91-100580 9/ -/o058b
CIfTY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
34607 11 CT SW
PERMIT NO. 91-549 NR OWNER'S NAME QUADRANT JOB ADDRESS CAMPUS HIGHLANDS DIV 4 LOT 40
CONTRACTOR QUADRANT ADDRESS 33720 9TH AVE S #1, FEDERAL WAY CONT. PHONE 924-4439
CONT. REG. NO. 223-01—QUAD—RC-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 40 CAMPUS HIGHLANDS DIV 4
WI/SUED BY JOANNE JOHNSON DATE OF ISSUE 61 I DATE OF APPLICATION 5/1/91
BUILDING INFORMATION
ZONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 2,974
SET BACKS: FRONT 20 SIDE 5 REAR 5 STORIES _ HEIGHT LIMIT 30
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 45 FT. 2.00 BOILER
_
BATHTUBS 1 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. 6.50 MISC.
RETURNED
SINKS ` —1 MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES13X5 65-00 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT
VALUATION 168,589-00 PLANNING DEPT APPROVAL: SIGNIFICANT TREES AS IDENTIFIED ON SITE PLAN
PERMIT FEE ggl._ ,^�, SHALL BE RETAINED AND PROTECTED PER FWZC 90.15.4.
PLAN CHECK FEE 573.00 .- �Z-' 51 v 5' SIDEYARD SETBACK SHALL NOT BE ENCROACHED BY
DRIVEWAY. DRIVEWAY FLARE SHALL NOT EXCEED 30' .
UMBING FEE 65_00
CHANICAL FEE 18_50 PUBLIC WORKS APPROVAL: TC 5/14/91
TOTAL BLDG. FEES 1,537_50
PART P/C FEE (410.50) FIRE/BUILDING DEPT APPROVAL: KC 5/28/91
SEPA REVIEW
WATER SERVICE 4 I
iWATER MAIN CHG. DATE: 6.7
S.B.C.C. FEE 4-50
OTHER FEES PW 35-00 AMOUNT:/ L4'...50
_ f� /� ) (/f \�(/�)
-1,5-7-7-40--0ji i I.l1L, s V (_i ., / `-'i e y �/
AMOUNT DUE '
RECEIPT: 111
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:
r
- -/:)40101, DATE /��/
9/ -/up5n
CITY OF BUILDING INSPECTION
F :DERALWAY 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 __
0 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 0 UNIT HEATER TOTAL MECHANICAL _ AMOUNT
VALUATION — "- ' NNING ^EPT APPROVAL: SIGNIFICANT TREES AS IDE TI
SHALL BE RETAINED Ash) PROTL. .
PERMIT FEE `"+ SID A SETBACK SHALL .'vi s
PLAN CHECK FEE f!
DRIVEWAY. DR1Vt?!AY FLARE S ih.LL
AiLUMBING FEE
illitCHANICAL FEE PUBLIC WORKS APPROVAL: TC 5/14/91
TOTAL BLDG. FEES /
t PART P/C FEE FIR ./BUIL DING DEPT APPROVAL: :,C 5/28/91
91
SEPA REVIEW _ '
WATER SERVICE DAT%:: ��1 _ ' __ ill _.
WATER MAIN CHG. _ __
S.B.C.C. FEE . # 3.,...3v
OTHER FEES — ji ( ! -,L_1 � ._
AMOUNT DUE ? e � 4 f .�
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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31130 28th Ave. So.
