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90-100142 CITY OF � BUILDING INSPECTION FEDERAL WAY U I L D I N G P E R M I T 941-1555 ��0 9�-�ov�ya PERMIT NO. 90-190 OWNER'S NAME BLUE RIBBON BUILDERS JOB ADDRESS 35309 1.3 PL SW CONTRACTOR OWNER ADDRESS 27102 31 AVE S RENT CONT. PHONE 859-0448** CONT. REG. NO. BLUERBI147QL ZO�9O OWNER'S PHONE S�E OWNER'S ADDRESS S�M� TYPE JOB: NEW RESIDENCE XXXADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MUITI-FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. SOZHCO—O37O—OG LEGAL DESCRIPTION LOT 37 MADRONA MEADOWS (WATER & SEWER AVAILABLE) PLANNING DEPT = APPROVED BY KEVIN ELLIS ON 4/11/90 PUBLIC WORRS = APPROVED BY SRIP GREESON ON 4/5/90 ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 3/2 3/9 0 BUILDING INFORMATION NE RS7.2 OCCUPANCY R-3 TYPE OF CONSTRUCTION S—N B�oc. so. FT. 1617+430=2047 TL T BACKS: FRONT 2O� SIDE S� EACH _ REAR S� _ STORIES 2 HEIGHT LIMII�O� MAX _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC. HOT WATER HEATER GAS PIPING�C FT. _�� BOILER RECEIVED BATHTUBS 1 �AUNDRY DRAINS �_ COMPRESSOR __ __ TANK(S) SHOWERS �_ URINALS FORCED AIR FURNACE �� AIR HANDLING UNIT NUMBER LAVATOnI�S � DRINKING FOUNTAINS GAS HOT WATER HTR. MISC. _ RETURNED SINKS � MISC. CONVERSION BURNER BASIC FEE �Q DISHWASHCyAS � TOTAL FIXTURES Z ZX�.�_II_Q UNIT HEATER TOTAL MECHANICAL AMOUNT NnNF. VALUATION �ZO4�73O_O PERMIT FEE �FiS�I nI� PLAN CHECK FEE 47�] OO PLUMBING FEE ��_ CHANICAL FEE ZH SO ,,�T y� � � � ��` TAL BLDG. FEES �� ri 7_ �i(1 . �� .^� "�� ✓✓'- . ART P/C FEE ��i SEPA REVIEW � , WATER SEFVICE � ��"�'�� WATER MAIN CHG. S.B.C.C. FEE 4.5O � / �'/ OTHER FEES '� �� -�! � AMOUNT DUE $116 2.O O ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT�S EXPIRE ONE YEAR AFTER DATE OF ISSUANCE. I CERTIFY THAT THE INFORMATION FUFi�ISHED BY ME IS T�iU,E AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: �� - , . i ,� � d �� % s` ! � s, ,- � �` � � OWNER OR AGENT "� � � �` �, �,�,�d� � �'%� ��/ DATE '� c'" ) '� ' � "- `1 � � . �C�f � , _ �;,. , . , CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 OWNER BLUE RIRBOiti 3tTZLDERc , Ii�IC . JOB LOCATION � d/ % �, DI�i-�d' 0�/.9 /✓J �!/5 OWNER'S ADDRESS 27102 31st T�ve. �ou�h CITY Kent PHONEg59-0448 DESCRIBEJOB Buila single familv resiaence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR�S NAME BLUE PZB�Or� BUILDERS , z�wc. CONTRACTOR'S REG. #sLUERBI147QL Card MUST be presented CONTRACTOR`SADDRESS 2�102 31st Ave. South CITY hent PHONE �59-0448 EXPIRATION DATE 10/O1/90 — OR— I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION. BOX3 CONTACTPERSON C.C . Blackburn or Carl Blackburn PHONE g59-0448 BOX 4 SEWER DISTRICT Federal ;�7a�• WATER DISTRICT Federal �•lay BOX 5 ESTIMATED PROJECT COST . ��—� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 5Q2860-0370-06 LEGAL DESCRIPTION Lot ��? Nladr�r.a Meadows (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) iST FLOOR 125� / 2ND FLOOR 360 � 3RD FLOOR / BASEMENT / DECK / GARAGE `�3 0 � BOX 8 (X ) SINGLE FAMILY ( X) NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 6 ,0 0 0 SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$ � N0. 3 WATERCLOSETS GAS PIPING, FEET 3 E $ Z -- 1 BATHTUBS N0. FURNACE, ELEC. GAS �� $ (D�=' 1 SHOWERS ves GAS HOT WATER HEATER $ __�� 3 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 $ �_TOTAL FIXTURES $ yrij� TOTAL MECHANICAL FEE $ � 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 WHIC ERMIT AP ATION I ADE. OWNER/AGENT: W f �+ �� '� � � �'' DATE: �arcr. 23 , 1990 ANP-006 2/90 9p- ��0 _ ..,. . _ , �<. z,.. , ,. ;� , , , �,, _ .,. , �_ --�.�: �' � � �_. �V � � � i OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE S� �Z SETBACKS: FRONT� SIZE S"�� REAR � � HEIGHTLIMIT 3C� � PLANNING DEPART�IIENT APPROVAL ��-- `/ ' l� ' �l C REMARKS:��" °_ � � ' SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL �_ - DATE REMARKS: `_ - PUBLIC WORKS DEPARTMENT APPROVAL b DATE � 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 ��.�tJ o= STORES �� BUILDING SQ. FT. �7 @ _ ��f��E BUILDING SQ. FT. 4�) @ 17 � _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ = CJ�'Z BUILDING SQ. FT. sloN��.- MODI��tz- � _ � BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION r, EBUILDING PER T . PLAN ECK FEE REC'D RECEIPT N0. PERMIT FEE PLAN CHECK FEE —�—� PLUMBING FEE — =� — MECH. FEE TOTAL FEES SeCC SURCHARGE ENERGY SURCHARGE AMOUNT DUE •_ BUILDING DEPARTMEN APPROVAL ----------------------------- DATE REMARKS: ASSIGNED ADDRESS: 3S 3� I �3�� 5� ti/c 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 o�go 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 GFADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION NE OCCUPANCY TYPE OFCONSTRUCTION BLDG. SQ. FT. ,,ET BACKS: FRONT SIDE REAR_ STOFIES 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 PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE _ fAL BLOG. FEES PART P/C 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 PERMITB 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 � � � p T � O � � D m � (� `t � Z -i � -i C .-� -� \� � v m �r m O m W !n D y � ~ i � I�(1 � i\� m �r; z � � z � � -�—�n `� ' iij o i� � !�`� o �� D ' r ? 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