94-101533 qy- ibis.;
CITY OF FEDERAL WAY PERMIT NO: BLD94-0624
33530 First Way South <BUILDING PERMIT ISSUED: 10/11/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 03/24/96
RENEWED PERMIT
ADDRESS:28103 28TH AVE S
NO. : 231240-0020
PROJECT DESCRIPTION:NSF - W/ PLUMBING i MECHANICAL, revision 10-14-94 adding 2 braced frames
ELLENWOOD MANOR, LOT #2, BLOCK #1
OWNER — ----- --- 1-- CONTRACTOR =- -- LENDER - - ---- -
1 L. MARILEE NELSON 1 TWIN EAGLE DEVELOPMENT NATIONAL BANK OF BREMERTON
1 16711 31ST AVE SW 19540 PACIFIC HWY S STE. I1O1C 5775 SOUNDVIEW DRIVE
GIG HARBOR WA 98335
j•TTLE WA 98166 SEATTLE WA 98188
1
949-7818 243-3097
TWINED*099PW
i
F BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR 1 FEES:
1TYPE OF WORK:NEW USE:RES 1ST.: 0: 1232:sf STORIES - 2 1 REQUIRED PARKING..: 2 SPRINKLERS' •9 1 PLAN CHECK DEPOSIT.* $ 438.43
4 CENSUS CATEGORY •101 2ND.: 0: 346:sf HEIGHT • 0.00 ft 1 HAZARD CLASS PUB WKS PLCK(SF)..93 $ 40.00
' OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW • 0 gpm FINAL PLAN CHECK...* S 0.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 1 FRONT • 20.00 ft BUILDING PERMIT....= $ 674.50
TYPE OF CONSTRUCTION BSMT: 0: Oaf PROP...$: 109963 SIDE •
5.00 ft WATER SERVICE..:FED $BCC SURCHARGE * $ 4.50
6 : 5N :? :? :? DECK: 0: 0:sf REAR • 5.00:ft SEWER SERVICE..:FED I MEC APPLIANCE FEES.* $ 47.50
1 OCCUPANT LOAD GAR.: 0: 440:sf RECEIVED.:08/10/94 1 PLUMBING FIXT....93* $ 91.00
: 0: 0: 0: 0: TOIL: 0: 2018:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y RADON KIT 93 $ 20.00
Additional fees not shown here...
Jill TYPES GAS ELE FANS - 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1683.18
rimm PIPING.: 0 ft HOOD • 1 0-3 HP • 0 BATH TUBS - 2 DRINKING FOUNT.: 0
f FURN(100K..: 1 DUCT WORK • 0 3-15 HP • 0 f SHOWERS • 2 SUMPS • 0
1 GAS NWT - 1 WOOD STOVES...: 0 15-30 HP - 0 ] LAVATORIES • 3 VAC BREAKERS...: 0 1
( CONV BURNER: 0 FURN)100K • 0 30-50 HP • 0 SINKS • 1 DRAINS - 0
1 BBQ • 0 MISC - 0 5+ HP • 0 DISH WASHERS • 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC VTR HEATERS...: 0 OTHER FIXTURES.: 1
1RANGE - 1 (=10,000 CFM: 0 ABOVE GROUND: 0 1 LAUN WSHR OUTLTS...: 0 1
i GAS LOGS...: 0 ) 10,000 CFM: 0 UNDERGROUND.: 0
$-- ---- _... . -- _____ ._.____ ___. ,_._ -..-.___--_.,—_r.____.- ---..__ _ -__ _____
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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT -� r ry Q� -. DATE 1llZt�
f VV
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CITY
F FEDERAL
MIT
NO:
335300Firstt Way South BUILDING P PER ISSUED: 110/11/9424
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: KLC
661-4000 EXPIRES: 10/11/95
ADDRESS:281O3 28TH AVE S
NO. : 231240-0020
PROJECT DESCRIPTION:NSF - N/ PLUMBING & kCHANICAL
ELLENNOOD MANOR, LOT 12, BLOCK 11
rOWNER — CONTRACTOR — LENDER
L. MARILEE NELSON TWIN EAGLE DEVELOPMENT NATIONAL BANK OF BREMERTON
16711 31ST AVE SW 19540 PACIFIC HWY S STE. I101C 5775 SOUNDVIEN DRIVE
SEATTLE NA 98166lir SEATTLE WA 98188 GIG HARBOR NA 98335
949-7818 870-8367
TWINED*099PN
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN -SR FEES:
TYPE OF NORK:NEW USE:RES 1ST.: 0: 1232:sf . STORIES • 2 REQUIRED PARKING..: 2 SPRINKLERS" •" PLAN CHECK DEPOSIT.* $ 438.43
CENSUS CATEGORY -101 2ND.: 0: 346:sf HEIGHT - 0.00 ft HAZARD CLASS •" PUB MKS PLCK{SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW 0 gm FINAL PLAN CHECK...* 8 0.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT - 20.00 ft BUILDING PERMIT....* $ 674.50
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...;: 109963 SIDE - 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
: 5N :? :? :? DECK: 0: 0:sf REAR • 5.O0:ft SEWER SERVICE..:FED NEC APPLIANCE FEES.* $ 47.50
OCCUPANT LOAD GAR.: 0: 440:sf RECEIVED.:08/10/94 PLUMBING FIXT....93* $ 91.00
0: 0: 0: 0: TOTL: 0: 2018:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:Y RADON KIT 93 $ 20.00
AllFUEL TYPES.:GAS ELE FANS . 4 BOILERS/COMPRESSORS NATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1315.93
GAS PIPING.: 0 ft HOOD - 1 0-3 HP • 0 BATH TUBS • 2 DRINKING FOUNT.: 0
FURN<100K..: 1 DUCT WORK - 0 3-15 HP . 0 SHOWERS • 2 SUMPS . 0
