93-102145 "r►.
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CITY OF FEDERAL WAY B U I LDING PEI�:MI T PERISSUED- 09/OS/932�
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FLF
661-4000 EXPIRES: 03/07/94
ADDRESS: 1928 S SEATAC MALL
NO. : 762240-OO1Q
PROJECT DESCRIPTION:TI - REMODEL E%ISTIN6 TENANT SPACE.
ONMER CONTRACTOR LENDER
KINMEY SHOES MIDDLESEX CSTM IMT/6EN COMT IN
1928 S SEATAC MALL P.O. BOX 1134
--DERAL MAY MA 98003 b65 MARTIN ST
RANMAY N7 07065
908-396-0500
MIDDLCI104J3
BLD?:X MEC?:X PLM?: FLR--EXIST--PROP--- DMELLIN6 UNITS: 0 COMP PLAN.........:? FEES;
TYPE OF MORK:TEM USE:COM 1ST.: 3360: 33b0:sf STORIES........: 0 RfQUIRED PARIIIN6..: 0 SPRIMKLERS?......:? PLAM CNECII DEP�IT.� : 184.93
CENSUS CATE60R1'.....:431 2ND.: 0: O:sf NEI6HT.....: 0.00 ft HAZA(� CLASS,..:? FINAL PLAM CNECK...i = 0.00
OCCUPANCY 6ROUP---------- 31�.: 0: O:sf YALUATIOM---------- REQUIRED SETBACKS------- FIRE fL011....: 0 gp� BUILDI116 PERMIT....� = 284.50
:62 :? :? :? : OTHR: 0: O:sf EXIST.,;: O FROMT.........: 0.00 ft PLCK-FIR coul only* = 14.23
TYPE OF CONST(�TION----- BSMT: 0: O:sf P�P...3: 29600 SIDE..........: 0.00 ft MATER SERVICE..:fED SBCC SURCHAR6E.....# = 4.50
:5M :? :? :? : DECK: 0: O:sf REAR..........: O.00:ft SEMER SERYICE..:fED MEC APPIIANCE FEES.i = 4.50
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIVED.:08�20/93
: 40: 0: 0: 0: TOTI: 33b0: 3360:sf IMPERY SURFACE: 0 sf SEMSITIVE AREAS?.:?
FUEL TrPES.: fAMS..........: 1 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES = 492.66
PIPIM6.: 0 ft t�OD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRIMKIM6 fOUNT.: 0
N<100K..: 0 DUCT IIORI�.....: 0 3-15 HP.....: 0 SNOMERS............: 0 SUMPS..........: 0
tNIT....: 0 MOOD STOVES...: 0 15-30 HP....: 0 LAYATORIES.........: 0 VAC BREAKERS...: 0
COMY BURNER: 0 fURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAIMS.........: O
BBQ........: 0 MISC.......,..: 0 5+ NP.......: 0 DISN MASHERS.......: 0 LAMN SPRINKLERS: 0
6AS DRYER..: 0 AIR HAMDLIM6 UNITS FUEL TAMKS--------- ELEC MTR HEATERS...: 0 OTNER fIXTURES.: 0
RAN6E......: 0 <=10,000 CFM: 0 ABOYE 61t0UIID: 0 LMIM NSHR WTLTS...: O
6AS L06S...: 0 > 10,000 CFM: 0 UI�ER6ROUMD.: 0
PERMITS EXPIRE 180 DAYS AfTER ISSUANCE IF MO MORII IS STARTED. RESIDENTIAL AND 6RADIM6 PERMITS EXPIRE ONE 1fEAR AFTER DATE OF ISSUAMCE.
I CERTIFY TNAT THE IMFORMATIOM FURNISED ME IS TRUE AND CORRECT�T THE BEST OF MY KNONLED6E AMD TNE APPLICABLE CITY Of FERERAL MAY REQUIREMENTS MILL BE MET.
