90-100138 CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
90'10-6)33
PERMIT NO. 90-186 OWNER'S NAME BLUE RIBBON BUILDERS _ JOB ADDRESS 1313 SW 353 ST
CONTRACTOR OWNER ADDRESS 27102 31 AVE S KENT CONT. PHONE 859-0448**
CONT. REG. NO. BLUERBI147QL 10/90 OWNER'S PHONE 859-0448 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE XXX ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER
TAX ACCOUNT NO. 502860-0170 _ LEGAL DESCRIPTION LOT 17 MADRONA MEADOWS
(WATER & SEWER IS AVAILABLE) PLANNING DEPT = APPROVAL BY BILL KINGMAN ON 4/11/90
PUBLIC WORKS = APPROVAL BY SKIP GREESON ON 4/5/90
ISSUED BY ELIZABETH SNYDER DATE OF ISSUE_ DATE OF APPLICATION 3/23/90
BUILDING INFORMATION
*NE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION 5-N _ BLDG. SO. FT_1663+481=2144 TOTL
SET BACKS: FRONT 20' SIDE 5' EACH REAR 5' STORIES 2 HEIGHT LIMIT 30' MAX
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING 10FT. 2.00 BOILER__
BATHTUBS 1 LAUNDRY DRAINS 1_ COMPRESSOR _ TANK(S) RECEIVED
SHOWERS 1 - URINALS FORCED AIR FURNACE 10.00 AIR HANDLING UNIT _ NUMBER
LAVATORIES 4 DRINKING FOUNTAINS _ GAS HOT WATER HTR. 6.50 MISC
SINKS 1 MISC. CONVERSION BURNER BASIC FEE RETURNED
DISHWASHERS 1 TOTAL FIXTURES 12X5._Q0 UNIT HEATER TOTAL MECHANICAL 20.00 AMOUNT NONE
VALUATION $108,300
PERMIT FEE $671 _00 __
PLAN CHECK FEE 436.0D_
PLUMBING FEE 60.00_. _
.
CHANICAL FEE 20_00
TAL BLDG. FEES _ $1187-00
PARTP/C FEE ..--PD I 5'
SEPA REVIEW ,
WATER SERVICE
WATER MAIN CHG. 4.--Zjc.....-
3
S.B.C.C. FEE 4-50
OTHERFEES
AJ/9
AMOUNT
�
NT DUE $1191.50 (
ALL 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 FURNISHED BY ME IS,TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
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OWNER OR AGENT ��/� _1/4-467ze/5/
4 /C.Li? DATE / / ��
CITY OF BUILDING INSPECTION
FEDERAL WAY BUILDING PERMIT 941-1555
PERMIT NO. _ OWNER'S NAME _ JOB ADDRESS
CONTRACTOR ADDRESS CONT. PHONE
CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS
TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD NEW PUBLIC PUBLIC ADD.
NEW MULTI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING _ OTHER_
TAX ACCOUNT NO. LEGAL DESCRIPTION __
ISSUED BY DATE OF ISSUE_ _. DATE OF APPLICATION
BUILDING INFORMATION
ZONE _ OCCUPANCY - _ TYPE OF CONSTRUCTION BLDG. SO. FT.
SET BACKS: FRONT _ SIDE REAR __ STORIES HEIGHT LIMIT
PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND
WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING _FT. BOILER
RECEIVED _ _
BATHTUBS LAUNDRY DRAINS COMPRESSOR TANK(S) _
SHOWERS URINALS FORCED AIR FURNACE AIR HANDLING UNIT _ NUMBER
LAVATORIES DRINKING FOUNTAINS _ GAS HOT WATER HTR. MISC
RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES UNIT HEATER TOTAL MECHANICAL AMOUNT
VALUATION
rl• JJJJJ
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE _
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
Ak:)UNT DUE
ALL 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 FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE MET:
OWNER OR AGENT DATE
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CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print— _
BOX 1 OWNER BLUE RIBBON BUILDERS , INC JOB LOCATION . Southwest 353rd St.
