92-100444CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO. 92-408
RA OWNER'S NAME LEIF/PICHIN OKSENVAAG SITE ADDRESS 31919 36 AVE SW
CONTRACTOR OWNER
ADDRESS SAME CONT. PHONE 927-4443
CONT. REG. NO.
EXP. OWNER'S PHONE 597-8362 OWNER'S ADDRESS SAME
TYPEJOB: NEW RESIDENCE
ADDITION XXX NEWINDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY
(UNITS -)I MULTI. ADD. SIGN GRADING OTHER CONSTRUCT GARAGE ONLY
TAX ACCOUNT NO. 873198-3260 LEGAL DESCRIPTION LOT 326 TWIN LAKES #5
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/18/92
BUILDING INFO MA ION
ONE RS 7.2
SET BACKS: FRONT 20' SIDE 5'/5' REAR 5 HEIGHT LIMIT 30'
OCCUPANCY M-1
TYPE OF CONSTRUCTION 5-N _ CENSUS NO. 438 TYPE OF HEAT NA BLDG. SQ. FT. 288 STORIES NA
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
$4,637
VALUATION
PLANNING DEPT APPROVAL = DEB BARKER
"UPON SITE REVIEW, CITY TREE SPECIALIST IS OF THE OPINION THAT THERE
PERMIT FEE
$72.00
PLAN CHECK FEE
47.00
IS A SIGNIFICANT PROBABILITY THAT ROOT DAMAGE COULD OCCUR IN CONNECTIO
PLUMBING FEE
WITH THE PROPOSED ADDITION. THE CITY REQUIRES THE APPLICANT TO TAKE
ECHANICAL FEE
ALL PRECAUTIONS INCLUDING THOSE STATED IN ZONING CODE 90.15.4 (ATTACHED)
ART P/C FEE
IF APPLICANT REMOVES TREE, REPLACEMENT CRITERIA ARE NOT APPLICABLE
EPA REVIEW
rS
UNLESS 75% OF TREES ARE REMOVED"
UBLIC WORKS
35.00
4 50
BLDG DEPT APPROVAL = KEVIN ELIS
.B.C.C. FEE
-
FIRE FEE
DATE: PUBLIC WKS DEPT APPROVAL = JEFF S
$158.50
OTHER FEES
$1 sa SO
AMOUNT:
"MAXI M DRIVEWAY WIDTH 30'"
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 FORM TION FURNISHE Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL
BE MET.
-7,
ej
�
OWNER OR AGENT
DATE V.
RECEIVED •
1992 CITY OF FEDERAL WAY
y �iF :-l=�-_01�-_RAL WAY BUILDING PERMIT APPLICATION
BUILDING DEPT, — Please Print —
BOX 1 TENANT NAME: C
OWNER leijCh - -
OWNER'S ADDRESS
DESCRIBE JOB
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE
SITE LOCATION
CITY_
PARTNERSHIP
CITY
`1 3 , , -� i - ii' l46 A c 2
�z, < PHONE 7
CORPORATION
CONTRACTOR'S REG. #
,_-,' Card MUST be presented
PHONE 1-' � S 5'"I. S? 6,
—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 5 ESTIMATED PROJECT COST /_. LC.t'_`' EXISTING BUILDING VALUATION 6—(t41A,J
BOX 6 PROPERTY TAX ACCOUNT NU
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR
3RD FLOOR / BASEMENT / DECK / GARAGE
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS= ) ;� EXISTING STRUCTURE
(
( ) COMMERCIAL/INDUSTRIAL OTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. ��%ATERC SETS
HTWEBS
LAVATORIES
SINKS,
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING,. FEET
$
N0.E�ARNACE, LEC. GAS
$
S HOTATER HEATERNVE
ION BURNER
$
BOILER-, SIZE BTU
$
AIR HANDLING UNITS
$
HEATiPUMPS, SIZE
UNIT/HEATERS
AIR; DOLING UNITS, SIZE
$
$
COA MERCIAL HOOD
$
OTF ER
$
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 CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLaYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE:
ANP -008 3/90
1 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONC-lL SETBACKS: FRONT SIDE �i REAR r HEIGHT LIMITC�
PLANNING DEPARTMENT APPROVAL -
}{ ai " REMARKS: UP07 4i . L#.i % Fc' E44- lS1" is PLOW- _' 'ice_ e PSr6*aftuz, ` ihb,�aili
-N G r'� [ice �v� ent'i cam
i r• cA40"A-esu- 51A -in' ZE . 10. lS . +(a* lied s
SEPA: EXEMPT_ NOT EXEMPT -i r ate" "` m ►--ear-vv ' -.r c r-�VLw'LZ'f L -u �1 �
Glee iuf- a_Dvobi 41�1�L- W 4' -el- a -e wrro%feS
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE
BUILDING
72 -
ZPLAN
PLAN CHECK FEE
PLUMBING FEE
PUBLIC WORKS DEPARTMENT APPROVAL
MECHANICAL FEE
DATE-Z?-`tZ
TOTAL BLDG. FEES
REMARKS: /4A,Qwom
4�e/&L-- <)A-1
14-2ID7-4 30 �
SEPA REVIEW
fv&,ff- LL044r-
3 •Ctf;>
S.B.C.C. FEE
�` S®
OTHER FEES
AMOUNT DUE
TYPE OF JOB: NEW RESIDENCE RES.
