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91-101105 CITY OF FEDERAL WAY 91 -/o//a� Fede aFIWay1,NW 98003 B U I L D I N G P E R M I T BUILDING INS 661 4'140 PERMITNO. 91-1OG3 NR OWNER'SNAME BLUE RIBBON BLDRS SITEADDRESS 35338 13 PL SW CONTRACTOR FIRESIDE HOMES A4DRESS 27102 31 AVE S RENT CONT.PHONE 852-6311 CONT.REG.NO. FIRESI DC ExP. 9/91 OWNER'S PHONE 859-0448 OWNER'S ADDRESS 27102 31AVE S RENT TYPEJOB: NEWRESIDENCE XXX ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY UNITS )MULTI.ADD. SIGN GRADING OTHER ' ' •AND GARAGE TAXACCOUNTNO. 5OZ�GO-0240 LEGALDESCRIPTION LOT 24 MADRONA MEADOWS ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APP�ICATION 8�12�9�- BUILDING INFORMATION ZONE RS 7•2 SET BACKS:FRONT 20� SIDE 5� �5� REAR �� HEIGHT LIMIT 3O� MAX OCCUPANCY R�3 TYPE OF CONSTRUCTION 5-N CENSUS NO. 1 O Z TYPE OF HEAT GAS BLDG.SQ.FT. Z O28 STORIES 2 PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS 3 ELEC.HOT WATER HEATER GAS PIPING 36 FT. 2.OO GAS LOGS BATHTUBS 2 LAUNDRY DRAINS �- FORCED AIR FURNACE Z�Q DUCT WORK RECEIVED SHOWERS 1 URINALS GAS HOT WATER HTR. �.._SQ AIR HANDLING UNIT NUMBER LAVATORIES 4 DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS 1 MISC. BBQ BASIC FEE DISHWASHERS � TOTAL FIXTURES �.3 X S5.00 DRYER TOTAL MECHANICAL i R_sn AMOUNT ]�j(�NF. VALUATION $107�709.00 pLANNING DEPT APPROVAL = DEB BARRER "LOT IS SUBJECT TO NGPE PERMITFEE $668.00 PER MADRONA MEADOWS PLAT. REAR LOT LINES MUST BE FENCED 434.00--- —125.00 FROM NGPE BEFORE BEGINNING AND DURING THE COURSE OF ANY PLANCHECKFEE GRADING, BUILDING CONSTRUCTION OR DEVELOPMENT ACTIVITY. SILT PLUMBING FEE 65.OO MECHANICALFEE 18.50 FENCING IS APPROPRIATE" PARTP/CFEE (309.00)— --PD 8/12/91 FIRE/BLDG DEPT APPROVAL = REVIN ELLIS #3747 pUBLIC WKS DEPT APPROVAL = TOM COLLINS "ALL BUILDING SEPA REVIEW 45.�� PUBLICWORKS 4.50 DOWNSPOUTS, FOOTING DRAINS AND DRAINS FROM ALL IMPERVIOUS S.B.C.C.FEE SURFACES, SUCH AS PATIOS AND DRIVEWAYS, SHALL BE FIRE�FEE DATE: �� TIGHTLINED TO THE APPROVED PERMANENT STORM DRAI OTHER FEES AMOUNT: �926.OO OUTLET" AMOUNT DUE �926 OO RECEIPT: . ) 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 C/ OWNER OR AGENT � ` �� DATE �� '�� t , . � /-/0 �.3N�. . � �t�C��V�D � � AUG 12 1991 � � � ClTY OF�ED�RAI.WAY �d `Z�-� 2 -�� gu��DiN4t�i'T CITY OF FEDERAL WAY 37� BUILDING PERMIT APPLICATION —Please Print— 35338 13th Place S .