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90-100755 . CITY OF BUILDING INSPECTION FEDE�RAL WAY B U I L D I N G P E R M I T 941-1555 g o��oo�5"� PERMIT NO. 9O-ZZZO NR OWNER'S NAME BLUE RIBBON BUILDERS INC JOB ADDRESS 35314 13TH PL SW CONTRACTOR BLUE RIBBON BUILDERS I,��Ess 27102 31ST AVE S RENT CONT. PHONE 859-0448 coNr. aEG. No. BLUERI1470L OWNER'S PHONE 859-0448 OWNER'S ADDRESS 27102 31ST AVE S ICENT TYPE JOB: NEW RESIDENCE XX 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. 50286O-OZOO-OZ LEGAL DESCRIPTION LOT ZO MADRONA MEADOWS ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 7-IZ-9O BUILDING INFORMATION NE RS 7-2 OCCUPANCY R3 TYPE OF CONSTRUCTION VN BLDG. SQ. FT. 232q SET BACKS: FRONT ZO SIDE S REAR S STORIES 2 HEIGHT LIMIT 3O _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS �_ ELEC. HOT WATER HEATER �_ GAS PIPING_3F1 FT. 7_nn BOILER RECEIVED BATHTUBS � LAUNDRY DRAINS COMPRESSOR _ TANK(S) SHOWERS _� URINALS FORCED AIR FURNACE 1Q�_a� AIR HANDIING UNIT NUMBER LAVATORIES _� DRINKING FOUNTAINS GAS HOT WATER HTR. �_�.�Q MISC. RETURNED SINKS �_ MISC. CONVERSION BURNER BASIC FEE DISHWASHERS �_ TOTAL FIXTURES 12XS=-F.QrQ-Q UNIT HEATER TOTAL MECHANICAL �u_ �,n AMOUNT VALUATION l 1 1 _R Fi d _ 7 7 PERMIT FEE 6H2.OO PLAN CHECK FEE d d Z n n PLUMBING FEE �f1 n n ;HANICAL FEE ��T�O TAL BLDG. FEES PART P/C FEE DATE: D 0 T� SEPA REVIEW WATER SERVICE pjNjOUNT S / 2 Q��11i WATER MAIN CHG. S.B.C.C. FEE a_ �n g�CEIPT• /Z � OTHER FEES � AMOUNT DUE 1 : 7. nR _ 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: OWNER OR AGENT[ -,��'�-�� l��`\\��,a�/L��«"1'"�- DATE �� . `� � ��/�zo lV�. CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 OWNER BLUE RIBBO�� EliILDEF.S, Ii��C. �OB LOCATION �5314.. 13th Place Southti�est K OWNER'SADDRESS 2�102 31st Ave. South CITY Kent PHONE g59-0448 ��- DESCRIBE JOB Build sinctle family residence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION XX BOX 2 CONTRACTOR'S NAME RLL?E RI?'F;O�`; BUIT;��;RS� I�'C. CONTRACTOR'S REG. # �-?r�L�ERBI14-70L Card MUST be pre e d CONTRACTOR'SADDRESS 27102 31st Ave. �outhClTY ICent PHONE 859-044_8 EXPIRATION DATE 10/Ol/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. BOX3 CONTACTPERSON C .C. �lackburn or Carl J. Rlackburn PHONE �59-0448 BOX 4 SEWER DISTRICT Federal ��aa� WATER DISTRICT Federal ��av BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 5�)2 8 E 0-0 2 0 Q-�0? LEGAL DESCRIPTION Lot #?0 ^'tadrona .��eac_o�� (If necessary, please submit a separate page with the legal description.) BOX7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 54� / 2ND FLOOR 720 / 3RD FLOOR / BASEMENT n 3 2 / DECK 9 E / GARAGE '��{� / BOX 8 (X� SINGLE FAMILY ( �NEW CONSTRUCTION ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY 5 . �� SQ FT BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES — BASIC FEE$ N0. 3 � WATERCLOSETS GAS PIPING, FEET �E $ A • ' '��' � BATHTUBS N0. FURNACE, ELEC. GAS 1'eS $ /�.�"10 1 SHOWERS ves GAS HOT WATER HEATER $ ��: � �`, � LAVATORIES CONVERSION BURNER $ 1 SINKS BOILER, SIZE BTU $ T 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 $ l� OTAL FIXTURES $ ��,�, , TOTAL MECHANICAL FEE $ ��' ,5 C' 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 WHICH PERMIT AP�UCATION I$ fv�ADE. OWNER/AGENT: �� `' �� `� DATE: Julv 11, 1990 _ - � �-� � . � ANP-006 2/90 �� .. OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE�;:,�SETBACKS: FRONT�_SIZE�REAR_�HEIGHT LIMIT � PLANNING DEPARTMENT APPROVAL �^J�,��0' REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL �� DATE 7 �'" � 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 �- 3 TYPE OF CONSTRUCTION i.%/�) STORES _ :� l� % ' BUILDING SQ. FT. f�( /-� @ (�y'. �C' _ �7. O�S• Of� l`^ F/oo� BUILDING SQ. FT. `/�3� @ ��f. �� _ � � . d� " - �:« � BUILDING SQ. FT. �"y� @ % "7 , :3�� _ � Pu k BUILDING SQ. FT. Qf @ ,�c�. �<� = 9(20.��"! BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ r��.. : r'-= TOTAL SQ. FT. 3 � � TOTAL VALUATION EBUILDING PERMIT NO. PLAN CHECK FEE RECD Yy 3.c c RECEIPT NO. PERMIT FEE (•�� 'C PLAN CHECK FEE ------- PLUMBING FEE �v-C'-�-6'��— MECH. FEE TOTAL FEE� �- ? SBCC SURCHARGE 5! b C�i ENERGY SURCHARGE AMOUNT� � BUILDING DEP RTMENT APPROVAL ----------------------------- DATE �' REMARKS: J-/�-`�(L%S• ASSIGNED ADDRESS: 7 S 3 � � I 3 �� / � S`�` �a�� .1 U'� � i 1��0 C�-r( OF FEDERAL WA BUiLC1C�.a DcPT. 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 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. 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 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 _ 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 C�;, � n o -n o 0 0 � c� cn �-, r ' �"� z � � -Ai c -.�i -r''i ,� � �m D m � m � m � ` � � � l . p W_ D . � �Yl n y � � �� Z ;�'`� � °� � _ I � � � � � � � n �i � `' � o ;,� � I.� o \ z n, � `,�'�(�; o � cn � � � o � �� ' � �'� T I� _ � � \ C?- C 3l � � \' ti W � CO � 07 Z 'JJ � � �'' Z i C� a � j� � � � . � � '� � � � ^= ti �, � � �, � � '� � � � � � �- � � 0 o Z � � o 0 . �, � � (n �D y D T t� m � � m m � � � D � � O � � r � � � p � m � r O ' e \ � � p � � � � (� ' I � �'�v ° � '�c � ia z 0 D W i � '�� W -i _ � V � � � j O �+� �^� � � `� � I �� D � � \ � '� i '� r � � � � i � �, � �, , ; �> � � � � o � o � o -� r ^ m p m = m � "'� � D W Z I Z � � � � � � �} � � \ 1 � o �� D ' � � � ' 1.1 v ^� p j`, i z � � c o �.., -n z �' �T' '\' � \ n � Q � m -� O C � `Z W �Z W � � � � � � � � r � �� i � � �