03-104815,. ,
City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003 -6210
Ph: 253.661.4000 Fax: 253.661.4129
Building - Commercial Permit #:03 - 104815 - 00 - Co
Project Name: SEATAC MALL
Project Address: 1928 S SEATAC MALL
Inspection request line: 253.835.3050
Parcel Number: 762240 0010
Project Description: ADD - Addition of a 24- square foot addition to an attached telephone utility room. No plumbing or
mechanical.
Owner
Applicant
Contractor
Lender
STEADFAST SEATAC MALL
S D DEACON CORP OF WASHING?
S D DEACON CORP OF WASHING]
NONE
20411 SW BIRCH ST SUITE 200
PO BOX 3070
SDDEACW108NT 6/20/04
Type V - N
NEWPORT BEACH CA 92660
BELLEVUE WA 98009
PO BOX 3070
\
BELLEVUE WA 98009
NONE
Includes:
Census category: 437 - Comm
#1
#2
#3
#4
I Occupancy group:
M
Construction Type:
Occupancy Toad.
Flog! Area (Sq. Ft):
Type V - N
Building Pre -can. Meeting Required ...................No' Census Category .......................................... 437 - Commercial alt(add
Mechanical..... .................. No Number of Stories .....1
Permit for Building Shell Only ...........................No Plumbing ........... No
Special Inspection Required . ............................... No Will Certificate of Occupancy be Issued? ............ No
PERMIT EXPIRES May 11, 2004.
Permit issued on November 13, 2003
I hereby certify that the above information is correct and that the construction on the above described property and
the 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.
Owner or agent: ,An::40iD ,�_ Date: y ///
POSTJIS CARD ON THE FRONT OF BUILDING'
. . c:: r of
BUILDING DIVISION
Federal Way INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253 - 835 -3050
PERMIT #: 03- 104815 -00 -CO
OWNER'S NAME: STEADFAST SEATAC MALL
SITE ADDRESS: 1928 S SEATAC MALL
() FOOTINGS /SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
() DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
()
UNDERFLOOR FRAMING
() ROUGH PLUMBING: DWV Water piping
() ROUGI-_'. MECHANiC,AL Gas piping
() SHEATHING Roof Floor
() SHEAR WALLS
O ELECTRICAL ROUGH -IN Ditch Cover
() FIRE/DRAFTSTOPS
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR,SHEETROCKING
() INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
() PLANNING FINAL
O PUBLIC WORKS FINAL
O FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
O BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
OCE1VED N RU
CO ST 1N PERMIT APPLICATION Cp
CITY OF � APPLICATION NUMBER: - tO q -J S--
Federal Way t'L' 2 3 2003 APPLICATION NUMBER: -CITY OF FEDERAL WAY APPLICATION NUMBER: - -
E3UILDING DEPT,,
The following is req r eInformati
**The —Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
U PROPERTY INFORMATION ;
SITE ADDRESS: I`001 S 3 Zv41A ASSESSOR'S TAX/PARCEL #: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
_ >U PROJECT INFORMATION
TYPE OF PROJECT(This application): o BUILDING 0 PLUMBING o MECHANICAL ❑ DEMOLITION
0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): ,pi4b Ne Roc iii A-00 I,Z ( co") G X
PROJECT NAME: S 6.4 TA-C cw A L
M PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE
S--ri'A t) Fr -S 7 j (9Y q) s-s" G
I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
C y ( i SGA) -2.G0-f-- S d
CONTRACTOR: NAME: DAYTIME PHONE:
GA-C.G.'d (Litt") Li s'44
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE:
I $7 y,s= 1 t•-c ,4��r (ac7fo ) �sL - 1143
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER: I EXPIRATION DATE:
(copy of card required)
APPLICANT: ( NAME: DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
CC!&- roti ! ( ) -
RELATIONSHIP-TO PROJECT: j FAX NUMBER:
( ❑ ARCHITECT o TENANT 0 OTHER(DESCRIBE): tt (2c)) - L 2.7-7
E-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑ APPLICANT Ne.c.9NTRACTOR S r, L^167sivg SA ' .s"u-%
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ 5/
SPRINKLERED BUILDING? ❑YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES 0 NO
WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
NEW RESIDENTIAL
- NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
,. ■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ -FIXTURES
Indicate number of each type of fixture
MECHANICAL Value of Mechanical Work: $
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGES) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
■ DISCLAIMER/SIGNATURE BLOCK
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 perform the work for which the permit application is made. I
further agree to hold harmless the City of Federal Way as to any daim(induding costs,expenses,and attorneys'fees incurred in the
Investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the Information supplied to the dty as a part of this application.
NAME/TITLE: - AMIlr DATE: /U Z /6 3
o PROPERTY OWNER ❑APPLICANT ®LCONTRACfOR
..FOROFFICE USEONLY. n
may, � �-,.
�D NEW 4 �n ADDITION O Cl ALTERATION ❑REPAIR . :o,.TENANT IMPROVEMENT -
=CENSUS`CODE :V ,� :°,,W � : PI'X' •
'ZONING DESIGNATION_ - ' . " tel"-0 BUILDING:SHELL ONLY? 'u YES ,❑ NO'_. ., :
COMP PLAN DESIGNATION s . .BASIC PLAN? �;n YES ,.` I NO,
SECTION s *TOWNSHIP ': RANGE NEW.ADDRESS REQUIRED? ❑YES ❑'NO
PLATTED LOT? 1]YES ci NO ,'? * .;`;; .CHANGE OF USE?:•-7-'-',.. ;;❑YES> "fl'NO ,
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000.FAX:253-661-4129
www.citvoffederaiway.com
iiConAction Permit Fee Calculationet
*******PLEASE NOTE: ALL FEES"-- S BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INQRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building,mechanical,/Id fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500.00 (1)$30.00
(2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus 59.A0 for each additional$100.00 or fraction thereof,to and including
$2,000.00
(3)$2,001.00 to$25,000.00
(3)$90.00 for the first$2,000.00 plus$18.00 for each additional$1,000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00
(4)$504.00 for the first$25,000.00 plus 513.00 for each additional$1.000.00 or fraction thereof,to and
including$50,000.00
(5)$50,001.00 to$100,000.00
(5)$829.00 for the first$50,000.00 plus$9.00 for each additional$1,000.00 or fraction thereof,to and
including$100,000.00
(6)$100,001.00 to$500,000.00
(6)$1,279.00 for the first$100,000.00 plus$7.00 for each additional S1.000:00 or fraction thereof,to and
including$500,000.00
(7)$500,001.00 to$1,000,000.00
(7)$4,079.00 for the fist$500,000.00 plus$6.010 for each additional SIX/00M or fraction thereof,to and
Including$1,000,000.00
(8)$1,000,001.00 and up
(8)$7,079.00 for the first$1,000,000.00 plus$1.50 for each additional$1,000.00 or fraction thereof.
Bold number Is the base fee for the specified Increment
1Ya/fdzec underlined_number Is the I Qer pddltlonaIsgedied Increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only.
Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above.
**Electrical,plumbing,and mechanical fees are calculated separately**
• BUILDING
�.g
PROPOSED VALUATION: 5j GC)A .-
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1) 9 3
� �
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
■ MECHANICAL
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
■ FIRE PREVENTION SYSTEM
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
. . . ■ PLUMBING ,
Base Fee Number of Fixtures
$26.00+{ X$9.00/fixture}= (8)Estimated Permit Fee
Estimated Permit Fee
X .65= (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)