91-100423 91-lot Y .23
CITY OFBUILDING INSPECTION
BUILDING
FEDERAL WAY PERMIT
941-1555
REVISION
PERMIT NO. 91-392 NR OWNER'S NAME CLAY/BETTY SUE PARTON JOB ADDRESS 413 SW 347TH
CONTRACTOR TMB BUILDERS INC ADDRESS 33305 1ST WAY S #202 FEDERAL WAY CONT. PHONE 838-8626
CONT. REG. NO. TMBBUI100CA OWNER'S PHONE 952-8731 OWNER'S ADDRESS 2818 QUEENS WAY #1—A MILTON
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. 132171-0080 LEGAL DESCRIPTION Se/ .......1
ISSUED BY JOANNE JOHNSON DATE OF ISSUE '94f DATE OF APPLICATION 7-29-91
BUILDING INFORMATION
OENE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. FT.
T 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
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT _
VALUATION
PERMIT FEE
PLAN CHECK FEE $30.00 ONE HOUR PLAN CHECK FEE.
PLUMBING FEE - = Fbis ( 1 MECHANICAL FEE411
AL BLDG. FEES
AAT P/C FEE DATE:
SEPA REVIEW
WATER SERVICE AMOUNT: $30.00
WATER MAIN CHG. ACq.D .
S.B.C.C. FEE RECEIPT:
OTHER FEES
AMOUNT DUE 30.00
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 BE MET:
OWNER OR AGENT -�`� DATE (f 79
94pro9Y/02
- CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDINGPERMIT 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. SO. 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
RETURNED _
SINKS MISC. _ CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL .. AMOUNT
AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL 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 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
. CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS //3 -5: :(i '3`/ 75 ir
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 4
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
ZONE 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.
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
PLANNING I:L n APPROVAL = DER PAR:ri.:P R
PERMIT FEE NO BUILDING SHALL ENCROACH ONTO ANY BUIL OiOG S MR3
PLAN CHECK FEE166.00
EASEMENT, SROWN OP NOT SROWN.
PLUMBING FEE
MECHANICAL FEE — FIRE LEPT APPROVAL = KEVIN E'LLIS
TOTAL BLDG. FEES
PART P/C FEE
4/3/91 # 2351 Ptlr..LIC WKS DEPT APPROVAL = TO Ca:
SEPA REVIEW .. L.._..1._ (f.t. . 1 ' .%_ _ PREAFPROV.sD gIt'G CCUNTY PLAT
WATER SERVICE
WATER MAIN CHG. ry.a..fCi,6._AC .. t y '-'7 ._,.,; -
S.B.C.C. FEE ,
=C r
OTHER FEES 4j,, =" .1 _ Li .1
,rL.
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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 TENANT NAME:
OWNER [LON B% 11 ? 1�d SITE LOCATION 1I 6'P1 41
OWNER'S ADDRESS 225 w Y #-i--A CITY Mi -rt0r:1 PHONE(7"-- Z.,-.b.-1---77
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED \>'G PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Tip 3 I CONTRACTOR'S REG. # IMP&d.L - 1LYY.A
Card MUST be presented
CONTRACTOR'S ADDRESS 33Y=5 l 5r WZY L6 2 CITY �t 'L±/ - 9�ti�.' PHONE i%)
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 PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION
(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 $
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.