�+'. BOX 1 OWNER gLUE RIRBG�T RL?II��E�tS , I�'C. ,106 LOCATION �Ot �s 24 i�iadronna ��eado�as OWNER'SADDRESS 27102 3�st Ave. �outh GTY vent PHONE �'59-0448 DESCRIBE JOB Ruild sinqle far.:ily residence THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X BOX 2 CONTRACTOR�S NAME F I�:E s I DE �or�E s, zr�C. CONTRACTOR�S REG. # F I RES I*2 3 2 D Card MUST be pres e CONTRACTOR'S ADDRESS 2�10 2 31 s t Ave. South CITY k'-ent PHONE �5 2-6 311 EXPIRATION DATE 9/30/91 — 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. Black.burn Or Carl J. Plackburn PHONE 85904a8 BOX 4 SEWER DISTRICT Federal �°;a�� WATER DISTRICT £ec�eral �•iav BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER H 502860-07.40-0� LEGAL DESCRIPTION Lot tt�4� r?adrona ?�ea�ows (If necessary, please submit a separate page with the legal description.) BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 911/ 2ND FLOOR 651 3RD FLOOR / BASEMENT / DECK � GARAGE� BOX 8 �:� SINGLE FAMILY ( X) NEW CONSTRUCTION �S � � ( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE 6 0 Q 0 ( ) 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 36 $ _�� "�: � X� 2 BATHTUBS N0. 1 FURNACE, ELEC. GAS X $ ! ��`C' 1 SHOWERS 1 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 $ -0- DRINKING FOUNTAINS COMMERCIAL HOOD $ _0_ SUMPS, SPRINKLER VACUUM BREAKERS OTHER $ -0- DRAINS $ OTHER $ 13 TOTAL FIXTURES $ \ � - � � � � <= 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 F THER THAT I AUTHO�IZED BY THE OWNER OF THE ABOVE PREMISES TO PER- FORM THE WORK FO�� , ICH P � IT, �PPU ` ON IS M E. OWNER/AGENT: � ��`�'' �DATE: Auc�. �2 , 1991 ANP-006 2/90 .._...�'.i��.. ��_ � . , . � ,...�::a�11�i •.:' t:. ��- +,...�.�:.►r'� �t;-� .. OFFICE USE ONLY(PLEASE DO NOT WRITE BELOW THIS LINE) ` ZONE � �Z SETBACKS: FRONT �L� � SIZE � REAR S � HEIGHT LIMIT _ f" ' � ` ` ; � . ..�r,:.:�, .--, � �. PLANNING DEPARTMENT APPROVAL �J s REMARKS: � O S a . �G D ' �r fD�'�2 �i �i� d r o C( ' �vi SEPA: EXEMPT 1/ NOT EXEMPT �� G� �r�Q ' FIRE DEPARTMENT APPROVAL T � � - DATE �' ° -' � ' %� REMARKS: PUBLIC WORKS DEPARTMENT APPROVAL `��i DATE ZD I REMARKS:+��L ,Bc��Lv�-�G p�c%vs�n�-�s, Fevr�� ,o,e��Ns, ,�� L�2a��S ,�.eo.� /�1t ZrrP�✓�s Su.¢1=r��s su�� S Oi�,2�"1 vs /�.Y� ord i v�'r,✓r4�S srf/�lt z .t3� 7r/C h�TG�•✓�O �D 'n�� .�i J�C✓�'� f�Fv2nT.�E�T S,°�s.2M pr2/ft<M' O�T�T' 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 9THER OC,GUPANCY � TYPE OF CONSTRUCTION �` �� STORES Lr , . �, c. s r' BUILDING SQ. FT. �j i I @ z . C�c:� _ (� � �1 / (� �C; ��'- BUILDING SQ. FT. ' - @ '� = H?y �7� `�� ?1��' � BUILDING SQ. FT. �'( - @ % �• j� _ �� S z7� �[% BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ �(� .� r r� �� _� �, . �. �, TOTAL SQ.�oT. TOTAL VALUATION !�� 7�T�!