94-100779 OF
33530 First Way South BUILDING PERMIT PERMIT28
ISSUED: 05/12/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 11/08/94
ADDRESS:911 SW 319TH PL
NO. : 555732-0040
PROJECT DESCRIPTION:NSF - NI PLUMBING & MECHANICAL
MIRROR GLEN, DIV 3, LOT t4
OWNER — LENDER
ii[
BEDFORD DEVELOPMENT BEDFORD DEVELOPMENT *** OWNER :**
P.O. BOX 1794SILVER21925 ORCA DR NE
800-43DALE NA 98383 CONTRACTOROULSAC WA 98310
800 436 4144 867-31:-
61 3150 J100-436- 144 867-3150
8EDFUD*094P5
BLD?:X NEC?:X PLM?:X FLR--EXIST--PROP-- DWELLING UNITS. 1 COMP °1AN ..SR z ^ES:
TYPE OF WORK:NEW USE:RES ST,: 0: 1139:sf S'JRIES., .: 2 i REOIRFO PAA?1 ... 2 SPRINXLE 3?,. PLAN CHECK DEPOSIT.* $ 100.00
CENSUS CATEGORY •101 2N'. 0 0"s` `rtfjni..-..• C'..r ftHAZARD CLASS •9 PUB WKS PLCK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD. : 0: 0:sf VALUATTfR REQUIRED SETBACKS - FIRE FLOW • 0 gp. FINAL PLAN CHECK...* $ 0.00
:R3 : : : : OTHR: 0 0:y5 EXIST..$: 0 FRONT • 20.00 ft BUILDING PERMIT....* $ 716.50
TYPE OF CONSTRUCTION BSA'- 0: 614:sf PRO?...$: 121486 SIDE • 5.00 ft WATER SERVICE. :FED SBCC SURCHARGE * $ 4.50
:5N : : : : DECK: 0: 124:sf REAR • 15.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES * $ 70.00
OCCUPANT LOAD GAR. 0: 394:sf RECEIVED.:04/21/94 PLUMBING FIXT....93* $ 84.00
• 0: 0: 0: 0: TOTL: 0: 2271:sf IMPERV SURFACE: 1950 sf SENSITIVE AREAS?.:H RADON KIT 93 $ 20.00
FUEL TYPES.:GAS ELE FANS • 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS • 0 TOTAL FEES $ 1035.00
GAS PIPING.: 40 ft HOOD • 1 0-3 HP • 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<IOOK..: 1 DUCT WORK • 1 3-15 HP • 0 SHOWERS • 1 SUMPS 0
GAS HUT • 1 WOOD STOVES...: 0 15-30 HP • 0 LAVATORIES • 4 VAC BREAKERS...: 0
CONY 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 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 INFORMATIO ED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
0, OWNER OR AGENT V DATE 12) 4/
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.,or ,� City of Federal Way
—'=* PR 2 1199
nsl• APPLICATION FOR BUILDING PERMIT
CITY OF FED
BUILDING DEPT AY
PLEASE PRINT APPLICATION#: ffed lif c3 2
Is u' LOCATIONx '°}. tAddress � S.W.S W3 � th Pl. C1S J �l� k P4 .
Tenant (if known) N/A Lot S h Assessor's Tax 0 r
•
S5"s ?3a-00 c,
Building Owner Name Address
Po Development PO Bcx 1790 Silverdale Wa. 98383
city State Tip Phone 1-800-436-0144
Nature of Work New Single Family Residence f ,'/2-Y272 •O%4,57C it 3 -/i'02 - V47/
I APPLICANT "4 } ` x;41
Name (F,M,L) Bedford Development
Address
PC Box 1790
City Silverdale State Wa. rip 98383
Contact Person Day Phone Other Phone Fax
D. Romano/ W. Virain 1-R00-436-0144/ 867-3150 867-3150 j
IBV. -.. ,....,.__.. 3:
L II�iG GQI�TR:ACT R�'�` �::�.
Company Name
Same as above
Address •
City State Zp
Contact Person Phone Fax
Contractor's S(card must be presented) Expiration Date Verified 0 Yes 0 No
Bedfod*9204P5 1C/9
ARrr F
I. Orf.1}Q Sri :'1 - 4c�'r^�6n of
Name
North West Hane Designing, Inc.
Address 4928 109th St.S.W.
City Tacoma State Wa. Zip 98499
Contact Person Phone Fax
Todd Lord 584- 6309 568-0607 .
LEGAL DESCRIPTION
Mirror Glen / Div. 3 /t.oT4/ -
Please Complete Reverse Side
STfcII `ply" ... Existing Use
ET�J�E•... .s ,. Bldg. Lot *sed Use S.F.R.
' [Pemtit includes: :Ei Building p; Plumbing 151 Mechanical 0 Other
Type of Work: 23 Residential a New - 0 Romodel [J Number of Units N-Deck0 Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1at Floor sq ft %ISS 2nd Root sq ft 3rd Faor sq ft Existing Floor Area nit sq ft
Area Basement_ sq ft _,i'-j Decks I 9.%-1 sq ft Garage_ _sq ft31Proposed Total Area ,eq ft .17'53
Water Availability A3 Sewer Availability a On-Site Septic System Availability 0 Projiot VajtiitionS....,,- , -,
Zoning R Lot Sita . _• Sf _ Existing aidQ;Vaivetfon 1.. ,`
LENDER 4, ,f4
Name
Address
Ncne
City
State F CtJVED
V G
MEcHANI6A eONTRAcro� APR 2 11g9L.
Contractor Name Address
Leonard/ Hillman 5695 Imperiaa,.r#ij 1414 -AL WAY
city Port Orchard State yds, UiL r
� X8366
Contact Da.n St:-__ivan
Phone)—800-553—FiATFax 674-2574
License I LEONAI*12647 Expiration Date Verified 0 Yes 0 No
PLUMBING CONT ACTOR�` y `
Contractor Name Address
Gary Prokash Plumbing 8731 212th St. SE *2
City Snohomish ,State Wa.. Zlp 9,4290
Contact
Gary Phone 4536827 Fax 668-2020
License I GARY.PPL115K5 Expiration Date Verified Q Yes 0 No
PLUMBI 4 'J,RE.VOLOT447•
Water Closets Urinals
3 Smits 1 Q Lawn Sprinklers 0
•
Bathtubs 1 Dish Washers 1 ,Drinking Fountains 0 Other 0
Showers Electric Water Heaters U Sumps 0
Lavatories 4 Washing Machine 1 Drains 0 TotilFixiurs' trunt `"
•
?sfECIFANICAL'tifft COUN l a
Fuel Type (electric/other) Gas Dryer i Ftc`) 1 Air Handling < : 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 I Gas Log / Unit Heater ntl 50+ Tons
Furn >100 BTUs Fans _Miscellaneous Fuel Tanks
Gas Hwt Hood 1 Rollers Above Ground
Cony Burner Duct Work 11 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 and correct to the best of my knowledge and further that I am authorbed by the owner
of the above premises to perform the work for which permit application is mace.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 defence of such claim),which may be made by any person,including the undusigned,and fled 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. lij Owner/Agent: Date: _ iilD't