OWNER/AGENT: 1 1 r DATE: 1-L-i-.1 I
ANP-008 3'90
OFFPUSE ONLY (PLEASE DO NOT WRITE BELOW *LINE)
ZONE SETBACKS: FRONT TIDE REAR HEIGHT LIMIT
•
PLANNING DEPARTMENT APPROVAL
REMARKS: `VA-
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /ntDATE 7/f//ft
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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 AVnli TYPE OF CONSTRUCTION vrl/ STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. 00vl @ _
BUILDING SQ. FT. /< @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE 'e
/-(evi 4vx- n PLAN CHECK FEE 36 oc
o PLUMBING FEE ,16
/� l�!</frl. 3a
o L MECHANICAL FEE
TOTAL BLDG. FEES �6
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
J U L 2 9 101 Amount Date Receipt# _
PERMIT# �� -L`Z �//� BUILDING DEPARTMENT APPROVAL
RECEIVED BY /Yfi 41z-r- -0‘ /271,74-K.. DATE -7/P/9Z_ ACCEPTED FOR FILING
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT' 941-1555
PERMIT NO. 91-392 NR OWNER'S NAME CLAY/BETTY SUE PARTON JOB ADDRESS 34517 10 AVE SW
CONTRACTOR TMB BUILDERS ADDRESS 33305 1 WAY S #202 FEDERAL WAY 98003 CONT. PHONE 838-8626
I.!
CONT. REG. NO. TMBBUI*10OCA I 1g." OWNER'S PHONE 952-8731 OWNER'S ADDRESS 2818 QUEENS WAY #1—A MILTON
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
TAX ACCOUNT NO. 132171-0080 LEGAL DESCRIPTION LOT 8 CAMPUS HIGHLANDS DIV 2
AilSUED BY ELIZABETH SNYDER DATE OF ISSUE r DATE OF APPLICATION 4/3/91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5—N _ BLDG. SQ. FT.- 3991
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' _ STORIES HEIGHT LIMIT 30' MAX _
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. 3.50 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 _ URINALS FORCED AIR FURNACE 10-00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6x_50 MISC.
_
SIN`S 2 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 15 X $5.00 UNIT HEATER TOTAL MECHANICAL 2.0-,A.0 AMOUNT NONE
VALUATION $175,512.00
PLANNING DEPT APPROVAL = DEB BARKER
PL4906.00
PLANNCHECK FEE 589.00 $166.00 NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK LINE OR
QMBING FEE 75.00 EASEMENT, SHOWN OR NOT SHOWN.
UTOTAL
NICALBLDG. FEE 20.00 FIRE DEPT APPROVAL = KEVIN ELLIS
TOTAL BLDG. FEES $1590.00
PART P/C FEE (423.00) PD 4/3/91 # 2311 „.11PUBLIC WKS DEPT APPROVAL = TOM COLLINS
SEPA REVIEW DATE: j 3_0 t.1,,
PREAPPROVED KING COUNTY PLAT
WATER SERVICE
WATER MAIN CHG. AMOUNT: 1,206.50 BLDG DEPT APPROVAL = MIKE MONEN
S.B.C.C. FEE 4.50
OTHER FEES PUBLIC W. 35.00 RECEIPT: -. --9-S--kte.,2
AMOUNT DUE $1206.50
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 `7 7 A
• 4,
• T.
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W
L=40.30'
S,°5-'\ A =92°22'04"
R=25.00'
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RE CElVEO
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,-,-\\ LOT 8rr&
\ .
1I
CAMPUS ESTATES D V 3 \ 1
A PORTION OF SECTION 1, I
T. 21 N., R. 4 E., W.M. I
KING COUNTY, WA
Petzb err tr ?/-212 112
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83.00' N88°52'25"W
i
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Pipit # (i1 ._-- , a,,,_),.
• 3
CITY OF FEDERAL WAY 14
-----
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 NANT NAME: C___.\0� \ \ •\ ,� „._„. �. � 8
OWNER --\-\- < ' . SITE LOCATION 17 • - , .Ar.
