95-100304 � .
` ��—/a a�ti y
CITY OF FEDERAL WAY g U I L D I N G P E R M I T PERMSSUED: 03/01/9508
33530 First Way South
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 08/28/95
ADDRESS: 1909 S SEATAC MALL Unit : E4
NO. : 762240-0010
PROJ ECT DESCR I PT I ON:TI - CONSTRUCT REM STOAE FRONT.
(EXlSTIN6 RETAIL)
� OMNER CONTRACTOR LENDER
MR. RA6S NELCH CONSTRUCTION INC
1909 S SEATAC IIALL 10681 S 540TN E
FEDERAL MAY MA 98003 SAND1' UT 840i0 �
801-512-3861
?
;�
BIDZ:X MEC?: PLW?: FLR--EXIST--PROP--- DMELLIN6 UNITS: 0 COIIP PLAN.........:8 FEES:
TYPE OF MORK:TEN USE:COM iST.: 0: 1880:sf STOAIES........: 0 AECUIRED PAAI(IN6..: d SPRIMI(LERS?......:? PLAN CHECK DEPOSIT.� : 140.00
CENSUS CATE60RY.....:437 2ND.: 0: O:sf HEI6HT.....: 0.00 ft HAZAAD CLASS...:? fINAI PIAN CHECK...= : 0.40
OCCUPANCY 6ROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUTAED SETBACKS------- FIRE FLOM..,.: 0 gpn BUILDIN6 PERMIT....= � 21fi.00
:82 :? :? :? : OTHR: 0: O:sf EXIST..=: 29011200 FROMT.........:" 0.00 ft SBCC SURCHAR6E....._ : 4.50
T�PE OF CONSTRUCTION----- BSMT: 0: O:sf PROP...:: 21000 SIDE..........: 0.00 ft MATER SERYICE..:fED
:5N :? :? :? : DECK: 0: O:sf REAA..........: O.00:ft SEMER SERYICE..:FED
OCCUPANT LOAD------------ 6AR.: 0: O:sf RECEIYED.:02103/95
: 46: 0: 0: 0: TOTL: 0: 1680:sf IMPERV SURFACE: 0 sf SENSITIYE AREAS?.:N
FIIEI Tl'PES.: FANS..........: 0 BOILERS/COMPRESSORS MATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES = 3fi0.90
� 6AS PIPIN6.: 0 ft HOOD..........: 0 0-3 HP......: 0 81�TH TUBS..........: 0 DRINKIN6 FOUNT.: 0
FURN<t00K..: 0 DUCT MORK.....: 0 3-15 HP.....: 0 SHOMERS............: 0 SUMPS..........: 0
6AS HKt....: 0 MOOD STOYES...: 0 t5-30 NP....: 0 IAYATORIES.........: 0 YAC BAEAKEAS...: 0
CONY BURNEA: 0 FURN>1001(.....: 0 30-50 HP....: 0 SINI(S..............: 0 DRAINS.........; 0
BBG........: 0 IIISC..........: 0 5+ NP.......: 0 DISN MASNERS.......: 0 LAMN SPRINI(LERS: 0
6AS DRYER..: 0 AIR NANDLIN6 UNITS FUEL TANKS--------- ELEC MTR iIEATERS...: 0 OTHER fIXTURES.: 0
RAN6E......: 0 <=10,OOQ CFM: 0 ABOYE 6ROUND: 0 LAUN MSHR OUTLTS...: 0
6AS L06S...: 0 > 10,000 CFM: 0 UNDER6ROUND.: 0
PERMITS E%PIRE 180 DAl'S AFTER ISSUANCE IF NO MORK IS STARTED. AESIDENTIAL AND 6RADIK6 PERMITS EXPIRE ONE YEAA AFTER dATE Of ISSUANCE.
I CERTIFY TNAT THE iNFORNATION FUANISED BY ME IS TRUE AND CORRECT TO THE BEST Of NY KNOMLE06E AND THE APPLICABLE CITY OF FERERAL MA1' REQUIREWENTS MILL BE MET.
OWNER dR AGENT __ _ O�ific./�----- _____ DATE _�=/=_��
FILE COPY
�
� � � � � � �'E.RM1 T Nt�: E�LD95—vl�t1
.::�.��., � i : �� v��y .N,��u� �: �:�' '�.� � �... �` � � � � �i� ISSIlEL�: L�3!C�/9�
r�deral Way, WA 990�3 Buildin!� Tnspection Ftequ�sts 661-4t40 BY; FC
''- �;�ii-4C00 �XPIRES: 08/28/95
A�ORFSS: 19Q9 S SEATAC MALL Unit : E4
NO. : 7fi224�-0010
PR+L1J FCT DESCR I PT I ON:TI - C4NSTRUCT MEM SiQRE FR4Ni.
