93-102857CITY 3353O0First Way South BUILDING P
Federal Way, WA 98003 Building Inspection Requests 661 -4140
661 -4000
ADDRESS:9O9 SW PL
NO.: 555732 -0070
PROJECT DESCRIPTION: NSF - V/ PLUMBING i MECHANICAL
MIRROR GLEN, DIV 3, LOT 17
OWNER CONTRACTOR I LENDER
fDFORD DEVELOPMENT BEDFORD DEVELOPMENT
.0. BOX 1790 21925 ORCA DR ME
SILVERDALE NA 98383 POULSBO WA 98370
800- 436-0144 867 -3150 I 1800- 436 -0144 861 -3150
BEDFOD ;094P5
�3 -la d 4 57
PERMIT NO: BLD93 -1206
ISSUED: 11/18/93
BY: FC
EXPIRES: 05/17/94
BLD ?:X MEC ?:X PLM ?:X
FLR-- EXIST -- PROP - --
DWELLING UNITS: 1
COMP PLAN ......... :SR
FEES:
TYPE OF WORK:NEN USE:RES
1ST.: 0: 1292:sf
STORIES........: 0
REQUIRED PARKING..:
2
SPRINKLERS ?......:?
PLAN CHECK DEPOSIT.=
S
497.58
CENSUS CATEGORY ..... :101
2ND.: 0: O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
FINAL PLAN CHECK ... =
$
0.00
OCCUPANCY GROUP---- - - - - --
3RD.: 0: O:sf
VALUATION---- - - - - --
REQUIRED SETBACKS- - - - ---
FIRE FLOW....:
0 gpo
BUILDING PERMIT .... #
S
765.50
:R3 : : :
OTHR: 0: O:sf
EXIST..S: 0
FRONT.........:
20.00 ft
SBCC SURCHARGE ..... #
S
4.50
TYPE OF CONSTRUCTION - - - --
BSMT: 0: 633:sf
PROP ... $: 135070
SIDE..........:
5.00 ft
WATER SERVICE..:FED
PLUMBING FIXT .... 93x
S
84.00
:5N :
DECK: 0: 144:sf
REAR..........:
15.00:ft
SEWER SERVICE.. :FED
RADON KIT......... 93
$
20.00
OCCUPANT LOAD------ - - - - --
GAR.: 0: 516 :sf
RECEIVED.: 11105/93
NEC APPLIANCE FEES.*
S
61.50
0: 0: 0: 0:
TOTL: 0: 2585:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS ?.:Y
PUB WKS PLCK(SF)..93
TOTAL FEES
S
S
40.00
1473.08
EL TYPES.:GAS ELE FANS..........: 5 BOILERS /COMPRESSORS
WATER CLOSETS......: 3 URINALS........: 0
GAS PIPING.: 40 ft
HOOD..........: 1
0 -3 HP......: 0
BATH TUBS..........: 1
DRINKING FOUNT.:
0
FURN<100K... 1
DUCT WORK...... 1
3 -15 HP...... 0
SHOWERS ............. 1
SUMPS...........
0
GAS HNT....: 1
HOOD STOVES...: 0
15 -30 HP....: 0
LAVATORIES.........: 4
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K ..... : 0
30 -50 HP....: 0
SINKS ..............: 1
DRAINS.........:
0
BBQ ........ : 0
MISC..........: 0
5+ HP.......: 0
DISH WASHERS.......: 1
LAWN SPRINKLERS:
0
GAS DRYER..: 1
AIR HANDLING UNITS
FUEL TANKS--- - - - - --
ELEC NTR HEATERS...: 0
OTHER FIXTURES.:
0
RANGE......: 1
<= 10,000 CFM: 0
ABOVE GROUND: 0
LAUN NSHR OUTLTS ... : I
GAS LOGS...: 1
> 10,000 CFM: 0
UNDERGROUND.: 0
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 FURNISE Y ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
DATE
OWNER OR AGENT __
---------.............................
-......................... -1. -��
m City of Federal Way
ie
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #: ff4f i9%".? -P) C' r ,-
E10 ON.
Address qbel S. W. 31S th Pl.
Tenant (if known) N/A Lot # 7 Assessor's Tax # i
Building Owner Name Address
r: dford Development Po Box 1790 Silverdale Wa. 98383
City I State zip Phone 1- 800 -43
Nature of Work New Single Family Residence
Name (F,M,U Bedford Development
Address PC, Box 1790
city Silverdale State Wi.. zip 913383
Contact Person Day Phone Other Phone Fax
Romano /_W. Virain 1- A0n- 41A -n1441 I ar%'7-11 Sn i
Company Name
Same as above
Address
City
State
Tip
Contact Person
Phone
Fax
Contractor's # (card must be presented)
Bedfod *9204P5
Expiration Date
1C/93
Verified 0 Yes 0 No
LEGAL DESCRIPTION
Stitt —Ubu /
Mirror Glen Div.
