21-102651-CO-Building Permit Application-06-30-2021-V1File ID 21-102651-CO
PERMIT APPLICATION
CITY OF
PERMIT CENTER + 33325 81' Avenue South + Federal Way, WA 98003-6325
Federal Way 253-835-2607 + FAX 253-835-2609 + permitcenterCacityoffederalway.com
PERMIT NUMBER _ _
— TARGET DATE 07/12/21
SITE ADDRESS
SUITE/UNIT #
1207 S. 320th Street, Federal Way, WA 98003
N/A
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 500,000
Commercial
1 5 0-0 5 0- Q 0 2 0
TYPE OF PERMIT
® BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
S-1555 Safeway Federal Way TI Remodel
PROJECT DESCRIPTION
Tenant Improvement Work - Change Out Refrigerated Cases,
Detailed description of work to
Flooring, Painting and Decor Installation
be included on this permit only
NAME
PRIMARY PHONE
Merlone Geier Partners
Merlone Geier Partners
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
457 SW 148th St #202
csullivan merlone eier.com
CITY
Burien
STATE
WA
ZIP
98166
(206) 439-2330
NAME
PHONE
In Store Services Inc.
206 682-3934
MAILING ADDRESS
625 South Lander Street
E-MAIL
estimating@storeservices.net
CONTRACTOR
CITY
STATE
ZIP
FAX
Seattle
WA
98134
206 682-7805
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
INSTOSI 169JZ-WA
04 / 01 22
600 451 209
NAME
PRIMARY PHONE
Greg Miller
206 682-3934
APPLICANT
MAILING ADDRESS
625 South Lander Street
E-MAIL
CITY
STATE
ZIP
FAX
Seattle
WA
98134
206 682-7805
NAME
PRIMARY PHONE
PROJECT CONTACT
Greg Miller Project Manager)
206 681-0314
MAILING ADDRESS
625 South Lander Street
E-MAIL
gmiller@storeservices.net
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
Seattle
WA
98134
206 682-7805
PROJECT FINANCING
NAME
Safeway
X❑
OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW19.27.095)
1121 124th Ave. NE Bellevue WA 98005
503 621-8261
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 c'ty as apart of this application.
r-
SIGNATURE: DATE June 24, 2021
PRINT NAME: Greg Miller (ISS - Project Manager)
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\IIandouts\Permit Application
File ID 21-102651-CO
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
AIR HANDLING UNITS
AIR CONDITIONER
BOILERS
COMPRESSORS
DUCTING
to be installed or relocated as
FANS
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
GAS PIPING
f this project. Do not it
GAS PIPE OUTLETS
HOODS (commercial)
HOT WATER TANKS (Gas)
REFRIGERATION SYST
WOODSTOVES
q fixtures to remain.
OTHER (Describe)
PLUMBING PERMIT
VALUE OF PLUMBING WORK
Indicate how many of each type of fixture to be installed or relocated as
part of this project. Do not include existigg fixtures to remain.
BATHTUBS (or Tub/Shower Combo) LAVS (Hand Sinks)
DISHWASHERS RAINWATER SYSTEMS
DRAINS SHOWERS
DRINKING FOUNTAINS SINKS (Kitchen/utility)
HOSE BIBBS SUMPS
TOILETS WATER PIPING
URINALS OTHER (Describe)
VACUUM BREAKERS
WATER HEATERS (Electric)
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
None
WATER PURVEYOR
Water District
SEWER PURVEYOR
Public
VALUE OF EXISTING IMPROVEMENTS
$ 1,405,000.00
EXISTING/PREVIOUS USE
Store - Retail Grocery
LOT SIZE (In Square Feet)
318,885
EXISTING FIRE SPRINKLER SYSTEM?
x Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes W No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
...............................................................................................................................
SECOND FLOOR
...............................................................................................................................
COVERED ENTRY
...............................................................................................................................
DECK
...............................................................................................................................
GARAGE ❑ CARPORT ❑
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals
EXISTING
PROPOSED
TOTAL
...............................................................................................................................
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
55,153
Store - Grocery
TI Remodel
1
TENANT AREA ONLY
55,153
Store - Grocery
TI Remodel
1
PROJECT AREA ONLY
40,005
Sales Floor
TI Remodel
1
Bulletin #100 —February 19, 2020 Page 2 of 2 V11andouts\Permit Application