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90-101330CITY OF FEDERAL WAY BUILDING PERMIT TENANT: TOPKAPI I cI D3C BUILDING INSPECTION 941-1555 90-1540 CA SEA TAC MALL ASSOCIATES 1904 S. SEATAC MALL PERMIT NO. OWNER'S'ITA DEJAGER E JOB ADDRESS 75o_ 60TH ST S.W. WYOMING, MI 49518CONT. (616) 530-0060 CONTRACTOR ADDRESS PHONE DEJAG1233K 839-6156 1928 S SEA TAC MALL CONT. REG. NO. OWNER'S PHONE OWNER'S ADDRESS TYPE JOB: NEW RESIDENCE ADDITI NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING OTHER TAX ACCOUNT NO. 095646-1942 LEGAL DESCRIPTION (SEE ATTACHED) ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 9-20-90 BUILDING INFORMATION NE OCCUPANCY B2 - TYPE OF CONSTRUCTION_ VN BLDG. SO. FT. 621 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 4,309. 74 BUILDING DEPT APPROVAL: KC 10-3-90 PERMIT FEE 72-00 FIRE DEPT APPROVAL: KC 10-3-90 PLAN CHECK FEE 47 _ 00 PLUMBING FEE ECHANICAL FEE TAL BLDG. FEES _ PART PIC FEE _ DATE: G C�� C SEPA REVIEW j WATER SERVICE AMOUNT: WATER MAIN CHG. S.B.C.C. FEE 4.50 RECEIPT: i OTHER FEES 3.60 AMOUNT DUE 127.10 JC: F.D. 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: I, OWNER OR AGENT`f ^f'.� DATE 1 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 NE 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 VALUATION BUILDING DEPT APPROVA.1, PCC FIM DEQ APPIWAL: KC 10-3-9C 10-3-90 i s- PERMIT FEE r PLAN CHECK FEE PLUMBING FEE ECHANICAL FEE TAL BLDG. FEES UATE:.- PART P/C FEE SEPA REVIEW ! •_ A":' MT ¢----# WATER SERVICE _-- ------ - WATER MAIN CHG. a---!/ - S.B.C.C. FEE _ -t 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 _ PLUMBING4O�jU H IN DATE" 0 -_BY --- WATER LINE O.K. GAS PIPING O.K. - -- _ _ MECHANICAL INSPECTION �(,<< O DATE �.Y (Q BYG O.K. TO ENCLOSE FRAMING �J DATE .�/y©- . BY / INSULATION DATE _- - BY - .... ..... ..... _ WALL BOARD AND FIRE WALL DATE' r �- BY C 2 VGI FINAL O.K. TO OCCUPY ,� DATE BY (/�� _T DCD PSD FD -_ 5t-k5&JAded CV ( C c/e (z vre cx c� • Sermit # 2y ' � d v,4 CITY OF FEDERAL WAY BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: (W OWNERC-A "T _S SITE LOCATION 0 L OWNER'S ADDRESS 19 � S t0. >-6A AA4i-L CITY__ f -4)F 4 PHONE LG F DESCRIBE JOB f"(N6_f 1MPi30%1vrA .N"r THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME4 j- v- _ CONTRACTOR'S REG. # d 6 ( CONTRACTOR'S ADDRESS EXPIRATION DATE Card MUST be presented CITY � )UaYh— -, PHONE � � d fi44 i yds l Oa 60 — 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 4 SEWER DISTRICT NJ''1 WATER DISTRICT N [ /N BOX 5 ESTIMATED PROJECT COST 2( FE -7 S EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER_��j LEGAL DESCRIPTION S", A�rrPC �IEn/ (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 ( ) MULTIFAMILY (NO. OF UNITS = (1) COMMERCIAL/INDUSTRIAL NO IMBING FIXTURES (including rough -ins) WATERCLOSETS BATHTUBS SHOWERS LAVATORIES SINKS DISHWASHERS ELECTRIC HOT WATER HEATER LAUNDRY WASHER OUTLET URINALS DRINKING FOUNTAINS SUMPS, SPRINKLER VACUUM BREAKERS DRAINS OTHER TOTAL FIXTURES ( ) NEW CONSTRUCTION ( ) EXISTING STRUCTURE TOTAL AREA OF PROPERTY 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 $ FT 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 EMP�LOYFEL,S, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION. 1L 1 • MIC Cfj l4 G4L0,1 (,WP, A OWNER/AGENT: may'• DATE: 0 ANP -008 3/9; OFFICE USE ONLY (PLEASE DO NOT WRITE BELOWTHf9 LINE) ZONE SETBACKS: FRONT SIDE REAR HEIGHT LIMIT PLANNING DEPARTMENT APPROVAL REMARKS: 4A- z� /i <i(&a lad l I A� l), '� 0b' fi L SEPA: EXEMPT NOT EXEMPT_ FIRE DEPARTMENT APPROVAL REMARKS: DATE 1&--7 ` Cf& PUBLIC WORKS DEPART NT 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 STENANT IMP. OTHER OCCUPANCY ;jjW C7 TYPE OF CONSTRUCTION STORES SAE& ( BUILDING SQ. FT. b _14@ 2—(S 4 �R - 7 U BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ BUILDING SQ. FT. @ BUILDING SQ. FT. @ _ TOTAL SQ. FT. TOTAL VALUATION 4 30!q - 7 V' BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: PERMIT FEE -7Z - 0 ED PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES G PART P/C FEE SEPA REVIEW S.B.C.C. FEE S u OTHER FEES' 3 ' o AMOUNT DUE O PARTIAL PLAN CHECK FEE RECEIVED Amount Date Receipt # BUILDING DEPARTMENT APPROVAL BY AMID, DATE ACCEPTED FOR FILING I/