90-101636 qv lal lo34
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
434
PERMIT NO. 90-1852 RA OWNER'S NAME QUADRANTJOB ADDRESS 34633 8 AVE SW
CONTRACTOR QUADRANT-OWNER ADDRESS 33720 9 AVE S FEDERAL WAY 98003 CONT. PHONE 924-4224
CONT. REG. NO. QUADRC221O OWNER'S PHONE 646-8328 OWNER'S ADDRESS POB 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 REVISION TO EXISTING PERMIT # 90-1852
TAX ACCOUNT NO. 415920-0006 LEGAL DESCRIPTION LOT 83 CAMP S HIGHLANDS DIV 4
.MIEWRINEriej
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE 111111�1111M-, DATE OF APPLICATION 5/7/91
BUILDING INFORMATION ,,
ZONE RS 7.2 OCCUPANCY B-2 TYPE OF CONSTRUCTION 5- / BLDG. SQ. FT. 690
SET BACKS: FRONT 201 SIDE 5' EACH REAR 5' STORIES ONE HEIGHT LIMIT 30 ' MAX
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 NONE UNIT HEATER TOTAL MECHANICAL _NONE AMOUNT NONE
VALUATION $21,494.00
PERMIT FEE $225.00 _ _ PLANNING DEPT APPROVAL = DEB BARKER ON 5/16/91
PLAN CHECK FEE 146-00
PLUMBING FEE "TEMPORARY REAL ESTATE OFFICE PER 115.135, USE TO BE RESTORED
MECHANICAL FEE TO GARAGE WITHIN 6 MONTHS OF PROJECT COMPLETION. COMPLETION
TOTAL BLDG. FEES $371_00 PER 1991 5/16 QUADRANT LETTER. DEFINITION OF COMPLETION IS
DIVISION SOLD OUT. SEE ATTACHED LETTER.
PART P/C FEE
SEPA REVIEW FIRE/BLDG DEPT APPROVAL = KEVIN ELLIS ON 5/10/91
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50 PUBLIC WORKS D P APPROVAL = NOT REQUIRED PER RON GARROW ON 5/16/91
�
OTHER FEES FIRE D•11•25
AMOUNT DUE $386.75 DATE PD 191 AMT $386.75 REC'T ` q
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:
i .. (//7
OWNER OR AGENT „/, DATE / 7.<fr
CITY OF BUILDING BUILDING INSPECTION
FEDERAL WAY PERMIT 941-1555
101
PERMIT NO. 90-1852NR OWNER'S NAME QUADRANT CORP JOB ADDRESS 34633 8 AVE SW
CONTRACTOR OWNER-QUADRANT ADDRESS 33720 9 AVE S FED WAY 98003 CONT. PHONE 924-4439
CONT. REG. NO. QUADRC221OF 9/91 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XX 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. 415920-0006 LEGAL DESCRIPTION LOT 83 CAMPUS HIGHLANDS DIV 4
_._ ill Atm. _
ISSUED BY ELIZABETH SNYDER _ DATE OF ISSUE - WWII, DATE OF APPLICATION 12/3/90
r -I
BUILDING INFORMATION
ZONE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 2761
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 60 FT. 2-01L BOILER
_
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR - _ TANK(S) RECEIVED
SHOWERS 1. URINALS FORCED AIR FURNACE 1_0-110 AIR HANDLING UNIT NUMBER
LAVATORIES 4 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC
RETURNED
SINKS 1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES13 X $5-00 UNIT HEATER TOTAL MECHANICAL 18-50 AMOUNT NONE
VALUATION $133, 526_00
PLANNING DEPT APPROVAL=DEB BARKER ON 1/3/91
PERMIT FEE $759-00 PERFORMING
PLAN CHECK FEE 493_00 CONDITIONS (ATTACHED) MUST BE MET PRIOR TO 3-S-S+Fi-N'Cr FINAL INSPECTION'.
LUMBING FEE 65-00 -_
CHANICAL FEE 18_50 BLDG DEPT APPROVAL=MIKE MONEN ON 2/22/91
BLDG
TOTAL BLDG. FEES _14_115_._5__Q
PART P/C FEE
SEPA REVIEW
WATER SERVICE rL
WATER MAIN CHG. i.. •
S.B.C.C. FEE 4.504') /q/ f
DATE PD AMT Q?-41 REC'T / 1
OTHER FEES
AMOUNT DUE $1,340.00
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 FURNISHEk ..D BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET: rte_---. /
G . i L/� �/
OWNER OR AGENT �/ DATE /
4,
CITY OFBUILDING INSPECTION
FEDERAL WAY 1----e-7/". 35;5 B U I L D I N G PERMIT' 941-1555
Pt (:1
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. 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 PLANNINGDEPT APPRCiV .:A* 1! BARKER or 1/3/91
PERMIT FEE CONDITIONS (ATTACHED) MUST BE MET PRIOR TO -S43i-NG-FIN?,
PLAN CHECK FEE --
PLUMBING FEE
MECHANICAL FEE HLDC nErT APPR ?VAPITO: MONEN 0? 2/22/91
TOTAL BLDG. FEES
ORT P/C FEE
SEPA REVIEW -
WATER SERVICE
WATER MAIN CHG.