��, . �
OWNER OR AGENT -,,��=- • - `�-'�---- - =------------- DATE �
FILE COPY
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33530OFirst�EWay South B U I LD I NG P EI�:MI T PERISSUED: 09/08/9324
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 03/07/94 �
** REVISED PERMIT **
ADDRESS: 1928 S SEATAC MALL
iVO. : 762240-0010
PROJECT DESCRIPTION:TI - REMODEL EXISTIN6 TEMANT SPACE.
REVISED APPLICATION REC'D 9/22/93 TO INCLUDE PLUMBIM6 MORK.
OMMER COMTRACTOR IENDER
� KINMEY SHOES MIDDLESEX CSTM INT�6EM COMT IM
3 5 SEATAC MALL P.O. BOX 1134
�RAL MAY MA 98003 b65 MARTIM ST
AANMAY NJ 07065
908-3%-0500
MIDDLCI144J3
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DMELLIN6 UNITS: 0 COMP PLAM.........:? fEES:
TYPE OF MORK:TEM USE:COM 1ST.: 3360: 3360:sf STORIES........: 0 REWlIRED PARKIM6..: 0 SPRIMKLERS?......:? PLAN CHECK DEPOSIT.= = 164.93
CEMSUS CATE60RY.....:437 2ND.: 4: O:sf HEI6HT.....: 0.00 ft HAIARO CLASS...:? FINAL PLAM CHECK...* = 0.40
OCCUPAMCy 6ROUP---------- 3RD.: 0: O:sf VALUATIOM---------- REGUIRED SETBACKS------- FIRE FLON....: 0 gp� BUILDIN6 PERMIT....= = 264.50
:62 : : : : OTHR: 0: O:sf EXIST..=: 0 FRONT.........: 0.00 ft PLCK-FIR co�sl onlyt = 14.23
TYPE OF CONSTRUCTIOM----- BSMT: 0: O:sf PROP...=: 29600 SIDE..........: 0.00 ft MATER SERVICE..:fED SBCC SURCHAR6E.....; = 4.50
:5N : : : : DECK: 0: O:sf REAR..........: O.00:ft SENER SERYICE..:FED MEC APPIIANCE FEES.j = 4.50
OCCUPAMT LOAD--------=--- 6AR.: 0: O:sf RECEIVED.:08/20/93 PLM PRMT ISSUANCE.. = 20.00
: 40: 0: 0: 0: TOTL: 33b0: 3360:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:? PLUMBIM6 FIXT....93� = 21.00
TYPES.: FAMS..........: 1 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URIMALS........: 0 TOTAL fEES = 533.b6
__ PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS.........,: 0 DRIMKIN6 FOUMT.: 0
FURiI<100K..: 0 DUCT MORK.....: 0 3-15 HP.....: 8 SNOMERS............: 0 SUMPS..........: 4
6AS NMT.,..: 0 MOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...; 0 �a
COMY BURMER: 0 fURll>100[.....: 0 30-50 NP....: 0 SINKS..............: 1 DRAINS.........: 0
BBp........: 0 MISC..........: 0 5+ NP.......: 0 DISH NASHERS.......: 0 LAMM SPRINKLERS: 0
6AS DR11ER..: 0 AIR HAMDLIN6 UMITS FUEL TANKS--------- ELEC MTR HEATERS...: 1 OTHER FIXTURES.: 0
RAN6E......: 0 <=10,000 CFM: 0 ABOVE 6ROlIND: 0 LAUN MSNR OUTLTS...: 0
6AS L�S...: O > 10,000 CFM: 0 UNDER6ROUND.: 0
PEAMITS EXPIRE 180 DAIfS AFTER ISSUAMCE IF NO MORK IS STARTEd. RESIDENTIAL AND 6RADIM6 PERMITS EXPIRE ONE 1fEAR AFTER DATE OF ISSUAMCE.
