91-101139CITY OF
FEDERAL WAY
BUILDING PERMIT
clI - to l3q
BUILDING INSPECTION
941-1555
PERMIT NO. 91-1076 FSS OWNER'S NAME ZALES JEWELERS (SEATAC MALL) JOB ADDRESS 2010 S SEATAC MALL
CONTRACTOR JOHN J
ABEL FIRE PROTA"J�PN CO INC 4932 PIONEER ROAD BOTHELL CONT. PHONE 481-7669
CONT. REG. NO. JJABEFP157KN OWNER'S PHONE 839-6156 OWNER'S ADDRESS 1928 S SEATAC MALL FEDERAL
WAY
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. 762240-0010 LEGAL DESCRIPTION
ISSUED BY JOANNE
JOHNSON DATE OF ISSUE DATE OF APPLICATION 8-15-91
-1 —
BUILDING
BUILDING INFORMATION
ZONE
OCCUPANCY TYPE OF CONSTRUCTION_ BLDG. SO. 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 1 ,
396 _ 74
BULDING/FIRE DEPT APPROVAL: RC 8-16-91
PERMIT FEE '3 _ n0
PLAN CHECK FEE
PLUMBING FEE
21
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
ATE:
WATER SERVICE
/ J�
WATER MAIN CHG.MOUNT:
S.B.C.C. FEE
4.50
OTHER FEESF. D. FEES
27 -SO
CEIPT: _ �J
AMOUNT DUE
86 —a—n—
M e
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 INFORM TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
REQUIREMENTS WILL BE M
OWNER OR AGENT
DATE l
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG IN 55ECTION
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
UMBING FEE
_CHANICAL FEE
TOTAL 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
ENE
PSD
PLUMBING GROUNDWORK
DATE BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE Bv
wil
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
r), - 10 -j (t,
Permit #
$
RECEIVED
$
CITY OF FEDERAL WAY
5
AU G 1 � �99�
1991RAL
$
1 BUILDING PERMIT APPLICATION
$
CITY OF Y —Please Print —
$
BUILDING DEQ
$
BOX 1 TENANT NAME: Zal es Jewelers
$
OWNER SeaTac Mall SITE LOCATION 2010 S. SeaTac Mall
OWNER'S ADDRESS 1928 S. SeaTac Mall CITY Federal Way
PHONE 839-6156
DESCRIBE JOB Fire Protection for Tenant Improvement
OTHER Fire Sprinklers
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP
CORPORATION x
BOX 2 CONTRACTOR'S NAME John J. Abel Fire Protection Co., Inc. CONTRACTOR'S REG. # JJABEFP157KN
Card MUST be presented
CONTRACTOR'S ADDRESS 4932 Pioneer Road CITY Bothell
PHONE 481-7669
EXPIRATION DATE 5-92
$
—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 CONTACT PERSON John J. Abel
PHONE 481-7669
BOX 4 SEWER DISTRICT - WATER DISTRICT `--
BOX 5 ESTIMATED PROJECT COST 2,310.00 EXISTING BUILDING VALUATION
�—
BOX 6 PROPERTY TAX ACCOUNT NUMBER 762240-0010
LEGAL DESCRIPTION _ See Attached
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # r
a
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR / 2ND
FLOOR /
3RD FLOOR / BASEMENT / DECK /
GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) ( ) EXISTING STRUCTURE
( x) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY
SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSETS
BATHTUBS
SHOWERS
LAVATORIES
SINKS
DISHWASHERS
ELECTRIC HOT WATER HEATER
LAUNDRY WASHER OUTLET
URINALS
DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
DRAINS
OTHER
TOTAL FIXTURES
MECHANICAL APPLIANCES —
BASIC FEE $
GAS PIPING, FEET
$
N0. FURNACE, ELEC. GAS
$
GAS HOT WATER HEATER
$
CONVERSION BURNER
$
BOILER, SIZE BTU
$
AIR HANDLING UNITS
$
HEAT PUMPS, SIZE
$
UNIT HEATERS
$
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
$
OTHER Fire Sprinklers
$
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 PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN INVESTIGATION AND DEFENSE OF SUCH CLAIM), 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 OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: Zy /_
ANP -008 3/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS: ' �!
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DAT
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS:
BUILDING DEPARTMENT REMARKS:
a
4
wWg
(� CO LL
Q O J
RE0b;#D
ASSIGNED ADDRESS:
Amount
M
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
DA
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 7
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING
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.
OTHER �` �'
OCCUPANCY TYPE OF CONSTRUCTION L/ `
STOR S
I BUILDING SQ. FT.
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BUILDING SQ. FT.
@
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BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
c,H f P r- Z-
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TOTAL SQ. FT.
TOTAL VALUATION
13 %
BUILDING DEPARTMENT REMARKS:
a
4
wWg
(� CO LL
Q O J
RE0b;#D
ASSIGNED ADDRESS:
Amount
M
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
BUILDING DEPARTMENT APPROVAL
DA
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE 7
OTHER FEES
AMOUNT DUE
ACCEPTED FOR FILING