90-100535CITY OF
FEDERAL, WAY
BUILDING PERMIT
BUILDING INSPECTi6i
941-1555
PERMIT NO. 90-73OSS OWNER'S NAME CRESCENT JEWELERS JOB ADDRESS 1827 SO SEATAC MALL
CONTRACTOR JOHN J. ABEL FIRE PROT-ADDREss
4932 PIONEER ROAD BOTHELL CONT. PHONE 481-7669
CONT. REG. NO. JJABEFP157KN 5/91 OWNER'S
PHONE SAME OWNER'S ADDRESS 1827 SO SEATAC MALL
TYPE JOB: NEW RESIDENCE ADDITION NEWINDUSTRIAL
NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY__ (UNITS ) MULTI. ADD SIGN
GRADING OTHER_ "SPRINKLER SYSTEM"
TAX ACCOUNT NO, NA LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER 7(X
DATE OF ISSUE 3 DATE OF APPLICATION 5/23/90
BUILDING INFORMATION
ENA OCCUPANCY B-2
TYPE OF CONSTRUCTION 5—N BLDG. SO. FT. 1359 SF
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
SINKS MISC.
CONVERSION BURNER BASIC FEE
RETURNED
DISHWASHERS TOTAL FIXTURES LONE.
UNIT HEATER TOTAL MECHANICAL NONE
AMOUNT NONE
VALUATION 1,793.00
PLANNING,
SEPA, FIRE, PUBLIC WORKS DEPTS=REVIEWS NOT NECESSARY
PERMIT FEE $41-00
PLAN CHECK FEE 27-00
PLUMBING FEE
MECHANICAL FEE _
BUILDING
DEPT APPROVAL = KEVIN ELLIS ON 6/4/90
TAL BLDG. FEES $68.00
ART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE PAID
-O AMOUNT PAIDo.Z S RECEIPT# 6
WATER MAIN CHG.
S.B.C.C. FEE 4-50
/
OTHER FEES
/
AMOUNT DUE $72.50
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 0R AGENT ���� a—
DATE
CITY OF
FEDERAL WAY BUILDING PERMIT
BUILDING INSPECTION
941-1555
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
SIDEREAR 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
PLAMINGIL :EPA, FIRE, PUK-IrC WORKS DEPT'S-REWEVS
..(.`13
N SSAIRT
PERMIT FEE
PLAN CHECK FEE
PLUMBING FEE
MECHANICAL FEE _
BUILDING DET APPPAYVA EMS E LIS ON 6/4%90
TOTAL BLDG. FEES
PART P/C FEE
SEPA REVIEW
WATER SERVICE
DATE PAID �i PAID !
FL=IPT#
WATER MAIN CHG.
�
S.B.C.C. FEE
i
OTHER FEES
t
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
O.K TO POUR FOUNDATION WALLS
DATE— ____....—_.BY
_—
DATE ..._.___.__BY
PLUMBING ROUGH IN
WATER LINE O.K.
DATE .----- BY —
GAS PIPING
O.K. TO ENCLOSE FRAMING
INSULATION
DATE — _._ BY
DATE _ BY —_.....
PLUMBING GROUNDWORK
DATE _--_ _— BY
MECHANICAL INSPECTION
DATE BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K.�TO OCCUPY
DATE s)- /F---BY/�% � _ -- DCD PSD FD
%3 5 S
RECD$ VED-
1,11; f 2 j 1990
CITY Ci= FED,-: ORAL WAY
CITY OF FEDERAL WAY BU"Luii\G DEPT.
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 OWNER �Kt��tly I JLWLLLKJ
JOB LOCATION I N -1 I
J • -�
cc_ %
OWNER'S ADDRESS 1827 S. SEATAC MALL
CITY FEDERAL WAY
PHONE
481-7669
DESCRIBEJOB FIRE PROTECTION FOR TENANT
IMPROVEMENT
BOILER, SIZE BTU
$
THE PROPERTY IS OWNED BY: SINGLE/MARRIED
PARTNERSHIP
CORPORATION
BOX 2 CONTRACTOR'S NAME JOHN J. ABEL FIRE
PROTECTION CO., INC. CONTRACTOR'S REG. #
JJA13EFP157KN "
AIR COOLING UNITS, SIZE
$
COMMERCIAL HOOD
Card MUST be presented
CONTRACTOR'S ADDRESS 4932 PIONEER
ROAD CITY BOTHELL
PHONE
481-7669
EXPIRATION DATE 5-91
—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 JO` N j. A.E EL PHONE 481-7669
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST 2,778.00 EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER 762240-0010
LEGAL DESCRIPTION
(If necessary, please submit a separate page with the legal description.)
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR —J 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
: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
$
x OTHER FIRE PROTECTION
$
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 PER-
FORM THE WORK FOR WHICH PERMIT APPLICATION IS MADE.
OWNER/AGENT:
DATE:
5-23-90
ANP -006 2/90
OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE)
ZONE SETBACKS: FRONT
SIZE REAR
HEIGHT LIMIT
PLANNING DEPARTMENT APPROVAL
REMARKS:
SEPA: EXEMPT NOT EXEMPT
FIRE DEPARTMENT APPROVAL
DATE
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL
4 1
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.
ROOF OTHER
OCCUPANCY R "L TYPE
OF CONSTRUCTION
STORES
BUILDING SQ. FT.
@
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
_
BUILDING SQ. FT.
@
BUILDING SQ. FT.
@
_
TOTAL SQ. FT.
TOTAL VALUATION
EBUILDING PERMIT NO.
PLAN CHECK FEE RECD
RECEIPT NO.
PERMIT FEE `ii ,yb PLAN CHECK FEE
--*-227-PLUMBING FEE
---------- MECH. FEE
TOTAL FEES (146106 SBCC SURCHARGE "1,1-0 ENERGY SURCHARGE AMOUNT DUE 7Z :SO
BUILDING DEPARTMENT APPROVAL -----------------------------
DATE 6
REMARKS:
ASSIGNED ADDRESS:
RECEIVED
ACCEPTED FOR FILING
10109"30 11:33
CRESCENT JEWELERS
exEcuTlvE orrior
�•' 516 -11TH GTilEE1• O
VAKLAND. c_ALIFCIANIA 94807
1
J. BVRTON JEWLERS #3 002
DATL• CHECK NUMBEF
— 644643k—
iNVO10E NUMBER
hNVIDICE DATE
INVOICE A
uI}�
0664•--96
03-28-90
P jC60.64
I
V
--- rCRESCENT JEWELERS CONTROL NUMBER GATE CHEEK NUMncr
:3Y�s�..1t TF1'STREET OAKLAND, t;ALIFORNIA 94W? _ 4 613 1 �� i A,�1� "
1 1L
If D[9R[Q TNNilgt3H' .. � 1
-----.... _.......... _. .. .FAROO BANK.: N.A. _ , . .
_._.... yW flan h*ftW NET AMOUNT
_...,... _.....,. .. .. _ '. �rneCe . 0�0 Jyoedm. [olaoea .,wl
Wand Junc[lon
j - ........ Naftme AMaNKI[IA
L.., .. . .. :..-. .....,..
_ ****One Thousand Sixty Dollars And 50 Cents****
TO TME
oRoEM°ice City Of Federal way
- _.. ii[CjoJ 6 L 311' is �0 2 1009 i8+: 003
010311,
CRESCENT JEWELERS
EXECUTIVE OFFICE
NON-NEGOT1ADLE