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90-100751 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 9a�J��51 PERMIT NO. 9O—ZZZE) NR OWNER'S NAME BLUE RIBBON BUILDERS JOB ADDRESS 35308 13TH PL SW CONTRACTOR FIRESIDE HOMES INC ADDRESS 27102 31ST AVE S RENT CONT. PHONE 852-6311 CONT. REG. NO. FIRESI232DC OWNER'S PHONE BLUE RIBBON BT�j��RESS PHONE: 852-6311 / 27102 31ST AVE RE T TYPE JOB: NEW RESIDENCEXXX 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. SOZHF)O—OZ9O—O4 LEGAL DESCRIPTION LOT 19 MADRONA MEADOWS ISSUED BY JOANNE JOIiNSON DATE OF ISSUE DATE OF APPLICATION �I-11-90 BUILDING INFORMATION NE RS �I.2 OCCUPANCY R3 TYPE OF CONSTRUCTION �j BLDG. S�. FT. 2,1 d d ET BACKS: FRONT ZO SIDE S REAR S — STORIES 2 HEIGHT LIMIT �.� _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING FT. �Q� BOILER RECEIVED BATHTUBS �. LAUNDRY DRAINS �._ COMPRESSOR TANK(S) SHOWERS _�_ URINALS FORCED AIR FURNACE ZO_OO AIR HANDLING UNIT _ NUMBER LAVATORIES � DRINKING FOUNTAINS GAS HOT WATER HTR. 6_5n MISC. RETURNED SINKS _]� MISC. CONVERSION BURNER BASIC FEE DISHWASHERS �_ TOTAL FIXTURES ZZXE)= UNIT HEATER TOTAL MECHANICAL �,$.�D AMOUNT VALUATION 1 0 R _R 0(1_ S 6 • BUILDING DEPT APPROVAL: 7-12�90TS PERMIT FEE Fi71 _QQ_ PLAN CHECK FEE a��_n n PLUMBING FEE �n _ nn p�NING DEPT APPROVAL: 7-17-90 B.R. CHANICAL FEE _ 1 R_ri(1 AL B�DG. FEES �ART PIC FEE SEPA REVIEW DATE: � "- � WATER SERVICE / WATER MAIN CHG. AMOUNT I � r �� U_J S.B.C.C. FEE 4_50 J OTHER FEES RECEIPT: / G � Z y � AMOUNT DUE 1 � i 9 n_n n 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: L �� •, ' 7 OWNER OR AGENT ��%��('�G�1� �y� i:.�� DATE �"�� G / �r�/T � ' qo - i��b CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 OWNER r IRESIDE r�OnTES, ��C. JOB LOCATION 35308 13th Place Southwest U OWNER'S ADDRESS 27102 31st A_�e. South CITY Kent PHONE g52-6311 �- DESCRIBEJOB Build sinale f.amily residence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME FIRE�IDE NCr�ES, I�;C. CONTRACTOR'S REG. # CCOl FIRESI*232 Card MUST be presented 1�� CONTRACTOR'SADDRESS 2�102 31st Ave. So. CITY Kent PHONE 852-6311 EXPIRATION DATE 9 �' — 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. BOX 3 CONTACT PERSON Carl ,7. Blackburn or C.C. Blac;�burn PHONE 852-6311 BOX 4 SEWER DISTRICT �'ederal �^'av WATER DISTRICT Federal T^'ay BOX 5 ESTIMATED Q#iOJECT COST $6 7 ,G 0�. G� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 502 o60-C190-QQ LEGAL DESCRIPTION Lot �19 P�2a�rona r�eadows (If necessary, please submit a separate page with the legal description.) BOX7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR gg� / 2ND FLOOR �66 3RD FLOOR / BASEMENT / DECK / GARAGE "��- % BOX 8 (X� SINGLE FAMILY ( ��NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY � . ��`� SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ N0. 3 WATERCLOSETS GAS PIPING, FEET 10 $ � 1 BATHTUBS N0. FURNACE, ELEC. GAS Yes $ j�.