92-101113 9a-/°11i3
CITY'3353O0F FEDERAL WAY Firstt Way South BUILDING PPERMIT NO: 92-1163
ISSUED: 11/04/92
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC 9if,,r
661-4000 EXPIRES: 08/14/9.!7 fes'
ED PERM1"4
ADDRESS:35003 STH AVE SW
NO. : 132172-0150
PROJECT DESCRIPTION:NSF Lot 15 Campus Highlands Div 5
OWNER CONTRACTOR --- — LENDER
THE SAYNOR COMPANY THE SAYER COMPANY
IfP 0 BOX 4927 P 0 BOX 4927
FEDERAL NAY NA • FEDERAL NAY NA
927-8759 921'-8759'''
SAY#IOCIi�3J
I BLD?:X MEC?:X PLM?:X FLR--EXIST RO'--- 0-
!fE'.LTNC 777- 0 :COMP PLAN... . " FEES:
TYPE OF WORK:NEW USE:RES iST.: 4: 340G:sf :,`DRIES' - 1 :WIRED PART'C. ,- ,0 SPRINKLERS- .1 SBCC SURCHARGE * $ 4.50
CENSUS CATEGORY •101 2ND : 1: 0:sf E"GHT... 0.00 ftAZARD I ASS ;$, NEC APPLIANCE FEES.* $ 18.50
OCCUPANCY GROUP 3RD.: G: G:sf v UATIO8 REDUIREO SETBAtr ::RE F.ON...,: c G PERMIT/SPK# $ 80.00
:R3 : : : „., ,OTIiR: 0. 0:sf E%,5:.1: 0 r,_'?' ..... ..: 20.00 ft PLAN CHECK DEPOSIT.* $ 512.00
TYPE OF CONSTRUCTION BSNT: 0: 0:3f PROP. :f': 235129 SIDE • 5.00 ft MATER SERVICE..:FED FINAL PLAN CHECK...* $ 725.08
:5N : : : : UECK: .: 350:sf REAR • 5.00:ft SEWER SERVICE..:FED BUILDING PERMIT....* $ 1115.50
OCCUPANT LOAD Ak. 0: 65' sf RECEIVED.:001-02/92 PUB WORKS-PLAN CHECK $ 35.00
: 0: 0: 0: 0: TOTL; 0: 4400 IMPERY SURFACE: 0 sf SENSITIVE AREAS?.:N BUILDING PERMIT....* $ 100.00
•
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FEES $ 2590.58
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 3 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT MORK : 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HMT • 1 MOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH MASHERS • 1 LAWN SPRINKLERS: 0 .
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT d/I%/JUk_ Ci /L e y DATE 7
FILE COPY
,00011 teet,
OF-'FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92-1163
)30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/04/92
faral Way, WA 98003 BY: FLF
'-4000
c ADDRESS: 35003 5TH AVE SW
RCEL NO.: 132172-0150
ROJECT DESCRIPTION: NSF Lot 15 Campus Highlands Div 5
OWNER - CONTRACTOR 7 LENDER
THE SAYNOR COMPANY THE SAYNOR COMPANY
P 0 BOX 4927 P 0 BOX 4927
FEDERAL WAY WA FEDERAL WAY WA
•-8759 927-8759
SAYNOCI172JJ
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •? FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 3400:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS? •? SBCC SURCHARGE K $ 4.50
CENSUS CATEGORY •101 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' MEC APPLIANCE FEES.* $ 18.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLUMBING PERMIT/SPK* $ 80.00
:R3 : : : OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft PLAN CHECK DEPOSIT.* $ 0.00
TYPE GF CONSTRUCTION BSMT: 0: O:sf PROP. .$: 235129 1 SIDE • 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 725.08
:5N : : DECK: 0: 350:sf REAR • 5.00:ft SEWER SERVICE..:FED BUILDING PERMIT....* $ 1115.50
OCCUPANT LOAD GAR.: 0: 65C:sf RECEIVED.:08/02/92 PUB WORKS-PLAN CHECK $ 35.00
: C: 0: 0: 0: TOTL: 0: 4400:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FEES $ 1978.58
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 3 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HUT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURN_R: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0 c,
3AS DRYER..: 0 AIR HANDLING UNIT FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
E • 0 <=10,000 CFM: C ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1 .�, r
j — 111 411LOGS...: 0 > 10,000 CFM: U UNDERGROUND.: 0 I '!
910
...
, .
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONEAR AFTER DATE OF ISSU• ' -
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDER , REQUIREMENTS WILL BE MET.
ate .
