90-100003CITY OF
FEDERAL WAY
BUILDING PERMIT
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BUILDING INSPECTION
941-1555
90-1230 SS
KLUH JEWELERS 1911 SO SEATAC MALL
PERMIT NO. OWNER'S NAME
JOB ADDRESS
JOHN ABEL FIRE PROT
PRIONEER RD B THELL
CONTRACTOR
ADDRESS4932
CONT. PHONE 481-7669 _
CONT. REG. NO. JJ�EFPI-5 7pj 5-191
OWNER'S PHONE 481-7669 OWNER'S ADDRESS SAME
TYPE JOB: NEW RESIDENCE ADDITION NEW
INDUSTRIAL NEWCOMMERCIAL COMMERCIAL ADD. INDUSTRIAL ADD. NEW PUBLIC PUBLIC ADD.
NEW MULTI -FAMILY (UNITS ) MULTI. ADD.
SIGN__ GRADING OTHER_ SPRINKLER SYSTEM
TAX ACCOUNT NO._ 762940-0010
LEGAL DESCRIPTION NA
ISSUED BY ELIZABETH SNYDER
DATE OF ISSUE DATE OF APPLICATION 7/24/90
BUILDING INFORMATION
E NA OCCUPANCY NA
TYPE OF CONSTRUCTION SPRINKLER SYSTEM _ BLDG. SO. FT RETAIL=2070 SF_
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 $21,732-00-
2{732_0QFIRE
FIREDEPT APPROVAL, BUILDING DEPT APPROVAL=KEVIN ELLIS ON 7/27/90
PERMIT FEE $54-00 _
PLAN CHECK FEE 35-00
PLUMBING FEE
CHANICAL FEE
AL BLDG. FEES $89-OG--
S9 OG --PART
PARTP/C FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
DATE PAID ��� - U AMOUNT $97.95 RECEIPT -o-1 16 7,-/
S.B.C.C. FEE 4.50
OTHER FEES F.D. 4.45
AMOUNT DUE $97.95
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 WILi__ ET7
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NER OR AGEtu�/-7/zzjl
DATE_T�/�//�C�
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RECEIVED
IJU1241990
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
BOX 1 OWNER Kl uh Jewelers JOB LOCATION
OWNER'S ADDRESS 1911 S. SeaTac Mall CITY Federal belay PHONE 481-7669
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-, Inc CONTRACTOR'S REG. #JJABEFP15701
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 CONTACT PERSON John Abel PHONE 481-7669
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST $600.00 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 / 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
E
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 OF MY KNOWLED ND FURTH H
E T I AM AUTHORIZED BY THE OWNER OF THE ABOVE PREMISES TO PER-
FORM THE WORK FOR t,_,
H IT PL TI IS MADE.
s
OWNER/AGEN� DATE: �'
ANP -006 2/90
Ell
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- ` Z7 -
REMARKS:
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: 441 A
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT NEW MULTIFAMILY (UNITS
� ) ,c
MULTIFAMILY ADD/ALT TENANT IMP. ROOF OTHER SPG ( L�&jlS/ stn
OCCUPANCYTYPE OF CONSTRUCTION STORES
ince BUILDING SQ. FT. Z-0'7 O @
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @
BUILDING SQ. FT. @ ( Pl
BUILDING SQ. FT. @ _
TOTAL SQ. FT. TOTAL VALUATION z- 7 3 "L Z
EBUILDING PERMIT NO. PLAN CHECK FEE REC'D RECEIPT NO.
PERMIT FEE C30 PLAN CHECK FEE PLUMBING FEE — — — — — — — MECH. FEE
TOTAL FEES rpt `l • 01-DSBCC SURCHARGE '-('5-0— ENERGY SURCHARGE AMOUNT DUE
BUILDING DEPARTMENT APPROVAL--------�{--------------------- DATE 7 - Z7 - �► D
REMARKS: c �etr -(�Cr-10
�
ASSIGNED ADDRESS: It iS G1
RECEIVED
.1 U L z a 19.190
CITY OF F I-,DERAL WAY
BUILDING DEPT.
RECEIVED
ACCEPTED FOR FILING