92-100806 CITY OF FEDERAL WAY 9)' /D° gD&
33530 First Way South BIJILI3ING PERMIT BUILDING INSPECTION
Federal Way, WA 98003 661-4140
PERMIT NO. 92-0843 NR OWNER'S NAME JENSEN CONST SITE ADDRESS 33407 4TH CRT SW _
CONTRACTOR JENSEN CONST ADDRESS_ 36632 2ND AVE SW FEDERAL WAY CONT.PHONE 661-1717
CONT.REG.NO. JENSEC*132CD EXP. _12/92 OWNER'S PHONE 661-1717 OWNER'S ADDRESS 36632 2ND AVE SW FEDERAL WAY
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL _ COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. _SIGNGRADING OTHER
TAX ACCOUNT NO. 729805-0440 LEGAL DESCRIPTION LOT 44 THE RIDGE DIV 6
ISSUED BY JOANNE JOHNSON DATE OF ISSUE r
.1_ DATE OF APPLICATION 6-1-92
BUILDING INFORMATION
LONE RS 9.6 SET BACKS:FRONT_ 20' SIDE 5' REAR 51 HEIGHT LIMIT 39'
lirCUPANCY R3 TYPE OF CONSTRUCTION VN CENSUS NO. 101 TYPE OF HEAT GAS BLDG.SQ.FT. 4786 STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING FT. 3.50 GAS LOGS _
BATHTUBS _ 2 _ LAUNDRY DRAINS 1 _ FORCED AIR FURNACE 10.00 DUCT WORK _ RECEIVED
SHOWERS 2 URINALS GAS HOT WATER HTR. 6.50 AIR HANDLING UNIT NUMBER
LAVATORIES 4 -_ DRINKING FOUNTAINS CONVERSION BURNER - MISC.
RETURNED
SINKS _ 1MISC. __ _ BBQ _ BASIC FEE
DISHWASHERS 1 TOTAL FIXTURES14X$5= 70.00 DRYER TOTAL MECHANICAL 20.00 AMOUNT
VALUATION 272,662.72 PLANNING DEPT APPROVAL: NO BUILDING SHALL ENCROACH ONTO ANY BUILDING SETBACK
LINE OR EASEMENT, SHOWN OR NOT SHOWN. DB 6/18/92
PERMIT FEE 1245.00
PLAN CHECK FEE 239.00 809.00 PUBLIC WORKS DEPT APPROVAL: DOWNSPOUT, FOOTING DRAINS, AND RUN—OFF FROM
PLUMBING FEE 70.00 IMPERVIOUS SURFACES SHALL BE TIGHTLINED TO THE
MECHANICAL FEE 20.00 APPROVED STORM DRAIN CONNECTION AS REQUIRED PER
PART P/C FEE (570.00) CONDITION OF APPROVED PLAT. DB 6/18/92
OpEPA REVIEW FIRE/BUILDING DEPT APPROVAL: KC 6-16-92
PUBLIC WORKS 35.00
S.B.C.C.FEE 4.50
FIRE FEE - - DATE:
OTHER FEES AMOUNT: /�$1,613.50
AMOUNT DUE _ 1,613. 50 RECEIPT: V r�- '- 111Lf
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
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OWNER _ _ - -- DATE / r
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"CITY OF FEDERAL WAY
Federal33530 First Way, WA 98003 BUILDING PERMIT Way South BUILDING INSPECTION661 440
PERMIT NO. _ OWNER'S NAME . SITE ADDRESS _
CONTRACTOR ADDRESS CONT.PHONE
CONT.REG.NO. EXP. OWNER'S PHONE - OWNER'S ADDRESS___
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD._ NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. LEGAL DESCRIPTION _
ISSUED BY DATE OF ISSUE DATE OF APPLICATION
BUILDING INFORMATION
0 ZONE SET BACKS:FRONT _ SIDE REAR HEIGHT LIMIT
OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. _ TYPE OF HEAT _ BLDG.SQ.FT. STORIES
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS _ ELEC.HOT WATER HEATER _ GAS PIPING FT. GAS LOGS
RECEIVED
BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK
SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER
LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC.