•OWNER'S ADDR SS '_ - -- - CITY /-/IC,TGAl PHONE ` ` _
DESCRIBE JOB 5/NtaL6 FAn,iLi /' Sr/? ,.)C0._
THE PROPERTY IS OWNED BY: SINGLE/MARRIED , 1,4 i IEO PARTNERSHIP CORPORATION - -
BOX 2 CONTRACTOR'S NAME i Md ,gill L Dir;,S /d1 C• CONTRACTOR'S REG. #!i r81i q 7-*j r'r C'/
Card MUST be presented
CONTRACTOR'S ADDRESS 23/0-.C- /s; ct- S ,7
20Z CITY f - lid,' PHONE /-24j „ c it- 4/
EXPIRATION DATE l0//3 '/47
/
— OR —
I HAVE READ CHAPTER 18.27.010 RE ATING 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 %E/:R 4-c.c.ic+r p\�k_:- `1\L FA -i�. PHONE A's�:' r 6 2(-
BOX 4 SEWER DISTRICT rid, adfr 1 WATER DISTRICT fa, iufry
BOX 5 ESTIMATED PROJECT COST i ?t-r/ C e;6 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER /3Z/7) - C(4.6
LEGAL DESCRIPTION '-' i F+' (ivPUS N/EV/LANDS 1..1/v 2
(If necessary, please submit a separate page with the legal description.) VOL— 14 T — �( 'rS ? t 83
K.C. Plat Recording # °i r 1 1 1 C . 1 r3- .i-- ,'— . e7
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR .- /Z4:1' 7 2ND FLOOR /
3RD FLOOR / BASEMENT -- / DECK --- / (CCC GARAGE - /7FV-
BOX 8 (• ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE /`�(*k--
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1 (. (.,))0( ) SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES- BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 0‘i I L_ $
1 BATHTUBS N0._ / FURNACE, ELEC. GAS 4' $ /c" '
1 SHOWERS / GAS HOT WATER HEATER $ 6
c LAVATORIES CONVERSION BURNER $
Z SINKS BOILER, SIZE BTU $
i DISHWASHERS AIR HANDLING UNITS $
f 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 Rifie/tc'_ OF--&1 J,` $
OTHER $
118 TOTAL FIXTURES — $
/if)( , 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.
OWNER(GEN : /L,., . ,-. 4--, DATE: ___44/Ii
' ANP-008 3/90
�/ ` i
).>`
OF I E USE ONLY (PLEASE DO NOT f RITE BELOW i'fiIS LINE)
ZONE?.$1. 2/SETBACKS: FRONT 4D SIDE/ 5' REAR • HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL (07:01. -7-(q
REQ RK ��1 uv -1 ` G ��~' '•7 _.,.14.,/-h„,..,44, ,,...,
By ,t#t
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE `I - 2-if -et 7
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL C 1 - DATE -2- —
REMARKS: f f� of f 11-(-, U K.1' (viUA ( V(CC 7 57//
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 R% TYPE OF CONSTRUCTION b'AY` STORES
/sr '1-voi BUILDING SQ. FT. nZ @ Vi `'O = f-7q 45'33 °`
"` Pat.- BUILDING SQ. FT. @ .7 _ "rt':`
17ecte BUILDING SQ. FT. 4 C O @ /G "" = A rcrc er
arwz_ BUILDING SQ. FT. 7f Z! @ /73 = t3, S'GS
`� BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ,i7 ?, ,(,., .XX ,5 = !c(<<t/4f(' '
TOTAL SQ. FT. 1 9`(; r* TOTAL VALUATION .7 5 S/d °C
BUILDING DEPARTMENT REMARKS: PERMIT FEE �0l VOL
PLAN CHECK FEE WO 5V?
PLUMBING FEE 7. `"
MECHANICAL FEE 9-0 '
TOTAL BLDG. FEESI S 70
PART P/C FEE 0-L3_if')>
SEPA REVIEW _{'.-
3S.0U
S.B.C.C. FEE y 3`:'
OTHER FEES
AMOUNT DUE ( .. . (Qt ST)
ASSIGNED ADDRESS: 3`f S 17 to -1-1q /`}Ve_ S• ( ).
Q >.
1 6_PARTIAL PLAN CHECK FEE RECEIVED
O Amount Date i'9 I Receipt# • J S
C.) cz, €n BUILDING DEPARTMENT APPROVAL
4 J
travo0- , BY /flii�icct.Y Gr. J 1O'1U DATE 7/IVI/ ACCEPTED FOR FILING