I CERTIFY THAT THE INFORMATIOM FURNISED BY ME IS TRUE AND CORRECT TO THE BEST OF M1f KNOMLED6E AND TNE APPLICABLE CIT11 OF FERERAL NAY REQUIREMENTS MILL BE MET.
OWNER OR AGENT __ �__� -,��-�����____�_�___________�___ DATE �,���,���
FILE CC�PY
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�,� r �: �c way �i����.�� IS'�UE�: 09jCi8/93
, :..:.a=_�ra3 Way, �NA ����3Q3 Buildin�3 I�n�pection R��uest� 663-4240 �Y: FC
661-400C� �XPIRES. 03/07%`�4
** REVZ�ED PERMIT �* r
ADUF�E:aS: l`�:.'8 r� `_>EATAG �l�ti_.i_
NO. : 762�Q0-t'3010
PROJE�1' UESCRIPTIfJN:TI - REI�DEL EXISTIM6 TEIWlII SAACE.
REYISED APPIICATIOM REC`D 9/22/93 TQ INCLNDE RLlNtBI14G MORI(.
� �HtER CiMITRACiOR � IEIIDER
°;Hi'iES 11IDDLE�EIi C�TM iMT/6EN CONT IN
�r.;n�" �!„r P.O. 6171i 113d
� ' bd5 MARTIM ST
RAtMIAT MJ O70i65
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Bi.O?:X MfC?:l( PLM".:X FIR--t ���a�- ��ti� 4i�li�` * ++ f�' �tAN.........:? ; 'EfS:
T�'Ff Of �0�(:TEN USE:COM iST,u ;�3dQ.� � ., sf °'�_ ;�k.1ES�,�����,�.�4� ��t1i��P��14�1�.� � � �'� ���t'� :".W „�°� ; PLAN CNECx DEPOSIT.; ; 18i.93
Cf.NSUS CATE60RY.....:137 2l�.: ' 4a �3.�� na N��NT�,««,�'�', �► 't �� �`d � . � � � 1���.+ ,.��e��� ��� FINAI pLAN CNfC�...� # 0.04
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tiCCNPAI{CY 6�fl!UP-_______� ��.: � �f Y�}Aii�---- --- �1 k�.�? ��iE��Aw�����----- �E fl�i..�:. �" 0 pa�. ��PERMIT....s i 78�.50
rv�e
:�2 : : : : ���t: �� �� �,'��� '� E�S't .+� � �P s: . . � �� � � coal only� � t1.23
� iYPE � CONSTRUCTIflN----- `�M�: � G "� . P,,.�- '?�s�? �.�,�,...,,....: 4.d0 ft iIHTER SERYICE..:FED SBCC 'SURCNAR�GE.....x S �.50
;SN : : : : DC� t � t' €�`� �EAR.......,.,: Q.04:ft SEMER 5ER4'ICE..:fEO MEC APPIIRMCE FEfS.x ' 1.54
t�CUPANi LOAD------------ 6A�t ��� `��1 ��� 0 �y����EC � D.:08/�9� m PLM PAlIt ISSlMl�E.. ; 21i.D4
. 40: 0: 0: 4: TOiI 3� �� IIl�ERY SURfACE: 0 sf SEit5IT1YE A�EAS?.:? PLl�l6IN6 fI3IT....93Y � 21.96
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""'l TCPES.: FAMS..........: i �ILERS/COMPRESSORS MATER CLOSETS....... 0 UR[lWLS........: � tE}TAL f�ES 3 S;i3.b6
PIAIM6,: 0 ft IIOOD..........: 4 0-3 NP......: 0 BAiN TUBS....,,....: 0 DRIIIKIM6 f(�1NT.: 0
FURM<lOQi�..; 0 �1 Mf1RK.....: 0 3-15 Mp.....: 0 SNOMEft�............: fl StlMPS..........; 4
f�dlS i�IT....: 0 N(�OD STDYfS...: 0 15-30 NP....: b i.AYATORIES.........: 4 YAC SREAKERS...: 0
