90-100002 CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING
' LDING PERMIT 941-1555
96 - loaot,
PERMIT NO. 90-0002 OWNER'S NAME Terry Jensen JOB ADDRESS 33708 4 Ave SW
CONTRACTOR _ Jensen Construction ADDRESS 2006 SW 306 Lane Federal Way CONT. PHONE 838-9860
CONT. REG. NO. JENSEC*132C0 2/91 OWNER'S PHONE Same as above OWNER'S ADDRESS Same as above
TYPE JOB: NEW RESIDENCE 1C<IX 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. 129805-0230 LEGAL DESCRIPTION Lot 23 The Ridge Division #6
ISSUED BY Elizabeth Snyder DATE OF ISSUE DATE OF APPLICATION 3/1/90
BUILDING INFORMATION
NE RS9.6 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N BLDG. SQ. FT. 3789
SET BACKS: FRONT 30' __ SIDE 10' each REAR 60' STORIES 2 HEIGHT LIMIT 23'
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 100 FT. 2.00 BOILER
BATHTUBS 2 LAUNDRY DRAINS 1 COMPRESSOR TANK(S) RECEIVED
SHOWERS 1 URINALS _ FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER _
LAVATORIES 5 DRINKING FOUNTAINS GAS HOT WATER HTR. 6.50 MISC.
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 14 UNIT HEATER TOTAL MECHANICAL 18.50 AMOUNT NONE
VALUATION $$194,035.24
PERMIT FEE $972.00
PLAN CHECK FEE 632.00
/0.00
PLUMBING FEE
411FCHANICAL FEE _ 18-50
, TAL BLDG. FEES 1699.50
PART P/C FEE
SEPA REVIEW PAID IN FULL ON: 3 ',Q -90
WATER SERVICE
WATER MAIN CHG. AMOUNT PAID: / Y
S.B.C.C. FEE 4.50 �' J
OTHER FEES RECEIPT #: 15_-_Y___Ia_gL_
AMOUNT DUE 1697.00 ----)\
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: .
j
OWNER OR AGENT �__ DATE i C
CITY OFBUILDING INSPECTION
FEDERAL WAY BUILDING
' LDING PERMIT 941-1555
PERMIT NO. OWNER'S NAME JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. 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
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
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
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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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print—
BOX 1 OWNER _ _WA./ I1— 1�/. JOB LOCATION 3 c9 '0'1- kve_ S l.c.�
OWNER'S ADDRESS .Mi�la I W%IA d • CIT PHONE
DESCRIBE JOB i /,?79 ---Al1,07)Ce J
THE PROPERTY IS OWNED BY: SIMLE/MARRIED ✓ PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME C/77SZAG/ G' 7 CONTRACTOR'S REG. #/g7/5 :._(___are/-
presented
CONTRACTOR'S ADDRESS �D�10 -� .�/4f ' CITYc;�/�f, PHONEOjlf O0*
EXPIRATION DATE ,, /g 9 G% ;/p /,�
— OR— //174 .99 -"/7/7-
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 I/.. /4 ' A.1...//d- A PHONE J�
_ ��?oJ
BOX 4 SEWER DISTRICT ' r. ./ i !. WATER DISTRICT - di,,l
BOX 5 ESTIMATED PROJECT COST .a-.a°/au° EXISTING BUILDING VALUATION a S
BOX 6 PROPERTY TAX ACCOUNT NUMB ' I — I. _ ) ' 3
LEGAL DESCRIPTION 1,1 3 ,C„- "./ - a'
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR /6;.y / 2ND FLOOR )373 /
3RD FLOOR / BASEMENT / DECK - / GARAGE 79'2 /
BOX 8 ()) SINGLE FAMILY (y) NEW CONSTRUCTION
( ) MULTIFAMILY(NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6.00 SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANJ� L AP IANCES— BASIC FEE$
NO. 3 WATERCLOSETS GAS PIPING, FEET �/((�� ,� ' $ 2.Oo
2 BATHTUBS NO. I FURNACE, ELE .' GAS C $ 10,0 0
SHOWERS I GAS HOT WAT HEATER $ 6 SO
S LAVATORIES CONVERSION BURNER $
I SINKS BOILER, SIZE BTU $
DISHWASHERS AIR HANDLING UNITS $
ELECTRIC 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 $
DRAINS $:
OTHER $'
I Y TOTAL FIXTURES $
TOTAL MECHANICAL FEE $ q L,5 c,
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 PER-
FORM THE WORK FOR W ICH PERMIT APPLICATION IS MADE.
OWNER/AGENT: he,
_ DATE: -- ! - SCJ
ANP-006 2/90
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OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT ' V ' SIZE(9 .c ,_ REAR CVS HEIGHT LIMIT 2-31
PLANNING DEPARTMF�NT APPRO A 3 ` (6— Ke'
REMARKS: : , . = '- , - - - ` _ - , of
5•t 4-0 GO €-V - '- Al c' X 2- II l 1 . t '. A
SEPA: EXEMPT X NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: 1.//if
PUBLIC WORKS DEPARTMENT APPROVAL K---C DATE 3 ` /z- fo
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. ROOF OTHER
OCCUPANCY 12.3 TYPE OF CONSTRUCTION STORES
+ vi µ BUILDING SQ. FT. 2-crq 7 @ 6e1 , O o = 2-06 7 ti 3
uu-U BUILDING SQ. FT. 71 Z @ I7',30 = 3 7 D 1 . 6
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ =
BUILDING SQ. FT. @ /kej'ioV--C. .uadvk Cr = (:). 6g
BUILDING SQ. FT. @ i�(��3S, Zy
TOTAL SQ. FT. TOTAL VALUATION
EBUILDING PERMIT NO. WO c 0 PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE q 7 2.--,'• 0 PLAN CHECK FEE — - e-C— PLUMBING FEE --791. MECH. FEE /8 e S O
TOTAL FEES 1 G 9Z• 5-0 SBCC SURCHARGE ---&--- ENERGY SURCHARGE 4 �%' AMOUNT DUE 60
BUILDING DEPARTMENT APPROVAL DATE .3 - `'tO
REMARKS:
ASSIGNED ADDRESS: 33107) 'I #AVS S. w •
33 7°5 `f f( _S- AcJe
RECEIVED
MAR 01 1990
CITY p AY
�iECEiVEED PT
ACCEPTED FOR FILING
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