90-100457 b , 0o ii457
CITY OF BUILDItNG INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. 90-628 P OWNER'S NAME QUADRANT JOB ADDRESS 827 S.W. 346TH ST
CONTRACTOR DELTA PLUMBING ADDRESS 13122 8TH ST E. #1 SUMNER CONT. PHONE 927-7620
CONT. REG. NO. DELTAPH176QP OWNER'S PHONE 455-2900 OWNER'S ADDRESS P.O. BOX 130 BELLEVUE
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 CAMPUS HIGHLANDS DIV II LOT I
ISSUED BY JOANNE JOHNSON DATE OF ISSUE 5-- 3c- Tv DATE OF APPLICATION 5-14-90
BUILDING INFORMATION
ONE _ _ OCCUPANCY_ TYPE OF CONSTRUCTION -__ BLDG. SO. FT
SET BACKS: FRONT SIDE REAR STORIES_ HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 GASXX. HOT WATER HEATER 1 GAS PIPING FT. _ - BOILER
BATHTUBS 2 LAUNDRY DRAINS __1 COMPRESSORTANKS) RECEIVED
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT NUMBER _ -
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. MISC
SINKS 1 MISCBASIC FEE 20.00 CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS L TOTAL FIXTURES14X5= __t0-00 UNIT HEATER TOTAL MECHANICAL _ AMOUNT
VALUATION 90.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE 90.00
SCHANICAL FEE
TAL BLDG. FEES a/!�L.._ 5-- - j J - Cf v
PART P/C FEE
SEPA REVIEW 5() co
WATER SERVICE44,..0,-.1-
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE 90.00
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 1 _
OWNER OR AGENT `1V��, `-' DATE ca N _-`J qQ
Permit # 0- (0
CITY OF FEDERAL WAY RECEIVED
BUILDING PERMIT APPLICATION
Please
Pont— r. ,v $ 1990
cm(U== WAY
BOX 1 TENANT NAME: BU:LJiitiu+ DEPT.
OWNER � 11L1«C�I Clt"1-t SITE LOCATION F3 r1 W r *r` -
OWNER'S ADDRESS P. lb()x I'JQ CITY I-CI l C--d Li C_. PHONE i`�5 L6100
DESCRIBE JOB 1-)1U111191(1(1
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME !X- I f Li I I u h 16,, CONTRACTOR'S REG. #
J Card MUST be presented
CONTRACTOR'S ADDRESS I �i a rill S-*• F 'k I CITY3u wine r PHONE (� 3 -1 Lf LO
EXPIRATION DATE I -i - (10
— 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 i_(1 u' �� i� PHONE IL I - IL-0 LC)
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION &5 l��y �.,� 1p<</ /T /_ v 74-
(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 FLOOR / BASEMENT / DECK / GARAGE /
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 $
4 TOTAL FIXTURES $ Q�O
TOTAL MECHANICAL FEE $ z (J,UU
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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AG T: to : DATE: F > Cr
ANP-008 3/90
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
eNE _ 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
SINKS MISC. 1.�3I1,. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION 90.00
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
ai CHANICAL FEE
IP-AL 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
1
M
(\1
O
J
Y CO Z CO CO
O O w
O w 1.1
Z 1 Cl-
o
o z a
CC 1 J O
CD Q 1 m 1
U Q
Z IZ
m
1
m Qww
U F- J I--
-1
-
aowo Qo 2
J Q
J
1
Z
o >. N 1 >-
aI--.:
CO CO
o
Z j
D
O I Y Y
11 I
O o `�
¢ w Z \,
a I L z o
F-
w rLii1(1—o al cn o r
0 � � ? o 0
0
1 . 1 1 I
l' ':,, 7i
co
U
1
L...--
o• 1 Z
m m
} m
z a m a.
U
0 '
O % w Y I
o Z v0 O o
a m
m w w w Q w \
3.,‘
YZ ---(:).;,, v"
ccn o a o O o u-o