91-100582 9/40058D
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
34610 11 CT SW
PERMIT NO. 91-550 NR OWNER'S NAME QUADRANT JOB ADDRESS CAMPUS HIGHLANDS DIV 4 LOT 42
CONTRACTOR QUADRANT ADDRESS 33720 9TH AVE S STE #1 CONT. PHONE 924-4439
CONT. REG. NO. 223-01-OUAD-RD 2210F OWNER'S PHONE 924-4439 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. 192104-9049-04 _ LEGAL DESCRIPTION LOT 42 CAMPUS HIGHLANDS DIV 4
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ISSUED BY JOANNE JOHNSON DATE OF ISSUE 4/ DATE OF APPLICATION 5/1/91
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BUILDING INFORMATION
ONE RS 7.9 OCCUPANCY R3 _ TYPE OF CONSTRUCTION VN __ _ BLDG. SO. FT. 1,982
SET BACKS: FRONT 70 SIDE S REAR_ .5__.____ STORIES. HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 4 5_FT. _2-DL BOILER
RECEIVED _
BATHTUBS 1 LAUNDRY DRAINS 1 COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE 1 -D_D AIR HANDLING UNIT _ NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. ___6-511 MISC
RETURNED
SIF KS 1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1--- TOTAL FIXTURES 13X5 65.00 UNIT HEATER TOTAL MECHANICAL _1 R._.5.0 AMOUNT
VALUATION 136,812.00 PLANNING DEPT APPROVAL: SIDEYARD SETBACK SHALL NO BE ENCROACHED BY
DRIVEWAY. SIGNIFICANT TREES TO BE RETAINED AS
PERMIT FEE 769.00 _ IDENTIFIED PER FWZC 90. 15.4.
PLAN CHECK FEE $143.50 500.04__
PLUMBING FEE 65.0D_ PUBLIC WORKS APPROVAL: TC 5/14/91
1/
HANICAL FEE _ 18.550
TAL BLDG. FEES FIRE/BUILDING DEPT APPROVAL: KC 5/30/91
PART P/C FEE - L14/9
SEPA REVIEW DATE:
WATER SERVICE
WATER MAIN CHG. _ AMOUNT: $1,035.50
S.B.C.C. FEE 4.50 7
OTHER FEES PW 35.00 RECEIPT: -4 1?
AMOUNT DUE 1,035. 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:
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OWNER OR AGENT DATE
CITY OFBUILDING ]NSPECTION
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. 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
VALUATION ,lu!NILIOG 14d i Ak PROVAL: SIDEYARD Se IiACK .ifiA.L.L ivy bh; r.iNik,t+.l.}r'l O
L '.IVE%MY. SIGNIFICANT TPEES TO P? r TA1,__.
PERMIT FEE ----- 1 lENTIP1 UD PER. FWZC 90. 15.4.
PLAN CHECK FEE
UMBING FEE T.TBLIC WORKS APPROVAL: TC 5/14/91
WCHANICAL FEE
TOTAL BLDG. FEES _ :RE/BUILDING DEPT APPROVAL' KC 5/30/91
PART P/C FEE r}'� (j I'i_i
i
SEPA REVIEW3 !ll���
WATER SERVICE
IYTNWATER MAIN CHG. TI _ ;1035.50
S.B.C.C. FEE 7(. l"t•
OTHER FEES '+CEIPT: )'� .- j--,- -
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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MAY 0 1CITY OF FEDERAL WAY .
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F : ;, r19 I WAY ; BUILDING PERMIT APPLICATION f,
I1�tY1; Y.:; PT. — Please Print—
BOX 1 TENANT NAME:
OWNER QUADRANT SITE LOCATION CAN-PUS EIGPLANT)S ')TV 4 Tot 42
OWNER'S ADDRESS 33720 - 9th Ave S . Suite 4ICITY Federal Way PHONE 924-4439
DESCRIBE JOB single family Plan 2208 B
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX
BOX 2 CONTRACTOR'S NAME QUADRANT CONTRACTOR'S REG. #223-01-QUA?)-RC
2 210 F Card MUST be presented
CONTRACTOR'S ADDRESS Above CITY Federal Way PHONE 924-4439
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 Prib PHONE924- 2532
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Fec1eral Way
BOX 5 ESTIMATED PROJECT COST 130 , 000 . 00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 1 c1_- it) ._ Lt j `E
LEGAL DESCRIPTION Lot 42 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] 235 / 2ND FLOOR 747 /
3RD FLOOR / BASEMENT / DECK / GARAGE xi / /120
BOX 8 ( SINGLE FAMILY icx) NEW CONSTRUCTION I2f
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 9562 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 45 $
1 BATHTUBS NO. ]- FURNACE, ELEC. GAS X $ "C"
1 SHOWERS 1 GAS HOT WATER HEATER $ C> 5c"
5 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 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
WDE.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 AS A PART OF THIS APPLICATION.
OWNER/AGENT: � 1
, DATE:
ANP-008 3/90
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•
• 1 i
, 4
OFFICE USE ONLY (PLEASE DO NOT WRI 1.E BELOW THIS LINE)
ZONE -4-2--SETBACKS: FRONT ZD " SIDE 5 ' REAR S-1 HEIGHT LIMIT , 30)
PLANNING DEPARTMENT APPROVAL 548'1/ i�!
REMARKS:_ '' -4Z'L t-e". /a.ol '-Ce--A-e4..e4-;.,c.K4(- ,r `Ci'
,-,19/t4iii- ' Yr.--€4"-' - /it' & "te f`t-4i-4e," r.4-0_,-teb-1 pet_ fi,d2_.C.._ "
s
SEPA: EXEMPT ti' NOT EXEMPT
FIRE DEPARTMENT APPROVAL r C.-- DATE S —3a ` r(
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL T—G DATE S-/4-9/
REMARKS:
TYPE OF JOB: NEW RESIDENCE X RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY /'3 TYPE OF CONSTRUCTION Ui') STORES "O
/'` r/i...,.- BUILDING SQ. FT. /,23 S @ 7 fi = 9e-0 3?
2-") -Pi,.f BUILDING SQ. FT. '717 @ 7 ?/ = SyYSE.
lett•-�d-- BUILDING SQ. FT. ,�c.)C, @ / �3a = i.0980
BUILDING SQ. FT. @ = /s-s/s—s '/F8 •
BUILDING SQ. FT. @ <ft' X.& =
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION I3C, ?ia
BUILDING DEPARTMENT REMARKS: PERMIT FEE 7C?
PLAN CHECK FEE _rev
PLUMBING FEE 6 5
MECHANICAL FEE /V-16 _
TOTAL BLDG. FEES /35� S`
PART P/C FEES G• 7)-(' \'
SEPA REVIEW
?LA/ 3S, 00
S.B.C.C. FEE 4' s`
OTHER FEES
AMOUNT DUE It V) , 5(7-
ASSIGNED ADDRESS: 3146( 0 (( Ilk Cf. 5, L.
RECEIVED
MAY 01 1991 PARTIAL PLAN CHECK FEE RECEIVED
CIry OF FEDERAL WAY Amount i la )<i Date S "l -49/ Receipt# 24 ! 4-
RU!i_tJ!!G DEPT. BUILDING DEPARTMENT APPROVAL
RECEIVED BY `'G►k ✓` pt,- m cryb-' DATE S'c4 1'cf' ACCEPTED FOR FILING