; , A/¢ aci.,,,,, i,=,1/ LO�vNER OR AGENT ` 4./- inion �� DAT IV
bld_prmt 10/23/92
pA�'�
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SET BACKS AND FOOTINGS
O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE I/�!L4 Z BY.,(. DATE ,(00/fZ_ BY .... - .... DATE _BY
PLUMBING ROUGH IN WATER LINE O.K. Z'�` � 1 MECHANICAL INSPECTION
DATE..t-4.�... _—.._BY .. ... GAS PIPINGO.K.f..:._. /..-3 " DATE ./ v)-- BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE '1(s' BY i�h DATE 9-1 ..1C �1111 •-/_.- ...._ DATE 2-263 BY
L BY _ _
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE .BY -
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,F FEDERAL WAY B U I L D I N G PE.R M I T PERMIT NO.: 92-1163
) First Way South BUILDING INSPECTION - 661-4140 ISSUED: 11/04/92
--al Way, WA 98003 BY: FLF
1.000
ADDRESS: 35003 5TH AVE SW
CEL NO.: 132172-0150
. .,OJECT DESCRIPTION: NSF Lot 15 Campus Highlands Div 5
— OWNER — CONTRACTOR — LENDER
THE SAYNOR COMPANY THE SAYNOR COMPANY
P 0 BOX 4927 P 0 BOX 4927
9F' AL WAY WA FEDERAL WAY WA
759 927-8759
SAYNOCI172JJ
•
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •? FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 3400:sf STORIES • 1 REQUIRED PARKING..: 0 SPRINKLERS? •? SBCC SURCHARGE * $ 4.50
CENSUS CATEGORY •101 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •? MEC APPLIANCE FEES.* $ 18.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm PLUMBING PERMIT/SPK* $ 80.00
:R3 OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft PLAN CHECK DEPOSIT.* $ 0.00
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 235129 SIDE • 5.00 ft WATER SERVICE..:FED FINAL PLAN CHECK...* $ 725.08
:5NDECK: 0: 350:sf REAR • 5.00:ft SEWER SERVICE..:FED BUILDING PERMIT....* $ 1115.50
OCCUPANT LOAD GAR.: 0: 650:sf RECEIVED.:08/02/92 PUB WORKS-PLAN CHECK $ 35.00
0: 0: 0: 0: TOTL: 0: 4400:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FEES 5 1978.58
GAS PIPING.: 50 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 3 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 1 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RP • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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.
/j
OWNER OR AGENT �?l f f .'1.1 ,'Y")t.r? (L -(7
l 7GG/?-r ' //',I DATE
✓ /('l-' (��—
bld_prmt 10/23/92
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY DATE BY DATE BY
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIPING O.K. DATE BY
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE BY DATE . BY DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE BY
di.ei 2-e- a%4 e v Ai 1//v0ert1rleg42 a ..__!._..)
/2/71-/fz_ 0/, S/499-77/pv6-- eSIC"
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MIT NO: 92-1163
CITY OF FEDERAL. WAY BUILDING PERMIT PERIISSUED: 11/04/92
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/14/W3 t
RENEWED PERMIT "7
ADDRESS:35003 5TH AVE SW
NO. : 132172-0150
PROJECT DESCRIPTION:NSF Lot 15 Cups Highlands Div 5
OWNER .."2 —..-z. .....- �,-'-.�._..- ._._ CONTRACTOR -------------- __-:. - _ . LENDER --------. .......,.—...-..
THE SAYNOR COMPANY IkE SAYNOR C0$tPAl1Y '
P 0 BOX 4927 P 0 BOX 4927
FEDERAL NAY NA FEDERAL MAY MA
927-8759iiit_.=
ThrINV ..
.� Y ..
OLD?:X MEC?:X PLN?:X FLR-•EXIST- PROP---` ;1 atitt iffTT'": 0 DMP PLAN •? FEES:
TYPE OF MORK:NEM USE:RES 1ST. ': 3400:+1 STORIE = � 1 1 0d s airs0,4074410000?..... SBCC SURCHARGE v 1 4.50
CENSUS CATEGORY •101 :` 1:' O:� �HEI�. ..; 0.00 � CEA , NFC APPLIANCE FEES. $ 18.50
OCCUPANCY GROUP . h. v. 0: OVAL 'T� , -, --R� , � zz FIRE ": 0 PERMIT/SPK* $ 80.00
:R3 : • v 1W: 0. 0: FXIST..j: 0 4RONT • 20.00 ft PLAN CHECK OFPOSIT.* 1 512.00
TYPE OF CONSTRUCTION0: 0:5f CROP. S 2-'1'*. TOE • 5.00 ft MATER SERVICE..:FFD FINAL PLAN CHECK...* 1 725.08
:5N : rte °' 0: 3:0:=i REAR • 5.00:ft SERER SERVICE..:FED BUILDING PERNIT....t 1 1115.50
OCCUPANT LOAD- : 0: -,'Ys€ RECEIVED.: 2/92 PUB NORKS-PLAN CHECK 1 35.00
. 0: 0: 0: 0: T011.' 0: 4400: ,3 TMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N BUILDING PERMIT....= 1 100.00
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS • 4 URINALS........: 0 TOTAL FEES 1 2590.58
GAS PIPING.: 50 ft H000 - 0 0-3 HP • 0 BATH TUBS • 3 DRINKING FOUNT.: 0
FURN<10O1..: 1 DUCT RORK.....: 0 3-15 HP • 0 SNORERS • 1 SUMPS • 0
GAS HMT • 1 ROOD STOVES...: 0 15-30 HP • 0 LAVATORIES - 5 VAC BREAKERS...: 0
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINES - 1 DRAINS • 0
B80 • 0 RISC..........: 0 54 HP.......: 0 DISH RASHERS - 1 LANA SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC RIR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE. • 0 <-10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTITS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO RORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER OPE Of ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST Of NY KNOWLEDGE ANT: THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS RILL BE NET.
