92-102203 � � �a.. ��a.�a3
CITY OF FEDERAL WAY B U I L D I N G P E R M I 1" PERM�� No.: 8�����2541
3�530 Fiist Way South BUILDING INSPECTION - 661-4140 ISSUED: A3/16/93
F�deral Way, WA 98003 BY: FJ�F
6�1-4000 REVISION
SITE ADDRESS: 416 SW 350TH P%ACE
FARLEL Nn.: 132174-0080
�RO.IECT DESCRIPTION: LOT 8 CAMPjJS g%IGHYd1�NDS, DI�IISIOI�T 5 fl�TSF
REVISI��NS REC'D 4/14/93
OiJaER CONTRACTOR LENDER
�LASSIC AMERICAN HOMES CLASSIC AMERICAN HOMES
b�'00 SOUTHCENTER BLVD 6000 SOUTHCENTER BLVD
TUKWILA 41A 98188 P.O. BOX 20247 (SEATTLE 98122)
TUK41I LA 41A 98188
4001 242-4001
CLASSAHI79D9
BLD?:X MEC?:X PlM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1562:sf STORIES........: 2 REQUIRED PARKING..: 2 SPRYNKLERS?......:? PLAN CHECK DEPOSIT.* $ 487050
CENSUS CATEGORY.....:101 2ND.: 0: 1654:sf HEYGHT.....: 0.00 ff HAZARD CLASS...:? PUB 410RKS-PLAN CHECK S 35.00
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- RE�UIRED SETBACKS------- FiRE FLOW....: 0 gpm F1NAL PLAN CHECK...* S 203.45
:R3 : : : : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 20.00 f4 PLAN CHECK DEPOSIT.* S 690.95
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 220066 SIDE..........: 5.00 ft IJATER SERVICE..:FEO BUILDING PERMIT,...* S 1063.00
:5N : : : : DECK: 0: O:sf REAR......e..,e S.00:ft SE41ER SERVICE..:FED SBCC SURCHARGE....e* S 4.50
OCCUPANT LOAD------------ GAR.: 0: 650:sf RECEIVE0.:12/09/92 MEC APPLIANCE FEES.°' S 31.50
. 0: 0: 0: 0: TOTL: 0: 3866:sf IMPERV SURFACE: 0 sf SENSiTIVE AREAS?.:N PLUMBING PERMIT/SPK* S 65.00
F1NAL PLAM CNECKe..* S 30.00
FUEL TYPES.:GAS ? FANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 3 URINALS........: 0 TOTAL fEES S 2610,90
GAS P1P1NG.: 1 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK.....: 0 3-15 HP.....: 0 SHOWERS............: 1 SUMPS..........: 0
GAS HWT....: 1 4100D STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 1 DRAINS.........: 0
BB�........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 A1R HANDLING UNlTS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
I ......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN 41SHR OUTLTS...: 1
i .OGS...: 2 > 10,000 CfM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIR[ 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDEiVTIAL AND GRADIiVG PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CrRTiFY THAT THE INFORMATI RNISHED BY ME IS TRUE AN CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WIIL BE MET.
. � �� �� ��_
OWNER OR AGENT �� DA7E � ��
old_prmt 10/23/92
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LITY OF FEDERAL WAY B U I L D I N G P E R M I T PERMIT NO.: BLD92-2541
:i3530 �irst Way South BUILDING INSPECTION - 661-4140 ISSUED: 03/16/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 416 SW 350TH PLACE
PARCEL NO.: 132174-0080
�FsOJECT DESCRIPTION: LOT 8 CAMPUS HIGHLAND3, DIVI3ION 5 NSF
441NER CONTRACTOR LENDER
CLASSIC AMERICAN HOMES CLASSiC AMERICAN HOMES
6000 SOUTHCENTER BLVD 6000 SOUTNCENTER BLVD
' TUKUILA WA 98188 P.O. BOX 20247 (SEATTLE 98122)
� - TUKWILA WA 98188
242-4001 242-4001
CLASSAHI79D9
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF 410RK:NEN USE:RES 1ST.: 0: 1562:sf STORIES........: 2 REQUIRED PARKING..: 2 SPRiNKLERS?......:7 PLAN CHECK DEPOSIT.* S 48T.50
CENSUS CATEGORY.....:101 2ND.: 0: 1654:st HEIGHT.....: 0.00 ft HAZARD CLASS...:? PUB 410RKS-PLAN CHECK S 35.00
OCCUPANCY GRWP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOu....: 0 gpm fINAL PLAN CHECK...* S 203.45
:R3 : : : : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 20.00 ft PLAN CNECK DEPOSIT.* E 690.95
TYPE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 220066 S1DE..........: 5.00 ft NATER SERVICE..:FED BU[LDING PERMIT....* 5 1063.00
:5N : : : : DECK: 0: O:sf REAR..........: S.00:ft SENER SERVICE..:FED SBCC SURCHARGE.....* S 4.50
OCCUPANT LOAD------------ GAR.: 0: 650:sf RECEIVED.:12/09/92 MEC APPLIANCE FEES.* E 31.50
. 0: 0: 0: 0: TOTL: 0: 3866:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N PlUMBING PERMIT/SPK* S 65.00 r
FUEL TYPES.:GAS ? fANS..........: 0 BOILERS/COMPRESSORS NATER CLOSETS......: 3 URINALS........: 0 TOTAL FEES 5 2580.90
GAS PIPING.: 1 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 2 DRINKING FWNT.: 0
FURN<100K..: 1 DUCT LJORK.....: 0 3-15 HP.....: 0 SHOUERS............: 1 SUMPS..........: 0
