90-100012 CITY OF BUILDING
BUILDING INSPECTION
FEDERAL WAY 941-1555
CAC)
PERMIT NO. 90-0018 OWNER'S NAME Larry Jensen JOB ADDRESS _ " SW 345th Place
CONTRACTOR L J Construction ADDRESS POB 788 Milton CONT. PHONE 735-0331
CONT. REG. NO. LJCON*210B9 1/26/91 OWNER'S PHONE 735-0331 OWNER'S ADDRESS POB 788 Milton
TYPE JOB: NEW RESIDENCE XXX 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. 132170-0060-0 LEGAL DESCRIPTION Lot 6 Campus Highlands Division #1
ISSUED BY Elizabeth Snyder DATE OF ISSUE 4144- 9L__. DATE OF APPLICATION 3/2/90
BUILDING INFORMATION
ONE RS 7.2 OCCUPANCY R3 TYPE OF CONSTRUCTION _ 5-N BLDG. SQ. FT. 4985 total
SET BACKS: FRONT 20' SIDE 31 eachREAR 90' STORIES 2 HEIGHT LIMIT 29.5'
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 80 FT. 2.00 BOILER
RECEIVED _
BATHTUBS 2 LAUNDRY DRAINS COMPRESSOR TANK(S)
SHOWERS 1 URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
RETURNED
SINKS 1 MISC. CONVERSION BURNER BASIC FEE NONE
DISHWASHERS . TOTAL FIXTURES 13 UNIT HEATER TOTAL MECHANICAL _18.50 AMOUNT
VALUATION $750,000
PERMIT FEE $1130.1a0
PLAN CHECK FEE 735 00
PLUMBING FEE 65_00 -
CHANICAL FEE _ 18_50
TAL BLDG. FEES _
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG. _ ��
OTHEC. FEE 4.50 \\-) / ` , 0-7)OTHER FEES (((���
AMOUNT DUE $1953.00 C+� ��\\ ,{�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE T:
�' (_ 11_ , ,, 3 ._ ' y - 9O
OWNER OR AGENT IDATE
40
C//Op 921990
CITY OF FEDERAL WAY ��/NGo/9,41, ,gr
BUILDING PERMIT APPLICATION
— Please Print— c� cu)
_34)SXi`-.;:,t'
BOX 1 OWNER LA/ / J civ S e`J JOB LOCATION
7`' (v C4/1/1)05 s- 1-iici6t McJ S
OWNER'S ADDRESS h
O� /301( Eg CITY /1j / -F+ h3/ PHONE 7 (333(
DESCRIBE JOB S//1)j /' e- . Jy fi S ()eLJ Crit-IyrLc ( -j 7c
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME / , J , (--a /u S-F2 0 Coca kJ CONTRACTOR'S REG. # L.A.-('DOAC 71 D Pj
Card MUST be presented
Q i
CONTRACTOR'S ADDRESS �� -8$ CITY ►L_I Ql.--; PHONE 1- 3-5-- VD
EXPIRATION DATE 1 / UP
I Q] i
— 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 �rr7 J t'rvs e vu PHONE `T 7 5-O 3 j j
BOX 4 SEWER DISTRICT F--- d eK-' - C-.44.4( WATER DISTRICT 3 x:34,-",--,k-
BOX 5 ESTIMATED PROJECT COST cQ SD; 0O0` o h EXISTING BUILDING VALUATION 3 7 5 D 0 O
BOX 6 PROPERTY TAX ACCOUNT NUMBER / 9/3c e i /3 2 1 7 0 0 0 bo Sr t ni w S E / 9 ,/ -09
LEGAL DESCRIPTION ! c 00 i* P/0-1 1 C'ilm p U5 %-li9/ ajv S a v /1/ej /
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / ti/ 2ND FLOOR / 7„-f--13RD FLOOR / BASEMENT / DECK c9 / GARAGE 977 /
BOX 8 SINGLE FAMILY (`,*.NEW CONSTRUCTION 3L''
( ) MULTIFAMILY (NO. OF UNITS = ) (` ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /7 D U 0- (5--Z'2, SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANLCAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPI G, FEET 'Yr
BATHTUBS NO. / FURNACE, ELEC. GAS $ ( •y0
SHOWERS / GAS HOT WATER HEATER $ Cs.S 0
LAVATORIES CONVERSION BURNER $
1 SINKS BOILER, SIZE BTU $
/ DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
/ 3 TOTAL FIXTURE/l'�� , $
TOTAL MECHANICAL FEE $
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE
BEST OF MY KNOWLED AND FU TH THAT I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK r; ICH P I PLICATION IS MADE.