COMY BURNER: 4 fURM>lOOX...... 0 34-50 NP,...: 4 SINKS..............: 1 DttAI1tS.........: 0
�8�...,....: Q MISC..........: 0 5+ N�.....,.: d 6tSH MASIi�R3.......: 0 LAMN SPRINi�IERS: Q
6AS DR1'E�..: 4 AIR NAi�liN6 UItITS fU�l TANXS--------- ELEC MTR NEAtERS...: 1 UTNER fIXTURES.. 4
RAN!�E......: 4 <�14,�rD0 f.fM: 0 ASOVE 6ROU11D: 4 LAUN it�INt Otlitl'S,,.; 0
6AS l�S.,.: 0 > 10,000 CFl1: fl !l�ER6�t1U1�.: �
n�o�g�z. ry�r�rc e��, �n�c {;�TER ISSUAI�E I�' MO MORK i5 STARTED. RESIDENIIR�. AMD 6RfN1IMG �Eid1ITS EXPIRE DNE YEAR AfTER dATF Q� ISSUAMCE.
, )N FURMISE� BY ?�E I� TRUE AMD CORRECT �0 iHE BEST 0� NY K�tOMlEB6E AKD iNE APPtICABtE CITY OF fERERAt MAY RE�liRE1fENT5 MTtI BE lIET.
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� ,., f;O�F irst�Way Sauth B tJ I �DING PEF:MI'I' ���ISSUED: �4J(}��93��
Federal Way, WA 9t3a03 Building In�pectian R�quests 661-R140 BY; Fl.�
661-a000 �x�����: 03,�o�/�a
ADC�RES�: I928 S SEATAC MALL
NO. : 7622A0-0010
f�ROJECT DESCRIPTION:iI - RE1�6E1 E%ISTIN6 Tfi1ANT 5PACE,
�OM1�N CONIRACTOR .—�. LEI�EB . - . ._. .�_ .-�---�-z--,s--;-:�_.._._..
KIiNI�Y SHOES 1{I�IESEX C5TM IMT/6EN CDMT IM
� �W?R C *�'ATnr !9�1t P.O. 8QX 113A
! b65 MARTiN 3T
� ° RAIAIAY !IJ 47665
! 908-34b-4500
f 11�861C�
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BLD?:X MfC?:X PLM?: fi.R--fxi � -aM,pA . t7lfCttT� 111tTT5`. ?� '' C�lP PIAN. .......:? � FEE5:
IYPE Of 11(lRt:TEN USf:COM 151.: ,:;,r,ratlt 33GO.sf`° �T�if'�.....'.,.:� .9 �[RE�J �e�K[i�..: 0 SPRINKl.ERa?......:? , PIAN CHfC1( DfPOStt.s t t94.43
� CF�NSUS CATEfiORr.....:431 'la}._: D: �� O:sf ''�� HE��#T.....,,°����F? �t �� ' „� � � fINAI PIAN CHECX...x ; 0.00
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OCGIIPAlICy �1�---_______ y� : �,�� �: �� "� ' V�UA1TtN{ _;�.� r�t���;3r�������'-, � �I�� Fl.�.... s yrr ���� s �lIlD1M6 AEIglIT....� � 281.54
:82 :? :? :? � �'f�� � °�°�` Q�Sfi ., E��T..�: , , } �k� „ �� � ��iu tt � �° � � Gf�-��I�. �1 anlX� i 24,23
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TYPE 4� COIN5T�11C1IDN--- ��� .8�: � #S� � ��; p�P...'�. � 7'4�,�� ' �x➢� ....... '�� �:����t 11A1ER SERV� ...ffD �" '�'�IIA�E..,..t f 4.50
:5M :? :? :? . ����C�C�, �� ��a a��,� �ro.` ��::,........ 8.t70:ft SEMEN SE�IICE..:fED MEC APPtIAlICE fEES.x = A.50
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OCCt�AIIT I,OAD------------ � "; ��' '����� ���Y�Q.°�/20j� ;�.