- �� , 1 SHOWERS YeS GAS HOT WATER HEATER $ �'� �- �� 4 LAVATORIES CONVERSION BURNER $ 1 SINKS BOILER, SIZE BTU $ �DISHWASHERS AIR HANDLING UNITS $ ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE $ UNDRY WASHER OUTLET UNIT HEATERS $ URINALS AIR COOLING UNITS, SIZE $ DRINKING FOUNTAINS COMMERCIAL HOOD $ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ DRAINS $ OTHER $ l�,�OTAL FIXTURES $ �� , ��_ �, TOTAL MECHANICAL FEE $ � =�S � 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 V1/HICFi�PERMIT �i�PILICATION lS IyIADE. �_ , OWNER/AGENT: P C � i� �� % � �'' ' ��„� �. �% .�<.�� DATE: July 11, 1990 _-� _.t-�-.� � � ANP-006 2/90 � +�: ;ec :� • _:�l�,,+� OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONEII�S7.Z SETBACKS: FRONT ?� SIZE�_REAR�_HEIGHT LIMIT �O PLANNING DEPARTMENT APPROVAL Z• I� -qo " �k--� REMARKS: SEPA: EXEMPT '� NOT EXEMPT FIRE DEPARTMENT APPROVAL �,�d:� DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL �� DATE 7 '� -�c REMARKS: 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 _� - _� TYPE OF CONSTRUCTION t"�� STORES ��.�"/o� c- BUILDING SQ. FT. �/�� @ _ . G .�r E/eBE BUILDINGSQ. FT. 7(�G @ �,�y '�d['' = 6:�. ��Y � Oc'7 C��.L�-ct�`a �t' BUILDING SQ. FT. y?Q @ / 7��G = �j_�1_ �O BUILDING SQ. FT. @ _ =, BUILDING SQ. FT. @ �,,��rF � �'� BUILDING SQ. FT. @ _ TOTAL SQ. FT. �1 � TOTAL VALUATION �c�' � � � � � EBUILDING PERMIT N0. PLAN CHECK FEE REC'D �� '� RECEIPT N0. PERMIT FEE ro Z/. �r(''� PLAN CHECK FEE ------- PLUMBING FEE ��{�— MECH. FEE ^ TOTAL FEES SA �' SBCC SURCHARGE �/� tSC%� ENERGY SURCHARGE AMOUNT DU6 / 1 BUILDING DE ARTMENT APPROVAL ----------------------------- DATE REMARKS: �/o� � �'Ur T.S. ASSIGNED ADDRESS: � �3 d � l 3 � I �'�' S� �� RECEIVED J U� 1 1 1990 ITY OF F�Q�RAI.WAY BUILDING DEPT. RECEIVED ACCEPTED FOR FILING CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. OWNER'S PHONE OWNEFI'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 '"'SUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ZONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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 IAUNDRY DRAINS COMPRESSOR TANK(S) SHOWERS URINA�S 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 VAIUATION PERMIT FEE PLAN CHECK FEE LUMBING FEE ECHANICAL FEE _ TOTAL BLDG. FEES PART PIC FEE SEPA REVIEW WATER SERVICE WATER MAIN CHG. S.B.C.C. FEE OTHER FEES AMOUNT 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 o T o O O � o cn '� D Z D � D 4�C D m I m D m � m V� �, W p �� ' D Z � n ^ �� I �� v v\ � O I O � I �\� I��,, Cl c� � � I \� � ^!�\\C ?�;;' m � �_ � O T -p � Z O D � � � W � � � \C � Z � � I� !\ c�n � � � C" � �� , � � ' '' � � � a o z � � o 0 �� D � m � � m m --� y _ � O u Q O z � i� p ' i Z � m '�� I\J o p '�. � ' 1 T �I'`� O � � �� C .i z � I � � �� p � W ��-' W ---I � '�\ � O �� I � v I� D � � � � r o w I , I� � r� � � ` I O S� O � � � � D D � n -�-I C � m r- m = m � D W � � � � � Z Z �f D (� n � � i � �� D i n p \\ � � \ Z � z � � � p � I Z �r -� �, m � T \ � I v n ' � R7 � � � W G W O W � -f D < -G � r � � �j'� , i , � �