90-100745;C ICo�yS
1, NGF
FCITY EflE�AL WAY BUILDING PERMIT BUILD1941!N555ECTION
_ i . TSN A -k r.' �itiaC ��oica
90-1108 CA INAL CHOICE 2122 SO SEA TAC MALL
PERMIT NO. _ OWNER'S
NAME JOB ADDRESS
CONTRACTOR MCSHARRY SERVICES
ADDRESS 2aa��707 P I VE YAKIMA �j CONT. PHONE (509) 452-3824
CONT. REG. NO. MESHAS135BB C
OWNER'S F7DNE OWNER'S ADDRESS 1928 SO SEATAC MALL FED 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 COMMERCIAL ALTERATION (TENANT IMPROVEMENT)
TAX ACCOUNT NO._ 762240-0010-37
LEGAL DESCRIPTION ATTACHED
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 7/10/90
BUILDING INFORMATION
ONE NA OCCUPANCY
B-2 ___ TYPE OF CONSTRUCTION__ 5—N BLDG. SQ. FT. RETAIL=4 , OOOSF
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 — _ TANKS)
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 $27,760.00
FIRE DEPT/BLDG DEPT APPRROVALS = KEVIN ELLIS ON 7/20/90
PERMIT FEE $272-00
PLAN CHECK FEE 177_00 _
PUBLIC WORKS/PLANNING DEPT APPROVALS = NOT APPLICABLE
PLUMBING FEE
ECHANICAL FEE
OTAL BLDG. FEES $449-00
PART P/C FEE _
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE 4.50
DATE PAID AMOUNT�� 3 . S c� RECEIPT
OTHER FEES
AMOUNT DUE $453.50
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
0
CITY OF
FEDERAL WAY
BUILDING PERMIT BUILDING
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. 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
SINKS
MISC.
CONVERSION BURNER _ BASIC FEE
RETURNED
DISHWASHERS
TOTAL FIXTURES
UNIT HEATER TOTAL MECHANICAL
AMOUNT
VALUATION
E7RE DEPTIlALDG DEP APPRROWALIvo_ ICBPV N ELLIS ON 7/20/90
PERMIT FEE
PLAN CHECK FEE
PUBLIC WORKS /PlANNI C VFPT APPLIC"LE
PLUMBING FEE
MECHANICAL FEE
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
i TE- ph�
DATE-
OTHER
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 RAMING
DATE ......._...BY
INSULATION
_
WALL BOARD AND F RE WALL
DATE _-�`..--_
FINAL O.K. TO OCCUPY
DATE 3y� BY
DCD
PSD
FD
c
Pqr't #
CITY OF FEDERAL WAY l ,�
BUILDING PERMIT APPLICATION -�-
- Please Print — oa
BOX 1 TENANT NAME: _:FA NA L. 0-1+01 +x ►I-
OWNER 52 A 'T'Rei, !?Se SITE LOCATION S" --TArt- MALL
OWNER'S ADDRESS 1612.3? S GLA T,^C, M 4W- CITY _-FGQ6(LA1,WA I PHONE
DESCRIBE JOB Lt2
THE PROPERTY IS OWNED BY: SINGL /MARRIE PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME M N,St+A-2(-y s "I CONTRACTOR'S REG. # AI H& 1 a S
Card MUST be presented
CONTRACTOR'S ADDRESS YAK1040} MAL, CITY \IAKIM Air vi PHONESoq 4S2 -34L:)4
EXPIRATION DATE
—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 �?AuL CII PHONE SV3 SSS' /32-7
BOX 4 SEWER DISTRICT WATER DISTRICT
YBOX 5 ESTIMATED PROJECT COST -6 1�0a 600 EXISTING BUILDING VALUATION
fi BOX 6 PROPERTY TAX ACCOUNT NUMBER _)6 27-40 00 ! p -' 3'7
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 ✓ l4000 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
:1 •
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
$
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 0Y WHERE SUCH CLAIM ARISES OUT OF THE RELIANCE OF THE CITY, INCLUDING ITS
OFFICERS AND EMPLOYEES• TFT ACf1URACY Ff TbIE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT:
ANP -008 3/90
0 •
If OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS:FRONT_
PLANNING DEPARTMENT APPROVAL
REMARKS:
SIDE REAR HEIGHT LIMIT
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL DATE 7-
REMARKS-
PUBLIC
-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
OCCUPANCY {j Z TYPE OF CONSTRUCTION STORES
Aa BUILDING SQ. FT. @ = 138 6a
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ �'iUd� er 0 ` Z
BUILDING SQ. FT. @ z 7 76
a '
TOTAL SQ. FT. TOTAL VALUATION
BUILDING DEPARTMENT REMARKS:
RECEIVED
ASSIGNED ADDRESS: _ S �' S -x <s
Amount
PARTIAL PLAN CHECK FEE RECEIVED
Date
PERMIT FEE
2- Z �c
PLAN CHECK FEE
7"a
PLUMBING FEE
v
MECHANICAL FEE
0
TOTAL BLDG. FEES
c
PART P/C FEE
O
SEPA REVIEW
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
Receipt #
BUILDING DEPARTMENT APPROVAL
BYDA
ACCEPTED FOR FILING