90-101399CITY OF
FEDERAL WAY
1437
BUILDING PERMIT
oo- lor3crl
BUILDING INSPECTION
941-1555
90-1617
CA GLAMOUR SHOTS 2019- A S SEATAC MALL
PERMIT NO.
OWNER'S NAME JOB ADDRESS
CONTRACTOR KOBELIN
CONSTRUCTION ADDRESS 19505 GRANNIS RD BOTHF.I.T. WA 9801 - CONT. PHONE 487-2342
CONT. REG. NO. KOBELC1106M5
OWNER'S PHONE 839-6156 OWNER'S ADDRESS 1928 S SE.ATAC MATT.
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. 7622400-1037
TWN 21N, R4E, WM
LEGAL DESCRIPTION A PORTION OF THF. N I/? OF THF, NW 1/4 OF SECTION 16,
KING CO WA
��{{ U
� U �
ISSUED BY JOANNE.
JOHNSON DATE OF ISSUE_ --LS- DATE OF APPLICATION 10-5-90
BUILDING INFORMATION
NE
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
6,926-1-2-
BUILDING DEPT APPROVAL: RC 10-22-90
90.00
PERMIT FEE
PLAN CHECK FEE
59.00
PLUMBING FEE
CHANICAL FEE
TAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
CC: F.D.
WATER MAIN CHG.
DATE:
S.B.C.C. FEE
4.50
OTHERFEES F.D.
4-50
AMOUNT: lS ,
AMOUNT DUE
158 _ 00
RECEIPT: 3 2 ?
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STA GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION RNISHED)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 AGE
DATE
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDI41
NG INSPECTION
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
ONE
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
4}� y r.
ttitr .i iJ'22
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
-CHANICAL FEE
OTAIL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
F.D.
WATER MAIN CHG.
AT
S.B.C.C. FEE
OTHER FEES
Ri'1Y�
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
SET BACKS AND FOOTINGS
DATE _ __-__BY
OX TO POUR FOUNDATION WALLS
DATE _ ___ BY
PLUMBING GROUNDWORK
DATE __ --- __ -_BY
PLUMBING ROUGH IN
DATE -______ BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE --__--BY
FRAMING
O.K. TO�;
DATE BY
INSULATION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
DCD
PSD
FD
Permit
RECEIVED
CITY OF FEDERAL WAY -f
OCT 51990 BUI DING PERMIT APPLICATION
CITY QF FEDERAL WAY � — Pease Print —
BUILDING DEPT. G
BOX 1 TENANT NAME: {-�
OWNER , Tac SITE LOCATION-
OWNER'S ADDRESS l Z. S5. <f'2 %a c_ CITY lJOE3 l /vA PHONE 97-2-4,<6
DESCRIBE JOB ("i -Ir L' _
THE PROPERTY IS OWNED BY: INGLE/MARRIED PARTNERSHIP CORPORA
BOX 2 CONTRACTOR'S NAME CONTRACTOR'S REG. -_'�'-�
- Card MUST be present
"rb CONTRACTOR'S ADDRESS i �5 GAS` �t.�.--��• kl CITY tKC,7---PHONE
be EXPIRATION DATE
�.Qzec rj — 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 A I I yl _ . PHONE
BOX 4 SEWER DISTRICT WATER DISTRICT -
BOX 5 ESTIMATED PROJECT COST _zA 0(-Y) o EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUM
LEGAL DESCRIPTION Se
L
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 222 2:E' 2ND FLOOR ZZ 2-
/ZZJ
3RD FLOOR / BASEMENT / DECK -------J— GARAGE /
BOX 8 ( ) SINGLE FAMILY
( ) MULTIFAMILY (NO. OF UNITS = )
( COMMERCIAUINDUSTRIAL
BOX 9 PLUMBING FIXTURES (including rough -ins)
N0. WATERCLOSET1
BATHTI
SHOWEI
LAVATOi
SINKS
DISHWA;
ELECTRIi
LAUNDR)
URINALS
DRINKING �J "�
SUMPS, SPRlNK EkVACUUM BREAKERS
DRAIN -��
TOTAL FIXTURES
( ) NEW CONSTRUCTION
( ) EXISTING STRUCTURE
TOTAL AREA OF PROPERTY SQ FT
MECHANICAL APPLIANCES — BASIC FEE $
GAS PIPING, FEET $
N0. FURNACE, ELEC. GAS_
GAS HOT WATER HEATER $
CONVERSION BURNER $
BOILER, SIZE BTU $
AjR_HAND NG UNITS $
EAT PUMPS, SIZE $
UNIT HEATERS $
AIR COOLING UNITS, SIZE $
COMMERCIAL HOOD $
OTHER $
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: I
ANP -008 3/90
RECEIVED
0 C T 5 1990
CITY ��Q G DEPT. AL A/
BOX 1 TENANT NAME:
rmit #
is 4
CITY OF FEDERAL WAY
BUIkDING PERMIT APPLICATION
— Please Print —
OWNER ��Ta.g -_ -
OWNER'S ADDRESS iq t.5�, S, r: jc
DESCRIBE JOB
THE PROPERTY IS OWNED BY: INGLE/MARRIED
BOX 2 CONTRACTOR'S NAME
Tv CONTRACTOR'S ADDRESS
be EXPIRATION DATE
SITE LOCATION
CITY
PARTNERSHIP
CITY
CORPORATION
CONTRACTOR'S REG
PHONE
Card MUST be presented
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 Maki PHONES
BOX 4 SEWER DISTRICT — WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST v" S'i 1.f X;L,&0 EXISTING BUILDING VALUATION ---
BOX 6 PROPERTY TAX ACCOUNT NUMBE
LEGAL DESCRIPTION `;e -r?
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording #
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
(,may COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES (including rough -ins)
MECHANICAL APPLIANCES —
BASIC FEE $
N0. WATERCLOSETS
GAS PIPING, FEET
$
BATHTUBS
N0. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
LAVATORIES
CONVERSION BURNER
$
SINKS
BOILER, SIZE BTU
$
DISHWASHERS
_____AIR___HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
__. VtAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS
$
URINALS
AIR COOLING UNITS, SIZE
$
DRINKING FOUNTAINS
COMMERCIAL HOOD
$
SUMPS, SPRIN ACUUM BREAKERS
OTHER
$
DRAIN
$
R
$
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 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:
ANP -008 3/90
i • � i
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
r e Cc aG2C
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
REMARKS:
DATE ld " I? -2- ` �O
PUBLIC WORKS DEPARTMENT APPROVAL AIA DAT
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
OCCUPANCY TYPE OF CONSTRUCTION �.��� STORES
1"�TTI t BUILDING SQ. FT. @ ` 7 s- _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @_
BUILDING SQ. FT. @ /Via f g4— = O- 2--C)
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION �9 �' 2—
BUILDING
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS:
PERMIT FEE
L70 , 00
PLAN CHECK FEE
d0
PLUMBING FEE
b
MECHANICAL FEE
TOTAL BLDG. FEES
1 if 9f- C' e'
PART P/C FEE
SEPA REVIEW
u
S.B.C.C. FEE
5-0
OTHER FEES
`So
AMOUNT DUE
_0e)
PARTIAL PLAN CHECK FEE RECEIVED
Amount Date Receipt #
BUILDING DEPARTMENT APPROVAL
BY DATE
ACCEPTED FOR FILING