RETURNED
SINKS MISC. _ BBQ BASIC FEE
DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT
VALUATION
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
0 PART P/C FEE
SEPA REVIEW
PUBLIC WORKS
S.B.C.C.FEE
FIRE FEE DATE:
OTHER FEES AMOUNT:
AMOUNT DUE RECEIPT:
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 DATE__
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AEeeNED CITY OF FEDERAL WAY niA,1 w d
JUN - 1 1992 BUILDING PERMIT APPLICATION *.s----70. �� _ i9,s
Y —Please Print— r
pF frEOE
ANT NAME:
OWNER J.a. - .- -• , SITE LOCATION A . ° • , !�IACP
OWNER'S ADDRESS - ` s ,_: - !.e CITY • y PHO 6 6/-/7/7
DESCRIBE JOB / '
THE PROPERTY IS OWNED BY: SINGLE/MARRIEDPARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME (�/�p S'P�G 1.^S�H S',>' CONTRACTOR'S REG. # w 5 !- fi7C O
,// Card MUST be presented
CONTRACTOR'S ADDRESS �P t 37— 2"/, '1 S bITY ED. 41/+-/ PHONE 4.46/-/7`7
EXPIRATION DATE /2.- - 9 ,- --
- OR-
I
- 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 A-C ' -. S_ o , ` AI • . PHONE 7,2 7 1D0?7
BOX 4 SEWER DISTRICT V. ' WATER DISTRICT 4
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT UMBER I4-' . / -- 04 '
LEGAL DESCRIPTION ,(0 T . '1 ,/--/ -, /i7 -/_ 73, i/,
(If necessary, please submit a separate page with the legal de cription.)
K.C. Plat Recording#
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /V,3_, 2ND FLOOR 11753
-\.3RD FLOOR / BASEMENT / DECK / GARAGE / 8 D
BOX 8 ( NGLE FAMILY (PrIVEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE -2/
( LCOMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 1/Z.03 T SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES- BASIC FEE$ 3 So
NO. 3 WATERCLOSETS GAS PIPING, FEET _ $
2. BATHTUBS NO. / FURNACE, ELEC. GAS 1 $ 10.0 U
_4_SHOWERS I GAS HOT WATER HEATER $ 6-5-0
LAVATORIES CONVERSION BURNER $
/ SINKS BOILER, SIZE BTU $
/ DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
f LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
r SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
( Li TOTAL FIXTURES $
S = 70, od TOTAL MECHANICAL FEE $ -00
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 PET APPLICATION IS
MADE.I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM(INCLUDING COSTS,EXPENSES; :, TTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM),WHICH MAY BE MADE BY ANY PERSON, INCLUDING?TK UNDG1 )3.
AND FILED AGAINST THE CITY OF FEDERAL WAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OFTHE CITY, Il4CLUDINd 1T
OFFICERS AND EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF TIfqPPJ;ICATIQN
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1GENTC 40--ems- DATE: '7
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ANP-008 3/90
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) • •
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ZONE7►-'C
9'k SETBACKS: FRONT 201 SIDE - 7 REAR s( HEIGHT LIMIT 3°1` .:7 ";7 t, "
PLANNING DEPARTMENT APPROVAL �(e /_� _�,, ��' �� �
REMARKS:-No building shall encroach 6n any uiling�§etback fine or easement,shown or not shown." �x •
SEPA: EXEMPT t. v NOT EXEMPT G
FIRE DEPARTMENT APPROVAL DATE l; -16 - 7 2
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL idia fO A ' DATE
REMARKS: Downspout,footing drains,and run-off from impervious surfaces shall be tlghtlined
W the approved storm drain connection as required per condition of approved plat.
TYPE OF JOB: NEW RESIDENCE 4 RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCQUPANCY (L3 TYPE OF CONSTRUCTION Ui l STORES
L-(k)( 9 . �Sri BUILDING SQ. FT. )-2,33 @ 7`fe oo = (GS 2-42-
2"
LZ2 BUILDING SQ. FT. 17 5 3 @ t' = (21 7 zZ
&graye- BUILDING SQ. FT. $ 0D @ IS GO = NS%0
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ /MOa( FcQc - d - cbi3
TOTAL SQ. FT. 'r' TOTAL VALUATION 21 Z 6'G Z ` 7 2
BUILDING DEPARTMENT REMARKS: PERMIT FEE I Z� S
PLAN CHECK FEE go 9
PLUMBING FEE 76
MECHANICAL FEE 2-0
TOTAL BLDG. FEES
PART P/C FEE ( f7o. c )
SEPA REVIEW
Pv '_iL tixaie 5 135.CO
S.B.C.C. FEE Y'3`6
OTHER FEES
AMOUNT DUE
ASSIGNED ADDRESS: 3 3 q c 7 `(44k C-+ 5 . L )L
NiS
0 PARTIAL PLAN CHECK FEE RECEIVED
I O 199 Amount S 70 ' ' Date 6 -/ 2- Receipt# 0 2 - /'7/S b'
S\1\* ,, 9414741$4
9 BUILDING DEPARTMENT APPROVAL
Cfr' 's --BY l' 1- DATE ACCEPTED FOR FILING
414
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‘‘SITE PL APAL 411
�� /0Permit Number: 2-—
Approved By:
Date: b f /
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Comments: 1 ] /
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