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04-100940 City of Federal Way Building - Commercial Permit #:04 - 100940 - 01 - CO Community Development Services 33530 1st Way S ilo — ,, , ) _ Federal Way,WA 98003-6210 Ph 253.661.4000 Fax 253.661.4129 Inspection request line: 253.835.3050 Project Name: MARLENE'S MARKET Project Address: 2565 S GATEWAY CENTER PL Parcel Number:092104 9137 Project Description: TI-Construction work for FIRST FLOOR ONLY for new tenant,including WA barrier-free upgrade to existing restroom,lighting changes,new walls. No mechanical or plumbing on this permit. All work on second story to be on separate permit. Owner Applicant Contractor Lender GATEWAY CENTER RETAIL LLC SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC WASHINGTON STATE BANK,NA 110 110TH AVE NE#101 PO BOX 1849 SUPERBI112D2 3/4/05 32303 PACIFIC HWY S BELLEVUE WA MILTON WA 98354 PO BOX 1849 FEDERAL WAY,WA 98004-5828 MILTON WA 98354 98003 Includes: Census category: 437-Comm #1 #2 #3 I #4 J Occupancy Group M rConstruction Type: Type V -N �r Occupancy Load.— 303 _ _ a 1 Floor Area(Sq.Ft.): 11,764 — ------. �I– - , f—' I 1st Floor Proposed Sq.Feet .11,764 Census Category ........,._.... ... ..437-Commercial alt/add Fire Sprinklers.......,. No Mechanical....!... ..... ........ No Number of Stories ..2 Permit for Building Shell Only......', .....No Plumbing No Will Certificate cf Occupancy be Issued? Yes Zoning Designation CC-C PERMIT EXPIRES January 8,2005. Permit issued on July 12,2004 I hereby certi\that the ab, : .nfo i�'.' correct and that the construction onthe above des_ribed pro.erty and the occupancy\� d h- s- ,e , fr"..iii.th the laws,rules and regulations of the Sta of Was ington and the City of Fed,,,,1 � 1 f \\%i. t �� 'ti 1 Owner or agent: ,` `�.,�.�.�. Date: 1 6 City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform Building Code certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: MARLENE'S MARKET Permit number: 04- 100940-01 Address: 2565 S GATEWAY CENTER #1 #2 #3 #4 Occupancy Group: ff M Construction Type: Type V-N Occupancy Aff Load: 303 FloorArea(Sq.Ft.): II 11,764 Owner GATEWAY CENTER RETAIL LLC Name: 110 110TH AVE NE#101 Address: BELLEVUE WA 98004-5828 MK. nota...t44 c ao ? -cz 4 c___LA_.) Building Official Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. INSPECTION LOG DATE INSPECTOR OK CORR/RE.T AREA AND TYPE OF INSPECTION 74id/ / X .19i-/4J41( e /,1;.17 �-V�r c`� its fill Lt/hi vl/�L✓G I 1 5 THIS CARD IS TO 'MAIN ON-SATE. ., CITY OF � . �a t.ommunity Developm nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-100940-01-CO Owner: Address: 2565 S GATEWAY CENTER PL FEDERAL WAY, WA 98003 This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence. On-going inspections are logged on the back of this card. O Footings/Setback(4110) 0 Foundation Wall(4115) 0 Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ alS b/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date . / . , d❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing(4220) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(41:•.0) Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By r- By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4, ❑ Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By ,) Date a ie. 6 i,By Date By Date ❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070) Approved to drop tile Approved Approved By Date By Date r1-, lG..e:,4„ By Date I. 0 Final-Public Works(4080) 0 Final-Building(4050) Approved �Approved ,r By Date By <�....C.