OWNER'S ADDRESS 27102 31st Ave. South CITY Kent PHONE 859-0448
DESCRIBE JOB Build single family residence
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX12 CONTRACTOR'S NAME BLUE RIBBON BUILDERS , INC CONTRACTOR'S REG. # CCO1 BLUERBI147C
Card MUST be presented L
CONTRACTOR'S ADDRESS 27102 31st Ave . S o. CITY Kent 85 -04484 4 8
EXPIRATION DATE 10/01/90
— OR —
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX3 CONTACT PERSON C .C. Blackburn & Carl J. Blackburn PHONE 859-0448
BOX 4 SEWER DISTRICT Federal Nay WATER DISTRICT Federal Nay
BOX 5 ESTIMATED PROJECT COST $6 7 , ('30 . 7 0 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 502860-0170-03
LEGAL DESCRIPTION Lot 17 Madrona Meadows
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 8 9 7 / 2ND FLOOR 766 /
3RD FLOOR / BASEMENT / DECK / GARAGE 4 81 /
BOX 8 (X4 SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6 , 000 SQ FT
BOX 9 PLUMBING FIXTURES (including rough-ins) MECHANICAL APPLIANCES — BASIC FEE $
ejtz
NO. 3 WATERCLOSETS GAS PIPING, FEET 10 ' $ 'Z
1 BATHTUBS NO. FURNACE, ELEC. GAS yea $ / 7
1 SHOWERS yes GAS HOT WATER HEATER $ (�®
4 LAVATORIES CONVERSION BURNER $
1 SINKS BOILER, SIZE BTU $
1 DISHWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $
1 LAUNDRY WASHER OUTLET UNIT HEATERS $
URINALS AIR COOLING UNITS, SIZE $
DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
12 TOTAL IXTURES $
TOTAL MECHANICAL FEE $ ZC
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 AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR WHIG PERMIT AP CATION IS MADE.
OWNER/AGENT: ('_. ("_ sl . ,_11-TitGL[,/. ..1, DATE: March 23 , 1990
ANP-006 2/90
9O c/
• •
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE PS 72- SETBACKS: FRONT 2'° SIZE 5 REAR 5 HEIGHT LIMIT 30
PLANNING DEPARTMENT APPROVAL '1-11'90.8/4-----
REMARKS:
"II'90.8vREMARKS: - -
SEPA: EXEMPT ( NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS: ''
.-----
PUBLIC
/PUBLIC WORKS DEPARTMENT APPROVAL a 14-1- DATE 4-i 1ga
REMARKS:
'Sly.
TYPE OF JOB: NEW RESIDENCE "� RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER
OCCUPANCY Ip TYPE OF C� ST�lJCTION i��A.� STORES
4j r�i BUILDING SQ. FT. 7 @ 64 = ` + tTL
BUILDINGSQ. FT. @ 1 =
~ BUILDING SQ. FT. @ = I7-301j$
BUILDING SQ. FT. @ = P .
BUILDING SQ. FT. t�iro01 -rte • e _
BUILDING SQ. FT. @
TOTAL SQ. FT. TOTAL VALUATION /CV 300
EBUILDING PERMI q PLAN HECK FEE REC'D RECEIPT NO.
PERMIT FEE 10 PLAN CHECK FEE --"419--,-- PLUMBING FEE 4- - MECH. FEE v2��
TOTAL FEES f jg7 SBCC SURCHARGE t : ENERGY SURCHARGE AMOUNT DUE110 l I en.
BUILDING DEPARTMENT APPROVAL DATE
REMARKS:
-
ASSIGNED ADDRESS: ( /Z ( 3 S. W, 3 J 3cr 711
RECEIVED
: .^ s 1990
>1TY(31* EPT.WAY
gUjLDING�ECEIVED ACCEPTED FOR FILING