S.B.C.0 FEE 0A43-,.. .):: ' ' A,totql •is ,r'I I.
Two-,
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
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. 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
ZONE OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SQ. FT.
lipT
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
I
VALUATION re
PLANNING DEPT APPROVAL = DEA BARKER ON 5/16/91
PERMIT FEE
PLAN CHECK FEE "TEXPORARY REAL ESTATE OFFICE PER 115.135, USE TO BE R STO
PLUMBING FEE TO GARAGE W/THIN 6 MONTHS OF PROJECT COMPLETION. COMPLETI
MECHANICAL FEE PER 1991 5/16 QUADRANT LETTER. DEFINITION OF COMPLETION I.
TOTAL BLDG. FEES DIVISION SOLD OUT. SEE ATTACHED LETTER.
•RT P/C FEE
SEPA REVIEW FIRE//BLDG DEPT APPROVAL = KEVIN ''LLIS ON S/10/91
WATER SERVICE
WATER MAIN CHG. PUBLIC WORKS DEPT APPROVAL = NOT REQUIRED PEI' PON GARPOW ON 5/16/91
S.B.C.C. FEE + � (
r r
OTHER FEES ... ran f • 2 ( r` tar P 71, '_i G t71'••rt ' 1 .
AMOUNT DUE #m� !7 4 .
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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Permit # 90 '/Y/5� '(C
Cy.4:170Z"IN ORIGINAL PERMIT k90-l852NR
ECEIVED CITY OF FEDERAL WAY
• MAY 0 7 JILDING PERMIT APPLICATION
—Please Print—
CITY OF FEDERAL WAY
BOX 1 TENANT NAI !JILDING DEPT. 4
OWNER Quadrant SITE LOCATION Campus Highlands ri v 4
OWNER'S ADDRESS p .0 Box 130 CITY Bellevue PHONE (206) 646 8378
DESCRIBE JOB Single Family Plan 2225 B Revision- temporary sales office (garage)
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME Quadrant CONTRACTOR'S REG. #2 73-01-QUAD-RC-
2210car MUS be presented
CONTRACTOR'S ADDRESS 33720 9th ave . s _ CITYFerieral Way PHONE924-4224
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 [ D q�44.— PHONE 924 25'32
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER O C1() 6
LEGAL DESCRIPTION Lot 83 Campus Highlands Div 4
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
OX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE_ /fit
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
ADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES,AND ATTORNEYS'
S 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
AA PART OF THIS APPLICATION.
OWNER/AGENT: / DATE: v Z.Z/ 7(
ANP-008 3/90
y
a
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ' ilk fl"1"'%""'fl
ZONE/6 7•2- SETBACKS: FRONT ?' ' SIDE S ' REAR 5
HEIGHT LIMIT 30-1
PLANNING DEPARTMENT APPROVAL 5//./tel/ Ai -1-i--i__. •
REMARKS: , k't- 1 / C 4 '✓ Q //5./3-5; coat- 10 hC heShi_ fD
// ,/ r� /yh/JJ� �(0 !�-Q�, a 1 ,t �',o7Npk 0Y) . ��C7� e aY. /lll%
Ohs!^L(Lt'i U.i/U!" �lfLe hot- " h !S 0//990 ( A-, d YLt.f SE�r Cal cc'hEt�
SEPA: EXEMPT ✓ NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 5"---/e -
REMARKS: /
PUBLIC WORKS'DEPARTMENT�11APPROVAL DATE
REMARKS: N Lc -e� •c.-'
n (90X 4 t) r9o/
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT AC' NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY 13 2-- TYPE OF CONSTRUCTION 1,14/ _ STORES
'r `•r P BUILDING SQ. FT. @ S = a Y
BUILDING SQ. FT. @ i G%._ /, nt4 .. l Z (/Z e
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ = __AD
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ !'cr..0 r O `f??