. i8: 8• fl• 4: T4� .3�! �i6��.�# °a i.PERY 5URfACE: 0 sf SENSITIYE AREAS?.:?
• . �h ..a1 . ._.... . . . . .:.'T�:�
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fUEI TYPES.: FAMS ..:�.....: i� ��`` �'lILERS/COIIPRfSSi1RS i�I1ER fLOSETS......: 4 1lR1MALS........: 0 TOTAL fEES = /92.66
"'�" PIAIN�6.: 4 ft i�IOD..........: 4 Q-3 NP......: 0 BATN TU83..........: 4 DRINKI116 FOUNT.: 0
�N<140X... 0 DUCT INNtI(...... � 3-15 HP...... 4 SI�f.RS............. Q SIMlPS........... 0
; �6AS iNOT....: 0 iN�)D STOYfS...: 0 l5-�Q N�....: 0 LAYATORIES.....,...: 0 YAC �REAKERS...: 0
CONY 6URMER: 0 fURN>14QK.....: 0 30-50 HP..,.: 0 SINKS..............: 0 DRAIM�.........: 0
88i1......... 0 IlISC....,,..... 0 5+ NP........ 0 DISiI MASilERS....,... 0 LAMiI SPR1Ni(tEt�: 0
6A� BR�ER..: 0 AIR !lAIM'il.IM6 UNiTS FUEi iAliXS--------- EIEC NTR NEAtERS...: 0 OTNER FIXTURE�.: 6
RAN6E......; 0 <-14,000 CiM: 4 ABQYE 6RW1lD: 0 LAfNI MSNR OUTIiS...: 4
&AS 106S...: 0 > 10,U00 CfM: 4 UNDfR6R0011B.: 0
.�,,� ____ __..-._� _ .. —,_,___ _. . ..,_.__. -�:.-��.-,-,__--._.�. _..�__._�_.-- —-�.--
:'��g�':, `t's�i�� ��tn ��AYS E�FiER ISSUAMCE 1F NO MQR[ IS SipR1fD. RESIDENttAI AI� 6RAQIN6 PER!!1(S EXPIRE aNE YEAR Af�ER DATE Of ISSUAIECE.
�fOf�TiDM FUAqISE ME IS TRIlE AI� CO�RECT,,LB, iNf BE5� flf MY KlIONLED6F Rf10 tNE APP!ICA�IE CIT OF FfRERAt MAY REQUIRENEMTS IOIit P.E MET.
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_ FIELD COPY
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SE76ACKS & FOOTINGS
Date By
. FOUNDATION WALLS
Date By
PLUMBING GROUNDWbRK
Date By
UNDERFLOOR FRAMING
Date By
SHFAR WAlL5
Date By
PLUMBING ROUGH=IN
Date ��- � �/ -��;� By `�
GAS PIPING
Date By
MECHANICAL ROUGH-II�f
Date By
MECHANICAL (OTHER)
Date By
FRAMING �``�a-��J Y�/�G�r�Uq QlL C7.c1 i,3,�j rEQvv:t� d-1�rJ �'���2 � .