GAS HNT - 1 MOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 3 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..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE - 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN NSHR OUTLTS...: 0
GAS LOGS...: 0 > 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 FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL NAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT ___ _ ,M '-
--1414.10,-,_ DATE _41-21 94
FILE COPY
G 0 City of Federal Wa
$JECErIICATION ylib
ir- FIFOR BUILDING PERMIT
AUG 1 01994 j
PLEASE PRINT Cl Y OF FEDERAL WAS rt '• ., ��'P,.'_?CATION #: F IJI g- c rb
SJTE.LQCATION Address 281X3 28th Avenue South, Federal Way, WA
Tenant (if known) Lot # Assessor's Tax #
N/A 2 Ellenwood Manor 231240-0020-07
Building Owner Name Address
L. MARILEE NELSON 16711 31st Avenue SW
!City Seattle State WA Zip 98166 Phone (206) 243-3097
Nature of Work
APPLICANT ...;
I Name (F,M,L)
L. MARILEE NELSON
Address
16711 31st Avenue S.W.
City Seattle State L; Zip 98166
Contact Person Day Phone Ot' hone Fax
L. Marilee Nelson (206) 433-3165 tf ) 949-7818 N/A
BIJILP)NAPONT1140TPAr.
Company Name
TWIN EAGLE DEVELOPMENT `--
Address
19540 Pacific Highway South , Ste. 101C
City Seattle State WA Zip 98188
Contact Person
L. Marilee Nelson (206) 870-8367 Fax
870-8368
Contractor's # (card must be presented) Expiration Date Verified ® Yes ❑ No
TWINED*099PW 10/03/94
ARCHITECT
Name
CRANE DESIGN, INC.
Address
25022 104th S.E. , Ste. #D-E
City Kent State WA Zip 98031
Contact Person Phone Fax
Charles Bellmore (206) 859-2954 (206) 854-8642
LEGAL DESCRIPTION
L.(zt #2 of Block 1, Ellenwood Manor Addition , Vol , 70 of Plats , Page 22, in King County Washington
Being a portion of the Southeast Quarter of Section 33, Township 22 North, Range 4 East,
Willamette Meridan , in the City of Federal Way, State of Washington
Please Complete Reverse Side
CD0492(Rev 4/23)
ESTRUCTURE Use N/A sed Usn�lgl e-Family Residence
Permit includes: ding
® Plumbing Mechanical IN Other
Type of Work: IIS Residential ® New ❑ Remodel ❑ Number of Units ❑ Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor 346 sq ft ,,._ `-'=I` 2nd Floor 1232 sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage 44n sq ft Proposed Total Area 2_,01 8 sq ft
Water Availability ® Sewer Availability ® On-Site Septic System Availability ❑ 0rofect Valuation S
Zoning Single-Family Lot Size 12,261 $ FT Existfn Bld Valuation $
Q 9 9
...................................................................................... ...
T4NDER
Name Address
NATIONAL BANK OF BREMERTON 5775 Soundview Drive
City GIG HARBOR State WA zip 98335
14i CWAICIC CONTRACTOR
Contractor Name Address
NOR PAC 3414 A St. SE, Ste. 102 _
City Auburn State WA _zip 98002 ---
Contact
_Contact Phone Fax
Dave DeBeaux (206) 931-0610 N/A
License # NORPAHA123M5 Expiration Date 7/18/94 Verified IS Yes ❑ No
PLUMBING CONTRACTOR ><;:>
Contractor Name Address
H & H PLUMBING, INC, 926 96th Street East
City Tacoma State WA zip 98445
Contact Phone Fax
Doug (206) 535-3455 N/A
License # 223-02 HH-PL-U*-*255QK Expiration Date 10/31/94/erified 2 Yes ❑ No
PLUMBING FIXTiRE COUNT
Water Closets Three Sinks One Urinals Lawn Sprinklers
Bathtubs/Showers Two Dish Washers One Drinking Fountains Other One
Showers `` Electric Water Heaters Sumps
........ ...... ............................ .. ....
......... ................. ............................
Lavatories Three Washing Machine Drains Total;Fixtute:Count S E'Vfr'!3
.................................. .... ... ... ..
MECHANICAL UNIT COUNT
Fuel Type (electric/other) Gas Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range One Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs One Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Four Miscellaneous Fuel Tanks
Gas Hwt One Hood One Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total:Urxt Count Fight
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 lam 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.
Owner/Agent: ,.._, /i • . f• /. , Date: /0i /a/947/
. r