OWNER/AGENT: 447-2--C /1-7'. DATE: 2 ', h\
lr ` Ole ANP-006 2,90
3-2--QD
---qr
• "s,. 0.
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE r(5 7.2SETBACKS: FRONT ; SIZE 'i ` e LIA REAR 5 ' HEIGHT LIMIT 30 (-
PLANNING
PLANNING DE?ARTMEN APPROVALtrC--. 13 --qc
REMARKS: W-f t r 2.--.7
t
� c (,c,To'td & r Ce)04—ay-e, Z t� (c._1ay s i---4(5- "u c'v,l
SEPA: EXEMPT A NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL - L DATE 3-/ 3 -?o
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. ROOF OTHER
OCCUPANCY K3 TYPE OF CONSTRUCTION V 41 STORES
g BUILDING SQ. FT. @ L��s—�- _ 1- 2 a
C BUILDING SQ. FT. @ /7_
(/fit-k BUILDING SQ. FT. _ @ 10. = O i
BUILDING SQ. FT. _ � __ F �—
BUILDING SQ. FT. _ / ' 16.,E-12- • 88 =
BUILDING SQ. FT. @ = 4.31111
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT N_ . PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE 0 PLAN CHECK FEE PLUMBING FEE ---r---- MECH. FEE /S.
TOTAL FEES . SBCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE # /'753 22
BUILDING DEPARTMENT APPROVAL DATE '
REMARKS:
A4.06! sW 3Lfctk pj
ASSIGNED ADDRESS: ,7:• -'
►-f (0
RECEIVED ACCEPTED FOR FILING
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
yyD
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: 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 DATE OF APPLICATION
BUILDING INFORMATION
-
ZONE OCCUPANCY TYPE OF CONSTRUCTION _ BLDG. SQ. FT._
WET BACKS: FRONT _._ _ SIDE REAR_ STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. BOILER
RECEIVED _
BATHTUBS LAUNDRY DRAINS _ - COMPRESSOR - TANK(S)
SHOWERS URINALS FORCED AIR FURNACE _ AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC. CONVERSION BURNER _ BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER _- TOTAL MECHANICAL _ AMOUNT _ __
VALUATION X , \ 'l� , r) icg1kl)
PERMIT FEE ( / W
PLAN CHECK FEE Lk
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
•ART P/C FEE
EPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES _
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT-S 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
` i
N N N
Poc
r Q r lk vl h
00. z 00 C� \
2 Q 'kJ \ \
o a i S �c
cc N
o
P Q �1 c0 �Y� ;� tA� '
w = w w a `
w . c 1 i
o o o \ O ,. ,3
Z .\ 1
1
', ° N a � '
C H m l j m
Q
1, 0
z I o I ,
O I Y Y �-' k k I ,
.) IL O o z 1 �v to O \ 11,i t,` i
W `C
=O z z O �j
0\ 0 w w fi-a Wt 1, A
Y .< a < z 1- o V` 1,IR I 1
o o cal ? o o •
03 \NA_ •N t ‘11
\ 'Z\ 'si
m m < fl v z , jl
o z
2U. w � 01. D lip
a cc U M•
Y 1 Z i' Y\ 'L J
a m O 4" o ,� r'" d� A' 1, M
m w 2 w H w Q w \ < 1
H F 0
< Y < z 1-
Lu
\ kr' 1
r1
cn o a o O o ti o \ \