03-102983 1.
4
City of Federal Way Community Development Services Building - Commercial Permit #:03 - 102983 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: BIG LOTS
Project Address: 1211 S 320TH ST Parcel Number: 150050 0030
Project Description: TI-Demo interior soffit,build stockroom walls,new flooring in sales floors,paint.Demo to include
removal of walls,acoustical ceiling,VCT floor,lighting,HVAC duct,plumbing fixtures.Build new
cash/count room.Install storage racks.
Owner Applicant Contractor Lender
1560 INVESTORS LLC SKYWARD CONSTRUCTION SKYWARD CONSTRUCTION BIG LOTS
200 S BROAD ST#6 15908 10TH AVE SKYWACL033BP(1/6/05) 100700 BUSINESS DRIVE
RIDGEFIELD WA 98642 15908 10TH AVE FONTANA CA
RIDGEFIELD WA 98642
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N _ H
Occupancy Load: 649
Floor Area(Sq.Ft.): 27223
1st Floor Proposed Sq.Feet 27223 Building Pre-con.Meeting Required No
Census Category 437-Commercial alt/add Fire Sprinklers Yes
Mechanical No Number of Stories 1
Permit for Building Shell Only No Permit for Foundation Only No
Plumbing No Special Inspection Required No
Will Certificate of Occupancy be Issued`, Yes Zoning Designation CC-F
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject
proposal.
PERMIT EXPIRES March 13,2004.
Permit issued on September 15,2003
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Pc.7.--4 Date: 2 li
w �
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: BIG LOTS Permit number: 03 - 102983-00
Address: 1211 S 320TH
#1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load: 649
Floor Area(Sq.Ft.): 27223
Owner 1560 INVESTORS LLC
Name: 200 S BROAD ST#6
Address:
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.
c A
r
•
POT THIS CARD ON THE FRONT OF BUILi''NG •
CIT`OF
Federal Way BLij,DING DIVISION
ISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-102983-00-CO
OWNER'S NAME: 1560 INVESTORS LLC
SITE ADDRESS: 1211 S 320TH
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
) DRAINAGE: Line ( ) ^:,nnection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
O IJ TEE•.FLGC`FR1=�.i-IN,
( D % 7 Weter piping
p P g.
( _. :MEC.dAN.L. L-- _Gas piping
( riIN�r :Cof c:.
RU2 -11' ::`c.i Cover
I:-'.AFT TC
AL:, ; ;Y=: - _J:;ll''EIS.,AXE' '`%ED PRIM:T RAMIl'C;Ii r . CTIOI I
( _...,.:NC/F`i:EST=i:-_' 1/184_
THE ABO YE''IvtiJS—" ,APPROVED i UOR TO INSULATING OR SHEETROCKINC
( ) Ifl T LATION: Flocrs Walls Attic
THE Al WE MUST BE APPROVED PRIOR TO APPLYING SIIEETROCK
O WALL3OARD NAILING ►'4 / v/D,3 O SUSPENDED CEILING l— ^l 3 - p$ (l
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
( ) ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
() BUILDING FINAL
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
I -. .
INSPECTION LOG
DATE INSPE TOR OK COR.RIREJ AREA AND TYPE OF INSPECTION
1/11 a3 0 y W a I) one 51 d-2 of
casA/couhier oold 5+ockrov)v),
1/14, OK, —A ,,09 vcfJ di/ blri tec>eV,hJ aria
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1 lEC",EIVED C0
` CONSTRUC i ION PERMIT APPLICATION
CITY OF �./ JUI 1 8 2003 APPLICATION NUMBER:(�3 - JQ 2 ff 3- co
Federal Way CITY rEDE_r �aE_ ? , , APPLICATION NUMBER: - -
BUILDING ) r.�.. °` ' APPLICATION NUMBER: - -
**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 ADDRESS: i 2-i i S 3 FerP At, (A)Al ASSESSOR'S TAX/PARCEL#:
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): la'4UILDING o PLUMBING o MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description):&J P w 1 N Pi-o\/a itt e 6"11" -- P •ter.• O F i i.r tom-Lt�
8o P�� l �►V� arvtX-R(y u�hLL NSv-i .5#4.6 LAro
PANT t''o 1`o I:..► 04; Res.4J>Y1. yr w Pm-L.s .I 4rt,e)-, r�C-.4 C ,
FL400. A`.. (3141z. /Pr y k3V 1%..v I-I' "C514/ Cra.'L
S�RA&c I S.Ac 5 Ropy.%
PROJECT NAME: B�(7 i-�'�5Gl� R.►�+r�. �-1
• PROJECT INFORMATION
PROPERTY OWNER: NAME:
DAYTIME PHONE:
p 1/o (q'03 )4 2 7 - t i `r 5
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
/v 70 O 8 5iif(6 5 Utz. 1—' ,faAi 4i.i - CA-
CONTRACTOR: NAME: DAYTIME PHONE:
5';41 `i 40.0 (X cd ;1 L 1. C ( °')5 - -16 ZS
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
t 5qo 1D-11A 1Run,`Fif:1.13 w4 K64742. ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- ( ) 546 - 1L3D
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) 1� ' W f L 0 / .1 P
APPLICANT: NAME: DAYTIME PHONE:
V-'4 M12.9 C v05- e.,. to ea t-LL , ( )
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
SA L4` A )
5 (
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 ARCHITECT o TENANT VOTHER(DESCRIBE): 67t-/TQ-pt(a-I>. ( )
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT o CONTRACTOR
• PROJECT INFORMATION
EXISTING USE: tZ i R I t- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ j 50l o oa
SPRINKLERED BUILDING? AS ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
v
•
**NEW RESIDENTIAL CONSTRUCTION OhLT**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST a ? a 3
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPO TIVE COOLER(S) - • (S) REFRIG.SYSTEM(S)
BBQ(S) N(S) OOD(S) WOODSTOVE(S)
BOILER(S) EPLA E INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) AC (S)
DUCT(S) P OUTL a - HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINKING FOUNTA SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUT - ) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPT• •(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 to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the
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 f this application.
NAME TITLE: 4 DATE: 7/, v/v -5
❑ PROPERTY OWNER ❑ APPLICANT o CONTRACTOR
FOR OFFICE USE ONLY: L' [ �1 5: 154650 Ts 4 241340D
❑ NEW ❑ AD IO o ALTERATION ❑ REPAI TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE: �01
ZONING DESIGNATI N: CC. F BUILDING SHELL ON Y? ❑ YES YNO
COMP PLAN DESIGNATION BASIC PLAN? o YES I NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED ❑YY S X•410
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES 1�NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.atvoffederalway.com