93-101008 CITY OF F•
EDERAL WAY BUILDING PERMIT �j 3. /0100g
PERMIT NO.: BLD93-0439
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
Federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 475 SW 345TH PL
PARCEL NO.: 132170-0180
PROJECT DESCRIPTION: NSF — W/ PLUMBING & MECHANICAL
LOT #18, DIV 1, CAMPUS HIGHLANDS
OWNER — CONTRACTOR — LENDER
JENSEN CONSTRUCTION JENSEN CONSTRUCTION
1911 SW CAMPUS DRIVE STE#717 1911 SW CAMPUS DR STE #717
410ERAL WAY WA 98023 FEDERAL WAY WA 98023
661-1717 661-1717 948-1717
JENSEC*132C0
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1838:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •, PLAN CHECK DEPOSIT.* S 722.80
CENSUS CATEGORY •101 2ND.: 0: 1554:sf HEIGHT • 0.00 ft HAZARD CLASS •, PUB WKS PLCK(SF)..93 S 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm FINAL PLAN CHECK...* S 0.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..S: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1112.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...5: 234802 SIDE • 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 72.00
OCCUPANT LOAD GAR.: 0: 850:sf RECEIVED.:04/26/93 PLUMBING FIXT....93* $ 112.00
. 0: 0: 0: 0: TOIL: 0: 4242:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? RADON KIT 93 S 20.00
FUEL TYPES.:GAS FANS • 7 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS TOTAL FEES S 2083.30
GAS PIPING.: 100 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.:
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...:
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS
BB • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS:
RYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.:
k 2 • 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1 > 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.
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 73
bldprmt 10/23/92
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f
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0439
3'7330 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 06/29/93
federal Way, WA 98003 BY: FLF
661-4000
SITE ADDRESS: 475 SW 345TH PL
PARCEL NO.: 132170-0180
PROJECT DESCRIPTION: NSF — W/ PLUMBING & MECHANICAL
LOT #18, DIV 1, CAMPUS HIGHLANDS
OWNER — CONTRACTOR -. LENDER
JENSEN CONSTRUCTION JENSEN CONSTRUCTION
1911 SW CAMPUS DRIVE STE 717 1911 SW CAMPUS DR STE #717
-
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
4111-1717661-1717 948-1717 i
JENSEC*132C0
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1838:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS' •? PLAN CHECK DEPOSIT.* $ 722.80 -
CENSUS CATEGORY •101 2ND.: 0: 1554:sf HEIGHT • 0.00 ft HAZARD CLASS...:? PUB WKS PLCK(SF)..93 S 40.00
OCCUPANCY GROUP 3RD.: 0: O:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpn FINAL PLAN CHECK...* S 0.00 -
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 1112.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...S: 234802 SIDE • 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * S 4.50
:5N :? :? :? DECK: 0: O:sf REAR • 5.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 72.00
OCCUPANT LOAD GAR.: 0: 850:sf RECEIVED.:04/26/93 PLUMBING FIXT....93* $ 112.00
0: 0: 0: 0: TOIL: 0: 4242:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? RADON KIT 93 $ 20.00
FUEL TYPES.:GAS FANS • 7 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES S 2083.30
GAS PIPING.: 100 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 2 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
• 1 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR QUILTS...: 1
IFOGS...: 1 > 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.
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 1.4,77 i./.....-^ DATE Z 7 ‘- g3
laid_print 10/23/92
to j,°
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i
SET BACKS AND FOOTINGS
,,, , / O.K TO�7POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE 6-30-5'3 BY I'`/�(l DATE l r _ 3- _BY _MA/ -- DATE --- ------- BY -----
PLUMBING ROUGH IN / WATER LINE O.K. _____ MECHANICAL INSPECTION
DATE,7-6_r /3—__BY ?N GAS PIPING 0.K.3_7113 DATE?)_r_ .5*- F3 _ _-BY OW
O.K. TO ENCLOSE FRAMING INSULATION( /,, , / WALL BOARD AND FIRE WALL
DATE _BY _ 1Li1✓_ _ DATE R-' 11(
30_ 3 BY /L1 —___ DATE 5-3-93 _BY f41/(Z
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE// BY
77-17_3
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Irl' • FILE Per, i3tvD93 ` a ef
AECE
APR 2 61993 CITY OF FEDERAL WAY •
3TYOF FEDERALW BUILDING PERMIT APPLICATION
Q
Jft 1 DEPT —Please Print— S 34
)--04).
BOX 1 TENANT NAME:
OWNER S'LWS1N! eoN r 1XrLON SITE LOCATION,..oi /8 C.4.ry�a�s 'i HGtvvs, tel✓. /
OWNER'S ADDRESS li`!l l. SW C>4 r{ s � S 1rc- ?�T F-7.=.1)&124/-..1.41A PHONE c i-,
DESCRIBE JOB A/S/� �v Ls
THE PROPERTY IS OWNED BY: SINGLE/MARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME J EAIrSC'./ ObI4 STRUCT/D14 CONTRACTOR'S REG. #
Card MUST be presented
CONTRACTOR'S ADDRESS till S w eiqmPtis D2 CITY fedeft4L u./Ay PHONE LO/./` /7/7
EXPIRATION DATE 2-- ! 8-- q y
— 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 -0oh`ij ,N (r PHONE_2,2
BOX 4 SEWER DISTRICT 1K-'D. VV4 `, WATER DISTRICT F.E'DAVA y
BOX 5 ESTIMATED PROJECT COST .2 7 S 1 ('OO EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION JC.oT /9 , CA,Hp,,S 166-1A-44JP Dt✓. /
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording# l 32 l 70 Digo
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR //B3e 2ND FLOOR / 15.54
3RD FLOOR / BASEMENT / -- DECK / GARAGE / A50
BOX 8 (A) SINGLE FAMILY (X) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY Z o) 117 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
NO. _ WATERCLOSETS GAS PIPING, FEET /DO $
"c"- BATHTUBS NO. / FURNACE, ELEC. GAS $
SHOWERS I GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
/ DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER AAo.✓nre v
15 TOTAL 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 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: DATE: 4"' 9 3
ANP-009 3/90
407
as,.YIPA
K 4
OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE)
.ZONE SETBACKS: FRONT _ SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL •
REMARKS:
•
SEPA: EXEMPT NOT EXEMPT_ .
•
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 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 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
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS:
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY DATE ACCEPTED FOR FILING
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