91-100643 9)� Co 0 6�/3
CITY OF BUILDING INSPECTION
FEDERAL WAY B U I L D I N G P E R M I T 941-1555
437
PERMIT NO. 91-601 CA OWNER'S NAME BROWN SHOE COMPANY JOB ADDRESS 1907 SO SEATAC MALL #E-2
CONTRACTOR DESIGN IMAGE CONSTRUCTI��Ess 130 S. REDWOOD RD #F NO SALT LAKE CITY CONT. PHONE8O1-298-1604
CONT. REG. NO. DESIGICO99aTT 4/1/92 OWNER'S PHONE 839-6156 OWNER'S ADDRESS UTAH 84054 �I928 $� SEATAC MALL
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 COMMERCIAL ALTERATION �T.I.�
TAX ACCOUNT NO. 76224O—OOI.O LEGAL DESCRIPTION SEA TAC MALL — POR OF NW � SEC IF) T 21 NO
R 4 E WM IN RING CO WASH
ISSUED BY ELI ZABETH SNYDER DATE OF ISSUE DATE OF APPLICATION 5/10/91
BUILDING INFORMATION
NE CC OCCUPANCY B-2 TYPE OF CONSTRUCTION 5—N BLDG. SQ. FT. �-228
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. MISCDUCTWR S2_5 0
- RETURNED
SINKS MISC. CONVERSION BURNER BASIC FEE
DISHWASHERS TOTAL FIXTURES N� UNIT HEATER TOTAL MECHANICAL �.5.� AMOUNT N()NF.
•
VALUATION $8�9 6 4.��
PLANNING DEPT APPROVAL = BILL KINGMAN
PERMIT FEE $1 O S_O O
PLAN CHECK FEE 70_00 FIRE DEPT APPROVAL = CHRIS INGRAM/REVIN ELLIS
PLUMBING FEE BLDG DEPT APPROVAL = ICEVIN ELLIS
HANICAL FEE �—S O
AL BLDG. FEES $� R�L S O /
PART PIC FEE v�L�`'C
SEPA REVIEW � .
WATER SERVICE
WATER MAIN CHG. DATE PD AMT $194.4O REC�T
S.B.C.C. FEE '4•5�
OTHEF FEES �-'I� D. 5.4�
AMOUNT DUE $19 4.4�
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMIT$ EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFOR TION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY
*REQUIREMENTS WILL BE M :
?
OWNER OR AGENT� � � � �v"'G� DATE � ' �
CITY OF BUILDING INSPECTION
FEDERAL WAY D I N G P E R M I T 941-1555
BUIL
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
cONE OCCUPANCY TYPE OF CONSTRUCTION BLDG. SQ. 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 i..i:+la <.3=-it' _ tsi'a a....:x':.,..: - _ ....�i. tai_.•-<
PERMIT FEE � ��+,� �PPRUV��. == C''•c'��RT�� �'•��
PLAN CHECK FEE '�~"~���—.��. "
PLUMBING FEE ^ T':^*�T^; ,';�s:7�r•
ECHANICAL FEE _
TOTAL BLDG. FEES
PART PIC FEE
SEPA REVIEW
WATER SERVICE
WATER MAIN CHG.
S.B.C.C. FEE
OTHER FEES
AMOUNT DUE
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARYED.•RESIDENTIAL AND GRADING PERMIT$ 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
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CITY OF-�ED�RAL WAY
i�AY 10 1991 BUILDING PERMIT APPLICATION
����j���C�t�'iAL WAY —P�ease Print—
�UlI.�INQ DEPT.
