93-100074 �cY OF FEDERAL WAY BUILDING PERMIT 93- )0007ij
PERMIT NO.: BLD93®0017
530 First Way South BUILDING INSPECTION 661-4140 ISSUED: 02/05/93
'�ral Way, WA 98003 BY: FC
4000
ADDRESS: 33706 4TH AVE SW
iiiiCEL NO.: 7729805-0240
IJECT DESCRIPTION: NSF m W/ MECHANICAL & PLUMBING
Ot<,'�ER �— — CONTRACTOR --r— LENDER
KE;:NETH JACKOLA K J HOMES
23534 58THAVE S #NN303 P.O BOX 3096
VFNT WA 98032 KENT WA 98032
411558 953-4636
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BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 2024:sf STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS? •7 PLAN CHECK DEPOSIT.* $ 452.50
CENSUS CATEGORY •101 2ND.: 0: 874:sf HEIGHT • 0.00 ft HAZARD CLASS •7 FINAL PLAN CHECK...* $ 197.50
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETCACKS FIRE FLOW 0 Bpm BUILDING PERMIT....* $ 1000.00
:R3 :? :? :? OTHR: 0: 195:sf EXIST..$: 0 FRONT • 20.00 ft SBCC SURCHARGE * $ 4.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 202004 SIDE • 5.00 ft WATER SERVICE..:FED MEC APPLIANCE FEES.* $ 43.50
:5N :? :? :? DECK: 0: 45:sf REAR 5.O0:ft SEWER SERVICE..:FED PLUMBING FIXT....93* $ 98.00
1 OCCUPANT LOAD GAR.: 0: 648:sf RECEIVED.:01/08/93 RADON KIT.........93 $ 20.00
0: 0: 0: 0: TOTL: 0: 3786:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:GAS FANS • 6 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1816.00
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K • 0 30-50 HP • 0 SINKS • 2 DRAINS • 0
BBQ • 0 4ISC • 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RA E • 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
C OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
ALL P'RMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
ICERTIFY 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 AGENTf / 0 , DATE
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JAN - 8 1993 CITY OF FEDERAL WAY
DERAL BUILDING PERMIT APPLICATION
{ Y —Please Print-
BUILDING DEM
BOX 1 TENANT NAME: 3 3 ,7( C L( 1--iT 4 ce S tit
OWNER / %Nt.7// R. $ VATHJ,t_ nv ?.Ti`tck'LA SITE LOCATION 467-16-7-#E RIDGE--Di U/6/0/U Ale. la
OWNER'S ADDRESS 23/3-3,;<- ,537HAv6. S N/tl3o 3 CITY kr-J1.7- PHONE .266 3 x-353'
DESCRIBE JOB NEW CoAls R.cc.c ew - cumm/ty
THE PROPERTY IS OWNED BY: SINGLE _ ARRIED) PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME K S Ho 1r2 S CONTRACTOR'S REG. # KxWO/77''EAO?IAC'
CONTRACTOR'S ADDRESS Po, 13�iX 3G�9� _ Card MUST be presented
CITY I�rJL l PHONE�ZCG' Y53 �63E
EXPIRATION DATE /o -O?-'?3
- OR -
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECT LT NTRACS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. KR. (D
BOX 3 CONTACT PERSON j' .,Ai Zei-dIcIt9 PHONE,a/6-86'x'3 E.,- -(:?
BOX 4 SEWER DISTRICT FEi7?a,L ti24y WATER DISTRICT F/-=dEIIL- 661/3y
BOX 5 ESTIMATED PROJECT COST J '7i(1dC.) EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 702 9?' S-a 2 S4-C -C (.
LEGAL DESCRIPTION /..,61 V, (IP TME RIDGE ,J;U,5,?)/V Alo,cc,,F5 p4_4 At9-r R�cc11ei.)4p iiU //046,/nt i'/5,-.,,-7-
11407;,
,.=/pIRTS, PAGE ,,2' RFe'agl)5 n F K/IIPG- Cfa_Al7'/
(If necessary, please submit a separate page with the legal description.)
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K.C. Plat Recording # /AJ ]c t' E MMS mFPk/r4, &ta .2, •P
REcoS dP et)VG- CaUAJT
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /26.2171- 2ND FLOOR - / 8'7FL
3RD FLOOR / - BASEMENT — / - DECK -- / 45- GARAGE — / G V-3
BOX 8 (YQ SINGLE FAMILY (N. NEW CONSTRUCTION Lai r, i - /GI-S-
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE _
( ) COMMERCIAUINDUSTRIAL TOTAL AREA OF PROPERTY 1/ ' L' SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES - BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET $
BATHTUBS NO. I FURNACE, ELEC. GAS O� 161, $
/ SHOWERS / GAS HOT WATER HEATER S
1- LAVATORIES — CONVERSION BURNER $
SINKS BOILER, SIZE BTU $
DISHWASHERS -- AIR HANDLING UNITS $
•t-G4-EK-G-P4C HOT WATER HEATER — HEAT PUMPS, SIZE $
I LAUNDRY WASHER OUTLET UNIT HEATERS $
—. URINALS AIR COOLING UNITS, SIZE $
- DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER r 4 lS $
DRAINS $
OTHER $
9 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 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 T/HE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: A ..iu/Ati .'• OF
DATE: i / /;
ANP008 3.90