ADD/ALT K" NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL
COMM. ADD/ALT
NEW MULTIFAMILY
(UNITS )
MULTIFAMILY ADD/ALT
TENANT IMP.
OTHER
OCCUPANCY
A,,i TYPE OF CONSTRUCTION lJN
STORES
(v rag
BUILDING SQ. FT.
ll rb @
SZ 7 V • Y
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
BUILDING SQ. FT.
TOTAL SQ. FT.
@
@
_
/�8 ( t er
TOTAL VALUATION
"
j
�6 3 7. L7,5-
BUILDING DEPARTMENT REMARKS:
VNO
r`%- _ N*?
\AOA a - .4
RECEIVED
ASSIGNED ADDRESS:
Amount
BY'. -
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
72 -
ZPLAN
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
fv&,ff- LL044r-
3 •Ctf;>
S.B.C.C. FEE
�` S®
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
DATE 3 -3(17
ACCEPTED FOR FILING
CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
BUILDING PERMIT
BUILDING INSPECTION
661-4140
PERMIT NO.
OWNER'S NAME SITE ADDRESS
CONTRACTOR
ADDRESS CONT. PHONE
CONT. REG. NO.
EXP. OWNER'S PHONE OWNER'S ADDRESS
TYPEJOB: 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 f� sj r DATE OF APPLICATION
BUILDING INFORMATION
NE
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
N?
DISHWASHERS
TOTAL FIXTURES
DRYER TOTAL MECHANICAL
AMOUNT
$4,637
VALUATION
PLANNING, DEPT APPROVAL - DEH BARRE;.
"UPON SITE RF.`✓IEW, CITY REE SPECIALIST IS OF THE OPINION THATMEREPLAN
PERMIT FEE
+ j
CHECK FEE
47.00
IS A SIGNIFICANT PROBAPILI'!TY THAT ROOT D.A:MACE COULD OCCUR IN rONFECT.T(=�
PLUMBING FEE
WITH THE PROP#SED ADDITION. THE CITY REQUIREHSTHE APPLICANT TO TAKE
MECHANICAL FEE
ALL PRECAUTIONS INCLUDING THOSE STATED IN ZONING CODE 90.15.4(ATTACHED)
IF APPLICAFT RtEMIO` ES TME, REPLA".. ► .Zrf CRITERIA ARE NOT APPLICADI..E
PART P/C FEE
WMESS 75% OF TRR1v'S ARE RFMOVED"
SEPA REVIEW
PUBLIC WORKS
BLDG DF."'T ArPROVAL = 'KETT61jIA EMS
S.B.C.C.FEE
PUBLIC WKS DEBT APPROVAL = i!FF'F' S
FIRE FEE
DATE:
OTHER FEES
AMOUNT: "M".111UM DRIVEWAY WIMM 301
AMOUNTDUE
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
SET BACKS AND FOOTINGS
DATE __.....- .. ^ _
OX TO POUR FOUNDATION WALLS
DATE BY
1 -- .. -
PLUMBING GROUNDWORK
DATE BY
- ... _ -- _
PLUMBING( ROUGH IN
DATE BY
WATERLINE O.K.
GAS PIPING O.K.__
MECHANICAL INSPECTION
DATE-__ - _._ __BY
O.K. TO ENCLOSE FRAMING
^
DATE OZ --By _�.._-_
INSULATION
DATE BY _
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
t �
DATE_ �-y�' BY ��____
DCD
PSD
FD