02-100217City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Project Name: PETERSON
0
Building - Single Family
0
Permit #:02 - 100217 - 00 - SF
Inspection request line: 253.835.3050
Project Address: 830 S MARINE HILLS WAY Parcel Number: 515293 0100
Project Description: NEW RES - PERMIT TO FINAL ORIGINAL PERMIT #00-102395-00.
Marine Hills #17. Lot #10
Owner
Applicant
Contractor
Lender
TERRY JENSEN CONSTRUCTION (
NONE
TERRY JENSEN CONSTRUCTION (
WASHINGTON STATE BANK, NA
PO BOX 1326
Type V - N
TERRYJC0160Z 7/15/00
32303 PACIFIC HWY S
ISSAQUAH WA 98027
22.5
PO BOX 1326
FEDERAL WAY, WA
Occupancy Group # 1 ............ ...............................
NONE
ISSAQUAH WA 98027
98003
Includes:
Census category: 101 -New si
#1
#2
#3
#4
Occupancy Group:
R -3
U -1
Construction Type # 2 ........... ...............................
Type V - N
Construction Type:
Type V - N
Type V - N
22.5
Mechanical.................. ...............................
Occupancy Load:
Occupancy Group # 1 ............ ...............................
R -3
Occupancy Group # 2 ...........................................
U -1
Floor Area (Sq. Ft.):
Yes
Total Building Sq. Feet ........................................
5701
Total Proposed Sq. Feet ............ ...........................4842
1 st Floor Proposed Sq. Feet .. ...............................
2875
Basement Proposed Sq. Feet ................................
1967
Basic Plan ............. ........ .. ......... .................
No
Census Category.................. ...............................
101 -New single family houst
Construction Type # 2 ........... ...............................
Type V - N
Garage Proposed Sq. Feet ....................................
859
Height of Structure ............... ...............................
22.5
Mechanical.................. ...............................
Yes
Occupancy Group # 1 ............ ...............................
R -3
Occupancy Group # 2 ...........................................
U -1
Pl umbing .................. ...............................
Yes
Total Building Sq. Feet ........................................
5701
Total Proposed Sq. Feet ............ ...........................4842
Zoning Designation.............. ...............................
RS 15.0
Plumbing Fixtures
!y Description Qbantity
Dishwashers
Quantit
Laundry Washer Outlets
Quantlt
0
Bathtubs
Quantity
Lavatories
�
Water Heaters
�
Showers
Sinks L_3 � Water Closets � 4
Mechanical Fixtures
ruia „u Description "'lla,„ :
Quantit
"'' Description .
Quantlt
0
„ ;e�i,, ,�,i�un,iDescri ton �d
p ,
Quantity
Ducts
�
Fans
�
BBQs
Fireplace Inserts
Ranges
I FFumaces
Hoods
CONDITIONS:
See DOC for conditions.
POST HIS CARD ON THE FRONT OF BUIL�
cay or
-� EoFrzE =ti_
BUIIJDING DIVISION
VV AY INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253- 835 -3050
PERMIT #: 02- 100217 -00 -SF
OWNER'S NAME: TERRY JENSEN CONSTRUCTION CORP
SITE ADDRESS: 830 S MARINE HILLS
( ) FOOTINGS /SETBACKS
( ) DRAINAGE: Line
( ) FOUNDATION WALL.
DOOTPO ° ONCR� SHE VE�IS APPROVED. ,
ABO
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV
( ) ROUGH MECHANICAL.
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Roof
( ) Connection
Water piping
Gas piping
Ditch
Floor
( ) FRAMING/FIRESTOPPING
() INSULATION: Floors Walls Attic
( ) WALLBOARD NAILING ( ) SUSPENDED CEILING
GS�vSp � p
ptE pM
i(W
* *The following is required information — Please print (in ink) or type **
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
1- PR07Ecr INFORMATION
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
9ELECTRICAL ❑ ENGINEERING El FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): /V eA.1J
PROJECT NAME: ,r
PEOPLE INFORMATION
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
-{'A9 S �,Rc7 Tel 5T ¢e -(e1LAC CLAY
NAME:
�'� i-<S/, ,,� CC)r-,S i 1? &,, 77o)v' (70 R �i'
DAYTIME PHONE:
(S/2�S ) SS7 - 9SCnc
MAILING ADDRESS STREET ADDRESS; CITY, STATE, ZIP):
EVENING PHONE:
-
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACrORS REGISTRATION NUMBER:
EXPIRATION DATE:
(may of card required) e u2 -J C
12
NAME: DAYTIME PHONE:
-,O 12
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE:
V O ��v s G a 19 2(kA
❑
ARCHITECT TENANT PROJECT: ❑ TENANT ❑ OTHER ( DESCRIBE): 6Ct i i-A L, 2 FAX NUMBER ( -
)
E-MAIL ADDRESS:
SPRINKLERED BUILDING? ❑ YES Of NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: �(LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 1�_LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
* *NEW RESIDENTIAL CONSTRUCTION
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PR03ECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FANS)
H OD {S)
� �G
-
FIRST
FIREPLACE INSERT(S)
NGE(S)
MISC.
SECOND
FURNACE(S)
THIRD
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
FOURTH
PLUMBING
BATHTUB(S)
OTHER FLOORS (DESCRIBE)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
DECK
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
GARAGE
HOW MANY FLOORS?
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
TOTAL:
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
Indicate number of each
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
LOG(S)
�—
REFRIG. SYSTEMS)
68Q(S)
FANS)
H OD {S)
� �G
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERT(S)
NGE(S)
MISC.
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINK(S)
WATER CLOSET(S)
MISC. ( )
INTERCEPTOR(S)
SUMP(S)
-JTSCLOTMFR /STGNATIIRE BLC
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 the permit application is made. I
further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
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. /
NAME /TITLE: DATE: / 6' ��C� 2
❑ PROPERTY NER ❑ APPLI NT ((CONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063 -9718 - 253-661-4000 - FAX: 253- 661 -4129