93-101055 93 -/n/a 6-55
CI;Y OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0463
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/11/93
Federal Way, WA 98003 BY: JJ
661-4000
SITE ADDRESS: 1516 SW 306TH ST
PARCEL NO.: 515320-0572
PROJECT DESCRIPTION: ADDITION o CONSTRUCT RESIDENTIAL CARPORT°
RESIDENTIAL ADDITION ® CONSTRUCT CARPORT
= OWNER . CONTRACTOR — LENDER
JENSEN JENSEN CONSTRUCTION
SW 306TH ST 1911 SW CAMPUS DR STE #717
FEDERAL WAY WA 98023 FEDERAL WAY WA 98023
839-7608 661-1717 948-1717
JENSEC*132C0
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN •LDR FEES:
TYPE OF WORK:ACC USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS? •7 PLAN CHECK DEPOSIT.* $ 58.50
CENSUS CATEGORY •438 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS .7 FINAL PLAN CHECK...* $ 0.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm BUILDING PERMIT....* $ 90.00
:M1 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 6548 SIDE • 5.00 ft WATER SERVICE..:FED PUB WKS PLCK(SF)..93 $ 40.00
:5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD GAR.: 0: 400:sf RECEIVED.:04/29/93
0: 0: 0: 0: TOTL: 0: 400:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.: FANS • 0 BOILERS/COMPRESSORS jl WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 193.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 0 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 0 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
° C. BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
B • 0 MISC • 0 5+ HP • 0 DISH WASHERS • 0 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...: 0
Q GAS LOGS...: 0 > 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 �G' 'f/L- - 7DATE / �.,-, i
bld_prmt 10/23/92 ( a
SET BACKS AND FOOTINGS �������� O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
C:-7
DATEBY_...1��l�'_......_ DATE ..BY DATE - BY
PLUMBING ROUGH IN WATER LINE O.K. _ MECHANICAL INSPECTION
DATE.. -........BY GAS PIPING O.K. -...-_ DATE BY
O.K. TO ENCLOSE FRAMINGINSULATION WALL BOARD AND FIRE WALL
DAT6%)g...S3..BY A/e��in� __-.. DATE .. - BY -- -_ DATE BY
FINAL O.K. TO OCCUPY
DCD PSD FD
?3
DATE 7-/WV BY )477/I
,7 7-5'3 Cor/cec-7 56,45 G<J/f e ��s'liidl, F5 o2C' e,7-Y G✓15 //l/CrJ2Po2/976V,
Cl.71lh/c, /554 Sl/577,L)4 $41d G 'jGcL Q gL- ,D,e c./5e L- '7'9, '
/% w t /27/(- /27 Cti5c=,s(/ 5A(D /7Q-- k-' w '/ Z 1 J /ti o7 io
P4/2 1,0(7 7A, (--571Zy /z E 0-rectij
i • 4
•
dCity of Federal Way
ir=iFine"-- . APPLICATION FOR BUILDING PERMIT
eCkiVEL
APR 2 9 1993 'yam
PLEASE PRINT $ OF APPLICATION #: t1P93_
SITE LOCATION: . Address /516, 5 Cu 0 (u j % � L ,, SQL
Tenant (if known) Lot # Assessdf's Tax #
.51:/ $-5 2 0 -c .5*
Building er Name Address
City���C ��L - 'jar Statek 5 /f Zip /7 2 Phone 2-S9.- 7(c O
Nature of Work CAA ,Po ii
APPLICANT
Name (F,M,L)
Address
City State Zip
Contact Person Day Phone Other Phone Fax
BUILDING CONTRACTORI:
Company Name
COAJ.S77/ettc7-/O"V
Address
/ 7/7 S CC) �' rhAs d7f47/z_ sic! 7e, 7/ 7 .
�^,
City ote,..0,71_ rO2 State Zip Q 23
Contact Person Phone Fax
(ma y . r2 A)5, 'N' 6&// 7/ 7 667 coo
Contractor's # (card must be presented) J'/v S-eC t,3 �C� Expiration Date Verified ' Yes 0 No
...... .... .. .............. ....... . . .......... . ..................
