98-102791 CITY OF FEDERAL WAY 0-RMIT P� ., „ N _ B -0501
E BLD98
33530 First Way South .f.:0,_, ,, ,. 1,...,, .�,., .,.�,,. i�'�i o:''ii P E itil�� I . ISSUED: 08/21/98
Federal Way, WA 98003 Building Inspection Requests 2.53-661-4140 BY: FC
253-661-4000 EXPIRES: 02/17/99
ADDRESS:31222 41ST PL SW 9S, tba-? I,/
NO. : 873199-0085 f
PROJECT DESCRIPTION:NSF WITH PLUMBING & MECHANICAL
OWNER -- -- -, T CONTRACTOR -- - - - T- LENDER
i BRENDA HINKLEY T JENSEN CONSTRUCTION INC
1 31222 41ST PL SW i 1911 SW CAMPUS DR 717
i FEDERAL WAY WA 98023 a FEDERAL WAY WA 98023
P
i 661-1717
iof .... _ ______ TJENSCI0600G I
;_; CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY. TAX RATE : 8.6% t=t
-- - .- - : ---. __ -. i-_, ...-- ----
i BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN ! FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 2113:sf STORIES • 1 REQUIRED PARKING..: 2 SPRINKLERS' 0 i PLAN CHECK FEE $ 770.58
i CENSUS CATEGORY •101 2ND.: 0: 0:sf HEIGHT • 17.11 ft HAZARD CLASS CD EXP RVW ADMIN DEP $ 260.00
i OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION ; REQUIRED SETBACKS FIRE FLOW • 0 gpm i BUILDING PERMIT....* $ 1185.50
:R3 :U1 :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 1445:sf PROP...$: 255755 i SIDE • 5.00 ft WATER SERVICE..:LAK SCH IMPACT (SFR)NEW $ 2882.00
:5N :5N :? :? : DECK: 0: 384:sf i REAR • 5.00:ft SEWER SERVICE..:LAK i PLUMBING FIXT....93* $ 126.00
i OCCUPANT LOAD GAR.: 0: 561:sf RECEIVED.:07/24/98 , PLM PLAN CHECK $ 81.90
: 0: 0: 0: 0: TOIL: 0: 4503:sf I MPERV SURFACE: 3157 sf SENSITIVE AREAS?.:N PUB WKS PLCK(SF)..93 $ 80.00
i _
_ ____._.---•---- .. .- ,.._---,--_.- IMPERV
Additional fees not shown here...
_.. ::------ ...
FUEL TYPES.:GAS FANS • 3 BOILERS/COMPRESSORS WATER CLOSETS • 4 URINALS • 0 TOTAL FEES $ 5480.48
GAS PIPING.: 100 ft HOOD ' 0 0-3 TON • 0 i BATH TUBS • 3 DRINKING FOUNT.: 0iii.
URN<100K..: 1 DUCT WORK • 0 3-15 TON • 0 i SHOWERS • 1 SUMPS • 0
AS NWT • 1 WOOD STOVES...: 1 15-30 TON...: 0 LAVATORIES • 5 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 SINKS • 2 DRAINS • 0
BBQ ' 1 MISC • 0 50+ TON • 0 ; DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 1 AIR HANDLING UNITS FUEL TANKS i ELEC WTR HEATERS...: 1 OTHER FIXTURES.: 0 1
i RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0 i LAUN WSHR OUTLTS...: 1 ,
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0 i I
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 $FORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL MAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT I( / 1/ &hteiZe.'" ff DATE '
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FILE COPY
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0 I BUILDING DIVISION
crTf
-- --'
33530 First Way South
--.1: R Jr<FFIL—
\\/).\> FI)'F
EC El
Vr ---I etiA
Atliederal Way,WA 98003
N
(253)661-4000
F4(253)661-4129
CO kIZIC JUL 2 4 19,c 4,gi
11. .
VO 131\41,51:0, s I- JO" (A ftpAr
RE\I Ob.° Ar)P L!CATION FOR BUiLLOING PERMIT
PLEASE PRINT . APPLICATION # "F")2.-h 1 8 O SO i
SITE 0000.10NniMmommimmi Address
Tenant (if known) Lot # 7-1"Uk A-/"/94e---C Assessor's Tax#
1-0 r A g 7 3 1 99 00 SS
Building Owner's Name .7-- .....iAvc,e.....A j c()A67.,_ Address 700 A/ 11.)
