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91-101545CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT 611 - )(bI(-;;yS BUILDING INSPECTION 661-4140 PERMIT NO. 91-1508 CA OWNER'S NAME NATURAL SELECTION SITE ADDRESS 1914 S SEATAC MALL CONTRACTOR SQUIRE SHOPS ADDRESS 830 4 AVE SSEATTLE CONT. PHONE 624-5560 SQUIRS101CM 12/ 91 839-6156 1928 S SEATAC MALL FEDERAL WAY CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS __ TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC_ PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN GRADING _ OTHER TENANT IMPROVEMENT TAX ACCOUNT NO. 762240-0010 LEGAL DESCRIPTION SEA TAC MALL SHOPPING CENTER — THE N i OF THE NW j OF SEC 16 T 21 NO R 4 EAST WM IN KING CO WASH SUED BY ELIZABETH SNYDER DATE OF ISSUE � __-�z -/ DATE OF APPLICATION 10/25/91 rz(ONE BUILDING INFORMATION CC SET BACKS: FRONT NA _ SIDE NA REAR NA HEIGHT LIMIT NA B-2 5-N 437 3046 STORIES EXISTING OCCUPANCY TYPE OF CONSTRUCTION --CENSUS NO. TYPE OF HEATEXISTING BLDG. SQ. FT. PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT 6.50 NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISCDUCTWK 6.50 RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES NONE DRYER TOTAL MECHANICAL 13.00 AMOUNT NONE $22,235 VA14IATION PLANNING DEPT APPROVAL = BILL KINGMAN PERMIT FEE $234-00 AN CHECK FEE 152-00 FIRE DEPT APPROAL = CHRIS INGRAM "NO STOCK OR STORAGE ALLOWED IN REAR LUMBING FEE EXIT CORRIDOR" MECHANICAL FEE 13-00 ------ KEVIN ELLIS PART P/C FEE SEPA REVIEW BLDG DEPT APPROVAL = KEVIN ELLIS PUBLIC WORKS S.B.C.C.FEE 4-50 1 1 7 0 r CALL 661-4140 FOR ALL INSPECTIONS! ! FIRE FEE _ DATE: OTHER FEES AMOUNT: $415.20 AMOUNTDUE $41 5 20 RECEIPT: 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. C� OWNER OR AGEN DATE LAM CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 PERMIT NO. OWNER'S NAME SITE ADDRESS CONTRACTOR_ - ADDRESS CONT. PHONE CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEWRESIDENCE ADDITION NEW INDUSTRIAL NEW COMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC _ PUBLICADD. 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__ _ SET BACKS: FRONT SIDE_ REAR HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION CENSUS NO. TYPE OF HEAT BLDG. SQ. FT. STORIES PLUMBING NO. NO. MECHANICAL APPLIANCES AMT. AMT. BOND WATER CLOSETS ELEC. HOT WATER HEATER GAS PIPING FT. GAS LOGS BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK RECEIVED SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC. SINKS MISC. BBQ BASIC FEE RETURNED DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT VALUATION 2LANNING APPROVAL = RILL XlNt iw.". PERMIT FEE PLAN CHECK FEE IRE DETIT APF51RO "4 -1 = CHRIS I NGRAM *NO STOCR OR SWR,GE ALLOWED IN j#�9 A PLUMBING FEEIN��* MECHANICAL FEE KEVIN 'ELLIS PART P/C FEE BLDG DEPT APPROVAL -= TTVIN ELLIS SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE CALL 661-4140, FOR ALL INSPEC1111111ISS 1 1 FIRE FEE DATE: , OTHER FEES AMOUNT: AMOUNT DUE RECEIPT: 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 // 17L SET BA KS ND FOOTINGS DATE BY OX TO POUR FOUNDATION WALLS DATE _.