE E)O.OO =CHANICAL FEE 18.50 pUBLC WR APPROVAL = JEFF S PARTP/CFEE OZ-IHH7H (430.00� SEPAREVIEW 4/20/92 BLDG APROVAL = REVIN ELLIS PUBLIC WORKS 35.�0 4.50 S.B.C.C.FEE �� FIRE FEE DATE: OTHERFEES AMOUNT: ��-21H.00 AMOUNTDUE �121H.00 RECEIPT. C�yC�� 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. , - .. �: . 7 � � OWNER OR AGENT � � /. � DATE � - -- ��{i�� Pe it # � �4�� APR 2 G 1992 CITY OF FEDERAL WAY �'� �u�it�o�r�'� BUILDING PERMIT APPLICATION — Please Print— BOX 1 TENANT NAME: OWNER h SITE LOCATION OWNER'S ADDRESS o1 3/ '2 7 �� 3 (� CITY �.04-�n.� PHONE_ �'�.-J�/'/2 � DESCRIBE JOB _��C�c) C� �� THE PROPERTY IS OWNED BY: SINGLE/MARRIED �C PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME �� vr.f u�r�rt' d,nc.3 � CONTRACTOR'S REG. #�aR l�vct:`�lc3ih T' Card MUST be presented CONTRACTOR'S ADDRESS � 3 1 � 7 S�= ¢��n CITY��tvn� PHONE �SZ�'� � �--3 EXPIRATION DATE — OR — I HAVE READ CHAPTER 18.27.010 RELATING TO IONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX 3 CONTACT PERSON _��d�d M C��u r�� cS% PHONE�'��f� BOX 4 SEWER DISTRICT � � 1,�� S WATER DISTRICT ��-� �..� -S BOX 5 ESTIMATED PROJECT COST � � � EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER r 3 !voo '''� �) d yC, •^ D O � LEGAL DESCRIPTION � 6 j` � . uP�1 �Q��1'r�_ 'ye i�c[� � . c�� (If necessary, please submit a separate page with the le al description.) K.C. Plat Recording # �j /O tt/ - D `�. � � a BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORL�� t /�7, 2ND FLOOR ��/ -�r 3RD FLOOR / BASEMENT / DECKSi�6 � / GARAGES"'�O /� BOX 8 ( SINGLE FAMILY (-�V�EW CONSTRUCTION (� MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE /'� ( -�"� O COMMERCIAL/INDUSTRIAL TOTAL AREA OF rROrERTY � ��-� � SQ FT BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANI�L APPLIANCES— BASIC FEE$ NO.�WATERCLOSETS GAS PIPING, FEET �c� � � $ � '�`' C' _�BATHTUBS N0._ �� FURNACE, ELEC. GAS� $ /� � � �SHOWERS �S�GAS HOT WATER HEATER .55�� $ �, ��_�; ___.�_LAVATORIES CONVERSION BURNER $ �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 � 1� $ OTHER $ � , TOTAL FIXTURES $ � � � jJ CJ , �%`:' 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 AGlAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. � OWNER/AGEN : ,_DAiE: � ANP-008 3/90 } � OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW �HIS LINE) ZONE ��- SETBACKS: FRONT �� SIDE �� REAR S � HEIGHT LIMIT -3`� � PLANNING DEPARTMENT APPROVAL Jr/�� 1I�� REMARKS��`?'�!i��:�g shal!�t��.�c�:;�h o c��:,r�k��.1i'r�ir.r�setbGci<li�e er e^�^nent,shc�srn or��ryf�;��..�;<" Z>Y�t=Q.W� m,Cx =/o' , C�2 irhr�c_ � i� vt..� � ,�.K�� 62z� <r��c-c � ��,� � � �u' ��, " SEPA: EXEMPT�,� � NOT EXEMPT FIRE DEPARTMENT APPROVAL �!