(EXiS1ING RETAII) .
�A CONTR�CTQR - -- LENOrR � - - -
AA6S �(ELCH COKSTRtlCTIO� tNC
• � S 5EATAC ilAll iG@9i S 540TN E
'�AAL NAY �A 980�3 SANOY UT 84010
' �&i
� k 81i= � �� ,r8��� � �.-
5°`' ��` (m m ;�.:;�a�iL,.
&e
d a¢ , � `.�.. "
a
a ".
�•. —�.�..'�4r....,. ..-, .„ .. . .... ,
. _..._.�., e .� m , G,.r.a� W�w 4."'.m �-�_R. . . . .
ti�ae�s-: . ..,.. ..- c _ .... . _,;—..^�'�__._,-.__... ..�—......-_. .. _. .. . _ . .. ..... .. .. . .. . .... _,.
�.� �...
81D1:ff 11FC?: PLII?: ���- E����_ PAQP � �`" t��i '� �'�� , :,, . :@ � FEE5.
T�PE 4� MQAK:TfN ifSF:COM I ����. � �88{��f ����E�°:���� '.:�;'�;'� �� �- �'�� P��'��`'��..���' � �:� �°n��{����S�� :: `� �° �� PI.AM CHfCI( DEPuS��f.� � 1+10.0�i
CEN�IJ5 CAIEGO�Y.... 4��,� ���"> �,� �.��f � ��� �€��T,������'��.��ft F, � �� "�,� ������� �'�,a��.v�a�� �� � FiNAI PLAN �H�C[...� � 0.4+6
4CCUPANCY 6AOftP____ _ � �,� ��,���� e f ,,;�As��l�_--.____ � ����:� �t.��� �',h��; ` ���N'.4�. ��• �� � �'�I`�iM6 PFNNIt.,..� f 21b.0U
:A2 :? :? � '���� �,�TI���� �w� �w �0�. , a:,.��, t,���,��, ' ��.,t ...... Q.6�} ft . S8�'.t; SURCi4AR6E.....� f 4.5t�
TYPE 4F CONSTAUCTION- --�� �� ������ ��s�' i�'�t�' p, ���� �,,, SIf}E....,..... Q.�4 ft wATER SERVi�E..:�EU
�SN :? :? :? . ��f �� � � � ��.� � � RkllA........... 0.60.ft SE�ER SEHYICF..:�EO
bC�;@P,�NT lQAU------------ °�t.� ��''��`� �"�� Rfi,, ��=tl.�Jvs!�,
: 16: �: 0: b: 70�`����'" 0 � � ��:sf iYPERY SUAFRCE: 8 sf SENStTIVE AREA5?.:N
,
s.—_�,.- �-w , . _ ..��..._,.._.....�,,,.�
��., �� f�ti TYPES.: FAMS..........: Q N4ILEASlC01iPRESS4NS NAtER �IOSETS......: 4 CiRiNA15,.......: 4 T4TAL F�ES � 360.�Q
GA5 PIPIM6.: 0 ft V�.Wfi..........: Q 0-3 HP......: Q BATN TU�S..........: d DAINKIN6 fQBMT,: 0
fUANtt001t..: Q �CT �NGAK....., 0 3-15 NP.....: 0 SHUI�i:AS............: fl SUMVS......,...: Q
6AS IiMT....: 0 �140D STOMfS...' Q i5--30 NP....: G LAV�TORIES.........: U '�AC BREAKERS...: 0
�QNi BU�NER: 6 FURN>t00K...... 8 30-50 NP..... 0 SINKS............... 0 �AAtNS.......... 4
' +�8f},.......: 0 tiISC.,........: 6 5+ NP.......: 0 DISH IMASNEAS....:..: U �AMN SPRtNI(lENS: 0
�AS uRYEA..: 0 M1IA NAMDLIMG 1lMiT� FUEL ZANKS--------- EIF� MT� 1#hATFNS...: 4 t�THEN F!X'fUAES.: fl
_ �Al16E......: � <=1Q,04Q CFIi: 0 A64VE GRQi1Mll: 4 !AtlN �fSHA +�UTtTS...: 4
"�AS L46S...: t? > 10,Q04 CFM: Q UNDEA&AOl!NU.: 0
-. . _ . . �.�— — --� �:�::.- ..-a-�— -- �:�.»_��.=�-�-,_.w.
