92-101126 CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: 92-1124
35?0 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/28/92
Faderal Way, WA 98003 BY: MH
661-4000
SITE ADDRESS: 515 SW 336TH ST
PARCEL NO.: 729805-0170
PROJECT DESCRIPTION: NSF
OWNER — CONTRACTOR LENDER
JENSEN CONSTRUCTION JENSEN CONSTRUCTION
1911 SW CAMPUS DR SUITE 717 1911 SW CAMPUS DR
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
661-1717 661-1717
JENSEC132C0
ID D?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN .? FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 1762:sf STORIES • 2 REQUIRED PARKING..: 0 SPRINKLERS' •N PLAN CHECK DEPOSIT.* $ 484.00
CENSUS CATEGORY •101 2ND.: 0: 1521:sf HEIGHT • 25.00 ft HAZARD CLASS...:LIT FINAL PLAN CHECK...* $ 706.88
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 1308 gm BUILDING PERMIT....* $ 1087.50
:R3 OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 227765 SIDE • 5.00 ft WATER SERVICE.,:FED MEC APPLIANCE FEES.* $ 18.50
:5N DECK: 0: 74:sf REAR • 5.0O:ft SEWER SERVICE..:FED PLUMBING PERMIT/SPK* $ 75.00
.00CUPANT LOAD GAR.: 0: 814:sf RECEIVED.:08/02/92 PUB WORKS-PLAN CHECK $ 35.00
0: 0: 0: 0: TOTL: 0: 4171:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYF:S.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 2411.38
GAS PIPING.: 99 ft HOOD • 0 0 3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK 0 3 15 HP 0 SHOWERS • 1 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..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
I L 'ERMITS 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 Sr-----....2.S-) f;~`
-C;')C-:!];;;;:-/7
bld_prmt 07/31/92 -
111. 1111111111"
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE --- 2 BY-... 3........-. DATE r-/6-y2...-BY �-:1 DATE ...-- .....—..........--_. BY ....--
PLUMBING ROUGH IN WATER LINE O.K. y_ MECHANICAL INSPECTION
DATE /6 '74�r Z BY _..-_-_--. GAS PIPING O.K.-[slh �j�Z -L..- DATE //4,2--q-Z" _ BY ._.
/D/Z/gz D
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE/' -(2(6/Z ._BY DATE d-,)-V-9 BY Pt7'v ... DATE r� b...5 2-- _ BY 0441 ....-
FINAL O.K. TO OCCUPY
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DATE P-46-q3 BY /ti_
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Permit # + - ' I
REC? NNE
JUL 2 219 2 CITY OF FEDERAL WAY /y,tee/ ccx
�� � �,� BUILDING PERMIT APPLICATION ,e 41524ien
OM OF�L — Please Print—
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BOX 1 TENANT NAME:
OWNER J NSE'V ed.,/ --.i.:r SITE LOCATION_ ,(QT /7, D'V 6, 7 PE j\-'1a G`
OWNER'S ADDRESS /9// .S,W, CAm Pori i.)re, 5-72 r71 7 CITY 1=t ?,A4 'iv-4 7 PHONE La Lo/ -/ 7/ 7
DESCRIBE JOB J IE 4t) £, F, Rea .
THE PROPERTY IS OWNED BY: SINGLE/M lRRhElY t/ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME <- t-11 SaN ` 0, t=i-"- CONTRACTOR'S REG. #-,1•Ek11:L.* 132Cb
Card MUST be presented
CONTRACTOR'S ADDRESS /7Q�� SW/ �i&41 p $ LiR £' �'7 CITY PHONE 44-/-I/t7
EXPIRATION DATE 2-18- 93
— 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 T?o b b, '1 ;,,' PHONE' 7- /cc21!
BOX 4 SEWER DISTRICT E t _gAI. _\N1r_;/ WATER DISTRICT VGb f._'•A L Alk`/
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 7 2, 93 65 — 61 tw)
LEGAL DESCRIPTION L 7 ) r1 , 1J t V. J ) 7/G t"'I U 6-- -- ; T-'l . -117/ f
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / /1 ?).-2... 2ND FLOOR //5"//
3RD FLOOR / BASEMENT / DECK / 7 Y GARAGE / F/ ‘/
BOX 8 ( NGLE FAMILY ( 1--)--NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = _ ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY /41 9'/ f
/ SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $ 3- SO
BATHTUBS NO._ , FURNACE, ELEC. GAS / $ /c , oo
SHOWERS ' GAS HOT WATER HEATER $ 6 - 3-0
LAVATORIES CONVERSION BURNER $
r 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 $
S 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: ._
//VY
' ANP-008 3/90
• 110
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE % SETBACKS: FRONT Z 1 SIDE J► REAR 5 i HEIGHT LIMIT %� ='
PLANNING DEPARTMENT APPROVAL �9L' - ck/ Or
REMARKS:,.V bujfdir half encroach onto an buikffng setback Ere erg . gt-'Shbwrt orn0nnbak ‘"
' • 41 • .
SEPA: EXEMPT L NOT EXEMPT
FIRE DEPARTMENT APPROVAL r -& DATE P S-- ?Z
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL 0 ,I. ' DATE / 0"2---
REMARKS: .off from impar' .i4r,.-,--f---- , "' .,
(0 1.11 c 4+1.4.uv SWIM driin W61fiiAtiO 1&6 requtre I pisi{ wwi.v.+v...„..r,.....,....
.4.«
r)- '4rajnS and run-off from impr,NTN14.e.,,.e -...-f..,,,' y:-,.er-ael
connection as requ
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
QCCUPANCY TYPE OF CONSTRUCTION STORES
Lf Lif S T BUILDING SQ. FT. l76 2. @ 7 y = /330,388_
►' -0.-'6r BUILDING SQ. FT. /.5.2.- 1 @ `, = //c2 54'
6 dray e BUILDING SQ. FT. Q ( y @ ( 8 - 6 O = /,....5—, //Od
// BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. g06e 7 TOTAL VALUATION a.SB,Qfc7-
BUILDING DEPARTMENT REMARKS: PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE CL{NLiOo
SEPA REVIEW
RAPuC Woks 35,0c
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 5 ( S 3 (41 3 3 6 f.i. 5 f,
et
lvti 'In :Is PARTIAL PLAN CHECK FEE RECEIVED
N 4 Amount y H Date 7` 2 2 1 2- Receipt# 0I-ii(-10.3
vs BUILDING DEPARTMENT APPROVAL
_(
EIVED
BY r — DATE C) _ ACCEPTED FOR FILING