U/ � 5 t��=.�:,✓c,
Date By GC�GiOi� 5,� a� , LL �C � CJ�� O/L `i -��/-q :h�v
INSULATION
Date By
GWB - 1 ST LAYER
Date ��- BY /��/
GWB - 2ND LAYER
Date By
SUSPENDED CEILING
Date %�-7—�j3 By`Lj
PLANNING FINAL
Date By
ENGINEERING FINAL
Date By
FIRE FINAL
Date �. ; � �.n_. BY
BUILDING FINAL
\ , ., � /
Date��% ,_ � � _� By ����
OTHER
Date By
OTHER
Date By
CD0193
'� 1
City of Federal Way �
� c : IVEC� �
v� � APPLICATION FOR BUILDING PERMIT �
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� ;L� &c`fa�es�
:�CT�RA�Wttd
PLEASE PR/NT "�� �EF�', APPLICAT/ON #: �-. ^ 6 �
S1TE LOCATION ,address S � �� � yy� �
Tenant (if known) ` Lot # Assessor's Tax #
� 1 � S O� '7�zZ -td/�
Building Owner Name Address
City � State � � , Zip Phone
Nature of Work
APPLICANT
Name (F,M,L) i
��� � �i i
�L`_ C C ✓/'l/U ; , �:/J? ' ��',�r�.'?`�;f'�
Address
City State Zip
Contact Person Day Phone Other Phone Fax
B G CONTRACTOR '
Company me
Address '
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT
Name �
Address
City State Zip
Contact Person Phone Fax
LEGAL D IPTION
Please Complete Reverse Side
CD0492 IRev 4l931
$'j'RiJC'j'[JRE ting Use posed Use
Permit includes: .� Building Plumbing L, Mechanical ❑ Other
1`ype of Work: ❑ Residential ❑ New model ❑ Number of Units ❑ Deck
� O Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2�d Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S
Zoning Lot Size Existing Bldg Valuation 5
LEI�IDER
Name Address
City State Zip
NiECHANICAL C RACTOR
�
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
p� PLU1�fBING CONTRACTOR
Contractor me � Address �
N-�, �. �- S� L L r---
City � < State Zip
Contact � Pt�q _/� Fa� � ��
v �f g
�
License # �v (`U� � Expiration Date Verified ❑ Yes ❑ No
'� I 5�� � 3
YLU11fBING FIXTURE COUNT
Water Closets Sinks Urinais Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Totai Fixture Count
NfE MCAL UNIT COUN'T
Fuel Type tric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Pipin Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ To�s
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner D Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penelty of perjury that the information furnished by me ie true end correct to the beet of my knowledge and turther thet I em authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to seve harmless the City of Federat Way ae to any cleim(includinp costs,expe�ses,
and attorneys'feea incurred in investigation and defenae of such claim�,which may be made by eny person,including the undersigned,and filed epainst the City of Federal Wey,
but only where such claim arises out of the relience of the City, includinp its officers end employees,upon the accurecy of jyq iryf�mati rysu plied to the City as a part of this
application.
�A/ A C`
/
�Owner/Agent:_-----J�,��(�{„ � (�(�—� lJ�/�„� Date:
���_
City of Federal Way p_� Z ��
�..� G _ �96 Z
-�- �r-�r=�
�� APPLIC _ �H�JILDING PERMI ��6 z-
y E'f• � E"�
i�i I l7 �: ;� ����y'As;
PLEASE PR/NT APPL/CATION #: �'�s' /��D%�i�
SITE LOCATION : Address � �������`'� �
Tenant (if known) L/ G Lot# A������# OQ�D
/f
Building Owner Name Address
_% �/ ii /
City State Zip a Phone o �
Nature of Work i � � �, v�
APPLICANT ' ����
Name (F,M,L) y�
/T � '
Address
City � r- State Zip �
Contact Person � Day Phone Other Phone Fax �
T� C� r Z - 7Zo -- S�o 2�2'7Lo- yZ Z
BUII,DING CONTRACTOR
Compeny Name , �
�- l '
E �
Address 1 '
� T
City State Zip p
Contact Person Phone �//� Fax
D —o D �O
Contractor's �f (card must be presented) Expirati n te Verified ❑ Yes O No
/y1. (�,l�G C l. /o,�J3 5� 9 y
ARCHITECT <
Name
Address
Z o a �/o
City State Zip
Contact Person Phone Fax
S!/ � Go 0
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 IRev a;83i
STRUCTURE use f •l Sed use � .