�
(*NEP CfACENi r Sj ,��___ "3 lAN .____----___----___ DATE _ 7 __ ^-_
_24 /////////
\4
FIELD COPY
• 0
SETBACKS & FOOTINGS
Date By
FOUNDATION WALLS
Date By
PLUMBING GROUNDWORK
Date By
UNDERFLOOR FRAMING
Date By
SHEAR WALLS
Date By
PLUMBING ROUGH-IN
Date By
GAS PIPING
............. ..
Date By
MECHANICAL ROUGH-IN
Date By
MECHANICAL (OTHER)
Date By
FRAMING
Date By
INSULATION
Date By
GWB - 1ST LAYER
Date By
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date By
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date By
BUILDING FINAL
Date1 [1)-4'/ By
1
OTHER
Date By
OTHER
Date By
CD0193
O.lit P92—Ii 6 3 Pci—t -c4
RECEIVED `'y
CITY OF FEDERAL WAY
JUL 31 1992 BUILDING PERMIT APPLICATION 4512-077
offy OF EWA ,WAY —Please Print— o
Ei. OGIK 3SGr73 S M ' S� 2-1,i546‘)
BOX 1 TENANT NAME:
OWNER -TIAr S Nott COYPANy SITE LOCATION LoT IS C A04p..r5 Dt. 5
OWNER'S ADDRESS .?0 Box 4-a 2_7 CITY O€& - WA'/ PHONE 927 -75q
DESCRIBE JOB S i.v r4 L. FAw LY RES 10€1.4.S._
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION 7(
BOX 2 CONTRACTOR'S NAME Ma C4tAn PAN y CONTRACTOR'S REG. # �t'4Y NC C.�L I12.3
_ Card MUST be presente
CONTRACTOR'S ADDRESS Po ) 4 Z7 CITY o- L Lvlg2 PHONE 921 $1S to
EXPIRATION DATE 02 5 to AY G 3
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON Doti KµA€c S PHONE 92.1 8159
BOX 4 SEWER DISTRICT Felot€a t-- UJ 1 WATER DISTRICT oeeci L
BOX 5 ESTIMATED PROJECT COST q S000 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER t3 2- i 1 — 0"15O 0
LEGAL DESCRIPTION Lol" is LAw1R-'S NtUNuaNdoS mV 5 SEC i 9, -r 21 N , e4 • Awl
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording# 1186-- 23
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 34400 / 2ND FLOOR — /
3RD FLOOR / BASEMENT --- / DECK '35O / GARAGE 6.50 /
BOX 8 (X) SINGLE FAMILY ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. 4 WATERCLOSETS GAS PIPING, FEET 5a $
3 BATHTUBS NO. I FURNACE, ELEC. GAS n $
_SHOWERS I GAS HOT WATER HEATER $
5 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 $
l(Q 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 THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
9 OWNER/AGENT: (�� o ' DATE: 3 1 (.IUt_q q z..
ANP-008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW IS LINE)
ZONE 7,Z SETBACKS: FRONT -2431
SIDE .( EAR ) ' HEIGHT LIMIT 3
PLANNIf1,DLPzMENT APPROVAL
REMARK : o Dimming shalt encroach onto y butldtng setbac tine or easement,shown or not shown. /7-444
rkeic.ry
SEPA: EXEMPT ( NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVALDATE
REMARKS: ,s,and run-off from impervious surfaces shall by tf h li
g t ned
to the appy.v a storm drain connection as required per condition 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
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 C5/ - CO)
SEPA REVIEW
Pu&At uo s e
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
C tY.
PARTIAL PLAN CHECK FEE RECEIVED
Lt
irj
c Amount 5t 2- Ob Date 7 3I 5'z Receipt# `056v
BUILDING DEPARTMENT APPROVAL
tEIVED " ; BY DATE ACCEPTED FOR FILING
a
l
SITE PLAN • PPROVAL , q
,- t ",,umber: 'f� 1I(0 ,t,23113 .
,r roved By: ///a 'I !IV
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Date: : /1�I 1
Comments: ' ,ti co ��' N 0.0' i
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