�..../ Datee ,. (7^C��'!, „ • , . .... • TD: BEGENED ()\ CITY G ' ` CONSTRUCTION P MITA PLICAT ON -- 1-ierzFri_ MAR 72.004 APPLICATION NUMBER:; - 05 - APPLICATION NUMBER: _ _ CITY F EDERAL G DEPTWAY APPLICATION NUMBER: - - _ - - - - - - - B**The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE 2565 S Gateway Center PL ESSOR'STAX/PARCEL#: LEG CRI ON IF LENGTHY): A gicic.4.62 -c-t • PROJECT INFORMATION TYPE OF PROJECT(This application): rtik BUILDING ”PLUMBING ❑ MECHANICAL 'DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑0FIRE PREVENTION SYSTEM 1f PROJECT DESCRIPTIO (Provide detailed description): a) tL`J I. -CSa S f N e-� 42-C4C-Le.-Le t-C.S•So �ttt t PROJECT NAME: / /Trl��e_ 1'L • k--4 bid • PEOPLE INFORMATION PROPERTY OWNER: NAME: _ DAYTIME PHONE: --% G, 1-1...c_ 5 ) ( -3croo MAILG ADDRESS(Sii T e) 7�ADDRESS;eta/T�ZIP): i®� �C�"�c� t�q �' 6 CONTRACTOR: NAME:!`1 I ` lekeJ.- • r —iT "`-Y DAYTIME PHONE: J ).�73-i�� MAI�FNG�AD TREET DD < E,ZI/P�:( [ a Y.. EVENING)- 7 -("(/8)( Ali. CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: 00,t. a C.9 - / rte I 3 4-1 ‹i`. - ©a 255 )S73- (7' 7 '.".."°°.#°.#°#°°° .". CONTRACTOR'S REGISTRATION NUMBER: //, IEXPIRATION DATE: T (copy of card required) S '''l a E Z CSi_ ` ( a b . . I /"" APPLICANT: NAME: C.,....„0" DAYTIME PHONE: f ( ) - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT ❑TENANT ❑OTHER(DESCRIBE): ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑APPLICANT ❑ CONTRACTORh~ct t - (+F 'L 1 Re.... • DETAILED BUILDING INFORMATION EXISTING USE: (t. ( 0 EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ,t1&C, 0 R PROPOSED USE: Rl .T7. /t/ lPROPOSED VALUATION FOR IMPROVEMENTS: $ r -j ©O 0 SPRINKLERED BUILDING? ❑YES CNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:kES ❑ NO WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) _ SEWER SERVICE PROVIDER: KEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) K04G'C I . • ' ***NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST i Z- ©CD o SECOND THIRD '.":2*:f77:71 FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: (9©o ■ FIXTURES Indicate number of each type of fixture — MECHANICAL AIR HANDLING UNIT(S) •- • COOL-'(S) GAS LOG(S) REFRIG SYSEEM(S) BBQ(S) FAN(S) • , ' WOODSTOVE(S) BOILER(S) NSER' S) 'T ' MISC.( ) COMPRESSOR(S URNACE(S) I + - S PIPE OUTLE (S) HEAT SOURCE: 0 ELECTRIC ■ PL� BATHTUB(S) LAVATORY(- URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WAT;' SYS. VACUUM BREAKER(S) o ELECTRIC o GAS DRINKING FOUNTAIN(S) SHOWER( WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) ■ DISCLAIMER/SIGNATURE BLOCK 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 the permit application is made. I further agree • hold harmle - e City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation efens- o suc, • •'m),which may be made by any person,including the undersigned,and filed agai the City of Federal Way, • ,k� y w e - suc m rises out of the reliance of the city,including its officers and empl•yees,upo the accuracy of the informs� ,��e• t;� ���=his application. NAME/TITLE: \ ../.....� � ( � DATE: /1/G ❑ PROPERTY OWN R ANT►•NTRACTOR FOR OFFICE USE ONLY: - Co.0�I D,I W 0 NEW ❑ADD ❑ALTERATION 0 REPAIR 1'E ANT IMPROVEMENT CENSUS CODE: l LOT SIZE: ZONING DESIGNATIO : CC*Co BUILDING SHELL ONLY? 0 NO COMP PLAN DE iGNATIO�, Cly BASIC R_lAN? o YE ❑� SECTION T W HI'~P RANGE NEW ADDRESS REQUIRED? ❑YES )410 PLAITED LOT? F ❑,NO CHANGE OF USE? 0 YES )(NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalway.com