. � �S EXPIRE i$0 DAYS I�FTEA ISSUANCE Ir NC= I�ORK tS ST?;�T€Q. RESIDEkTIAI ANQ GRADIN6 PERMITS rXPIRf Qi[E YEAR A�TEA D��� "� `;`!'�,��:`
sfY iNAT TiIE 1Nf�i;�iltATIQN fUAA�Sib 8Y �1E 1S ?A!!1 AAD CORAECT t0 TNE BES1 GF t!Y KiYGWt�D�E hNL� TNE A��IICA�IE CiTY r�
-* % - -, � . �a�
� ����' �
FIELD COPY � �
o O o O o m o �+ o m" � � o v� o c� O c� o z O �+ o �' o � o c� o � o cn o c o � o �+ o cn ,
� --� � ..� d C � � � Z � D � C � C � � � N d � � m d m � D � � d = ¢� Z � C � O d �
co m co m m � co m �p L7 � Z, � � co p�p cn pp co C co � m =, c� = co � co � co � c� m m � co Z co �
� � � ,n Z Z, m � , oo', 70 �o m p A ' ,
G-� � D 70 Z � Z � � � Z Z � z � r Z D �
G� m Z ' G� D 'p L� �
�) '� r z -n ' � � � Z D D � �p r- p �; � c/� .
1 D '' � � ' n � 'S< r r � r �o �p Z � , -
� �a G � � p
�J r � D ' � m m � O � � C D O '
�,r� D Z � �° � � _ � v � �
� � ' _' z z ,� �' �'
W ' W �oo W �oo �oo � o0 00 00 �o 0o W z o0 00 0o W � W � W W �
� -� -� < < -� -c -c -c -� -c < < -c
�
e
�
v
o �
m
w
City of Federal Way �
� �� �����: P ���e���"��
� � APPLICATION FOR BUILDING PERMIT �
. � . -:,a 9.,�h
. �__, . .� , �..�.' .
����.7.-F�DERAL WftY � (C,-C.J
PLEASE PR/NT � �� APPL/CAT/ON #:
SITE LOCATION Address � �C �- ��
Tenant (if known) Lot # Assessor's Tax #
w �(� '7G��Z —00/Z3
Building Owner Name Address
� S'eA ll t�sS� .
City =�� �/f ic A L��yGI State j��.J � Zip cj ��, Phone 1 U� 3 L-y-5--�
Nature of Work �� �'-� ��,� ,
APPLICANT I
Name (F,M,L)
�� /2 2A� ��-v�cv
Addre �j
. G� /�G}( t��LsZ>
�\/� City �11GZ/2C�/� .L- �.L16.r� State L�//4 ZiP c" b��7
)'
Contact Person , Day Phone Other Phone Fax
i/!o� S f 3 2- / ► � 3 zz-S'��,�-i.:, �z.��— ! �0 2.,
BUILDING CONTRACTUR I
Company Name
Address
� City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified ❑ Yes ❑ No
ARCHITECT ''
Name /� �.
')� � r�U �J �� I ���v' V � . .
Address
L1 SZ � ,� . �-�1C
City � � '�. State ZiP � � I
Contact Person Phone Fax
� Zlr — Cc�00
LEGAL DESCRIPTION
P/ease Comp/ete Reve�se Side
CD0492(Rev 4/93)
'STRUCTURE isting Use `/'�/ J�l�% roposed Use Q�
i
�[�
�ermit includes: Building ❑ Plumbing ❑ Mechanical ❑ Other
� Type of Work: ❑ Residential ❑ New � Remodel ❑ Number of Units_ ❑ Deck
Commercial I� Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd 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 $a
Zoning �� � Lot Size Existing Bldg Valuation $ 2 � �� �G
LENDER
Name Address
City State Zip
MECHANICAL CON'I`RACTOR
Contractor Name Address
City State Zip
Contact Phone/ Fax
/
License # Ex�iration Date Verified ❑ Yes ❑ No
PLUMBING CON'1`RACTOR'
Contractor Name � Address
City State Zip
Contact Phone Fax
/,,
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT
_ � ;i
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Wa�hers Drinking Fountains Other
Showers EIecZTic Water Heaters Sumps
Lavatories ashing Machine Drains Total Fixture Count
MECHANICAL:UNIT GOUNT
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
BBQ's Wood Stoves 3-15 Tons Tofal tJnit Count
DISCLAIMER: 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 further agree to save harmless the City of Federel 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.
x Owner/Agent: � `�2) ��1��� Date: 2— .S"" �7S
1
75,a— G C'Cn