92-101205 9a,it))os
CITY OF FEDERAL WAY BUILDING PERM IT PERMIT NO.: BLD92®2020
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 08/11/92
Federal Way, WA 98003 BY: AJ
661-4000
SITE ADDRESS: 33809 32ND CT SW
PARCEL NO.: 954280-1280
PROJECT DESCRIPTION: MECHANICAL
OWNER -- CONTRACTOR -- LENDER
LESLIE SORENSEN ENVIRONMENTAL DESIGN, INC.
33809 32ND CT. SW 25328 SE 200TH ST.
FEDERAL WAY WA 98023 MAPLE VALLEY WA 98038
927-0687 432-4247
ENVIRDI098K1
BLS?: MEC?:X PLM?: FLR--EXIST--PROP--- DWELLING UNITS: 0 COMP PLAN FEES:
TYPE OF WORK:? USE:? 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 0 SPRINKLERS? •, MEC PRMT ISSUANCE... $ 20.00
CENSUS CATEGORY •9 2ND.: 0: O:sf HEIGHT • 0.00 ft HAZARD CLASS •7 MEC APPLIANCE FEES.* $ 8.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm
:? :? :? :? OTHR: 0: O:sf EXIST..$: 0 FRONT • 0.00 ft
TYPE OF CONSTRUCTION BSMT: 0: O:sf PROP...$: 0 SIDE • 0.00 ft WATER SERVICE..:?
:? :? :? :? DECK: 0: O:sf REAR • 0.O0:ft SEWER SERVICE..:?
OCCUPANT LOAD GAR.: 0: O:sf RECEIVED.:08/07/92
0: 0: 0: 0: TOTL: 0: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:?
FUEL TYPES.:GAS ? FANS • 0 BOILERS/COMPRESSORS WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 28.50
GAS PIPING.: 99 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 • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 0 DRAINS • 0
BBQ • 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
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALI RMITS EXPIRE 1 DAYS AFTER ISSUANCE IF NO WORK • STA: ED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT T INFORM TION FURNISHED BY ;E IS TR ' ORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
i ,
OWNER ORA EN ` -� / % .�I/ DATE Y --////' /_
bld_prmt 07/ / _
11I
• •
SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE_....- BY_.. - DATE ......._ BY DATE ..._-__ -__.BY
PLUMBING ROUGH IN WATER LINE O.K. . _ MECHANICAL INSPECTION �,�
DATE.... BY GAS PIPING O.K. 511 (.22 G _ DATE c// ZBY Cf.,�-- ---_.
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE _-_...... BY DATE BY .. - ... - DATE - BY
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE 74�__ Y C'r�•� /
RECEIVED BY Permit # \ c(CT - a() .0
COMMUNITY DEVELOPMENT DEPARTMENT
AUG . 6 1992 CITY OF FEDERAL WAY
"-,L, BUILDING PERMIT APPLICATION
i-�=itj
p U G 0 7 1g92 - Please Print—
ti t
BOX 1 TE y.,, ;44.•
'":",°
OWNER � iii = SITE LOCATION ) C
OWNER'S ADDRESS '" ` ) CITY FC-L. PHONE
DESCRIBE JOB /i1.—:_'177)/Z. / (.07--
THE
.0TTHE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME 7 i Lel / 1:4 .. . r . / iAJ /Pi( CONTRACTOR'S REG. #L=/y��f
Card MUST be presented
CONTRACTOR'S ADDRESS 2 '532
_32k.4... 6_7 2 Cry CITY 4/ /AL(L�PHONE"/-112 417
EXPIRATION DATE "---/ - //
— 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 C "C.-L=L%/a PHONE /--/ 4/2 44 7
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 9D -71 ler - 1.23r
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 (:✓) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) (6--) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS / GAS HOT WATER HEATER $
LAVATORIES CONVERSION BURNER $
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 $
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 I V�STjIGATION AND DEFENSE OF SUCH CLAIM), WHICH MAY BE MADE BY ANY PERSON, INCLUDING THE UNDERSIGNED,
AND FILED AGAIN THE CITY OF FEDERAL WAY, BUT ON WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND PLOYJES, UPON THE ACCO' 'CY IF HE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGE T: �' 4W G-/ ' DATE: 2- �/" 9-
ANP-008 3/90
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
`41". "` < Amount Date Receipt#
c.:'' BUILDING DEPARTMENT APPROVAL
�= )
REG6VEEJ - BY DATE ACCEPTED FOR FILING