GAS H41T....: 1 UOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-SO HP....: 0 S[NKS..............: 1 DRAINS.........: 0
BBQ......... 0 MISC........... 0 5+ HP........ 0 DISH 41ASHERS........ 1 LANN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTR NEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 1
-"S LOGS...: 2 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
� CERTIFY THAT THE INFORMATIO NISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
' �j r
' OWNER OR AGENT �/��i�i�i� /L ,. . DATE .� /� � ( �
bldYprm; 10/23/92 •
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City of Federal Way R�CE�vEu
-�- r':-� APR 1 4 1993
�� APPLICATION FOR BUILDING PERMIT
P'ERMR#.�,Dv%�
PLEASE PR/NT APPLICAT/ON#: �.�%«�f �.� I
'�- STTE LOCATION ,addressL � �"�,�,) �?�"-�> '
Tenant (if known) Lot A� Assessor's Tax #
�B fi ,g Owner Na A es � , °
l/d�'%y� 111..-''��r�„L ,��Lr-� �r%s� � - �_ �, f-��ll��%,,.�� 7ii
City � / ' ���; // State (�/,` �� Zip � �f� � _� Phone � � �— �>,��
Nature of Work ��
___ _ _
_ ____ _ _....... ._....._ .. . .... ...._
_ _. ._ _ ___...._... . . __ __ __
� APPLICANT ;
_
Name (F, L) ' �
� %���Z� ��!�'l/�2i�v.. �Yi�Yc.�J
Addr s �
�?'� �• ��d Y� l(C'�� v ct z�2 �n
c�tY �cf c�.� '1�c stete �ti> z�P S:_J - �i
�tact Person t Day,P o� �/y Other Phone Fax
r'��1 � � � U`("`,V� ` l"� O G- ���� � � �-_ %�� �
BUII.DING CONTR.ACTOR
ComPaRy�me
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Addre�rs ` �/ ' , � �` 7
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City'�,/ `� � ' � State / - Zip = �'� S
tact Person Phone Fax
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Contractor's #(card must be presented) Expiration Date Verified � Yes ❑ No
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ARCHITECT � ,a. �— , 1
Name
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION •
�� ��.
Please Comn/ete Reverse Side
CD0492(Rev 4l931
STRUCTURE :: ' ting Use oposed Use ' �
Permit includes: �, Building O Plumbing u Mechanical ❑ Other
Type of Work: ❑ Residentiel ❑ New O Remodel ❑ Number of Units O Deck
❑ Commercial ❑ Addition O Garage ❑ Shed � Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existi�g Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq tt Proposed Total Area sq ft
Water Availability ❑ Sawer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning Lot Size Exisfing Bldg Vafuation S
LENDER
Name Address
City State Zip
�
MECHANICAL CONTRACTOR '' � � �,
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
_ . ____ _._ _. __._.... _
_ _ ... __ _ ...... ..... ..... .......... _
PLUMBING GONTRACTOR �,� ,,�-
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified O Yes ❑ No
�
PLLTIIZBING FIXTURE COUNT �V �
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fou�tains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total',Fxture'Count
MECHANICAL IJ1vIT COUNT �U� -�
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt . Hood Boilere Above Ground
Conv Burner Duct Work 0-3 Tons U�derground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I cartify under p alty of per ury that the information furnished by me ie true and cortect to the bast of my knowledge and further that I am authorized by the owner
of the abova premises to pe rm the work or which permit application is made.I further apree to save harmless the City of Federal Way as to any claim(includinp costs,expenses,
and attorneys'fees incurr in investigaY n and detense of such ai ,whic may be made by any person,including the undersigned,and filed against the City of Federal Wey,
but only where such cla' arises out o the relience of the Ci ,i dinp'a officers and employees,upon the accuracy of the information supplied to the City as e part of this
application. �'
� � ��� ������
� Owner/Agent: %l����'� —=� /L Date: � /"� �
`�� �?��9t �i ��
�
t Permit # �� r;� �'c — �s�� !
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A
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o� C{�'Y OF F�D�RAI. WAY .
:�`� ~' i�;.�� BtJ�LC�i�G P�l�fl�ll�" APPLtCA�`!�N `
� ,.- Plsase Print—
BOX 1 TENAN7'NAME; � << ��6 S.�N. 3S0 �� �A��"
OWNER t�: ��': ;�. .-^s?�_��. ' I �_'''`'`=��SITE LOCATION Y ,
� . , . _
OWNER'S ADORESS_ (. r <_,,: '� ,r < <�t r t, , �.,�r� CITY I t.:t�( �r:.t� ;..1, ;. X:�+�'.�...
