90-101695 9`15//0) 6-9..
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
#434
PERMIT NO. 90-1915 RA OWNER'S NAME DON AND SHARON SARVER JOB ADDRESS 33719 37TH PL SW
CONTRACTOR JEMNI CONSTRUCTION INCDDRESS 31849 PAC HWY S SUITE #136 FF.11 WAY CONT. PHONE 838-4495
CONT. REG. NO. JEMINCI 100P9 OWNER'S PHONE 874-2887 OWNER'S ADDRESS 33712 37TH PL SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION XX NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER RESIDENTIAL ADDITION
TAX ACCOUNT NO. 959999 PARCEL 921151-0051breaprioN LOT 5 WESTWOOD WEST DIV 2
ISSUED BY JOANNE JOHNSON DATE OF ISSUE ' I 4 DATE OF APPLICATION 12-24-90
BUILDING INFORMATION
ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SO. FT.
SET 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 5,240 FIRE/BUILDING DEPT APPROVAL: MM 1-4-91
PERMIT FEE 81.00
PLAN CHECK FEE 53.00
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEESV...'..--
PART P/C FEE AMOUNT: y.4
SEPA REVIEW v^
WATER SERVICE DATE: 1
WATER MAIN CHG. •
S.B.C.C. FEE 4.50 RECEIPT: iii
OTHER FEES ��
AMOUNT DUE 138.50
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
N4iiiiiii
REQUIREMENTS WILL BE MET: /
OR AGENT ti_' 'f f�'1 DATE / 7-7
i
RECEIVED • Permit # qt)
� .
DEC 2 4 199Q CITY OF FEDERAL WAY
CITY OFBUILDING DEP
SUIl.DIBUILDING PERMIT APPLICATION
P 1\ — Please Print—
BOX 1 TENANT NAME: DON AND SHARON SARVER, husband & wife (owners)
OWNER DON AND SHARON SARVER SITE LOCATION 33712 37th Place sw
OWNER'S ADDRESS 33712 37th place SW CITY Federal Way, Wa. PHONE(206) 874-2887
DESCRIBE JOB Add 3ft x 23ft (69 sq,ft. ) too rear of garage only.
THE PROPERTY IS OWNED BY: SINGLE/MARRIED Married PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME JEMINI CONSTRUCTION, INC. CONTRACTOR'S REG. #JEMINCI 100P9
Card MUST be presented
CONTRACTOR'S ADDRESS 31849 Pac.Hwy.so. st.136 CITYFederal Way, Wa. PHONE(2O6) 838-4495
EXPIRATION DATE October 29, 1991
— 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 JACK MONEITI PHONE(206) 838-4495
BOX 4 SEWER DISTRICT Federal way WATER DISTRICT Federal Way
BOX 5 ESTIMATED PROJECT COST ($2700.00) EXISTING BUILDING VALUATION ($120,000.00)
BOX 6 PROPERTY TAX ACCOUNT NUMBER 959999, Parcel #921151-0050-03
LEGAL DESCRIPTION Lot 5, Wedgewood West, Div.2;
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # vol. 107-15/17 921151 (see K.C. platt attached)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 676 ,676 2ND FLOOR 1292 /1292
3RD FLOOR n/a / n/a BASEMENT n/a / n/a DECK 147 / 147 GARAGE 506 / 575
BOX 8 (XX) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) )O( ) EXISTING STRUCTURE 8 000 sq. ft.
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$
NO. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NSA NO. FURNACE, ELEC. GAS $
SHOWERS N/A 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 $
r1/a 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.
JEMINI COlyTRUPTIO , INC.
OWNER/AGENT: By President DATE: December 24, 1990
/ ANP-008 3/90
,-
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL /V`
REMARKS: //
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL /7,.�riz-e_i-c--, 7)/amineDATE / - .3�//l
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL /Z//,e- DATE /"3—q7
REMARKS:
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT 'r NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY /\/ BUILDING SQ. FTYPE OF CONSTRUCTION @�n �� oU STORES y�6�
�oway� BUILDING SQ. FT. 6Y - @ /7 "-° = / 1 f3
U BUILDING SQ. FT. @ ''---Z—S-73—lir—
BUILDING
_
BUILDING SQ. FT. @ iuAfie , $&
BUILDING SQ. FT. @ = Sod`ID
BUILDING SQ. FT. @ _ PIM TOTAL SQ. FT. /3 TOTAL VALUATION ,
BUILDING DEPARTMENT REMARKS: PERMIT FEE gI
PLAN CHECK FEE S.3
PLUMBING FEE
MECHANICAL FEE -.15--
TOTAL BLDG. FEES lqV o`
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE -�-`�
OTHER FEES
AMOUNT DUE 0 /35-b
ASSIGNED ADDRESS: c/a—L.' Si V€_
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt#
BUILDING DEPARTMENT APPROVAL
RECEIVED BY ,. .-ys ' pr»rI -A-- DATE A ' ' " ACCEPTED FOR FILING
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