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05-101053 City of Federal Way Building - Commercial Permit #: 05 - 101053 - 00 - CO Community Development Services P.O.Box 9718 3-9T1a ___ x:(25 — — — aa0 a3)835-2609= Inspection request line: (253)835-3050 Project Name: WAL-MART#2571 Project Address: 1900 S 314TH ST Parcel Number:092104 9125 Project Description: TI-Remodel of pharmacy,vision center,garden center,restrooms and offices. Replace ceiling tile and grid.Plumbing/mech included. Owner Applicant Contractor Lender WAL-MART REAL ESTATE BUSINI BENCHMARK GROUP*PATTI BRC STEVEN SMITH CONSTRUCTION WAL-MART REAL ESTATE BUSIN 2001 10TH ST 121 W WALNUT STEVESC981KH 05/08/06 2001 10TH ST BENTONVILLE AR 72716-0550 ROGERS AR 72756 28 JORDAN'S PL SUITE 4 BENTONVILLE AR 72716-0550 CHICO CA 95973 Includes: Census category: 437-Comm #1 #2 #3 —. #4 Occupancy Group: — ---- M Construction Type II-B Occupancy Floor Area Btt on wired No C'e44,,z CGategory , ,f , ., 407 Commercial adVadd Fire Sprink1* .. . ;� ,0 i. Mechanical . _.• ,.� Yes Number of Stories..0 .. Permit for '�ing e0 No - Permit for Foundation Chly .No r� Yes Special Inspection Required No Will Certificate of Occupancy be Issued? Yes Plumbing Fixtures Description QQuantity Description ]Quantity Description 'Quantity Drinking Fountains 1 Sinks I 4 Mechanical Fixtures Description Quantity Description '_ !Quantity Description (Quantity Fans 1 Refrigeration Systems 1 PERMIT EXPIRES November 27,2005. Permit issued on May 31,2005 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 ith the laws,rules and regulations of the State of Washington and the City of Federal Wa . Owner or agent: /eei Date: ..r/�A•- \ \IL C./Z, ,-�R\J tyF1ALEO 1990 9y/51 , City of Federal Way Certificate of Occupancy 04.4 This Certificate issued pursuant to the requirements of Section 110.2 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: WAL-MART#2571 Permit number: 05- 101053 -00 Address: 1900 S 314TH #1 #2 #3 #4 Occupancy Group: M I Construction Type: Type II-B Occupancy Load: Floor Area(Sq.Ft.): Owner WAL-MART REAL ESTATE BUSINESS TRUST Name: 2001 10TH ST Address: BENTONVILLE AR 72716-0550 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. THIS CARD IS TO - :MAIN ON-SITE cln OF A Community Development Inspection Record Federal Way IVR:INSPE( TIOV REQUEST PHONE#(253)835-3050 PERMIT#: 05-101053-00-CO Owner: WAL-MART REAL ESTATE BUSINESS 1 Address: 1900 S 314TH ST FEDERAL WAY, WA 98003-4917 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. ❑ Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) 0 Numbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls(4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date ❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ Mechanical Rough-in(4165) Approved to install roofing Approved Approved By Date By Date By Date — ❑ Gas Piping(4125) CIFire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) „'; Approved to release test Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By Date By Date signed-off and approved. IBC 109.3.4/UBC 1085.4 ❑ Framing(4120) ❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date `By Date By Date [j Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) - ❑ Final-Planning(4070) Approved to drop tile Approved Approved By Date By Date By Date ❑ Final-Public Works(4080) ❑ Final-Mechanical(4065) ❑ Final-Plumbing(4075) Approved Approved Approved By Date By Date By Date ❑ Final-Building(4050) Approved / A- B43 Date ( —(o HOC DATE INSPTCTOR ,%RI,: A AND TN OF INSITC"I ION t 5/a5 Gyoani work, -fa/ Aairy (As tQ a4,, ots :o Fcw�r..,r., - l.eig.- VJPAeweA,,t/ti2ch..d Ts-74 e/ S-7A, fria 3 r ' '- .5 COT OF _ Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF- E EL PL DE EN FP 33325 818 AVENUE SOUTH•PO BOX 9718 "��'��` 25 83FEDE5-2607YFAX 253-35 2609 9718 APPLICATION Tr, 1 Nww.d ollfederalwau.cpm The ollowin• is re. fired information-an incom.lete a.