90-101723 CITY OF FEDERAL WAY 9?) '/a 11 3
33530 First Way South BUILDING INSPECTION
Federal Way, WA 98003 BUILDING PERMIT 661-4140
REVISION TO 90-1500
PERMIT NO. 90-1500 OT OWNER'S NAME PO JEN CHENG SITE ADDRESS 33511 4 AVE SW
CONTRACTOR R T HOMES ADDRESS 430 SW 337 ST FEDERAL WAY 98023 CONT.PHONE 927-3946
CONT.REG.NO. RTHOMI169D3 EXP. OWNER'S PHONE 854-5010 OWNER'S ADDRESS 430 SW 337 ST FED WAY
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 REMOVE KITCHEN & OTHER CHANGES
TAX ACCOUNT NO. 729805-0030 LEGAL DESCRIPTION LOT 3 DIV 6 PLAT OF THE RIDGE
"ISSUED BY _ ELIZABETH SNYDER DATE OF ISSUE ( -2yt_ DATE OF APPLICATION 1/15/92
BUILDING INFORMATION
ZONE _ _SET BACKS:FRONT SIDE REAR _ HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT _ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS _ URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC.
RETURNED
SINKS MISC. _ BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL NONE AMOUNT NONE
VALUATION $NONE
PLANNING DEPT APPROVAL = DEB BARKER
PERMIT FEE
4'-
LAN CHECK FEE $30.00 "FRONT & SIDE YARDS SHALL BE GRADED SO THAT SITE DISTANCE ON SW
UMBING FEE 335TH ST IS NOT IMPARED"
MECHANICAL FEE
PART P/C FEE BLDG DEPT APPROVAL = KEVIN ELLIS
SEPA REVIEW
PUBLIC WORKS "PLAN REVIEW FEE FOR 1 HR @ $30. 00/HR. MINIMUM SETBACKS ARE
S.B.C.C.FEE REQUIRED PRIOR TO REVISION"
FIRE FEE DATE: /- 1 T �'z__
OTHER FEES - - AMOUNT: $30.00_
AMOUNT DUE $30.00 RECEIPT: -1/C/
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 F • 'ED BY ME I - 'UE 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. 90-1500 NR OWNER'S NAME PO JEN CHENG JOB ADDRESS 33511 4 AVE SW
CONTRACTOR RT HOMES ADDRESS 430 SW 337 ST FEDERAL WAY CONT. PHONE 927-3946
CONT. REG. NO. RTHOMI169D3 OWNER'S PHONE SAME OWNER'S ADDRESS SAME
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._ 729805-0030 LEGAL DESCRIPTION LOT 3 DIVISION 6 PLAT OF THE RIDGE
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE ( ✓ -‘1 /
DATE OF APPLICATION 9/17/90
BUILDING INFORMATION
ONE RS 9.6 OCCUPANCYR-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 4795
SET BACKS: FRONT 20' SIDE 5' REAR_ _ 5' STORIES 7 HEIGHT LIMIT 30' MAX
-
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 5 ELEC. HOT WATER HEATER 1 GAS PIPING FT 2_00 BOILER
BATHTUBS 3 LAUNDRY DRAINS 1 - COMPRESSOR TANK(S) RECEIVED
SHOWERS 3 URINALS FORCED AIR FURNACE 10_00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 7 DRINKING FOUNTAINS _ GAS HOT WATER HTR. 6-50 MISC.
SINKS 3 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 24 X $5_00 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION $256,575.00
PERMIT FEE $1189.00 BLDG/FIRE/PW APPROVAL : MIRE MONEN ON 10/90
PLAN CHECK FEE 773.00 __
PLUMBING FEE 120. 00 __ _
iliCHANICAL FEE 18.50
AL BLDG. FEES $2,100.50
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. ttI
S.B.C.0 FEE 4.50 DATE PD l3 l�' AMT $2,105.00 REC'T
OTHER FEES
AMOUNT DUE $2,105.00
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED.'RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I
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 FEDERAL WAY -
3353Q First Way South BUILDING INSPECTION
Federal Way, WA 98003 BUILDING PERMIT 661-4140
.+ PERMIT NO. OWNER'S NAME SITE ADDRESS _
• CONTRACTOR -_ ADDRESS CONT.PHONE
CONT.REG.NO. EXP. 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
/IONE _ SET BACKS:FRONT SIDE__ REARHEIGHT LIMIT
OCCUPANCY- TYPE OF CONSTRUCTION CENSUS NO. _. TYPE OF HEAT BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE _ DUCT WORK
SHOWERS URINALS __. _ GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. _ BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
0 PART P/C FEE
SEPA REVIEW -
PUBLIC WORKS
S.B.C.C.FEE -
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
• 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
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 (,,. '7 ' 7t 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 'M 44 v d 5•C. UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
u!' /PIS/PW APPROVAL. MIKE MOAN O! 10/90
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 DATE Pi) .:*.'J �.
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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• eermit # 90 - /5-6 G NC
RECEIVED
CITY OF FEDERAL WAY
SEP 1 7 1990 BUILDING PERMIT APPLICATION
CITY OF FEDERAL WAY —Please Print—
BUILDING DEPT.
BOX 1 TENANT NAME: r --(' - �V C: iii 71r F-
...
OWNER r r _k dtlaE A -7 SITE LOCATION • £ / to- ii Awl
OWNER'S ADDRESS ' ) s_ &• a► An CITY 0.0I�1AVA i" PHONE 'WA y ..
