04-102708,n;
Jae occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
Date
Owner or agent: '"Q�
City
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at
the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by Citstaff,
Tenant Name: PACSUN Permitnumber: 04 - 102708 - 00
Address: 1918 S COMMONS
1 2 3 #4
Occupancy Group M
Construction Type 3 Type V One
Occupancy Load �.
Floor Area (S Ft) ; . 3736 v_
Owner STEADFAST SEATAC MALL
Name: 20411 SW BIRCH ST SUITE 200
Address: NEWPORT BEACH CA 9260
Building Official O ,t
The priorityfocus in the review an=d inspection made by the City prior to issuance of this Certificate was on those matters which ea perience has shown rn ea! se- epely
affect the health and safety of the general public Although the City has made as complete a review and inspection as is reasonably possible (within bud erary
andpersonnel limitations), The City neither guarantees nor warrant; to the ownerloccupant or to any other person'that this Certificate evidences strict c smnliaace
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use ofsaid structure or the land upon which it is
situated. Such compliance is the responsibility of the owner andlor occupant of the premises
,:iNWiVADIVELOPMENT SERVICES
33530 FIRST WAY SOUTH - PO BOX 9718
Cl" Of FEDERAL WAY, WA 98063-9718
pp �,5,• 16 1 11,5- FAX,",253-0661-4129
C"ATION
Federal Way "100 4 PERMI"I" APPLY' C- bolit j,
Z
is
Trffam-
SUITE/APT-------
FOOTAGE OF LOT -
LEGAL DESCRIPTION (e.g.: Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
TYPE OF PERMIT (This application): DING7,MUMBWG (:5�a=IIANICAL ? DEMOLITION
�111-TT LECTRICAL ? ENGINEERING ? FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on thisea_'t
zitoW 102�exll 4,��r7ZW4
_
4 V " t 'I". — , -i— A,)/ 1.,— I f, 14r ,(,, '. 'n ,l
PROJECT NAME (Name ofBusiness/Owner Last Name): Dec,!S� �n
llllj� ill�illillilim
PROPERTY NAME: PRIMARY PHONE:
OWNER.
AD ES DD NG MAILIADDRESS (STREET ADDRESS;: _ . if A I N Y, STATE,1
"04plillbeiA vie > $5,000)
1EF*-fl2f�l, 17frAWWWW'71 I
0$111111'mpdlli wo JIM
FAX NUM BER:
ll� ',Nniiacior ? Applicant E-MAIL ADDRESS:
EXISTING USE: Ime- Cl I "l PROPOSED USE: 11 cz-,qt47 Ze-
EXISTING ASSESSED/APPRAISED VALUE VALUE OF PROPOSED WORK: $ 1650cx�)-
SPRINKLERED BUILDING? (�PES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?:? No
WATER SERVICE PROVIDER. ? LAKEHAVEN ? HIGHLINE ? TACO MA ? PRIVATE (WELL)
SEWER SERVICE PROVIDER: ? LAKEHAVEN ? HIGHLINE ? PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING S2. FT.
PROPOSED Sq. FT.
TOTAL
BASEMENT
FIRST
'3--7-3
-7
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
DECK (COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS?
1
TOTAL EXISTING
TOTAL PRGPOSED
TOTAL ..-W. AND --..D
"NEW HOMES ONLY** NUMBER OF BEDROOMS:
ESTIMATED
-
SELLING PRICE: $
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHAAYCAL
L7,00 0
Value of Mechanical Work s
AIR HANDLING UNITS
EVAPORATIVE COOLERS
_ GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
DUCTS
FURNACES
GAS PIPE OUTLETS
GAS WATER HEATERS
2—
PLUMBING
BATHTUBS (or Tub/shower Combo)
SHOWERS
WATER CLOSETS troiiet)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYS
WASHING MACHINES
URINALS
Rost BIBB$
ELECTRIC WATER HEATERS
LAVS (Btl.... Sick
VACUUM BREAKERS
1 0 DISCLAIMER/ SIGNATURE BLOCK
I cerQ& under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,
andfurther, thatl am authorized by the owner of the abovepremises toperform, the workfor which thepermit application is
made. Ifitrther agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys'fees
incurred in the investigation and defense of such claing, which may be made by any person, including the undersigned, and
filed against the City of Federal Way, but only where such claim arises out of the reliance of the city, including its officers
and employees, upon the accuracy q1f the! information supplied to the city as apart of this application.
