90-101366CITY OF
FEDERAL WAY
,o,s, BUILDING
PERMIT
O�O - I o 13(Q(o
BUILDING INSPECTION
941-1555
90-1571(FSS) WOMAN'S WORLD 2107 SO SEATAC MALL
PERMIT NO. OWNER'S
NAME JOB ADDRESS
COLLINS FIELD FIRE PROQDRESS 3036 68 AVE W #6 TACOMA CONT, PHONE 565-5445
CONTRACTOR
CONT. REG. NO. COLLII215BD 1/91 OWNER'S PHONE 839-6156 OWNER'S ADDRESS 1928 SO 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 SPRINKLER SYSTEM
TAX ACCOUNT NO. 762240-0010 ` (J '?
LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION i 0/i l9n
BUILDING INFORMATION
IONE NA OCCUPANCY
B-2 TYPE OF CONSTRUCTION 5—N (SPRINKT.E..RS) BLDG. SQ. FT. 4,726 SF _
SET BACKS: FRONT NA
SIDE NA REAR NA __ STORIES NA HEIGHT LIMIT NA _
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 NONE
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION $6,238.32
BLDG/FIRE DEPT APPROVALS = KEVIN ELLIS ON 10/3/90
PERMIT FEE $90.00
PLAN CHECK FEE 59.00
PLUMBING FEE
CHANICAL FEE
I( TAL BLDG. FEES $149.00
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
FEEIL
OTHER FEES F. DEPT 7.45
-� �-S.B.C.C.
/
` S 1"`���
AMOUNT DUE 156.45
DATE PAID AMOUNT/ 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 FUR SHED BY ME IS AN CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
',EQUIREMENTS WILL BE MET:
OWNER OR AGENT
DATE
rmit #��
R �
EGE�VE� CITY,OF,FEDERAL WAY
OCT 1990 BUILDING PERMIT APPLICATION
CITY OF FEDER,�L W Ay — Please Print —
BUILDING DEPT
BOX 1 TENANT NAME: lil%Q1Qtd • R/0,7 SO
OWNER eWeN d -nI ,fo P vr,erz r SITE LOCATION Stq �s.o-GG
OWNER'S ADDRESS 9Zi -s em 1-9-1( CITY PHONE
DESCRIBE JOB�E'n�atlA�t' oL v •.� sr ivs�irir� %l1C k S Q�rk�.t _v sf
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME COLL:.✓S FifL Fidr l5?eOMg4" CONTRACTOR'S REG. # eloLzzz -.21.54p
Card MOST be presented -'
CONTRACTOR'S ADDRESS 8n'A�.i� G✓• 4 , CITY 7 e-cw-7 z- PHONE 5G•S S11VL1_
EXPIRATION DATE 01—IS--911
—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 -71r-rS E 117e"CiWO PHONE 6 /r"-6
--BOX 4 SEWER DISTRICT Ff't40-'e-*tee :7 WATER DISTRICT' -
BOX 5 ESTIMATED PROJECT COST� • EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 76a;2, 77
LEGAL DESCRIPTION St4/aac
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR S 7;?6 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = ) EXISTING STRUCTURE l'�7
COMMERCIAL/INDUSTRIAL TorAL AREA OF PROPERTY `�' ` SQ FT
BOX 9 PL MBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES — BASIC FEE $
NO. WATERCLOSETS PIPING, FEET $
BATHTUBS NO. FURNACE, ELEC. GAS $
SHOWERS GAS HOT WATER HEATER $
LAVATORIES VERSION BURNER $
KS BOIL SIZE BTU $
DI WASHERS AIR HANDLING UNITS $
ELEC IC H WATER HEATER HEAT PUMPS,�IZE�" $
LAUND ASHER OUTLET UNIT HEATERS! $
UR LS AIR COOLING UNITSIZE $
INKING FOU AINS COMMER L HOOD $
UMPS, SPRINKL VACUUM BREAKERS OTHE $
DRAINS $
OTHER z $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE v $
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 IOJFOVMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
DATE: /0 � p_�
ANP -008 3/90
OFFICE USE ONLY (PLEASE 00 NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
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. OTHER �Qf"(G� k-�-S
OCCUPANCY Z TYPE OF CONSTRUCTION 1j �% STORES
BUILDING SQ. FT. �i %� @ % 5-0
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION X30 ' 3
BUILDING DEPARTMENT REMARKS:
A
06!61 7.ye�o ������e �
l o,tt
Jo
RE E
,SSIGNED ADDRESS: S e <—� -
,mount
IN
PARTIAL PLAN CHECK FEE RECEIVED
Date
Receipt #
PERMIT FEE 4O. 0 v
PLAN CHECK FEE ' dd
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES 6
PART P/C FEE o
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
BUILDING DEPARTMENT APPROVAL C%
DATE ���✓ 1
ACCEPTED FOR FILING
NG
FCITY OF
EDERAL WAY BUILDING PERMIT BUILD1941!N SSECTION
PERMIT NO. OWNER'S NAME
CONTRACTOR
CONT. REG. NO.