TOTAL SQ. FT. TOTAL VALUATION 7---( (IT ! • b6
BUILDING DEPARTMENT REMARKS: PERMIT FEE Z ZSR
PLAN CHECK FEE / '
PLUMBING FEE 0
MECHANICAL FEE o
TOTAL BLDG. FEES -3 7/
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE Li `SG
OTHER FEES '_0 Fe-C J V- 2-5—
AMOUNT DUE A /-7
ASSIGNED ADDRESS: Sem- tK(Sf<<"
�0 3�I, .33 �.{" 6 V� S,6L; y
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
MAY 0 7 1991 Amount Date Receipt#
CITY OF FEDERAL WAY BUILDING DEPARTMENT APPROVAL
BUILDING DEPT.
RECEIVED BY T' DATE 5 - ( 0 -7(( ACCEPTED FOR FILING
T• .,. • • 9`� v / YJO'� / V i/�..
•
1
RECENED
C; ,;, - 31980
• WA
OpL EPT.
Ei$� CITY OF FEDERAL WAY
,
BUILDING PERMIT APPLICATION
—Please Print—
BOX 1 OWNER QUADRANT JOB LOCATION CAMPUS HIGHLANDS LOT 83
OWNER'S ADDRESS 33720 - 9th Ave _ S CIT - 1,. _ T e PHONE (206) 924-4439
DESCRIBE JOB Single Family Plan # 2225 3
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX
BOX 2 CONTRACTOR'S NAME Quadrant CONTRACTOR'S REG. .-=-:-.1_-,-..-.4"-'---a _ _ a- r
2 210 F ars r ST oe presente.
CONTRACTOR'S ADDRESS SAme as above
CITY PHONE 92. .,A(3 2 1�/6 /-
EXPIRATION DATE 9/6/91
— 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 PRIM PHONE(206) 924-2532
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT _ _ _ 9A- Y)a`(
BOX 5 ESTIMATED PROJECT COST $152 , 000 . 00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 415920-0006-01
LEGAL DESCRIPTION LOt 83 Campus Highlands Div /1
• (If necessary, please submit a separate page with the legal description.)
X 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 1059 / 2ND FLOOR 952 /
3RD FLOOR / BASEMENT / DECK / GARAGE 750 /
BOX 8 (A SINGLE FAMILY -)f.X) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 21 , 500 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE $
NO. 3 WATERCLOSETS GAS PIPING, FEET 60 $ ."
2 BATHTUBS NO. 1 FURNACE, ELEC. GAS 1 $ 1O"
1 SHOWERS 1 GAS HOT WATER HEATER $
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 $
OTHER $
13 TOT61_ FIXTURES $
x 5 ,$.. ('5 Qo TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
etST OF MY KNOWLEDGE AND FURTHER THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
RM THE WORK FOR WHI¢ PE/RI�tU,TCAP �IS MADE. DATE: /Z/"5l
OWNER/AGENT: l� G�''" �
l t—`
ANP-006 2/90
• • 4. 6f 9 ,
•
Jf 1 ti
'.a
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE54.2-- SETBACKS: FRONT 20 ' SIZE 5' REAR 5 1 HEIGHT LIMIT 30 ' •
PLANNING DEPARTMENT APPROVAL 2 .3/9/ ,&� J •
REMARKS: C dine ) Ca, "./ Jw... " .illi ziri , 1A-e'v U
(/SEPA: EXEMPTNOT EXEMPT
FIRE DEPARTMENT APPROVAL .092. A , t'in. -A— DATE l-7-7/
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE /- / `?7
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. ROOF OTHER
OCCUPANCY 44'--' TYPE OF CONSTRUCTION VA/ STORES
)5'= .-c icor BUILDING SQ. FT. ko sq @ 4e Vw = 73 07l
and 41.✓ BUILDING SQ. FT. q ca. @ (,9°° = C,3 b %
C�zve s=-- BUILDING SQ. FT. 730 @ 1 73' = /a 773
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ = /S'/ 73'V
BUILDING SQ. FT. @ mvd,ne_/1- ,Y=
TOTAL SQ. FT. TOTAL VALUATION , 13 3, sa6°'' •
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE 75? PLAN CHECK FEE --1/-c-13--- PLUMBING E — ---- MECH. FEE , 5
TOTAL FEES t 335.6° SBCC SURCHARGE 750 ENERGY SUR AMOUNT DU P'
BUILDING DEPARTMENT APPROVAL — DATE /
% i, 1- --P,/ /97,
REMARKS:
9-023- cif
ASSIGNED ADDRESS: _ 3% 33 8.k^ A-V;. 5.1.1/.
�V �eti�,��CicJ�Q
0 N9
RECEIVED ACCEP(D 4•FUR FILING •
� 1
f