NAME/TITLE: DATE;
1"I M PEN V (0)
? Architect ?
Bulletin #100 -January 13, 2004 Page 2 of 4 kAHandouts - Revised\Permit Application
RESIDENTIAL
COMMERCIAL
NEW RESEDENTLAL SERVICE
NEW COMMERCIAL11,NDUSTRIAL SERVICE
L3 Single Family Square Feet:
Service or Feeder Each Add'n
(First 1300 ft2- $87.00; Each addn 500 ft2 - $28-00)
Q 0 to 100 amp $ 94.50 $ 58.00
L3 Detached outbuilding or garage
L3 101 - 200 amp 117.50 74.00
(Inspected with service) $36.50
Ll 201 - 400 amp 220.50 87.00
U Detached outbuilding or garage
Ll 401 - 600 amp 256.50 103.00
(Inspected separately) $58.00
Ll 601 - 800 amp 332.00 140.50
NEW MULTI -FAMILY (three units or more)
U 801 - 1000 amp 405.50 169.50
Service Feeder
Ll Over 1000 amp 442.00 236.00
L] Up to 200 amp $ 94.50 $ 28.00
Ll 201 - 400 amp 117.50 58.00
L] Over 600 volts surcharge $74.00
Ll 401 - 600 amp 161.00 80.00
Ll Mast or meter repair $80.00
Ll 601 - 800 amp 206.00 110.00
ALTERED C0MMgRCIALjTP1AL
LJ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLEIMULTI FAMILY
0 to 200 amp $ 94.50 eX I ir-19
(Inspected separately from service)
201 - 600 amp 220.50
Service or Feeder
Ll 601 - 1000 amp 332.00
L] 0 to 200 amp $ 72.50
LJ over 1000 amp 369.50
El 201 - 600 amp 117.50
L] over 600 amp 177.00
ILL # of circuits to be added4iLe_r�e�
(1-5 circuits - $74,00; Add circuits, $6.00/ea)
Ll # of circuits to be added/ altered
(1-4 circuits-$58.00; Addn circuits $6.00/ea)
COMMERCIALI-INDUSTRIAL PLAN REVIEW
'W
Service over 200 amps
L1 Mast or meter repair $43.50
El Medical/ Educational/Institutional Facility
$ 74.00 plus 35% of Permit Fee
SINGLEIMULTI FAMILYPLAX REVIEW
Ll Service Over 400 amps
$ 74.00 RLus 35% of Permit Fee
MOBILE HOMES
TEMPORARY SERVICE
Service or feeder only $58.00
Ll Service and feeder $94.50
Commercial Residential
0-100 $58.00 $51.00
MOBILE HOME/P.V
101 - 200 74.00 51.00
L) # of service or feeders
Ll 201 - 400 87.00 n/a
(First service/ feeder-$58. 00; each addn -$37.50)
401 - 600 117.50 n/a
over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
of Thermostats
L3 # of Signs
(First -$43.50; addn-$13.50/ea)
(First sign-$43.50; addn sign $20.50/ea)
Ll Low Voltage
Swimming pool/hot tub ................ $87.00
Square Feet to be served by system(s):
(Includes additional circuit, if required)
11 Fire Alarm System
Ll Yard Pole meter loops, .................... $58.00
0 Security Alarm System
Ll Additional Plan Review $87.00/hour
11 Voice Cabling
(for modified submittals)
11 Data Cabling
11 -
(Per System(s): 1st 2500ft2-$51.00;
Each addn 2500 ft2-13.50) -Per WAC296-46-910(S)(b)(i & ii)
Bulletin #100 -January 13, 2004 Page 3 of 4 k:\Handouts - Revised\Permit Application