98-104550 M f ,
g ./ btit77-5-0
CITY OF FEDERAL WAY p„ p � � u„�, b PERMIT NO: B D9 -0 23
33530 F i rst Way South 1::; JI,. ,.�,.. ,,.;�.,.if,. "' if"...,".! ii"'� �"II ,,. ISSUED: 12/01/98
Federal Way, WA 98003 Building Inspection Requests 253-661-4140 BY: FC
253-661-4000 EXPIRES: 05/30/99
ADDRESS:453 SW 347TH ST
NO . : 132172....0130
PROJECT DESCRIPTION:FIRE REPAIR
r= OWNER - - TCONTRACTOR LENDER q
ANDY LEVKOFF ! T JENSEN CONSTRUCTION INC
453 SW 347TH ST ` 700 NW GILMAN BLVD, #E-103/411 !
FEDERAL WAY WA 98023 I ISSAQUAH WA 98027 1
• ° 425.557.9500
TJENSCI0600G
;32 CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE = 8.6% ut
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN 0 FEES:
TYPE OF WORK:REP USE:RES 1ST.: 0: 0:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS' ., BUILDING PERMIT....* $ 1339.50
CENSUS CATEGORY •434 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •' SBCC SURCHARGE * $ 4.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gpm
:R3 :? :? :? OTHR: 0: C:sf EXIST..$: 0 ; FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 300000 SIDE • 0.00 ft WATER SERVICE..:?
:5N :? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/30/98
: 0: 0: 0: 0: TOTL: 0: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
{ FUEL TYPES.:GAS FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FEES $ 1344.00
�PIPING.: 0 ft HOOD • 1 0-3 TON • 0 BATH TUBS • 3 DRINKING FOUNT.: 0
'<100K..: 0 DUCT WORK • 1 3-15 TON • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 1 30-50 TON...: 0 SINKS • 2 DRAINS • 0
BBQ • 0 MISC . 0 50+ TON • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
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 INFO MAHON FURNISHED BY ME 1S TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ti, 1___ DATE J 2' / -- 15,
FILE COPY
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ANDY LEI/10ff I JENSEN coNSIRKII011 INC -*
1 453 SW 347TH ST 700 NW GILMAN BLVD, 1E-103/411
IFEDERAL WA',' RA 98023 ISSAQUAH WA 10027
II° ,
................Nam....... -,...,—, . .........a===., 425.557.9500
IJENSCI06006
us coNlitmcfm4. oLLOSUNI,LOCATIONICAOE 1732 NALANEPORTING SAILS TAX fOR PROJECTS WITHIN Tit CITY or FEOERAl NAY. TAX RATE : 8.6% **a
.,....:,..,..naor.m.vw.masmsrailasa.:anic.attIliSMIltiASK*140044V..01%PC,414=04*41)..a 1,40$44 a**,4,.i.O r :.....74,..a4:rtt Fr.=.4.=mu:muscat,4:41.,L7.4Z41.17115- =tam 2e.v...=Mr nVISMAT r=s14...0.::.,, a.xl. i....=:44,t4:1,13E gc....:444=rucomm:,M5.1,161,1.5/til..40nA Sat.
BLD?:)! MEC?..1 PLMA:X FLIt -(XIST--PROP--- 2', DINEt11,0 HMI(' 0 1 (OMP PLAN
TYPE OF WORK:REP •USE: 1pilr
RES 1S1.: J41"A 0:sf ‘'.", SIOIM........: 2 I REQUIRED PARKIN ..: 0 SPRIMERS' .,, FEES:
BUILDING PERMIT....* 1 1331.5u
CENSUSI C Y.—:434 111:: f*-f ' C:sl 4! HEI*HT"'"*; D'AIU L MAU CLASS..-:: SVC tof(ROGI ....
&OHO' 1 i clii!:16))4 .4!lik--•-- -- AD..: ..,,t,& - fgsf ''''' Y4041110=----- -- "l!lqt1.9 TIBAM-- ---, rIlif fLAW.._: 9 9pp 9.eostA tv4 .-
.„ i
' 1 :R3 :/ :?. .? : 0114R.: 14! WV LW,' $: 0 '. Ni ...„ .: 0.00 ft .
TYPE Of CONSIRUcTION DSMT: n. 0:st PAAP...t: 300000 SPF * 41.00 ft WWI, SERVICE .:.
:50 :' ..? :3 : -lokt.rt, 0; 0:st li- 4-7,,,,i' v,iRciR.
0: 0: .0: 0: TO111.2 '4: 0;sf ,,,j-- ef-- - ,-,t----. !!''IMPERV SURFACE: * 0 sf SEN0.00:ff SEWER SERVICE..:?
SITIVE REAS?.:
. .
OCCUPANT LOAD------------ 41.,: O ii-sf'' WIEMOW40008 ',; ,44--' i
w,xnzra..,4=-Irr.,xx.=.4wWwentma.m.....wASI*Ismi.,, 44 -==....7.m,...x=..a.s....mutaa... ;.24c,,roa.v.,,,,as-41,,,an.esg......0z3er.x.=avivarx=esar....lal.m.x......t:v..noaw ma..