-_._..BY _._ PLUMBING GROUNDWORK DATE _ __ __BY _ PLUMBING RO GH IN DATE ., _ (�I BY ._� WATER LINE O.K. _..... ..—_ _____ GAS PIPING O.K.__.2� ,�� MECHANICAL INSPECTION DATE–..I.�kz6tq � BY O.K. TO ENCLOSE FRAMING DATE .I �_ f1__BY -� __—_ INSULATION DATE ..— _.... _—.........BY __......__ ... WALL BOARD AND FIRE WALL DATE �/_'L . __ FINAL O.K. TO cc, UPY DATE ..2.y.LL.BY_ DCD PSD FD 'Ifre"iL '<I- o4e v�- ii C _ _I Permit& RECEIVED CITY OF FEDERAL WAY OCT 251991 BUILDING PERMIT APPLICATION O ffV OF�PLtWAY — Please Print — SUILoW BOX 1 TENANT NAME: N- 0 rc S1✓'h�_Ct tC h OWNER a tc4 la -c. 1' a l ( HStSt�c_ta l� r SITE LOCATION' 6 ( S OWNER'S ADDRESS I�i;�. s TI -t :ie -u"% /Vial l CITY I'�� e +rct L11- ��, PHONE15311- L/5k_- DESCRIBE JOB o t THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION BOX 2 CONTRACTOR'S NAME S -=J U i r I: :517"P5 CONTRACTOR'S REG. # ` 5 - /Ur c Card MUST be presen CONTRACTOR'S ADDRESS 930 4"1 c' S CITY `5t"t ► ! k_ PHONE 4 -66 �-,C 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 Wcu I f Hbbc7 C PHONE (v ;? LI' -564L0 BOX 4 SEWER DISTRICT WATER DISTRICT F;' d f rod t St q BOX 5 ESTIMATED PROJECT COST 0 1 5<:i EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBS I Z 1 di1 $ LEGAL DESCRIPTION $ HEAT PUMPS, SIZE (It necessary, please submit a separate page with the legal description.) UNIT HEATERS K.C. Plat Recording # AIR COOLING UNITS, SIZE BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR.C){C/ 2ND FLOOR / OTHER 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) N0. WATERCLOSETS _ BATHTUBS SHOWERS gX!ER ERSHOT WATER HEATER ASHER OUTLET FOUNTAINS INKLER VACUUM BREAKERS 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 $ .926GC_T $ TOTAL MECHANICAL FEE $ I CERTIFY UNIJER 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: \ C,`L— DATE: ANP -008 3/90 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) ZONE SETBACKS: FRONT N14 SIDE_ q M REAR l� HEIGHT LIMIT igll PLANNING DEPARTMENT APPROVAL 10 '29"q I" 13i REMARKS: SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL <�, DATE REMARKS: /v D S1`G CK eG'Gc//� r �ils 17- Co,e 4 1,2c7 © / d PUBLIC WORKS DEPARTMENT APPROVAL DATE REMARKS: BUILDING DEPARTMENT REMARKS: REOSIVED OCT 2 5 1991 Y OF FEDERAL WAY BUILDING DEPT. RECEIVED ASSIGNED ADDRESS: 3 e -e --- Amount Im PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES if F l r AMOUNT DUE BUILDING DEPARTMENT APPROVAL DATE 101-30-1 I z3 5-0 ACCEPTED FOR FILING 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 OCC PAN.CY TYPE OF CONSTRUCTION STORES 1 BUILDING SQ. FT. 3 @ 36. BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. BUILDING SQ. FT. @ @ /1Aa (e-�- � TOTAL SQ. FT. TOTAL VALUATION Z��3S` BUILDING DEPARTMENT REMARKS: REOSIVED OCT 2 5 1991 Y OF FEDERAL WAY BUILDING DEPT. RECEIVED ASSIGNED ADDRESS: 3 e -e --- Amount Im PARTIAL PLAN CHECK FEE RECEIVED Date Receipt # PERMIT FEE PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE OTHER FEES if F l r AMOUNT DUE BUILDING DEPARTMENT APPROVAL DATE 101-30-1 I z3 5-0 ACCEPTED FOR FILING