NOV - 5 1993
CITY OF FEDERAL WAY
B
Please Complete Reverse Side
ST
r1
RIIETLIR�' ': >;: `" f >''<
Exis n9 Use Bldg.
Lot
Proposed Use S F.R.
Zip 98366
Permit includes:
? Building
Ek Plumbing
[it Mechanical
O
Other
Type of Work: $1 Residential
❑ Commercial
IX New
0 Addition
0 Remodel
❑ Garage
It Number of Units
O Shed
Pq- Deck
O Other
Enter tat Floor - J�i°1i' sq ft
Area Basement [e 33 sq ft
2nd Floor,, _ sq ft
Decks __ ►jy eq ft
3rd Floor eq ft
Garage 1 sq h
Existing Floor Area nit
Proposed Total Area
Cony Burner
eq ft
sq ft
Water Availability )p Sewer Availability Lk On -Site Septic System Availability O
Projscf Vrtluado�"
t"
's ?ice
Foam g }
Lot Size CcS Sf _
Exlattp' Bldp``Vpluat(on
$
"
LENAE
Name None
Address
City
State
Zip 98366
MECHANTCAL CON 7UCTOR
CITY AY
BUILDING DEPT.
Contractor Name
Leonard/ Hillman
Address
5695 Imperial Way SW
City Port Orchard
State wc-, .
Zip 98366
Contact Dan Sullivan
Phonei -800 - 553 -HEA
iVerifled
Fax 674 -2574
License M LEONAI *12647
Expiration Date
0 Yes D No
PLt7MBING CONTRAR
Contractor Name
Gary Prokash Plumbing
Address
8731 212th St. SE #2
City Snohomish
State W,..
zip 9,-'290
Contact
Gary
Phone
4636827
Fax
668 -2020
Licence # GARYPPL115K5
Expiation Date
Verified D Yes 0 No
�LUdrl�?At�e7 1a.11.1. a s
x •'
Water Closets 3
Sinks 1
Urinals 0
Lawn Sprinklers 0
Bathtubs 1
Dish Washers 1
Drinking Fountains 0
Other
Showers
Electric Water Heaters
Sumps 0
5Q+ Tons
Lavatories 4
Washing Machine 1
Drains 0
Total;F�iro
' A�CHA,1�I1'CAL'aUi>�T Ci7�,1N`1'
Fuel Type (electric /other) Gas
Gas Dryer t•
Air Handling < 10,000 CFM
15 -30 Tons
Length of Gas Piping 40
Range elec i
Air Handling > 10,000 CFM
30 -50 Tons
Furn <IOOK BTUs
Gas Log es
Unit Heater no
5Q+ Tons
Furn > 100 BTUs
Fens 3
Miscellaneous
Fuel Tanks
Gas Hwt
Hood 1
Boilers
Above Ground
Cony Burner
Duct Work
0 -3 Tons
Underground
BBQ's
Wood Stoves
3 -15 Tons
Total Unit Count .
SCLAIMER: 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
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,
d attorneys' fees incurred in investigation and defense of such claim►, which may be made by any person, including the undersigned, and tiled against the City of Federal Way,
t only where such claim arises out o1 the r e of the City, Including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
plication.
vnar ?Agent: _� _�� a Deis: —7 I 3
J
-r ca)� a15o
26.43P
%
Proposed Building
Location
�`�
for
o� j / 20
Bedford Development
4 / 1 X}� � ��
located iR tie
81 1/4 S0, i21N, R41.,11
I- C �
rc C611217, Tuhhem
o. 6
C u C
2 d r o. SITE
OA
AN ASP ONAlb.
`
perA Number.
PC
Approved By:
-
A �5 `'o. �� j, Date:
ti
Comments:
C
r- -n
rook i w — M hot
z O GJIi ,... ,• �,° ,. , W� �, n
a t'
m co \
NOTE: This Aing depicts the calculated location of the proposed
foundation of a single family dwelling, based on the dimensions
e recorded lot together with building dimensions rovlded b v S z
—built condition,
BvxroN & HARRISOft, P.L.S.
rd Development. This does not represent an as <,
field inspection has not been made by myself. B. HARRISON €_X onS 12/ r �_*
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