94-100730 9 y4107
CITY OF
33530 First Way South BUILDING P ERl�Z I T PLRMIT NO:
02
ISSUED: 04/26/94
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 04/26/95
ADDRESS:927 SW 319TH PL
NO. : 555732-0020
PROJECT DESCRIPTION:NSF - CONSTRUCT NEW SINGLE FAMILY RESIDENCE
MIRROR GLEN, DIV 13, LOT 12
4 OWNER CONTRACTOR - LENDER
BEDFORD DEVELOPMENT BEDFORD DEVELOPMENT
PO BOX 1790 21925 ORCA DR NE
SILVERDALE WA 98383 POULSBO NA 98370
800-436-0144 1800-436-0144 867-3150
BEDFOD*094P5
BLD?:X NEC?:X PLM?:X FIR--EXIST--PROP--- DWELLING UNITS: 1 COMP PLAN.........:SR FEES:
TYPE OF WORK:NEN USE:RES 1ST.: 0: 0:sf STORIES • 0 REQUIRED PARKING..: 2 SPRINKLERS? .p PLAN CHECK DEPOSIT.* $ 100.00
CENSUS CATEGORY '101 2ND.: 0: 1292:sf HEIGHT.....: 000 ft HAZARD CLASS....:-: PUB WKS PICK(SF)..93 $ 40.00
OCCUPANCY GROUP 3RD.: 0: 0:sf VALUATION REQUIRED SETBACKS-------- TRE FLOW 0 go FINAL PLAN CHECK...* $ 0.00
:R3 : OTHR: 0: O:sf EX ST,.$: 0 tRONT 20.00 ft BUILDING PERMIT....* $ 762.00
TYPE OF CONSTRUCTION BSMT: 0: 633:sf ?ROP.. :$: 134683 SIDE • 5.00 ft WATER SERVICE..:FED 58CC SURCHARGE.....* $ 4.50
:5N : DECK: 0: 100:sf REAR 15.00:ft SEWER SERVICE..:FED MEC APPLIANCE FEES.* $ 70.00
OCCUPANT LOAD GAR.: 0: 516:sf RECEIVED.:04/15/94 PLUMBING FIXT....93* $ 84.00
0: 0: 0: 0: TOIL: 0: 2541:sf IMPERY SURFACE: 2180 sf SENSITIVE AREAS?.:Y RADON KIT 93 $ 20.00
FUEL TYPES.:GAS ELE FANS - 4 BOILERS/COMPRESSORS WATER CLOSETS • 3 URINALS - 0 TOTAL FEES $ 1080.50
GAS PIPING.: 40 ft HOOD - 1 0-3 HP - 0 BATH TUBS • 1 DRINKING FOUNT.: 0
FURN<100K..: I DUCT WORK . 1 3-15 HP . 0 SHOWERS • 1 SUMPS - 0
GAS HMT • 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 RISC . 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 INFORMATION FURNISED BY NE IS TRUE AND CORRECT TO THE BEST Of MY KNOWLEDGE AND THE APPLICABLE CITY OF FERERAL WAY REQUIREMENTS WILL BE MET.
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einer a
City of Federal Way
APPLICATION FOR BUILDING PERMIT
y -y.
PLEASE PRINT APPLICATION #: eD40-, ! ',7(i�.-.
SITE LOCATIOIIF Address 9:y7 S.W. 319 th Pl.
Tenant (if known) NI,A Lot S 3,, Assessor's Tax i
5-5'5- 7 3.)-00 7- ‘,-,
Building Owner Name Address
r. dford Development Po Box 1790 Silverdale Wa. 98383
City State Zip Phone 1-800-436-0144
Nature of Work New Single Family Residence f
APPLICANT Y
Name (F,M,L) Bedford Development
Address PC Box 1790
City Silverdale State W . Zip 93383
Contact Person Day Phone Other Phone Fax
D. Romano/ W. Virain 1-800-436-0144/ 867-3150 _ 867-3150 j
BUT1D1 CQNTRACTQR ith
Company Name
Same as above
Address
City State ,, Zip
Contact Person Phone Fax
Contractor's S(card must be presented) Expiration Date Verified 0 Yes 0 No
Bedfod*9204P5 1C/9/
ARCH.tiECT
Name North West Home Designing, Inc.
Address 4928 109th St.S.W.
City Tacoma State W .. Zip 9E:499
Contact Person Phone Fax
Todd Lord 5Ei4- 6309 588-0607
LEGAL DESCRIPTION
Mirror Glen / Div. 3 / c T .z :.
RECEIVED
APR 1519.94
eTlYBuct-DFIENDGeRADEPLTAY
Please Complete Reverse Side
/1 V l�nreung wee tag. Lot l rroposea use S.F.R.
r.
r . ;nciudes: Building CSC Plumbing 1 Mechanical 0 Other
Type of Work: 10 Residential ow 0 Remodel Number of Units -peck
O Commercial 0 Addition 0 Garage 0 Shed 0 Other
Enter 1st Floor s ft 2nd FloQr ft 3rd Floor s !1
_ V q q f� Existinfl Floor Area �aq h
Area Basement C'_2;; sq ft Decks 100 _sq ft Garage sq ft IL Proposed Total Area--I sq ft
Water Availability)1::] Sewer Availability a On-Site Septic System Availability ❑ Project Vajuadon = it 3
Zoning R Lot Size `i St - Ex)etirtg Bldg VOL*1.011 $
..,.......,--..-..;........ .....:,....•.::::::;.,::.:!-: :
END ... t
-
Name Address
Ncne
City State Zip
•
.10C1-7—W44ICAL.CON'I'RACTOR :'
Contractor Name Address
Leonard/ Hillman 5695 Imperial Way SW
City Port Orchard State W ., Zip 98366
Contact Dan Sullivan PhO"e1-800-553-HEI,?Fax 674-2574
License i LEONAI*12647 Expiration Date Verified 0 Yes 0 No
PLUMBING CONTRAC'QR. i;:'4.1
Contractor Name Address
Gary Prokash Plumbing 8731 212th St. SE #2
City Snohomish *State W .. _Zip 9,�290
Contact Phone Fax
Gary 4636827 668-2020
License # GARYPPL115K5 Expiration Oat* Verified Q Yes 0 No
PLU ING `'U CO T`
Water Closets 3 Sinks 4 1 Urinals 0 Lawn Sprinklers 0 .
Bathtubs 1 Dish Washers 1 Drinking Fountains 0 Other 0
Showers Electric Water Heaters Sumps 0
Lavatories 4 Washing Machine 1 Drains 0 Total fl*re ouh; ;> ,.::'.,...•.:
Mttiti CAL U,i TsCb ' r:L 'r'
Fuel Type (electric/other) Gas Gas Dryer J no (i'I..EG) Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping 40 Range a 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
GasHwt Hood 1 Boilers Above Ground
Cony Burner Duct Work i1 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 it true and correct to the best of my knowledge and further that I am authorized by the owner
of the above promises to perform the work for which permit application's 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 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: 1 RECEI L
�r Date: Hi V5
APR 151994
CITY OF FEDERAL AY
WILDING DEPT.
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