TYPE JOB: NEW RESIDENCE ADDITION
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
TAX ACCOUNT NO.
ADDRESS
OWNER'S PHONE
NEW INDUSTRIAL NEW COMMERCIAL
SIGN GRADING__._ OTHER
LEGAL DESCRIPTION
JOB ADDRESS
OWNER'S ADDRESS
COMMERCIAL ADD. INDUSTRIAL ADD.
CONT. PHONE
NEW PUBLIC PUBLIC ADD.
ISSUED BY
_
DATE OF ISSUE
DATE OF APPLICATION
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
59' 't 3e " 31
VALUATION
RIMC/FIRE
DEPT APPROVALS
KEVIN ELLI S ON 1013/90
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
g
OTHER FEES
AMOUNT DUE
i
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
SET BACKS AND FOOTINGS
DATE __ _- _ - BY --- ... ...
_
PLUMBING ROUGH IN
DATE BY _
O.K. TO ENCLOSE FRAMING
DATE.....- BY
FINAL O.K. TTO,�OCUPY
DATE{ <ll- BY
OX TO POUR FOUNDATION WALLS
DATE ..._... -.._BY -
WATER LINE O.K.
GAS PIPING O.K.___
INSULATION
DATE _..-_. _-. ___ _. BY
DCD
PSD
PLUMBING GROUNDWORK
_.. DATE .._._ _ _- -_ _. BY
MECHANICAL INSPECTION
DATE -_ -. ---,..,,--BY _
WALL BOARD AND FIRE WALL
--..__ DATE __- __ BY ...
�ry�-------------- A —At
--___ - — - - - - - - -771
-,
- _ - - - - - - - -
ISI NOT A PART
I I
Lot !
�i
41
i. is
'T t
\\\ \ VRR RR
i
of MALL HHO Pd B
of
2 MALL SMO s A
ON PT. dTOR& I
SMARS nl couifrT T :ENI
i
296% "
MALL I
F
T1_
%f__ _Ss %19,.
¢AFrc
SK AL41-
g MALL
OLQ PC - am T9
f1FV1t0FjR TRACT VIII
9e
-`
N Jt
PI
1L11L111
I
I
MALL'S
OEVELOPER I ��
MALL STORE 4,
THEATER
Ib 'cn
MARL L
d C
!I sI ENCLOSED r MALL;
MAIOL SHOPS
DEVELOPER
MALL STORE 3 P 9
on TQRE a
Mei v��%3
71
V\
ar / c�r.n
\ '34\\\
U T FI
TRE E TO
">9 1
oFF 90
86/_j
vl jD1N6 Rq kV
ILE
1-7
•',
_50,
R- =�
lu
2 MALL SMO s A
ON PT. dTOR& I
SMARS nl couifrT T :ENI
i
296% "
MALL I
F
T1_
%f__ _Ss %19,.
¢AFrc
SK AL41-
g MALL
OLQ PC - am T9
f1FV1t0FjR TRACT VIII
9e
-`
N Jt
PI
1L11L111
I
I
MALL'S
OEVELOPER I ��
MALL STORE 4,
THEATER
Ib 'cn
MARL L
d C
!I sI ENCLOSED r MALL;
MAIOL SHOPS
DEVELOPER
MALL STORE 3 P 9
on TQRE a
Mei v��%3
71
V\
ar / c�r.n
\ '34\\\
U T FI
TRE E TO
">9 1
oFF 90
86/_j
vl jD1N6 Rq kV
ILE