93-100805 93- lD�sa�
.CI�I'Y OF FEDERAL WAY B U I L D I N G P E R M I T PERMIT NO.: BLD93-03 61
335,30 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 04/12/93
Federal Way, WA 98003 BY: RJC
�661-4000
SITE ADDRESS: 2112 S SEATAC MALL
PARCEL NO.: 762240-0010
PROJECT DESCRIPTION: TENANT IMPROVMENT
ONNER CONTRACTOR LENDER
JEANS GALORE CO *OWNER IS CONTRACTOR*
2112 S SEATAC MALL
fEDERAL WAY WA 98003
-3911
*ONNER*
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DNELLING UNITS: 0 COMP PLAN.........:7 FEES:
TYPE Of 1JORK:TEN USE:COM 1ST.: 4400: O:sf STORIES........: 1 REOUIRED PARKING..: 0 SPRINKLERS?......:Y PLAN CHECK DEPOSIT.* S 46.80
CENSUS CATEGORY.....:437 2ND.: 0: O:sf HEiGHT.....: 0.00 ft HAZARD CLASS...:ORD FINAL PLAN CHECK...* S 0.00
OCCUPANCY GRWP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE FLOL1....: 0 gpm PLCK-FIR cortml only* E 3.60
:62 :? :? :? : OTHR: 0: O:sf EXIST..S: 0 FRONT.........: 0.00 ft BUILDING PERMIT....* $ 72.00
TYPE Of CONSTRUCTION----- BSMT: 0: O:sf PROP...S: 5000 S1DE..........: 0.00 ft NATER SERVICE..:FED SBCC SURCHARGE.....* E 4.50
:5N :? :? :? : DECK: 0: O:sf REAR..........: O.00:ft SEUER SERVICE..:FED
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:04/01/93
. 111: 0: 0: 0: TOTL: 4400: O:sf IMPERV SURFACE: 0 sf SENSITiVE AREAS?.:7
FUEL TYPES.:7 ? fANS..........: 0 BOILERS/COMPRESSORS WATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES E 126.90
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATN TUBS..........: 0 DRINKING FWNT.: 0
FURN<100K..: 0 DUCT NORK.....: 0 3-15 HP.....: 0 SHOWERS............: 0 SUMPS..........: 0
GAS HWT....: 0 LJOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K.....: 0 30-50 NP....: 0 S(NKS..............: 0 DRAINS.........: 0
BBO......... 0 MISC........... 0 5+ HP........ 0 DISH 41ASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN 41SNR OUTLTS...: 0
OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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.
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OWNER OR AGENT DATE � �
bld�rmt 10/23/92 � `
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SET.BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE BY _ DATE BY _ DATE BY -----
PLUMBING ROUGH IN WATER LINE O.K. MECHANICAL INSPECTION
DATE BY GAS PIP{NG O.K. DATE _ — BY — ---...------
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARO AJJD FIRE WALL
DATE BY DATE BY — DATE BY -- --
FINAL O.K. TO OCCUPY PSp FD
DCD
DATE_ _ BY----._..._—
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i��C�IVE�►
APR O 1 i993 APPL�� " FO�R DEVELOPME��T PERMIT
41TY OF�AL ONAY r---. '�` ` /
PLE/���� � �� � APPL/CATION #: �(/��� � v�(D /
SITE LOCATION ress �,f J Z S �a.Ta� Q �� �,�, ��a�
Tenant Lot # Assessor's Tax #
� � G 6cs U
Building Owner Name Phone
S`C L� � � . � S��-3!'�/
City State Zip
2 � !y L C �f1 � 6�3 !,
_ __
_ _ _ _ _ _
_ __
_. _ _
APPLICANT -
Name (F,M,L) j
S i
Address i
3- Z S a
City State Zip I
�..e 2L � (�U Q-�
Day Phone � � Other Phone Fax
'' �7 -- L'?�Z..-
_ . __
BUII,DING CO'�1'TRACTOR �
Company Name
� �
Address
City Sta;e Zip
Contact Person Phone Fax
Contractor's � (card must be presented) Expiration Date Verified
_ O Yes ❑ No �
ARCHITECT `
Name - � / i
/� ��
Address
City State Zip
Contact Person Phone Fax �
�
STRUCTURE : Existing Use �.���,�G��L Proposed Use ����- ���y
<�
Permit includes: Building p Plumbing O Mechanical ❑ Other
Type of Work: ❑ Residentiai . O New Remodel O Number of Units O Deck
❑ Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1 st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Fioor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Approval � Project Valuation $ ;"S; (J bQ
��_
Please Complete Reve�se Side
• cooasi ia��zis_
LENDER
Name ' -
Address /�y / �
/V
City State Zip
Contact Phone Fax
__.._ ___ _ __ _
_ _. _ _ . _ ___. ... .___
AfECH�,NICAI: CONTRACTOR -
Contrector Name
Address ^
f��
City State Zip
Contact Phone Fax
License # Expiration Date Verified
❑ Yes O No
_ _ __._
PLUI��ING CONTRACTOR
Contractor Name
Address � �
City State Zip
Contact Phone Fax
�icense # Expiration Date Verified
� Yes O No
PLUlV�ING FIXTURE COUIr'T �-
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water Heaters Sumps
Lavatories Washing Machine Drains Totaf Fixture Count `:
r�CHANICAL iJ�T: C�UNT /�� �
Fuel Type (electriclother) 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 Miscelianeous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Conv Burner Duct Work 0-3 Tons Underground
• BBQ�S Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I ceRify under penalty of perjury that the inlormation furnished by me is true and correct to the best of my knowledge and turther that 1 am authorized by the owner
of the above premises to perform the work for which permit application is made.I further epree to save harmless the City of Federal Way as to any claim(includinp costs,expenses,
and attorneys'fees incurred in investipation and defense of such claim),which may be made by any person,includinp the undersipned,and filed apainst the City of Federal Way.
b�t only where such tlaim arises out of the reliance o}the City, includinp its ofticers and employees,upon the accuracy of the iniormation supplied to the City as a part oi this
applicetion.
Owne lAge � �' e: � 7 -^—/"— / -7