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91-101633CITY OF FEDERAL WAY 33530 First Way South Federal Way, WA 98003 BUILDING PERMIT BUILDING INSPECTION 661-4140 91-1600 FSS NATURAL SELECTION 1914 S SEATAC MALL PERMIT NO. OWNER'S NAME SITE ADDRESS JOHN J ABEL FIRE PROTXr,,Z4,ON CO 4932 W. INTHURBAN BLVD BOTHELL 481-7669 CONTRACTOR CONT. PHONE JJABEFP157KN 592 839-6156 1928 S SEATAC MALL FEDERAL WAY CONT. REG. NO. EXP. OWNER'S PHONE OWNER'S ADDRESS TYPEJOB: NEW RESIDENCE ADDITION NEW INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD. NEW MULTI -FAMILY (UNITS ) MULTI. ADD. SIGN___.______ GRADING OTHER FIRE SPRINKLER SYSTEM TAX ACCOUNT NO. 762240-0020 LEGAL DESCRIPTION +r 1 ISSUED BY JOANNE JOHNSON DATE OF ISSUE DATE OF APPLICATION 11-12-91 BUILDING INFORMATION ZONE - SET BACKS: FRONT SIDE REAR____ __ HEIGHT LIMIT OCCUPANCY TYPE OF CONSTRUCTION _ . CENSUS NO. ----TYPE OF HEAT BLDG. SO. FT. STORIES 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 NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER _ MISC. RETURNED SINKS MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES DRYER TOTAL MECHANICAL AMOUNT 4,246.53 FIRE DEPT APPROVAL: PK 11-14-91 VALUATION BUILDING DEPT APPROVAL: KC 11-14-91 72.00 PERMIT FEE 47.00 PLAN CHECK FEE LUMBING FEE MECHANICAL FEE PART P/C FEE SEPA REVIEW PUBLIC WORKS 4.50 S.B.C.C. FEE FIRE FEE 59.50 DATE: OTHER FEES AMOUNT: $183. 00 183. OO AMOUNT DUE RECEIPT: C 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 EID NAV 21991 C OF �,NG ®ep pY ew�o E CITY OF FEDERAL WAY Perrt� BUILDING PERMIT APPLICATION — Please Print — BOX 1 TENANT NAME: Natural Selection�Na'�1�L Cs�°6"�� OWNER SeaTac Mall SITE LOCATION 1914 S. SeaTac Mall Federal 1Gay OWNER'S ADDRESS 1928 S. SeaTac Mall CITY Federal Way, W2PHONE 839-6156 DESCRIBEJOB Fire Protection for Tenant Improvement THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION x BOX 2 CONTRACTOR'S NAME John J. Abel Fire Protection Co. CONTRACTOR'S REG. # JJABEFP157KN $ Card MUST be presented CONTRACTOR'S ADDRESS 4932 W. Interurban Blvd. CITY Bothell PHONE 481-7669 EXPIRATION DATE 5-92 UNIT HEATERS $ —OR— I HAVE READ CHAPTER 18.27.010 ELATING 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 John J. Abel PHONE 481-7669 BOX 4 SEWER DISTRICT WATER DISTRICT BOX 5 ESTIMATED PROJECT COST 4,425.00 EXISTING BUILDING VALUATION BOX 6 PROPERTY TAX ACCOUNT NUMBER 762240-0010 LEGAL DESCRIPTION TOTAL MECHANICAL FEE (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 ( x) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT C1.' 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 Fire Protection $ TOTAL MECHANICAL FEE I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF1°l? 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. l OWNER/AGENT:�ot71-i _�DATE: ANP -008 3/90 ZONE SETBACKS:FRONT_ PLANNING DEPARTMENT APPROVAL REMARKS: 0 OFFICE USE ONLY (PLEASE DO NOT WRITE BELOW THIS LINE) SIDE REAR HEIGHT LIMIT SEPA: EXEMPT NOT EXEMPT FIRE DEPARTMENT APPROVAL Ed DATE II — MY - q REMARKS: PUBLIC WORKS DEPARTMENT AP REMARKS: DATE 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 O r S e_S / 0C, OCCUP NCY TYPE OF CONSTRUCTION VAI ORES e, BUILDING SQ. FT. JO/ 6 @ 6 O GC) BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ _ BUILDING SQ. FT. @ TOTAL SQ. FT. TOTAL VALUATION H 211 6 • S 3 BUILDING DEPARTMENT REMARKS: RECEIVED ASSIGNED ADDRESS: Amount PARTIAL PLAN CHECK FEE RECEIVED Date PERMIT FEE ? L PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE TOTAL BLDG. FEES PART P/C FEE SEPA REVIEW S.B.C.C. FEE q, Sv OTHER FEES?- D FPSS-,7,370 AMOUNT DUE Receipt # BUILDING DEPARTMENT APPROVAL BY DATE 11- ( L1 ` `,I ACCEPTED FOR FILING 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 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 SET BACKS: FRONT SIDE __REAR______ HEIGHT LIMIT CCUPANCY 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 RECEIVED BATHTUBS LAUNDRY DRAINS FORCED AIR FURNACE DUCT WORK SHOWERS URINALS GAS HOT WATER HTR. AIR HANDLING UNIT NUMBER LAVATORIES DRINKING FOUNTAINS CONVERSION BURNER MISC. RETURNED SINKS _ MISC. BBQ BASIC FEE DISHWASHERS TOTAL FIXTURES TOTAL MECHANICAL AMOUNT f#, 46s _ A yDRRYYER y 11 lj<ji Life Ai'�vsvVYl�l.� : P& 11SR_9r VALUATION TTLD7y G DEPTAPPROVAL:C 11-14-91 yn1 PERMIT FEE 10 PLAN CHECK FEE PLUMBING FEE MECHANICAL FEE RT P/C FEE SEPA REVIEW PUBLIC WORKS S.B.C.C. FEE 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 SET BACKS AND FOOTINGS DATE _....._.-_...... ._... ... _-BY _.-- PLUMBING ROUGH IN DATE _.__ ... ...-BY O.K. TO ENCLOSE FRAMING DATE - - ...... .... .-__BY ..... .... ....... ._... FINAL O.K. TO OCCUPY DATE_/.lelq 3 .BY --.G.-- ..-- �< OX TO POUR FOUNDATION WALLS DATE .. __ _ BY _...- WATER LINE O.K. GAS PIPING O.K._ INSULATION DATE _..._..--BY .._....... DCD I PSD D PLUMBING GROUNDWORK DATE BY MECHANICAL INSPECTION DATE -_ - - ___ . __BY WALL BOARD AND FIRE WALL DATE _ _- - ---.._ BY 297