91-100071 9)/ /oOb-7/
CITY OFBUILDING INSPECTION
BUILDING
FEDERAL WAY PERMIT
941-1555
434
PERMIT NO. 91-0048RA OWNER'S NAME MICHAEL/ALMA REGAN JOB ADDRESS 34436 8 AVE SW
CONTRACTOR OWNER ADDRESS SAME CONT. PHONE 661-9225
CONT. REG. NO. NA OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION XXX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY ) MULTI. ADD. SIGN GRADING OTHER
TAX ACCOUNT NO._ 12170-0640 LEGAL DESCRIPTION LOT 64 CAMPUS HIGHLANDS DIV NO 1
r4 A 1111W
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE LV MI Ili i DATE OF APPLICATION 1/11/91
II
BUILDING INFORMATION '�
NE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N (ADDN) BLDG. SQ. FT. 77 SF (ADDN)
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES EXISTING HEIGHT LIMIT 30' MAX
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 NONE _ UNIT HEATER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $4,675.00
PERMIT FEE $72.00 PLANNING DEPT REMARKS: DEB BARKER (NO EXTERIOR CHANGES) ON 1/14/91
PLAN CHECK FEE 47.00
LUMBING FEE
CHANICAL FEE
TAL BLDG. FEES $119.00 FIRE DEPT/BLDG DEPT APPROVAL: MIKE MONEN ON 1/28/91
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
_ �/�
OTHER FEES Lf` 1isc
AMOUNT DUE $123.50 DATE PAID J AMT $123.50 REC'T t I
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 �a� - I ` A>,
DATE -2, -. 7 CA,
•
CITY OF BUILDING INSPECTION
FEDERAL WAY 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 GRADING 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 REARSTORIES 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 PLANNING DEPT R ARKS: DEB BARKER (NO LXT, RIOP C}AsVGE ._ O 1/14V
PLAN CHECK FEE _
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES FIR-.8 i?i;P1'/BLDG SEPT APPROVALt :4Xi E MONEN ON 1/28/9.
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
..S
S.B.C.C. FEE i - /
OTHER FEES I / r
,Ar' !E?
VTr. • d . i a'r kjlict} ps.•t+sir ; #
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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i�.�.�.3R: PlI 1991 rmit # 9 / -coo "e
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RECEIVED CITY OF FEDERAL WAY
JAN 1 1 1991 BUILDING PERMIT APPLICATION
— Please Print—
CITY OF FEDEHRAL.WAY
j9 r ,\Yi PT.
BOT TINAIT ENAME:
OWNER M is HAEL C, REG A+..i4trih tom. 12E6'W SITE LOCATION 7`/ 3[- Y Ave Sit)
OWNER'S ADDRESS 3 LP/3 L-> S",--114 Aue Sit) CITY FE0j,41, GOV PHONE /-"‘:/-`%225`
DESCRIBE JOB .DD wAtt_5 Ci-FLOC C. :H-Pti6E Par/ - Or EXiST1#1G (;)40KE ft L10/06 5 14CE
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME -5 E L F CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
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 F'i IL:r i rt L r •
i L
t1',rt 4:_ rtL.rtti PHONE (C•/- Y- _.
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1-t 13 )1 '7( - C6 4 a -61 (5723.)1-4
LEGAL DESCRIPTION Ltt /:-i CAMPus Htr,H1..A-n;OS bIV NC 7/
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /.3`: 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE 4-157 / 357
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
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 $
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 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 THEHEACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: _ti��t ►fit C�) x--, DATE: / // 9 .
ANP-008 3/90
•
11110
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONER5 7.1- SETBACKS: FRONT SIDE REAR � I HEIGHT LIMIT = '
PLANNING DEPARTMENT APPROVAL g. ///`0 /- - —
REMARKS: -/acl--(4,"t-) eita- .
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL h1/42- 117511f'4 DATE_ /
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL A// 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 dne--
rU.,�•2� >. BUILDING SQ. FT. 77 54 @ q = / 3
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ Midi cC =
BUILDING SQ. FT. @ _ /
TOTAL SQ. FT. TOTAL VALUATION 4/ 11 7 b
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7,22
PLAN CHECK FEE I/7
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES //C(
PART P/C FEE
SEPA REVIEW
SG'
S.B.C.C. FEE 7
OTHER FEES
AMOUNT DUE /17,23 g`
ASSIGNED ADDRESS: Sec- O tie( ce
PARTIAL PLAN CHECK FEE RECEIVED
RECEIVED Amount Date Receipt#
1591 BUILDING DEPARTMENT APPROVAL
RECEIVE1 iALWAY BY flier710,L DATE –G7/ ACCEPTED FOR FILING
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ATTENTION ALL
DOWNSPOUTS,FOOTING DRAINS
MINIMUM BUILDING SETBACK AND DRAWS CONVEYING RUNOFF FROM All
FRONT YARD �'
IMPERVIOUS SURFACES INCLUDING PATIOS AND
THERE ARE To - DRIVEWAYS SHALL BE CONNECTED TO THE
TO THE A P P R O :., ,
• ' UNLESS °THERM S� APPRr.
APPROVED STORM_
SIDE YARD THE FEDERAL WAY B, OTHERWISE APPROVED.
QEOURETUNLF,Sg
REAR YARD 7 ' •
DEPARTMENT.
SHORELINE
INTRUSIONS THESE -I ,`
FEOURED YARDS PERMITTED
Of&YPER SEC 21M1I0
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' RECEIVED
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.i►'•%• LSA-- JAN 1 1 1991
— -- CITY OF FEDERAL WAY
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---- 7 .� a BUILDING DEPT.
THE QUADRANT CORPORATION
A IMMIsmoisisismir
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Wiyarhw.u..r-- l : DATE:_ 1T 1 e Ijogi_a i.bat -110T: .124 , C"1.
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