90-100441 CITY OF BUILDING INSPECTION
FEDERALWAY BUILDING PERMIT 941-1555
� gn � ���ry
PERMIT NO. 90-611 P OWNER'S NAME CASTLEWOOD HOMES JOB ADDRESS 34812 13TH CT S.W.
CONTRACTOR R & R CONTRACTING ADDRESS 3040 B ST N.W. �ZO AUBURN CONT. PHONE 833-1013
CONT. REG. NO. �NDRA**Z91PG OWNER'S PHONE 486-1700 OWNER'S ADDRESS 14040 N.E. ZHZST WOODINVILLE
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. LEGAL DESCRIPTION LOT 4�I MADRONA MEADOWS
ISSUED BY aTOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 5-17-90
BUILDING INFORMATION
NE 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 _
�AVATORIES _� DRINKING FOUNTAfNS GAS HOT WATER HTR. MISC _
SINKS �— MISC. BASIC FEE —�O CONVERSION BURNER BASIC FEE RETURNED
DISHWASNERS _�_ TOTA�FIXTUFiES 13XS= �O UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 8 S.O O
PERMIT FEE _
PLAN CHECK FEE
PLUMBING FEE SS_OO
CHANICAL FEE _ DATE: S O
TAL B�OG. FEES i—cP
AMOUNT:
PART P/C FEE
SEPA REVIEW RECEIPT: ��j� �� �
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE H rJ.O O
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
REQUIR S_�VIL BE MET:
OWNER OR AGE DATE � /� ( �
m�t # � '
�
CITY OF FEDERAL WAY �ECEIVED
BUILDING PERMIT APPLICATION y
—Please Print— M�I � � �9()A
.71/
BOX 1 TENANT NAME: �f� WAY
OWNER �--"`��-�`'0O " w-e5 �ok �yy�) SITELOCATION �3��Ii- - ��,Y�c-1 . s. w-% , ��� , t,,;n.�
OWNER'S ADDRESS � U `��' ►� �- l�i s� CITY �%'W u 6�l����i� PHONE �l 5� 1�o v
DESCRIBE JOB P �°M'� ;� �,
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME �� �a���"���� CONTRACTOR'S REG. # LC-A N�2�� i`1�P�
Card MUST be presented
CONTRACTOR'S ADDRESS 3��� 3�S-� ��' �'`}' � �v CITY �h�.`r' PHONE �S ��- 1��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 14� v�r ��'��r PHONE 5���- �G i 3
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION ' 1� � � ,,�-���
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD F OR / BASEMENT / _ DECK / GARAGE /
BOX 8 ( SINGLE FAMILY ( EW 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$
N0. -> WATERCLOSETS GAS PIPING, FEET $
�_BATHTUBS N0. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
'�- -LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE__ BTU $
I 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 PERFORM TH'�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, I�ICLUDING TNE 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 MPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OFTHIS APf'LICATION.
OWNER/AGENT: '`� -� --`_ DATE: S- � � - �G�
ANP-008 3/90
w
" OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE ` 'SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: ,
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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. OTHER
OCCUPANCY TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
.�b,��a� ASSIGNED ADDRESS:
� ,b�����0
4 �(` yy�� PARTIAL PLAN CHECK FEE RECEIVED
� mount Date Receipt#
iI j� ��d,� � -
�� BUILDING DEPARTMENT APPROVAL
RECEIVED'�✓ BY DATE ACCEPTED FOR FILING
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
0 ��I
PERMIT NO. OWNER'S NAME JOB ADDRESS_
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDFiESS
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
NE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
SET BACKS: FRONT SIDE REAR_ STORIES HEIGHT LIMIT
PLUMBING N0. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED
BATHTUBS LAUNDRV 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 _
CHANICAL FEE
TAL 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 PERMIT�S 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
� .r� � �t 0 O � � � (n
\ _ �, � Z � � D � D -mi
� �\ m D m p m W m D
\ i � I m �� z �
�� z ' 1 � cn
`� � o ' o �No z
\ ' o m j I � � o
� T
� n n I—� = O
' � � O z I o
. ��`�� W � � � W m �
� `� �, � z � , �
� i �
W �� � � �� �
. ; I i
, �
0 o Z � � o 0
� n D � ➢ y D �
\\ , � m r�- � � m -�
� � � O
Z r Q
� � I O G) m � c
� � , �
I � �
� i O
� . C
i i i z
0
`. o{o i i rn� �
O
:� z
�' � I I I D
� '
o j j � �
i �
'�. , � ! � �
, i
�r o � o � o �
r
-{ A � � � C
m � m = m �
� �
\\• � p � Z I Z
�, I D n ' �
< � � �
��, p ', I �
0
�, � z � � � c
�� ' o � z
� � � i n �
,1 �
I � � m O �
1 QJ D W z W �
. � � � �
r
�`. , I
��
�\
� ,
�\ '
i , i .
I ��� ' '