DESCRIBE JOB r �, �_�a Y � � j w,:. PHONE_ (C
THE PROP�RTY IS OWPJ�D �Y; SINGLE/MARRIEO PAATNERSHIP CORPORAI'ION -�—
BOX 2 CONTRACTOR'S NAM� `>'R��'���:: ^l�`:�- i~_j=`��z__ CONTRACTOR'S REG. # ��� /7�J`�
Card MUST be presented
CONTRACTQR'S ADDRE55 C1TY _ _ PHONE
EXpIAATION DAT�
, — OR ---
I NAVE READ CHAPTER 18.27,Q10 R�L.ATI�lG TQ DEF1NITiQNS OF GENERAL CQN1'RACTOR5 ANO SPECIAI,TY CON7RACTORS AND
CNAPTEA 18.27,110 WHICH PROH161TS ISSUING PERMII'S WITHOUT PROOF QF REGISTRAT`ION.
BOX 3 CQNTACT PERSON `���t.= 'i1�'�= �`� PH�N� r��r ' ! � 'r`-i{
" -, � . - . ~ —
BOX 4 S�W�R QISTRIC7 �-�`: •`--- - - _ WATER RIST'RICT ���-- �-�!:'�r�•
...--
� _ .. _ � .
BOX 5 ESTIMATEO PROJ�CY COST � `'"?> <� •=.�=' _ EXISTING BUILpING VALUATIQN ��� �`+. �_��
BOX B PROPERTY TAX ACCOUN7 NUMB�R_ I3� �/�i ������U
LEGAL DESCRlP710N ,_ �� 1 ., ,�:",�--�� -- ,; , �—,.�,_.._... ,_„_
--..—..�.�_� ' �� � _ . i�_ a_ �`'y j �.�.-�.
(if necessary, please submit a separa�te page wilh the legal description.} mm .�-Z ic� y ��t� �. :��%
K,C. Plat Recording #
80X 7 BUILDfNG SQUAR� FOOTAGE: (Existing/Praposedj iST FLOOR � �' _�_,__ 2N0 FLCOR ���
3RD FLOOR � �ASEM�NT � D�CK /..�, GARA��L�,_�c� i
BOX 8 (`�,) SINGL� �AMILY O N�W CONSTRUCTIpN
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING ST�UCTUAE
( ) COMMERCIAUfN�U5TRIAL TQ�fAI AREA OF PRQP�R7Y __ Sq Ff
BQX 9 PI UM81NG FIXTl1RES (fncluding rough-ins) MECHANIGAL APf'LIANC�S —� BASIC �EE$
NO.�-�. WA7ERCLOSETS GAS P!P NG, F��`f' $
' eATNTUBS NO,�FURNACE, ELE�. GAS %`�. $
� 5NOW�RS `�`_GAS HOT WAT�� H�ATER $
L I LAVATORIES ��CONV�RSlON BURNER $
�SINKS BOILEA, SIZ� sTU $
DISHWASHERS r_._ AIR HANDLING UNITS $
�._�k�6THiC HQT WAT�R i1EATER H�A7 PUMPS, SIZE _.. $
�� IAUNDRY WASHER OUTL�T _UNIT HEATERS �� $ �
URINALS - - AIR COOLING UNITS, SIZE $
DRlNKING FOUN�'AINS C�MMERCIAL.H000 $
SUMPS, SPRINKLER VACUUM BR�AKERS � OTHER ��+•":.•?�r`�.z _ $
DRAtNS �� $
%'- OTN�R ��c,'�- ��;f^ $
• ��YdTAL FlXI'UR�S $
TOTA� MECHANICAI,F�� $
I CERTIFY UNDER PENALTY OF PERJUfiY THAT 1'H�IN�ORMATIpN FUFifJISHED BY M�IS TRUE AND CORRECT TQ TME$�ST OF MY KNOWLEbG�
AND FURTN�A THAT I AM AUTNOAIZEO 8Y THE OWNER OF TNE ABOVE PR�MISES TO PERFORM TH�WORi(FOR WHICN PERMIT APPI.ICATION IS
MADE.I FURTHER AGREE TQ SAV,�NARML S'TH�CITY OF FEDEAAI.WAY AS TO ANY CLAIM(INCLUDING COSTS,�XPENSES,AND ATTORNEYS'
F�ES iNCURR�p IN INVESTIGA i'�ON AND FENSE OF SUCH CLAIM), Wf�IGH MAY BE MADE BY ANY PERSON, INC�UDING THE UNDERSIGN�D,
ANq FILEU AG�fiINST TNE CIT F F�DE ! U'JAY, 6UT ONLY WH�RE SUCH CI,AIM ARISES OU7 0�TNE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPlOYEES PpN TH � CLIRACY OF TNp INFORMATIO�� SUPPLIED Td TNE CITY S A PART OF THIS APPI,ICATION.
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OWNER/AGENT: � � �
�--.--F---.-.- .. _�DATE: �Z `I
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, SITE N APPROVAL '
Perrnit Number. ?1. � � `��
A�:proved By: '��
Date: � � ZJ
Comments:_�„_�-!___._ :fi'���� G� __
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