DESCRIBE JOB , ""
THE PROPERTY IS OWNED BY: SINGLE/MARRIED WeNFie PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME F,�` -_ Mf CONTRACTOR'S REG. #t‹.j 4-1CIt! - d,
_ Card MUST be presented
CONTRACTOR'S ADDRESS 1t s 1V.' L/l 1 1 H CITY � �_ / .Y V9HONE ' .394'
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 til—'14 --"\ .= - I * -1--r-Mc-- --- PHONE 6.- --7-_1__.,-_ -_,_,__U_ "'"/ C1
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 2-'J7 EXISTING BUILDING VALUATION
, BOX 6 PROPERTY TAX ACCOUNT NUMBER r C-. 1:24:3\-?-1---r00_ aLEGAL DESCRIPTION ( i /'r 2 ,1 ij) c--)f- f= ! EiA` ' ..
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / r 1S+ 2ND FLOOR / O
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (s)<) SINGLE FAMILY ( . ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY CLQ)/v��i SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. •, WATERCLOSETS GAS PIPING, FEET #r' $ c.2
BATHTUBS NO. FURNACE, ELEC. GAS_X__ $ /D °e.'
'J' SHOWERS GAS HOT WATER HEATER $ ti r°
.,f. 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 $
-i TOTAL FIXTURES ! $
/4 4 ( 7-f;' 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 GL AIM 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.
ry
\\WNEB/ T '
: DATE: -- q/C1
ANP-008 3/P
• I
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONERS `.'b SETBACKS: FRONT D-o SIDE 5 REAR S HEIGHT LIMIT 3°
PLANNING DEPARTMENT APPROVAL Letre4 `O lo-To - 61�-_
REMARKS:
SEPA: EXEMPT 21S NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE /%
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL „/""14--/7-4-,--,-/ 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 A2.- TYPE OF CONSTRUCTION k--A/ STORES
11 f1-oars BUILDING SQ. FT. / q '. @ ;q //33, �
/Woe r 4c et-- BUILDING SQ. FT. `n 0 @ .�� =
6,v0 .c BUILDING SQ. FT. 760 @ /7 3() = /.3, /L/
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. G/ 79.S 41 TOTAL VALUATION a9( , 56-3
3
#- 0256/ .c7f yY
BUILDING DEPARTMENT REMARKS: PERMIT FEE // g ?
PLAN CHECK FEE '773
PLUMBING FEE i -f—e1/41 ILL (D
MECHANICAL FEE ie 5
TOTAL BLDG. FEES ).01 CO. 51�1
PART P/C FEE
SEPA REVIEW
56
S.B.C.C. FEE y
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 335 f ( L/ l¢ [ . . (•
RECEIVED PARTIAL PLAN CHECK FEE RECEIVED
SEP 1 7 1990 Amount Date • Receipt#
CITY OF FEDERAL WAY BUILDING DEPARTMENT APPROVAL
BUILDING DEPT.
RECEIVED BY DATE ACCEPTED FOR 1
I `
v+SION
RECEIVED Perm 7 o 1$W
• r 4 15 1SU2 Ic- Ji S /
CITY OF FEDERAL WAY
PSR 7 ""/50e BUILDING PERMIT APPLICATION Ir _ z
— Please Print—
t,tei
(-MN l �
BOX 1 TENANT NAME: �� l V� Q I � 1� L�-f Ail e-!�
OWNER pc, SITE LOCATIO 1 1 -1 .b/Je
OWNER'S ADDRESS C? S $• CITY / PHONE )'4 s(�O
DESCRIBE JOB 11' • ( UM Li
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME ►Z • T . 1-1-44-,1, CONTRACTOR'S REG. #. 12T 1-I -41 1 tV3
Card MUST be Presented
CONTRACTOR'S ADDRESS `430 CITY 1= tai- PHONE 21
EXPIRATION DATE
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON 1-0 r2- bel I2-c4-14-►o,' PHONE tt4 o
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST — _ EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER -1 21 bos - 06 So
LEGAL DESCRIPTION .1 (P 171-6zr cr. -SM-e gm-24e
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # a UV ,IJ .1
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / ' 4 2ND FLOOR / ,$�
3RD FLOOR / BASEMENT / DECK / GARAGE — -o
BOX 8 ()<) SINGLE FAMILY (X) 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. -5 WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO._ I FURNACE, ELEC. GAS < $
SHOWERS I GAS HOT WATER HEATER $
1 LAVATORIES CONVERSION BURNER $
3 _SINKS BOILER, SIZE BTU $
I 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 _ $
OTAL 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 FU• ER 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: DATE:
ANP-008 3/90
•
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE RS614 SETBACKS: FRONT 70' SIDE 5 REAR S` HEIGHT LIMIT 3D
PLANNING DEPARTMENT APPROVAL 1/23 92 P73
REMARKS: FYDvit a nd 51d-e S .5�ra., ro�C��
a ,(� Sty 7,-/„..44-
m Sw 33 7S vtot i Aired
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ T NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
MULTIFAMILY ADD/ALT TENANT IM . OTHER
OCCUPANCY `TYPE OF CONSTRUCTION STORES
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS: PERMIT FEE
�(qb 'e€ fop' /LZ/ y .30 0---At f' PLAN CHECK FEE 30 -
PLUMBING FEE
S 3G SQw.� fI/GK.0 IA" . S�(ds.-1�S MECHANICAL FEE
&ire lre_ ( e TQMAL'BLDG. FEES
PART P/C FEE
fr COU' 1 j J ( sr !n SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE )
ASSIGNED ADDRESS: -SE-E 6tC'
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVALI 7
RECEIVED BY (`��" DATE - Z Z ACCEPTED FOR FILING