94-100190 Gjy-/o6) 9z
CITY
3353O0Firstt Way South F FEDERAL WAY BUILDING P PERMIT ISSUED: 02/04/94NO: BLD94 67
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 02/04/95
ADDRESS:825 SW 318TH PL
NO. : 555732-0170
PROJECT DESCRIPTION:NSF - W/ PLUMBING & MECHANICAL. APPROVED BASIC 193-1002-V91.
MIRROR GLEN, DIV 3, LOT #17
OWNER -- CONTRACTOR -- LENDER
EDFORD DEVELOPMENT BEDFORD DEVELOPMENT
P.O. BOX 1790 21925 ORCA DR NE
SILVERDALE WA 98383 POULSBO NA 98370
800-436-0144 867-3150 1800-436-0144 867-3150
BEDFOD*094P5
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN •SR FEES:
TYPE OF WORK:NEW USE:RES 1ST.: 0: 614:sf STORIES - 2 REQUIRED PARKING..: 2 SPRINKLERS') •') PLAN CHECK DEPOSIT.* $ 100.00
CENSUS CATEGORY -101 2ND.: 0: 1139:sf HEIGHT • 0.00 ft HAZARD CLASS •9 PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOW - 0 pm FINAL PLAN CHECK...* $ 0.00
:R3 : OTHR: 0: 0:sf EXIST..$: 0 FRONT - 20.00 ft BUILDING PERMIT....* $ 713.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$: 120606 SIDE - 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N : DECK: 0: 0:sf REAR - 15.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES * $ 59.00
OCCUPANT LOAD GAR.: 0: 394:sf RECEIVED.:01/25/94 PLUMBING FIXT....93* $ 84.00
0 0: 0: 0: 0: TOTL: 0: 2147:sf IMPERV SURFACE: 1985 sf SENSITIVE AREAS?.:Y RADON KIT 93 $ 20.00
FUEL TYPES.:GAS FANS • 3 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1020.50
GAS PIPING.: 40 ft HOOD • 1 0-3 HP - 0 BATH TUBS - 1 DRINKING FOUNT.: 0
FURM<100K..: 1 DUCT WORK • 1 3-15 HP - 0 SHOWERS • 1 SUMPS - 0
GAS HNT • 1 WOOD 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..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE • 1 <:10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 1
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 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 ,, DATE . _ q
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mice , City of Federal Way
P" EIVERPPLICATION FOR BUILDING PERMIT
JAN 2 51994
PLEASE PR/N7 'IN OF FEDERAL WM 15f f'
Bu)f_oIN�_FD`c APPLICATION #: Q I - �
SITE LOCATION Addresst)$- S.W. 31Fs th Pl.
Tenant (if known) N/A Lot# Assessor's Tax
Sss 73.) -0 -
i3undin0 Owner Name
edford Development AddrsssP'- Box 1790 Silverdale Wa. 98383
City State Zip Phone 1-800-436-0144
Nature of Work New Single Family Residence -
APPLICANT . J
Name (F,M,L) Bedford Development
Address PC Box 1790
City Silverdale State WEI. rip 98383
Contact Person Day Phone Other Phone Fax
D. Romano/ W. Virgin 1-80Q-436-0144/ 867– 150 867-3150
BUILDIINCr CQNrRAC"TQR '�.
Company Name
Same as above
Address
City State Zip
Contact Person Phone Fax
Contractor's (card must be presented) Expiration Date Verified 0 Yes 0 No
Bedfod*920495 1C/91
Name North West Home Designing, Inc.
Address 4928 109th St.S.W.
City Tacoma State W,;W . Zip 9E499
Contact Person Phone Fax
Todd Lord 584– 6309 , 568-0607
LEGAL DESCRIPTION
Mirror Glen / Div. 3 /. —
Please Complete Reverse Side
[ST �T JRA >: #: ng Use Bldg. Lot !PosedUs. S,F.R. ,
I
Permit includes: ? Building [3; Plumbing ( Mechanical 0 Other
Type of Work: $i Residential IX New 0 Remodel Et Number of Units P3-Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter let Floor- 41'f sq ft 2nd Floor`j!)/341 sq ft 3rd Floor sq ft Existing Floor Area nct sq ft
Area Basement sq ft Decks sq ft Garage ?Ft`- eq ft Proposed Total Area sq ft
Water Availability}7 Sewer Availability 51 On-Site Septic System Availability 0 Project Valuation: i r _
Zoning Ez Lot Size sf _ 6( L �7 A- t Existing'Bldg WW1 iron. $
RECEIVED
•
NameN ne Address JAN 2 51994
City State
Cly FEQRAL WAY
BUILDING EPt.
MECHANICALCONTRACTOR
Contractor Name Address
Leonard/ Hillman 5695 Imperial Way SW
City Port Orchard state WE... Zip 98366
Contact Dan Sullivan Phonei_800-553-HEA?Fax 674-2574
License # LEONAI*12647 Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRA.CTOR>
Contractor Name Address
Gary Prokash Plumbing 8731 212th St. SE #2
city Snohomish _State W . zip 9,4290
Contact
Gary Phone 4636827 Fax 668-2020
License it GARYPPL115K5 Expiration Date Verified 0 Yes 0 No
kU ZNIi `.I 'X'I1 O tet
Water Closets 3 Sinks 4 1 • Urinals 0 Lawn Sprinklers 0
Bathtubs 1 Dish Washers 1 Drinking Fountains 0 1 Other 0
Showers Electric Water Heaters IJ Sumps 0
Lavatories 4 Washing Machine 1 Drains 0
1`Otslr }ttttrd t:dun
Fuel Type (electric/other) Gas Gas Dryer no Air Handling < - 10,000 CFM 15-30 Tons
Length of Ges Piping 40 Range elec (i) Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs r I Gas Log CI )yes Unit Heater no 50+ Tons
Furn >100 BTUs Fans 3 _Miscellaneous Fuel Tanks
Gas Hwt 1Hood 1 Boilers Above Ground
Cony Burner Duct Work 13 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true end correct to the best of my knowledge and further that lam authorized by the owner
of the above premise.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'feel 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 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
application,
Owner/Agent: _ Date, 1'aS\ Lk
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