�-- DATE S` �` � � REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL DATE -��"�""�L REMARKS: ��"+�'��"'�"� '"��"'"'��31�S,and nur�c�n from knpeMous sur�aces shall be ti htlined �.,,.t_,„ „.,..,,;::;:,, . a� perconditiorc of approved plat 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. OTHER OCC.UPANCY Cti,� TYPE OF CONSTRUCTION L• STORES (�lv f�• � �r BUILDI SGN Q. FT. � W� I c 7 � - �� = la6 �c>F - �( z� ?�� BUILDING SQ. FT. � Z�Z @ �� _ � �U $3 • � � �'"dl, � BUILDING SQ. FT. S ? U @ �� -'�� = I� �3 � BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ �'�'��' ' � �� _ �' ' TOTAL SQ. FT. TOTAL VALUATION � �I `�l� � �� BUILDING DEPARTMENT REMARKS: PERMIT FEE 1 1 Z� PLAN CHECK FEE��'3 - O PLUMBING FEE U MECHANICAL FEE � � - � TOTAL BLDG. FEES PART P/C FEE ^ SEPA REVIEW Pv� U�tr� 3S•� S.B.C.C. FEE �s� OTHER FEES AMOUNT DUE ASSIGNED ADDRESS: 7�W�{ ( � ��I�` �.l� SG . �ARTIAL PLAN CHECK FEE RECEIVED Amount � ✓ Date ��' Receipt# D�'l(80 ' BUILDING DEPARTMENT APPROVAL RECEIVED BY �� DATE 5 � � �� ' ACCEPTED FOR FILING � } y �O 62. VO J �V t� ' �� O" \ � deck SITE PLAN APPROVAY., � \ � V � � Permit Number: �� —�� '�--- � �oPos� � ,� Approved By: � R ES I DEl1� � Date: �-�S �y s' � \ ' — Comments: ��c-<m� S .�-,�, S!�-��- 5 � i;��, ��fi; /d' c,v' �� .�� f!2�-C�t-� � C��e�/J- i� -e�-�� r .i:��i�� c,�,-�c l�" j��tG .siG�x-�" �LC� �z ,.��' � \ � � ��i U�ll.�l�� , , '• RIVEWAY r�� , fi {�<G/i c��f =� __ _ _ _.__.. 5 - , - a —.`._� ,. 6.A3-:`. ,�,i ,'hi .� �__ � k //3 43 Y�1 �,. 19 ►h PL. S0. Tt�LLEFSON RESIDENCE � LOT 4 - S 1 T E P L A N a��r��D i"- 30` N APR 20 1 � 992 ��I+AY . CITY OF FEDERAL WAY 33530 First Way South B U I L D I N G P E R M I T BUILDING INSPECTIOf� Federal Way, WA 98003 661-4140 f 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 TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION —�NE 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 PERMIT FEE ��jT,C•1�fAY riJ`�''�r'`� .�"'LnI��I�Is F'�f4�! PLANCHECKFEE t?��'! ��A�j 1�* I'��'�' k�� PLUMBING FEE MECHANICAL FEE �. „ -.r+.r 1.--� �RT P/C FEE �PA REVIEW PUBLIC WORKS S.B.C.C.FEE FIRE FEE DATE: 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. '�WNER OR AGENT DATE � � ��ryj � . (1•�r� r- .,�.+� � � � � i , i � I �� . � `� � � ► . �j.� � �: . ' `4 J � L Y m z C°, � m � p I � ' . � U N,i � ��'' � Z � a �', p \�j � Cn \', Z � '. O z v.i Q � � ' � C7 U �' a � ! z � Z � m �� m Q S J �� w � Q � t a. � � O � � .. �M ,� i i - i � � 'a. J I I � � � � J � � I �` I ��' a �' , , � , .� �,;: z � o � i � m � ` a ° � � � j N� � N , z � ��i O b � Y � � � � O �� '� � � Z �, Z Ni � a �; � Z � rt , a � � � n- J O � F � = H � O a � C� Z o o � - - d � I il � � ` � � ti � ' � � ( M � ' �' � ^� � � �� ' � v�� Z � � } m � m � m � ' o �� z � � � � , . � �, � �� I W �;� � � �,� z � � ' o .�i ° U.' _� Q o �� o �! ti' �� , � N � n � � , - v 1 `� � r� w Y �\' .n. Q �i m �I O � � -� m w � w � w Q w I ` + w a � a Y a z a `+� . cn � a � o � u a � �