�?� 4,
Permit i�cludes: ❑ Building � Plumbing � Mechanical O Other
Type of Work: ❑ Residential 0 New �9 Remodel ❑ Number of Units_ ❑ Deck
[� Commercial ❑ Additio� ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existine Floor Area , �Q�6 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation S �p�,�
Zoning Lot Size Existing Bldg Valuation S
LENDER
Name Address
m.✓�
City State Zip
MECHANICAL' CONTRACTOR '
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUI�ZBING CONTRACTOR .
Contractor Name Address
Ci� State ZiP
Contact Pho�e Fax
License # Expiration Date Verified � Yes � No
PLUMBING FIXTIJRE �OiJNT
Water Clo$ets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Total Fixiure Count 4
1�'IECHANICAI. UNTI' COITN�`
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
ggQ'S Wood Stoves 3-15 Tons Tof81 Unit Count
DISCLAIMER: I cartify undar penalty ot perjury that the information furnished by me is true end conect to the best of my knowledge end further that I em authorized by the owner
of the above premises to perform the work tor which permit epplication is made.I further egree to cave harmless the City of Federal Way as to any claim�includinp coste,expenses,
and attorneys'tees incurred in investigation and detenae oi such claim�,which may be made by any person,includinp the undersigned,and tiled epainst the City ot Federal Way,
but only where such claim arises out ot the reliance of the City, including its office�s and employaec,upon the accuracy of the information supplied to tha City as e pert of this
application.
OwnerlAgent: , Date: �/�Z�/
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��0��j�� This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying ��\\��\�
��i♦ that at the time of issuance, this structure was in compliance with the various ordinances of the City \i�D` -
-��\��j regulating building construction or use.-For the following: � ��j/jj�
�..�\��\ /,/i�ii.�
�=����, � OCCUPANT LOAD: 40 PERMIT NUMBER: BLD93-0924 , '�����
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o���i;; ������r.�
�jij% TENANT NAME. . : KINNEY SHOES \���\00
o������� ADDRESS. . . . . . : 1928 S SEATAC MALL \�0��;�
o ,�� ♦�;D
�O�r�\� GROUP: B2 , SQFT: 672 0 CONSTRUCTON TYPE: 5N `'�j���s
r
p�\\�\\ OWNER NAME. . . : SEATAC MALL ASSOCIATES �/�/���
��_•
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1���,;; ADDRESS. . . . . . : 1928 SO SEATAC MALL ,:=��e�
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�,a,/O�j� FEDERAL WAY WA 98003 �����_�
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�,��o��� __ �A `� ��'�'��` — = --------- - -�--�=� � /0��/�,.
��`=\�\� BUILDING OFFICIAL . � � DATE ' ������-
��1�:; � . . . . ' ���0�
��'��= The riorrl ocus in the review and ins ection made b lhe Cr[ �riar lo issciance o lhrs Ce�•1� ccate was on lhose mallers which ex erience ��`����'
�s�,�� P Y.f P Y Y 1 .f .� P . ����_-o�
��/�j� hus shown mos!severely alfecl lhe heu!!h und safety oJllte generu!puUlic. Although !!�e Cily hus»2ade us co»iplele u review and i�ispectron us �\��\��=
���/����, is reasonably possible (wi[hin budgetary fime and personnel limitations), lhe City neilher guarantees nor warrants !o the owner/occupant or ;�,;�r
���(��'�1 fo any olher person that this Cer[ificate evidences strict compliance wrth each and every ordiiia�ice or regulalion of the City or the slate of ������
,��`� Washinglon ajjecting [he co��.struction or use ojsaid slruclure or the lond upan which il is si/ualed. Such campliance is the responsibility oj ����8
��\\��� the owner and/or occupant of the premises. �%�
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�`� POST IN A CONSPICUOUS PLACE �����
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