City --J.7s 5/A ci)L4,4 d( 'State WA- Zip 9O z 1 I Phone "l'a Ss Sc? %Op
Nature of Work
:i::]:.:.::•::::::::i:i:::,:::::::i:::::i:i:::i:::::::::::::::i:i:::i:i:i:::i:i:::;iii;iii;iMii;i;i;i;:;;:;i;i;:;i;:]i;:;i;:::Ni:i::;:;aiNiM;
App.4.I.CA..............................................................................................................................
Name (F,M,L)
77 --3-6-AJ,s ---AJ COru S-rea c 77 CI s. : I A..: e
Address
7 6 /LILL" v is m AA, & vc g- /0:.3/q//
City T.:SS/04./40' State L("13 Zip 9 fertt-
Contact PersonDay Phone Other Phone Fax
--IT&k,y '71.2
EIUILIQIISIWC'ONTRAVT.013Mai.mmmm
Company Name
'I ,...TrAi c„: 6"/- Cc',- s- -,-- ki a c i/e4,-/ 47.A, C:
Address
700 Mu) c.,j/4. ill A. 64 bet Ar— /03A//
City Lc 55 A q.Lion State 14./A-- Zip ii-CZ 7
Contact PersonPhone Fax
T-ueg-y .g_ s 5--:r.7 5 seY,-.-
Contractor's # (card must be presented).-7....., Expiration Date , Verified .,,,,v Yes 0 No
/
ARctitrummoimmim:miiii;;,0,,moma,
Name 1 Cigg y ,,sx./ cic 0.--kt'-•,, ,N1
Address
__ y -,
City State 1',.. I ' Zip
Contact PersonK pl., Phone Fax
e fi
; .r -' 'li ) ') V.-) r: i
LEGAL DESCRIPTION
Please Complete Reverse Side
• - ,it
<f ExistingUse
15/ -�
L
Proposed Use L
;::::::..;:.;;;:.;:
FSE> €> >>> > €>€€>'>€ >[ �>[[ � � »... .^1 � �'
Permit includes: (a Building 1] Plumbing lel. Mechanical ❑ Other
Type of Work: El Residential 0 New ❑ Remodel ❑ Number of Units 0 Deck
0 Commercial ❑ Addition ❑ Garage 0 Shed 0 Other
Enter 1st Floor ,j j; sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement "y s. ft Decks s. ft Gara.e . - • s. ft Pro.osed Total Area s. ft
Water Availability Sewer Availability O' On-Site Septic System Availability 0 Project Valuation $ 'S01(9V
Zonin Lot Size t .5E- —
g -- J 1 Existing Bldg Valuation $
c)-74 i�h ()bled. sip-vale ale /O 3 A - f iru-s 114 &- e
Nrylmit-
Name Address
I-)
CrA-, /9- L 1-51),(..1-51),(..J<'City V c L+. h,. State Zip
........................,:::::..............................................................
........................ ..............................................................
..........................................................................................
........................ ..............................................................
....................................... .................................................
litECHANI
...................:..
Contractor Name Address
/�l c c i'&'Yr y s A i/z C Gp.Akeco _
City 1 tc -A State I,V. is- Zip
ContactPhone Fax
. --tN1 'TCS i8 S ,/ Cisc
License # Expiration Date Verified ❑ Yes 0 No
.......t:.*.............*::::............................................................
i Y"LIMB;FF;;R�:;;tt:il.`�'zk O;i:.a, xc,�:;.;rA:CT.0 y.i FFi?i i2 i mim
. .FIt4471:.... i�1�R1F�A�r��fk.:............... ..::...:.
Contractor Name Address
City AKr3t,f,a,>v State Zip
Contact Phone Fax
S-T-e0Q as'; ,3c71'S :,
License # Expiration Date Verified ❑ Yes ❑ No
............................................................................................
.... ...�..A...y....K.�......................................*..� ..
..... ....................
I�I.. fY!P1917.�{Xfl� :V�ll V� I. ::::::::: :.
Water Closets 'lf Sinks Urinals Lawn Sprinklers
Bathtubs ) Dish Washers I Drinking Fountains Other
J
Showers i Electric Water Heaters I Sumps
Lavatories Washing Machine i Drains Mutat`Future giants`:` #
......... ..................................M:i. ................................
E�F1A. ICAVON.t.TIMUNT;,,;;;,,;,,;,;,;,,,;,,,,.;,; MECHANICAL EVALUATION ONLY $ --7ISQ�:
Fuel Type (electric/other) Gas Dryer I Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping /a") f-?'" Range I Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs (ne1C90; Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans
Miscellaneous Fuel Tanks
Gas Hwt I 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 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.
c
Owner/Agent: 7_,... :...--7,�.� Date:
aUILDING.AFP
REvsED 8/26/97