91-101407 CITY OF FEDERAL WAY 5 /- /O) Y07
33530 First Way South
FedealWay, W 98003 BUILDING PERMIT BUILDING INS 661411040
PERMIT NO. 91-1358 NR OWNER'S NAME QUADRANT SITE ADDRESS 1021 SW 347 ST
CONTRACTOR QUADRANT ADDRESS 33720 9 AVE S FEDERAL WAY 98003 CONT.PHONE 924-4439
CONT.REG.NO. QUADRC221OF EXP.9/6/92 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD._
NEW MULTI-FAMILY (UNITS )MULTI.ADD. _ _SIGN GRADING OTHER • • •AND GARAGE
TAX ACCOUNT NO. 192104-9049 LEGAL DESCRIPTION LOT 33 DIV 4 CAMPUS HIGHLANDS
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*SUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 9/30/91
BUILDING INFORMATION
RS 7.2 20' 5' /5' 5' 30' MAX
ZONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT
OCCUPANCY R3/Ml TYPE OF CONSTRUCTION 5-N CENSUS NO._10 TYPE OF HEAT GAS BLDG.SO.FT. 2240 STORIES 1
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 45 FT. 2.00 GAS LOGS
�n
BATHTUBS 1 LAUNDRY DRAINS -1 FORCED AIR FURNACErr 'S 10.00 DUCT WORK RECEIVED
SHOWERS 1 URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT _ NUMBER
LAVATORIES 4 _ DRINKING FOUNTAINS CONVERSION BURNER MISC.
SINKS 1 MISC. BBQ _ BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 12 X $5.00 DRYER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION $124,737 PLANNING DEPT APPROVAL = MIKE THOMAS "EAST SIDEYARD SETBACK MUST BE
$727. 00 10 FT. NO STRUCTURES MAY ENCROACH INTO THE SETBACK BY OVER-
PERMIT FEE HANGS, CHIMNEYS, ETC"
IAN CHECK FEE 473.00 $132.50
LUMBING FEE 60.00 FIRE/BLDG DEPT APPROVAL = MIKE MONEN
MECHANICAL FEE 18.50
PART P/C FEE (340.50) PD 9/30/91 PUBLIC WKS DEPT APPROVAL = SUZZI CUZZETO "20' MAX FOR
SEPAREVIEW #4014 DRIVEWAY WIDTH, ALL BUILDING DOWNSPUTS, FOOTING DRAINS &
PUBLIC WORKS 45.00 DRAINS FROM ALL IMPERVIOUS SURFACES SHALL BE CONNECTED TO
S.B.C.C.FEE 4.50 THE APPROVED PERMANENT STORM DRAIN OUTLET, SURFACE MATERIAL
FIRE FEE -- DATE: & DRIVEWAY COMPARABLE OR SUPERIOR TO THE ROW
OTHER FEES AMOUNT: 987.50 PROVIDING VEHICLE ACCESS"
AMOUNT DUE $9117.50 RECEIPT:
4-i :. --rs
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. • S
OWNER OR AGENT G ` DATE v `
r ,
RtCEIVED
0 Permie 60----- / 3 3`P N.
SEP 3 0 1991 CITY OF FEDERAL WAY 3 / 3
a ("IPP; E ALWAY BUILDING PERMIT APPLICATION _q-30- 9/
SOLOING DEPT, — Please Print— 61y
IX 1 TENANT NAME:
OWNER Quadrant SITE LOCATION Campus Hi•hlands Div 4 Lot 33
OWNER'S ADDRESS 33720 - 9th Ave S . CITY Federal Iday PHONE 924-4439
DESCRIBE JOB Single Family -Plan 2103 D —
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX
BOX 2 CONTRACTOR'S NAME Quadrant- CONTRACTOR'S REG. # 9 •
2210F ar. S prese e1 t
CONTRACTOR'S ADDRESS �t�202- 9th Ave S CITY Federal Way 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 Charlie Pr ib — PHONE 924-2532
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST $145 , 000 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 192104-9049-04
LEGAL DESCRIPTION CAMPUS HIGHLANDS DIV 4 LOT 33
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # Total 1844
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /1844 2ND FLOOR /
� 3RD FLOOR / BASEMENT / DECK / GARAGE 1 400
X 8)'X) SINGLE FAMILY K1 NEW CONSTRUCTION `'' F�..19 i!c/
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 7350 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 45 $ L--9'
1 BATHTUBS NO. _1;FURNACE, ELEC. GAS XX $ /lam'
1 SHOWERS GAS HOT WATER HEATER $ I.,''
4 LAVATORIES CONVERSION BURNER $
1 SINKS BOILER, SIZE BTU $
1 DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER _HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET _UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
12 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
4ND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
1ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
=ES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
ID FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
=10ERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
ER/AGENT: `�:'� DATE:4 al
,/
ANP-008 3/90
• 0 I .