`j EBUILDING PERMIT N0. � PLAN CHECK FEE REC'D RECEIPT N0. PERMIT FEE �� . �-r`- PLAN CHECK FE —� '-�'�� PLUMBING FEE —�-�T-�=�-�— MECH. FEE ` �� TOTAL FEES SBCC SURCHARGE �1 s 5 �- ENERGY SURCHARGE AMOUNT DUE�;1� `� "'� S`'� BUILDING DEPARTMENT APPROVAL ��—��--------------- DATE �� l - � REMARKS: ,1 ASSIGNED ADDRESS: 3 S 3 3 9v �� `� -s' �'' ��c��v�o AUG 12 1991 GfTY OF FEDEAAL W g��OEPT ACCEPTED FOR FILING CITY OF FEDERAL WAY 33530 First Way South g V � L D I N G P E R M I T BUILDING INSPECTION Federal Way, WA 98003 661-4140 PERMIT NO. OWNER'S NAME_ SITE ADDRESS CONTRACTOR ADDRESS CONT.PHONE CONT.REG.NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEWINDUSTRIAL NEWCOMMERCIAL COMMERCIALADD. INDUSTRIALADD. NEWPUBLIC PUBLICADD. NEW MULTI-FAMILY (UNITS )MULTI.ADD. SIGN GRADING OTHER TAX ACCOUNT NO. LEGAL DESCRIPTION ISSUED BY DATE OF ISSUE DATE OF APPLICATION BUILDING INFORMATION ONE SET BACKS:FRONT SIDE REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG.SQ.FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC.HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION `�: �.�DRqA�A ►'�AJ(�.'s� P?.�T. �"'..A,R I.f3`� T,:�:'4�'. PERMITFEE '�I A�G�� B�"��'s S.l+.�.^t'��i''�T�9`{� +�c�',�T� '�w"lfTL'T/�fi *7+X7 PLAN CHECK FEE _.��(�,y �[,j��,��jli �;;•. , PLUMBING FEE . . ;y �� 3 MECHANICAL FEE RT P/C FEE /��t� pj�'� � .,EPA REVIEW `P� �T�Idti�,�.i.s �- !.L`f.7i'�? CC�Iia.1.+Z: PUBLIC WORKS . .'� �R1�lI�J �D i�I"�.�Z�� °�-;u.: 1:.: S.B.C.G FEE S . 1 -. - ;� FIRE FEE DATE: OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 , " � D T D �� D � D m � � -� Z � �� -� C -1 -i � �'' a ' ' F�' m � m `-a m � m o� � � � r ` � p �p ao D ti � .� � � ri z � n � � � � ��z � � � � � \ � D ti 'l�` �. � c �,��o ^�hj ° .� o � � � � � � �'I`�Q = '��`�, o � n � ,�i � I� -�o �" '� z ! `o � , CD .� W D 07 � _i � � � � � � �j � Z � �, � � � � � � i � � � � � �°, � � i � � ' � ' '�� v-. � ;. a i v�. ° � � a� I �'� � \ � � II ' � �, H r, h ' ` \^ � � Z ,� � � v � a r ~� `V !' �' � m C � � m -i a � � �' � � D � � O � ` c, ��. � Z r � O ; -�',.\ N ? r ..,\ � � m I • � y \ � �� e .. � �� i� O � . � � � � i'�} ° � � � � �(`a � v � � I� ` I �� D \� W I � � � � v � � � Q �. t`y � � �, ��T' i Z � � � v \ 1 c�n t✓J � I I w D � � � , ,� � � � � �i � Z � " ! ~ �`e � ��`v j I ' I i � w � � � � � �;, o � o � o 0 \1 n � \� D D D m .�. � � 1� m � m n m E, ,,,; r S 2 � N � � � O � Z � \ � D \ (7 (�, ♦� _ 't, � �` � � ' a � c' " � '� Z �'' � I~ � � 1c '� R � n� (� ` o � � i�p � I� a � _� � � � ^^� o � `i � � � � p W Z o� "< r -� -G I\'�+ � j r Y a � � a �a ° � � � � , !� ,� ' � . 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