92-101336 C, q2- �� 3�
Y OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92—2 089
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/28/92
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 34827 5TH AVE SW
PARCEL NO.: 132172-0160
PROJECT DESCRIPTION: NR--NEW SINGLE FAMILY
— OWNER — CONTRACTOR — LENDER
QUADRANT, , COUSIN'S CONSTRUCTION
739 SW 337TH ST.
LOT #16 CAMPUS HILAND DIV. 3 FEDERAL WAY WA 98023
FEDERAL WAY WA
661-7870
COUSICI132MS
D?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 3070:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? . PLAN CHECK DEPOSIT.* $ 472.00
CENSUS CATEGORY •101 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm FINAL PLAN CHECK...* $ 207.58
:R3 :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1045.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 215224 SIDE • 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 35.00
:5N :? :? :? DECK: 0: O:sf REAR • 80.00:ft SEWER SERVICE..:FED PLUMBING PERMIT/SPK* $ 85.00
OCCUPANT LOAD GAR.: 0: 935:sf RECEIVED.:08/21/92
. 0: 0: 0: 0: TOTL: 0: 4005:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1849.58
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 2 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 2 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 2 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
411 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 (It� 9 v 0 - -- DATE 9- PS"-q7 _
bld_prmt 07/31/92
:;:TY,OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD92-2089
?:o.i0 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 09/28/92
,:i.deraI Way, WA 98003 BY: JJ
oi -4000
=r ADDRESS: 34827 STH AVE SW
ARCEL NO.: 132172-0160
PROJECT DESCRIPTION: NR--NEW SINGLE FAMILY
OWNER --- T CONTRACTOR LENDER
rr QUADR.AI'T COUSIN'S CONSTRUCTION
739 SW 337TH ST.
LOT #16 CAMPUS HILAND DIV. 3 FEDERAL WAY WA 98023
•'ERAL WAY WA
661-7870
COUSICI132MS
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 3070:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS? .7 PLAN CHECK DEPOSIT.* $ 472.00
CENSUS CATEGORY •101 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •? SBCC SURCHARGE.....* $ 4.50
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm FINAL PLAN CHECK...* $ 207.58
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1045.50
TYPE OF CONSTRUCTION (ISMT: 0: O:sf PROP...$: 215224 SIDE • 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 35.00
:5N :? :? :? DECK: 0: O:sf REAR • 80.00:ft SEWER SERVICE..:FED PLUMBING PERMIT/SPK* $ 85.00
OCCUPANT LOAD GAR.: 0: 935:sf RECEIVED.:08/21/92 1
0: 0: 0: 0: TOIL: 0: 4005:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYP'=S.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1849.58
GAS PIPING.: 99 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 2 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT ...: 2 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
.' CONY BURNER: 0 FURN>100K : 0 30-50 HP : 0 SINKS : 2 DRAINS • 0
9p1 BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 2 OTHER FIXTURES.: 0
IDE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
j LOGS...: 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.
•
OWNER OR AGENT ,�.p ,) DATE I—g-Ff"qZ .
bla_prmt 07/31/92 C/
r ... 101111! I •
•
•
J •
0 4101.15P-
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_/d '`x='92 BY ._.._- DATE -.._..1041.,_....BY ...-SA'` ... DATE ..— ..-- ....—_ BY ..
PLUMBING ROUGH IN WATER LINE O.K. 4.•_•. -/-Z.
.' Z MECHANICAL INSPECTION
l�
DATE 5-r12J--�(�J-
_ BY_ ... GAS PIPING O.K. `s3C. '- DATE 1-05-15 BY ...
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE//4-27.- 3 -_..-BY C —_ DATE ...9 /6._9 3._..BY DATE `1-:5; BY
FINAL O.K. TO OCCUPY
DCD PSD FD
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DATE BY ..__— -- _--
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CITY OF FEDERAL WAY Cv2 - 1'1"
RELlEIVED
BUILDING PERMIT APPLICATION Sr-21 -6iz
AUG 21 1992 - Please Print—
BOX 1 IttiNeEpirAll
OWNER Orii 4 w Mf T _ •`
SITE LOCATION —c 1era\ Lol
OWNER'S ADDRESS a unrarev.•it Gor j . CITY PRIONE (11t-i—''R'Si- •
DESCRIBE JOB NI Ci*W SIric-C-PAm
THE PROPERTY IS OWNED BY: SINGLE/MARRIED Y PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Cou.sln‘s QJ Ofwvruc-rvst• CONTRACTOR'S REG. #Gous\cl 13-z.rls
Card MUST be presented
CONTRACTOR'S ADDRESS "7'3 9- S u.5- 3'51.41\ Si. CITY Fedev'o•\ 'i k PHONE (.0G.1-9-%.40
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 -LENNI S PHONE C.lo1- Bi-O
BOX 4 SEWER DISTRICT F=cck v30.ty. WATER DISTRICT c d woots •
-
BOX 5 ESTIMATED PROJECT COST 0OO,000 • EXISTING BUILDING VALUATION U
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1 3 11 -01 too
LEGAL DESCRIPTION 1-04 - IL C'Arv. ' 1-41McoA�C "D%v - 3
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1 Q.4n 2ND FLOOR /
3RD FLOOR / BASEMENT I DECK / GARAGE / `t2
BOX 8 (X) SINGLE FAMILY (4) 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. 3 WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. Q FURNACE, ELEC. GAS X $
1 SHOWERS 1.1 GAS HOT WATER HEATER ' $
5 LAVATORIES CONVERSION BURNER $
Q SINKS BOILER, SIZE BTU $
1 DISHWASHERS AIR HANDLING UNITS $
a ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET UNIT HEATERS $
U URINALS AIR COOLING UNITS, SIZE $
a • DRINKING FOUNTAINS COMMERCIAL HOOD $
d SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
G DRAINS $
OTHER $
l -- TOTAL FIXTURES
TOTAL MECHANICAL FEE $ I
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 IAM 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 I'
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
1-LOWNER/AGENT: V O crw..v. DATE: skS' -a I- °I2 •
ANP.