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90-100143 CITY OF BUILDING INSPECTION FEDERAL WAY B U I L D I N G P E R M I T 941-1555 olql 9b � /oa ty PERMIT NO. 90-191 OWNER'S NAME BLUE RIBBON BUILDERS JOB ADDR��333 �-3 PL SW CONTRACTOR OWNER ADDRESS 271OZ 31 AVE S RENT CONT. PHONE 859-0448** CONT. REG. NO. BLUERBII4�IQL ZO�9O OWNER'S PHONE S� OWNER'S ADDfiESS SAMF' TYPE JOB: NEW RESIDENCE XX�DDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI-FAMILY (UNITS ) MULTi.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. SOZHEO-O33O-OS LE`GAL DESCRIPTION LOT 33 MADRONA MEADOWS (WATER & SEWER IS AVAILABLE) PLANNING DEPT = APPROVAL BY REVIN ELLIS ON 4/11/90 PUBLIC WORRS = APPROVAL 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 e�oG. so. Fr. 1617+430=2047 T TL SET BACKS: FRONT ZO� SIDE S� EACH REAR 5� STORIES2 HEIGHT LIMIT 3O� MAX _ PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS _� ELEC. HOT WATER HEATER GAS PIPING �FL FT. 2.OO BOILER RECEIVED BATHTUBS �_ LAUNDRY DRAINS L_ COMPRESSOR _ _ TANK(S) SHOWERS _I_ URINALS FORCED AIR FURNACE �_Q_._QO AIR HANDLING UNIT NUMBER _ LAVATORIES �_ DRINKING FOUNTAINS GAS HOT WATER HTR. __�_.__�_O MISC. RETURNED SINKS _� MISC. CONVERSION BURNER BASIC FEE DISHWASHERS _�_ TOTAL FIXTURES I��O UNIT HEATER TOTAL MECHANICAL �Q AMOUNT NONE VALUATION $� O 4 -�.7�n-O t PERMIT FEE �S�_nn PLAN CHECK FEE Q�7 _ (1(1 PLUMBING FEE ��_ n n � � I , CHANICAL FEE ���i(1 �`�� ,% j� � ' TAL BLDG. FEES 7 1 ri7 _ �ifl � ���� PART PIC FEE SEPA REVIEW � � �� ?� � WATER SERVICE � �"'`� WATER MAIN CHG. S.B.C.C. FEE 4.SO ( �� �� OTHER FEES <� �} � � AMOUNT DUE �ZIF)2.OO 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 FC1�F NISHED BY ME IS T F.�AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL B�T: . �'/ � � ;.l f � � '�` .,s! .� �� �_�� � i �' � � `' � / �� � jii , ./,�,��:,� .� � ,G-, i ,�./r � ,� f � C.�� OWNER OR AGENT � � ��� DATE �� � � A'' � � CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION —Please Print— BOX 1 OWNER BLU� P.IBBOD; BUILDERS, INC. JOB LOCATION 35345 13th Place �outhwest OWNER'SADDRESS 27102 31st Ave. South CITY Kent PHONE g59-0_448 DESCRIBEJOB Build sinqie fa�nily residence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR'S NAME �LUE RII�BON BUILDERS , zI�C. CONTRACTOR'S REG. # �LUEF:BI1470L o� Card MUST be presented CONTRACTOR'SADDRESS �7102 31st Ave. South CITY Kerit PHONE 859-Od48 EXPIRATION DATE 10/Ol/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. BOX 3 CONTACT PERSON C.C. Blackburn or Carl £lackburn PHONE 8 5 9-Q 4 c 8 BOX 4 SEWER DISTRICT Federal t��ay WATER DISTRICT _ Federal [�TAv BOX 5 ESTIMATED PROJECT COST-� 0 4 • �� EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 502860-0330-05 LEGAL DESCRIPTION Lot #33 P�adrona Meadows (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR�� 2ND FLOOR 3.6�J / 3RD FLOOR / BASEMENT / DECK / GARAGE 4 3 0/ BOX 8 ( �) SINGLE FAMILY (x) NEW CONSTRUCTION ( 1 ) 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 3E $ Z `'� 1 BATHTUBS N0. FURNACE, ELEC. GAS ves $ � 1 SHOWERS yes 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 $ 11 TOTAL FIXTURES $ � C�G�.°� 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 FO WHIC ER IT AP CATION.- MADE. OWNER/AGENT: � � -Gl c I DATE: N�arch 23 , 1990 ANP-006 2/90 � 0 - 01�'I� ��� ..- .. . '1-,...Y-�y�,.�-.�..;-++�.`�'��+"T'���^�'> ' 4 � j OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ZONE��-SETBACKS: FRONT � ' SIZES � REAR S� HEIGHT LIMIT �c r PLANNING DEPARTMENT APPROVAL-�y� r�- q� REMARKS: ��x 1" = Z� ' SEPA: EXEMPT ?C NOT EXEMPT FIRE DEPARTMENT APPROVAL DATE REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL (�• �L- DATE S �lo 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 BUILDING SQ. FT. � `@�l STORES " BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ - TOTAL SQ. FT. TOTAL VALUATION��� .- EBUILDING PERM T NO PLA� HECK FEE REC'D RECEIPT N0. PERMIT FEE PLAN CHECK FEE - �--� PLUMBING FEE --�'�-��- MECH. FEE � � TOTAL FEES - SDCC SURCHARGE �"�I" ENERGY SURCNARGE AMOUNT DUE Z-.� BUILDING DEPARTMENT APPROVAL ----------------------------- DATE REMARKS: ASSIGNED ADDRESS: 3� � 3 3 ���� �� S' ��. RECEIVED ACCEPTED FOR FILING � CITY OF BUILDING INSPECTION FEDERALWAY BUILDING PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS CONL PHONE CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIA�ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. _ NEW MULTI-FAMILY (UNITS ) MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION 5 ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ONE OCCUPANCY TYPE OFCONSTRUCTION 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 DRWKING 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 CHANICAL FEE TAL BLDG. 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 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 ✓ � p T O O � � � � � �*•�- �v � D Z D D � D m , � � -I � � --i C -i -i \ � - `� � � m r m O m, , 06 m D � � a �' � � `� � v Z '�pv� � '-�. � �� � � � � �'V i �ti � r; . �� � � �n O i� � � �p i���� D � �. �i � � ` u � � '(� � � t-�..p n � .'�. 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