FUEL TYPES.:GAS
gliipo.nor,..: 0 DUCT WORK 1 3TAWS • 4 '..: AILERS/COMPRESSORS WATER CLOSETS
• • 4 URINALS
. 1 - 0 'MM
- —3 TON... .: 0 I BATH .. .....: 3 DRIPIING FOUNT.: : TOTAL TEL-15 TOO • U SHOWERS ' 1 SUMPS • 0 $ 1344,.00
6AS PIPING.: 0 ft HOOD
141.1rHWT....: 1 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES.........: 4 VAC DREAtERS...: 0
I CONV EURO: 0 fURN>1001 • 1 :10-50 TOIL.: 0 SINKS ' 2 DRAINS • 0
BIN • 0 MISC • 0 504 ION • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
[ GAS DRYER..: I AIR HANDLING 1115 FUEL IANKS-- .------ ELLC WIR HEATERSOTHER FIXTURES.: 0
RAM ' 1 c10,000 OM: 0 ABOVE ',POUND: 0 CNN NSHP 00ILIS...: I
OAS LOGS...: 1 ) 10,004 CFM: 0 UNDERGROUND.: qi ,
- Pfil,1111S EXPIRE 180 SAYS AFTER ISSNAICE If NO 100Rf IS SIARIED. PESIDENI141. ANTIOAOING PENNIES EXPIRE ONE YEA, AFTER RATE OF 'ISMAEL.
-1.RIRIDY 111A1 HUE liFONAATION FURNISNE, IV NE IS IRU AND LORP1(1 10 INC NISI Of NY YOCIIIDCf OND III APPLICAILL CITY Of fEltRAI WAY RVOOIRINENTS WIFE BE NEI.
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BUILDING DIVISION
aro G • 33530 First Way South
E0 _ •• Federal Way,WA 98003
w F iY (253)661-4000
C�r Fax(253)661-4129,
'V15
DEC ® � APPLICATION FOR BUILDING PERMIT
GIN OF FNG DEP WAY 0 - O v ZJ
BUILDING DEPT
PLEASE PRINT APPLICATION #
Address S
�
i
� Y7 l 5 i P/Z C (.1. ,
Tenant(if known) 041 kicf.4 Lot# Assessor's Tax #
Building Owner's Name Address
City r—G2,Z.i2A L State cvA Zip Phone
Nature of Work
Name (F,M,L)
'SLS C:o k-rstii2a c7-/o iv ( C
Address
700 ti a) 514 49,E 0cy( 5A1/4
/4
City 's s- j k14 State 14/4 Zip hr(-)27
Contact Person Day Phone`a Other Phone F x
s S S so z> �aS SS' sss3
E
FEDERAL
WAY BUSINESS LICENSE
#
l-, LC
I
Company Name
? nlS ti cep 5 az /A)L
Address
City SS 0 t.(fir/ State 4.i' Zip :) /
Contact Person / cw /2/ Phone Fax
Contractor's # (card /must be presented) Expiration Date Verified ❑ Yes ❑ No
...........................................................................................
............................................................................................
...........................................................................................
............................................................................................
............................................................................................
Name
SXICIc r q4\-)
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
•
li
Please Complete Reverse Side 9'b
N
U
n
'� ,b�. i. ::::
.: .:.:::.:::::;.;:::.::.,_.._. sting g se 5/1\1%0c 2�' 1;9,,) �
t/ oposed Use
Permit includes: filo gaiLAI 0t,tT Building ,/� Plumbing Q Mechanical ❑ Other
Type of Work: ?ri Residential 111 New ////`'c 'ePA'hS Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition 0 Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability 0 Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $ 300)000
Zoning I Lot Size Existing Bldg Valuation $
LENDER .......................................
Name Address
tu4SX r ee l-ctA- L___
City State Zip
Contractor Name , Address
/ (_ wAv5 4(✓. CO J'-'oC
City '7b co ri't IN State Zip
ContactPhone Fax
_7' ) h ,' S(16 9S-C.'/
License # Expiration Date Verified ❑ Yes ❑ No
Contractor Name --) I Address '�/ /�
itT�ITi T-C ��urcif/^rj 17u'J`t '(
City 0/ //< L State
(.(/[ll. Zip
Contact Phone Fax
Jai iK•�. s3 333 Sz 1i
License # Expiration Date Verified ❑ Yes 0 No
4.. ..0................?:<::<...............................................................
3>?:;:::.........>?t>�E*<;'.;>.,:< 'G..>2?..='zz:.....
Water Closets / Sinks 2. Urinals Lawn Sprinklers
Bathtubs j Dish Washers ( Drinking Fountains Other
Showers ( Electric Water Heaters Sumps
Lavatories ( Washing Machine i Drains Total`Fixture<COUnt
MHAICAONt'r:COtNT:::.:..
. L.
MECHANICAL EVALUATION ONLY $
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons •
Length of Gas Piping /r;c.. 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 SC' Jo( Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
..............................................................
BBQ'
...............................................................
...............................................................
s Wood Stoves 3-15 Tons fntarkjfift Q4O,rit..
DISCLAIMER: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.
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