...... .. . . . ... ....... .. ......... .. ........... ....................
ARCHITECT
Name
Address
City State Zip
Contact Person Phone Fax
(Z
LEGALDESCRIPTION
Please Complete Reverse Side
CDo492(Rev 4/931
STRUCTURE Existing Use • Proposed Use
Permit includes: ❑ Building Cl Plumbing ❑ Mechanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sqft Decks sqft Garage �-
g ��(] sq ft Proposed Total Area 3(�0 sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation $
Zoning Lot Size Existing Bldg Valuation $
LENDER'
Name Address
City State Zip
MECHANICAL CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified Cl Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixture Count
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 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 Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
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 promises 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.
/ / Cj�`Owner/Agent: r Date:
• • .
OUTSIDE DIST. ,., LAKEHAVEI�SERER DISTRICT PERMIT 14 2 3 9
INSIDE DIST. FEDERAL WAY,WASHINGTON SIN
REPAIRS OR - ...... BOOK NO. ti. Y..- ./.2-6
—
ALTERATIONS — SIDE SEWER PERMIT
C DWG NO.
TOTAL FERNIT FEE $2 0 . 0 0 DATE February 7 , 1986
SIDE SEWER
OWNER Earl H. Jensen CONTRACTOR Lee ` s Sanitation
HOUSE ADDRESS 1516 S .W. 306th St . CITY Federal Wa TATE WA ZIP 98023
NAMESUB•DIVISION ( See Attached L2gal Descriptio jT)No BLK.No
SEE EXHIBIT nan
FEES
- - --
_
App.
- - _- -- - • Number 07R6-004R-7
ULIDIULID
--------- -- -- • _ —T-- Acc't 8 1 7
. ,- IN LIEU OF ASSESSMENT
f!AiMilidel- ;" —-. ------_ -_� ___. -�-- -'_— `'----_ n/a
Stub Fee $
d am] " ► w:�L,! --- —' - Footage $ ii;Ft
- —
' 'Le1Tire _dr —_ -- -- Area
I -----_ --- - Charge sW"till n u I;d
- ---
' :�-�'h�t ulid r^
Total $ -
SI
_ Contract ,4
- -- dn.pymt. n/a
�- Date Receiptt
//,1 ,- V
-_ Paid Number
'141 - -- - - D.E.M n a
. her I — - - -- - D.E.Charges
,yl - — T ., Paid Date n/a
i 9 J I` I •- - - -_ --- . -- Developer n�a
till - - - -- Payback $
//at Surcharge
9;/411 _, _ _ i � Fee $ 7 n on
_ Permit
- - - - - - - Fee $ 30 . 00
-- - ADDITIONAL CONNECTION
i iRes. i $5 ea # - $
- $
- v ( Comm. C m a $10 #
I��•- • (j�.. \ - ADD'L FT.-COMM:
M -Er' -Q -- -- -.- `` - $.50lft ft. - $
Imo
t, — — r_______ Total Permit 280 .00
Fee $
�'r�,� I i
Q �y�� - -
11111 �► ReC / �/� Date t�' 7'O, , ' TYPE OF BILLING
Ii - I Zi � = Res. Comm.
• I I i Apt/Condo/Mobile Home
f • - I dt ' Motel/Hotel Pub.Auth.
j
���� 9�7A I i I I I . Building Identification
• I
DnpOVe-BY 11 !i j ( , I J l 1 Units Per Building 1
TR11 I I _
. , F^ , , 1 w . 1 J t i ! 11 i I I ' , LIFT STATION n I a
District File Copy on i�APR 2 9 1993 I HEREBY CERTIFY THAT TESTING HAS BEEN APPROVED AND THE
AsOF TIN WAt ABOVE CONNECA BEEN MADE AS SHOWN.
IN PLACE PIPE TEST: RIAJDING /
TYPE TEST WATF2- E3 C.TRAT1Q1 BY . V., . , • r DATE �Z/e�
INSPECTOR l