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONEZS •2-SETBACKS: FRONT '7--(i
-" SIDE ' REAR HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL -22,4,e:17.1734.-4-2 . Vic. t' Oc f , �. lif
REMARKS: EAs7 569E YAeO St7 .4C,r, MOS" &E /0 FEET Aio C712,Acsvess
HA-( ENGRo he-14 ii t?o -R46 Sei'ISALK asc oveaHA4,t4S , C tt1MA)XSS, 0
SEPA: EXEMPT X NOT EXEMPT
FIRE DEPARTMENT APPROVAL \AAk -V.• � DATE 1 b 'DU- 60_
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL S��'li . DATE /0f i/9f
REMARKS: e '-O" MMAY lee v�ilf(U/9 V Wii2A6 na &iii-,ii/C7 Avu5PeI/1S, revri v6
P/211-ill ii' M2,1-ilis fou !I'LL , tfL Gel_S sing 5 Sf 1.L ge 0:vv rem .a me
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TYPE OF JOB: NEW RESIDENCE RES.7ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY t2 /42/ TYPE OF CONSTRUCTION STORES One--
BUILDING SQ.
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BUILDINGSQ. FT. jrt-Pi @ ?a. 90 = i Acrya7 ah()
BUILDING SQ. FT. 1/7)Z5 @ I = 739 . On
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ = 11/1 77e
BUILDING SQ. FT. @
BUILDING SQ. FT. @ /ii(eofie,e_. Y • 'a = •
TOTAL SQ. FT. a aUTOTAL VALUATION /d �.73 -
BUILDING DEPARTMENT REMARKS: _27c° 7a 7
PERMIT FEE c
PLAN CHECK FEEk '973
PLUMBING FEE 60°d
MECHANICAL FEE it' '
TOTAL BLDG. FEES /027s.,,�(, -
PART P/C FEE (�3 yJ. sem)
SEPA REVIEW
fit 1uL Wo2Cs 46. 52)
S.B.C.C. FEE yS('
OTHER FEES
AMOUNT DUE i( 4''1 D
ASSIGNED ADDRESS: le Z I S c Ltl, `1-iS I-i
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
SEP
Q 1991Amount Date 9-?c,-"i/ Receipt#
� � ot; i;Lie. BUILDING DEPARTMENT APPROVAL
8i98 10 1.4' BY Pa>--- /i/i)zc . DATE ACCEPTED FOR FILING
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CITY OF FEDERAL WAY
33530 First Way South BUILDING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. OWNER'S NAME SITE ADDRESS
CONTRACTOR_ ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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 SET BACKS:FRONT__ _-SIDEREAR HEIGHT LIMIT _
OCCUPANCY _ 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 PLANNING DEPT APPROVAL = MIKE THOMAS *EAST SIDEYARD SETBACK MUST BE
10 FT. NO STRUCTURES MAY ENCROACH INTO THE SETBACK BY OVER-
PERMIT
V -PERMIT FEE HANGS CHIMNEYSETC"
PLAN CHECK FEE 13:.50 r r
PLUMBING FEE `IRE/BLDG DEPT APPROVAL = MIKE MONEN
MECHANICAL FEE
PART P/C FEE MD /3o/91 PUBLIC WKS DEPT APPROVAL = SUZZT CUZMITO "20' MAX FOR
SEPA REVIEW 4014 DRIVEWAY WIDT} , ALL BUILDING DOWNSPUTS, FOOTING DRAINS 4
PUBLIC WORKS DRAINS FROM ALL IMPERVIOUS SURFACES SHALL BE CONNECTED TO '
S.B.C.C.FEE ""P APPROVED PERMANENT STORM DRAIN OUTLET, SURFACE MATERIAL'
FIRE FEE DATE: & DRIVEWAY COMPARABLE OR SUPERIOR TO THE R6',7
OTHER FEES AMOUNT: PROVIDING VEHICLE ACCESS"
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.
OWNER OR AGENT DATE
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