(;-1-/-9
Fedc::al Way, WA 98003-50. PERMIT#
Phone (206) 941-1555
Reinspect ion of !///"ni/9//"-' Inspect ion Date C"19"5
Site Address '3 4/6 7 ///<-r‘_)-S"'-- Project
Contractor ( ‘-( /1/)/2 '9"- / Phone
Address )) Zip Code //
Applicant (signature) -� PC/S��/`-�' Date ��_ /1�'/
(Print Name) , 1!!--, D_,0j)4,onl Phone 9y?7 -
OFFICIAL USE ONLY
Reinspection fee $ 30 ($30. 00 minimum) Receipt # 3 & ( (
Date Received S-0-- ) " I Reinspect ion Date �V, <1 k-1 3 9/ AM PM
0 •mit #
G11 —522 ive
RECEIVED CITY OF FEDERAL WAY 5 `( / Q c4)
BUILDING PERMIT APPLICATION 41--r,1-#.2 b-/ b
• MAY 01 1991 -Please Print— t _/_ej
BOXC1 1tN '1+1' =PT
OWNER QUADRANT SITE LOCATION Campus Highland s Div 4 LOT 40
OWNER'S ADDRESS 33720 - 9th Ave S S . #1 CITY_Federal Way PHONE 924-4439
DESCRIBE JOB Single Family Plan 2229 C
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX
BOX 2 CONTRACTOR'S NAME Quadrant CONTRACTOR'S REG. #22.3-01-QUAD-RC
2 210 F Card MUST be presented
CONTRACTOR'S ADDRESS Abvoe CITY Federal Way PHONE 924-4439
EXPIRATION DATE 9/6/91
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX3 CONTACT PERSON Cheri le Prih PHONE974-2532
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST 130 , 000 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 192104-9049-04
LEGAL DESCRIPTION Lot 40 Eampus Highlands Div 4
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
IIIX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR1 329 1 2ND FLOOR 118'1 /
3RD FLOOR / BASEMENT / DECK / GARAGE 467 /
BOX 8 (X) SINGLE FAMILY NEW CONSTRUCTION c' Z 0 7J1
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 8329 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET 45 $
1 BATHTUBS NO. 1 FURNACE, ELEC. GAS XX $
1 SHOWERS 1 GAS HOT WATER HEATER $
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 $
jl L°` r 6�" 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.
7/,
� �`' (
OWNER/AGENT: DATE:
ANP-008 3/90
• 0
OFFICE USE ONLY(PLEASE DQ NOT WRITE BELOW THIS LINE) `
ZONE 177-SETBACKS: FRONT I SIDE S' REAR 5 1 HEIGHT LIMIT 30J
PLANNING DEPARTMENT APPROVALS-yi k/`'--- 0
REMARKS: i-11(L7411 47-4 -5 ac iden fi fied Dv► sik p/g11 ekta i2e Ye> heck
ad pwY eICd 1,� fW C - NILS. q- 1 i � id �-Q . ' ICC 1404 be.
c il7e �� d ige 7 z D"wct '{)7--e Li i)CL I -e,gage
SEPA: EXEMPT 1,f NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE r— Z$-9r
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE S---14---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
OCCUPANCYTYPE OF CONSTRUCTION INSTORES 7a14/6
/5+Chlott BUILDING SQ. FT. /337 @ 72 TO = 9'6 88y
d"d .0470i2 BUILDING SQ. FT. //83 @ ?.)q6 = R6 aqI
C. TT_ BUILDING SQ. FT. 9X2 @ '9 go _ 8 `l g5
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ ,??Y4X. g1 = tell', 0q
BUILDING SQ. FT. @ _
TOTAL SQ. FT. act/4 TOTAL VALUATION lee, cg
et
BUILDING DEPARTMENT REMARKS: PERMIT FEE 5 I
PLAN CHECK FEE S7_3
PLUMBING FEE KS°C
MECHANICAL FEE I S Sa
TOTAL BLDG. FEES r3-c7 3`'
PART P/C FEE (ti/l'i . 5-9
SEPA REVIEW
Pw 35: o c.,
S.B.C.C. FEE '• -c. -
OTHER FEES
AMOUNT DUE 1 i g\D l cl)
ASSIGNED ADDRESS: 3'16 0 7 II c f. s, i,..1,
RECEIVED
MAY 01 1991 PARTIAL PLAN CHECK FEE RECEIVED •
CITY OF FEDERAL WAY Amount q I a .- "Zi Date S ( �1 Receipt# 26'4
BUILDING DEPT.
BUILDING DEPARTMENT APPROVAL
RECEIVED BY `�12` ` ' i i1Joruic DATE 5'613-71 ACCEPTED FOR FILING