BOX 1 TENANT NAME: �r�k,�Y H� �� /C{�� 5t,c��+ ,�c'�-F '. M � Lr-
OWNER ' c� v�to � SITE LOCATION S�;�'!��- uv1�� (
OWNER'S ADDRESS I�� 5c)c�i✓� �a2��7A� M�<<� CITY FQ���.�t��F}T PHONE _�1`(z✓.5��
DESCRIBE JOB 7�nnG�,� t�prv.�✓e��+e.�'t-
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION_��
�
BOX 2 CONTRACTOR'S NAME '' CONTRACTOR'S REG. #��LZ"�, LSL C-4� � � �1
� Card MUST be presented
CONTRACTOR'S ADDRESS � � �� , '�CITY 1�1� PHONE�e` �" Z��S�� I LG'��
EXPIRATION DATE �— �—4 Z— �L �.'L ' ����
— OR — l.� VS
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 ��1� ��c�t G��� :� �' PHONE�' t�C�C����b'7��i3Xti
BOX 4 SEWER DISTRICT � WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST �On� EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER ?('o�,�•�f D"U�/Q � c�-3
LEGAL DESCRIPTION .5��- J�tt�ach�ci
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording#
. BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOORI�J 2ND FLOOR /
3RD FLOOR / BASEMENT / DECK / GARAGE /
BOX 8 ( ) SINGLE FAMILY ( ) NEW CONSTRUCTION
( ) MULTIFAMILY (N0. OF UNITS = ) ( ) EXISTING STRUCTURE
( ) COMMERCIAL/INDUSTRIAL TOTAL AREA OF PROPERTY SQ FT
BOX 9 PLUMBING FIXTURES(including rough-ins) MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PI G, FEET $
BATHTUBS N0. URNACE, ELEC. GAS_� $
SHOWERS HOT WATER HEATER / $
L ORIES CON SION BURNER $
SINKS BOILER, ZE 6 $
DISHWASHE AIR HANDL UNITS $
ELECTRIC HOT W HEATER HEAT PUMPS, $
LAUNDRY W ER OD UNIT HEATE $
URINALS AIR C00 G UNITS, E $
DRIN G FOUNTAINS CO RCIAL HOOD $
S� PS, SPRINKLER VACUUM BREAKER ER $
RAINS $
OTHER , C �e- ?�. "� $ ;-s—r;
TOTALFIXTURES $
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 PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE.I FURTHERAGREETOSAVE HARMLESSTHECITYOFFEDERALWAYASTOANYCLAIM(INCLUDING COSTS,EXPENSES,ANDATTORNEYS'
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: �' �' �+-�^ DATE: �
ANP-008 3/90
. .,
OFFI.,_ JSE ONLY (PLEASE DO NOT WRITE BELOW T,,,� �INE)
ZONE�r�SETBACKS: FRONT N��- SIDE �"� '� RE�R � �' HEIGHT LIMIT �.�
PLANNING DEPARTMENT APPROVAL 5'�-1' � Q ^ ��
REMARKS: �
SEPA: EXEMPT �' NOT EXEMPT
FIRE DEPARTMENT APPROVAL G�_ DATE � �
REMARKS: � � L�—�-- S- "' 3C -_ Gl !
PUBLIC WORKS DEPARTMENT APPROVAL DATE
REMARKS: ,��f
;
TYPE OF JOB: NEW RESIDENCE RES. ADD/ALT NEW INDUSTRIAL IND. ADD/ALT
NEW COMMERCIAL COMM. ADD/ALT n NEW MULTIFAMILY (UNITS )
MULTIFAMILY ADD/ALT TENANT IMP. OTHER
OCCUPANCY � �-- TYPE OF CONSTRUCTION L��'✓ STORES
Z�`I� � BUILDING SQ. FT. � �= ''-� @ ��=: , r(. _ �'`�C� 2-�--
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDING SQ. FT. @ _
BUILDINGSQ. FT. @ �`���[;. t� tc°.t'= �- • ��'
TOTAL SQ. FT. TOTAL VALUATION ��'��' `� ` ���
BUILDING DEPARTMENT REMARKS: PERMIT FEE '���
PLAN CHECK FEE � '
PLUMBING FEE
MECHANICAL FEE ` � �
TOTAL BLDG. FEES _ 1�4.S�
PART P/C FEE
SEPA REVIEW
S.B.C.C. FEE ` r C
OTHER FEES r�� r�C � �
AMOUNT DUE �
ASSIGNED ADDRESS: ����J �-X l S 1 l�-
v
������'�'1,� PARTIAL PLAN CHECK FEE RECEIVED
MAY 10 1991 Amount oate Receipt#
C�OF F�u���y�w� BUILDING DEPARTMENT APPROVAL
g���EPT. BY ��"'� DATE S �3c� Cf( ACCEPTED FOR FILING