93-102532 9.3-/a)S3CITY
33530OF
Way South BUILDING P El�:M I T PER ISSUED: 1MIT NO: 0/07/90593
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 04/05/94
ADDRESS:830 SW 318TH PL.
NO. : 555732-0000
PROJECT DESCRIPTION:NSF LOCATED AT MIRROR GLEN DIVISION 3, LOT 12
= OWNER — CONTRACTOR — LENDER
BEDFORD DEVELOPEMENT BEDFORD DEVELOPMENT
P.O. BOX 1790 21925 ORCA DR NE
4111 SILVERDALE NA 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: 1139:sf STORIES - 2 REQUIRED PARKING..: 2 SPRINKLERS9 •'1 PLAN CHECK DEPOSIT.* $ 465.73
CENSUS CATEGORY •101 2ND.: 0: 0:sf HEIGHT • 0.00 ft HAZARD CLASS •? PUB MKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS FIRE FLOM • 0 gpr FINAL PLAN CHECK...* $ 0.00
:R3 :? :? :? OTHR: 0: 0:sf EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 716.50
TYPE OF CONSTRUCTION BSMT: 0: 614:sf PROP...8: 121873 SIDE - 5.00 ft WATER SERVICE..:FED SBCC SURCHARGE * $ 4.50
:5N :? :? :? DECK: 0: 144:sf REAR • 5.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 68.00
OCCUPANT LOAD GAR.: 0: 394:sf RECEIVED.:10/04/93 PLUMBING FIXT....93* $ 84.00
0: 0: 0: 0: TOIL: 0: 2291:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N RADON KIT 93 $ 20.00
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Ask FUEL TYPES.:GAS ? FANS . 5 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1398.73
imp GAS PIPING.: 40 ft HOOD • 1 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURNUOOK..: 1 DUCT MORK • 0 3-15 HP • 0 SHOWERS • 1 SUMPS • 0
GAS NMT • 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 MASHERS • 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...: 1
GAS LOGS...: 1 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO MORK 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 14,(7-22-,'*.-
DATE _ 411) _r ___
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• •
..�. ECEIVED City of Federal Way
APPLICATION FOR BUILDING PERMIT
CT 04 ig93
CITY OF FEDERAL WAY
PLEASE PRINT WING DEPT. Sia 5A '`,Tao )t. APPLICATION #: ffeD93--I°C
f SITE LOCATION ;lAddress s3o S.W. 3ls th Pl.
Tenant (if known) N/A Lot S ' Assessor's Tax I
S55 3.)-coo
Building Owner Name Address
FE•dford Development Pry Box 1790 Silverdale Wa. 98383
City State Zip Phone 1-800-436-0144
Nature of Work New Single Family Residence
AkP0000INV4AdAt&Ot
Name (F,M,L) Bedford Development
Address PC Box 1790
City Silverdale State We. . Zip 90383
Contact Parson Day Phone Other Phone Fax
D. Romano/ W. Virgin _ 1-8Q0-436-0144/ 867-3150 867-3150
BUILDII GCQI UCTQR `li
Company Name
Same as above
Address
City •State Zip
Contact Person Phone Fax
Contractor's I(card must be presented) Expiration Date Verified )(Yes 0 No
Bedfod*920495 1C/93
OKm
ARC ggr „V ,O S ;
Name North West Home Designing, Inc.
Address 4928 109th St.S.w.
City Tacoma State ya,;,. Zip 98499
Contact Person Phone Fax
Todd Lord 584- 6309 588-0607 •
LEGAL DESCRIPTION
Mirror Glen / Div. 3 /.tL" - i --
RECEIVED
flrT 041993
GTTY OF FEDERAL WAY
BUILDING DEPT.
Please Complete Reverse Side
•
STituCTM ;�n `s *: Exis ng Use Bldg. Lot roposed Us* S,F.R.
Permit includes: ? Building OC Plumbing ( Mechanical 0 Other
Type of Work: Residential DC New - 0 Remodel a Number of Units PI-Deck
0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor- lt.344 sq ft 2nd Floor_ sq ft 3rd Floor sq ft Existing Floor Area nit sq ft
Area Basement t `y sq ft Decks 1,441-‘ _sq ft Garage =44 sq ft Proposed Total Area eq ft
Water Availability}J Sewer Availability Q On-Site Septic System Availability 0 Project Valusdoin _- .r5'5 10
Zoning x Lot Size �(-Osf _ ExlatiBOpVele4O $
Name Address
Ncne _J(T 0 41990
City State Zip
..JF FEDERAL WAY
BUILDING DEPT.
h1EC1W TCAL''CONTRACTOR
Contractor Name Address
Leonard/ Hillman 5695 Imperial Way SW
City Port Orchard State Wz:. Z'ip 98366
Contact Dan Sullivan Phonel_800-553—HEA7 Fax 674-2574
License # LEONAI*12647 Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRACT )R >;
Contractor Name Address
Gary Prakash Plumbing 8731 212th St. SE #2
City Snohomish State Wa.. zip 9is290
Contact Phone Fax
Gary 4636827 668-2020
License t GARYPPL115K5 Expiration Date Verified 0 Yes 0 No
PLUM U4G ` "TURF COU$T <
Water Closets 3 Sink` 4 1 Urinals 0 Lawn Sprinklers 0
Bathtubs 1 Dish Washers 1 Drinking Fountains 0 Other 0
Showers I Electric Water Heaters lj Sumps 0
Lavatories 4 Washing Machine 1 Drains 0 Total°�iictut's;�buh :::::::.*::::4--;.:,,,,,.,4 .,f "£ K ..
ME�CAVNI4T:COVN`t ;
Fuel Type (electric/other) nae Gas Dryer no Air Handling < m 10,000 CFM 15-30 Tons
Length of Gas Piping 40 Range e_ec (i) Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs / Gas Log yes Unit Heater no 50+ Tons
Furn >100 BTUs Fans 3 Miscellaneous Fuel Tanks
Gas Hwt 1 Hood 1 Boilers Above Ground
Cony Burner `Duct Work 13 0-3 Torts Underground
Ben'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 bast of my knowledge and further that f em 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,
b,t only where such claim arises out of the r ' a of the City, Including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application. 2
Ownsr/Apart: \, Date: Ia
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t3FEDIORD .DEVELOPMENT
LOT 12 MIaROa GLEN DIVISION III KING, CO.,WA.
°x}.6 — — e2.00
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tGN•Icic,<r)--i- i S . tf74 rf2L, 'PD 6A
, 20156g I
( T cOVERAc-F = c=aockfmti 1 4 /
= 33% /
SITE I q�tt�
Permit Number. . 'J /nu'/ft/td)
Approved By: --fib
Date: )lrJ,��r'r . , RECEIVED
Comments: .:.4 +29
THIS SITE PLAN WAS DRAWN BY IN O ')'s+ CITY OF FEDERAL Wq j
SUPPLIED BY CLIENT NHD ASSUMES ':J BUILDING DEPT.
RESPONSIBILITY FOR INACCURACIES OF SII:
INFO CHECK AND VERIFY ALL DIMENSIONS
. WITH ENGINEERED SITE MAP NOflTH
Site Plan
Scale 1":20` J