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91-101121CITY OF FEDERAL WAY BUILDING PERMIT q I--ic1 17�1 BUILDING INSPECTION 941-1555 91-1069 CA THE BON MARCHE 1901 S SEATAC MALL PERMIT NO. OWNER'S NAME JOB ADDRESS BLUE SKY BUILDERS P O BOX 10841 BAINBRIDGE IS WA 842-1575 CONTRACTOR ADDRESS CONT. PHONE CONT. REG. NO. PLUESB 40QC OWNER'S PHONE 839-6150 OWNER'S ADDRESS SEATAC MALL ASSOC 1928 S SEATAC MAL 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 762240-0025-06 (ON PLANS) TAX ACCOUNT NO. _ LEGAL DESCRIPTION ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 8-13-91 BUILDING INFOR TION ZONE CC _ OCCUPANCY B2 TYPE OF CONSTRUCTION VN BLDG SO. FT._ 1250 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 _ LAVATOPkES DRINKING FOUNTAINS GAS HOT WATER HTR. MISC RETURNED SINKS MISC. _ CONVERSION BURNER _ BASIC FEE DISHWASHERS TOTAL FIXTURES _ UNIT HEATER TOTAL MECHANICAL AMOUNT PLANNING DEPT APPROVAL: BK 8-14-91 VALUATION 9,125 BUILDING/FIRE DEPT APPROVAL: KC 8-15-91 PERMIT FEE 117-H PLAN CHECK FEE 76.00 PLUMBING FEE - MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE - DATE: / SEPA REVIEW WATER SERVICE AMOUNT: $203.35 WATER MAIN CHG. S.B.C.C. FEE 4.50 r RECEIPT - OTHER FEES F.D. 5.85 AMOUNT DUE 203-35 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 E IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET: ` g �- / /� OWNER OR AGENT DATE CITY OFBUILDING INSPECTION FEDERAL WAY BUILDING PERMIT 941-1555 PERMIT NO. OWNER'S NAME JOB ADDRESS CONTRACTOR ADDRESS_ CONT. PHONE----- HONE___CONT. CONTREG. 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 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 ,1 VALUATION 7IFJ-)TW.3/FlRB DEPT APPROVAL: KC 8-15-91 ' PERMIT FEE PLAN CHECK FEE PLUMBING FEE .^ MECHANICAL FEE _ r l • TOTAL BLDG. FEES _ PART P/C FEE �r Y ,CES 1 SEPA REVIEW vm WATER SERVICE $203.35 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 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 O.K. TO ENCLOSE FRAMING DATEDATE BY INSULATION DATE -___-__BY WALL BOARD AND FIRE WALL BY FINAL O.K. TO OCCUPY DATE 154, / B6 00 DCD PSD FD Permit # 9 / - /0� 1 (,P4 RECEIVED CITY OF FEDERALeMAY AUG 13 1991' BUILDING PERMIT APPLICATION Qm/ Of FERAL WAY — Please Print oil QE,PT BOX 1 TENANT NAME: '% A/C_ V 12V,41CC tIL OWNER //f C L `_— -SITE LOCATION G 5. S <— /f C_ —OWNER'S ADDRESS ��_ `- �= C--/L/k CITY r✓�� E�` HONE U DESCRIBE JOB THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME S U i� 61 U/G---t ,?,6NTRACTOR'S REG. # /:3L Card MUST baT CONTRACTOR'S ADDRESS �C' - 2 � 1< � CITY /��//y /OCEP ONE `%� _ EXPIRATION DATE /G "�� -" 9'/ 1.� 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 PHONEZ5�X.-2n BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST G� _ EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER LEGAL DESCRIPTION (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 ( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT BOX 9 PLUMBING FIXTURES (including rough -ins) NO. WATERCLOSETS ATHTUBS ES 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 $ NO. FURNACE, ELEC. GAS $ S HOT WATER HEATER $ CO RSION BURNER $ BOILER, ZE TU $ AIR HANDL UNI $ HEAT PUMPS, E $ UNIT HEAT $ AIR COOLI G UNITS, E $ COMME IAL 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 FEDERA VVAY, BUT ONLY WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS OFFICERS AND EMPLOYEES, UPON THE CURACY11 -F TIDE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. OWNER/AGENT: DATE: ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE).j.1lw -� ZONE CL SETBACKS: FRONT NlA SIDE REAR N a9 HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL i REMARKS: r� SEPA: EXEMPT -4, NOT EXEMPT FIRE DEPARTMENT APPROVAL REMARKS: DATE 8 —� BUILDING BUILDING DEPARTMENT REMARKS: RECEIVED AUG 13 1991 V OF FEDERAL WAY BUILDING DEPT. RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE 1(7 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE - c OTHER FEES `' c AMOUNT DUE BUILDING DEPARTMENT APPROVAL Q DATE �� l ACCEPTED FOR FILING PUBLIC WORKS DEPARTMENT APPROVAL 4 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 OCCUPANCY b ; TYPE OF CONSTRUCTION i, iU STORES r't fi�_ i ( BUILDING SQ. FT. C, @ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ @ _ 0 C (V_(_C �`, - -Z-G TOTAL SQ. FT. TOTAL VALUATION / Z 3 - BUILDING BUILDING DEPARTMENT REMARKS: RECEIVED AUG 13 1991 V OF FEDERAL WAY BUILDING DEPT. RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE 1(7 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE - c OTHER FEES `' c AMOUNT DUE BUILDING DEPARTMENT APPROVAL Q DATE �� l ACCEPTED FOR FILING