•tication will not be acce.ted. Please •tint le•ibl in in or ty. • PROPERTY INFORMATION SITE ADDRESS 1900 South 314th Street SUITE/UNIT# ASSESSOR'S TAX/PARCEL# Parcel Numbers Attached - _ LOT SIZE(sf LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) Attached (Attach separate page w lengthy legal desmptia•:) ■ PROJECT INFORMATION - TYPE OF PERMIT B BUILDING B PLUMBING B MECHANICAL C DEMOLITION H ELECTRICAL ❑ ENGINEERING 6Z FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) Refurbish: Vision Center, Garden Center. Restrooms, and Various Offices Clean. Prep, and Paint Interior Walls;Clean, Prep, and Paint Exterior Wall as noted Clean and Replace Ceiling Tile and Grid as noted: Repair/Replace Doors as noted Remodel Pharmacy and Customer Service;Add: Cart Door, Refrigeration Cases/Freezer/Cooler PROJECT NAME(Name of Business or Owner Last Name) Wal-Mart Store#2571 -General Remodel ■ PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER Wal-Mart Real Estate Business Trust (479 ) 204 - 0220 MAILING ADDRESS CITY,STATE,ZIP 2001 SE 10th Street Bentonville, AR 72716-0550 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE.ZIP CELL PHONE ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION UATE FAX NUMBER - / / ( ) - 13 L CONTRACTOR'S REGISTRATION NUMBER loopy of card required with each application) EXPIRATION DATE APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Benchmark Group Patti K. Brown, Permit Coord. ( 800) 321 - 8721 MAILING ADDRESS CITYT.n.TC.Z1p CELL PHONE npE 121 West Walnut Street Rogers,AR 72756 ( ) - RELATIONSHIP TO PROJECT FAX NUMBER O Architect C Tenant Agent ❑ Other(Describe) ( 479) 986 0554 CONTACT NAME PRIMARY PHONE f E-MAIL ADDRESS Patti K. Brown, Permit Coordinator ( 800 ) 321 - 8721 pkb©bgark.com LENDER Per RCW 19.27.095: Lender information is NAME �t/� { required if project value exceeds$5,000 bon L_? 117T K , E . C t vies' M rus+- MAILING ADDRESS CITY,STATE,ZIP lV� 111 V{( •V llJ7GN�/ • DETAILED BUILDING INFORMATION EXISTING USE Retail Mercantile PROPOSED USE Retail Mercantile EXISTING ASSESSED/APPRAISED VALUE $ 7,359,500.00 VALUE OF PROPOSED WORK $384,777.00(Bldg. Only) SPRINKLERED BUILDING? at YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 3C YES ❑ NO WATER SERVICE PROVIDER L. LAKEHAVEN ❑ HIGHLINE r.;, TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER i2 LAKEHAVEN ❑ HIGHLINE L. PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING I- PROPOSED TOTAL SQ.FT. SQ. FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH I i ADDITIONAL FLOORS(DESCRIBE) { DECK(COVERED?) GARAGE 0 CARPORT❑ NUMBER OF FLOORS Eflw ST6 PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $70,000.00 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS 1 REFRIG.SYSTEMS BBQS 'I FANS - HOODSicom..miss WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS for Tsh/ShowerComI SHOWERS WATER CLOSETS rroikii MISC(Describe) DISHWASHERS 4 SINKS 1 DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS *throom Solo, VACUUM BREAKERS ELECTRIC WATER HEATERS 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 of this application. NAME/TITLE DATE (Signature) Z: RELATIONSHIP TO PROJECT 0 Owner N Agent ❑ Contractor C Architect 0 Other FOR OFFICE USE ONLY c NEW c ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? ❑YES a NO PLATTED LOT? a YES ❑NO ( DEMO PERMIT REQUIRED? ❑YES c NO • Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL PERMIT INFORMATION - RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft,-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00 (Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00 (Inspected separately) $58.00 0 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) 0 801- 1000 amp 405.50 169.50 Service Feeder ❑ Over 1000 amp 442.00 236.00 0 Up to 200 amp $ 94.50 $ 28.00 ❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00 ❑ 401 -600 amp 161.00 80.00 0 Mast or meter repair $80.00 ❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 294.50 220.50 Service or Feeders ALTERED SINGLE/MULTI FAMILY ® 0 to 200 amp $ 94.50 ❑ 201 -600 amp 220.50 Service or Feeder 0 601- 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50 ❑ 201-600 amp 117.50 ❑ over 600 amp 177.00 ® 180 #of circuits to be added/altered (1-5 circuits-$74.00;Add'n circuits,$6.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee ❑ Mast or meter repair $43.50 ❑ Service- 1,000 amps or greater ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES ❑ Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK ❑ 0-100 $58.00 $51.00 ❑ #of service or feeders ❑ l01 -200 74.00 51.00 (First service/feeder-$58.00;each add'n-$37.50) 0 201-400 87.00 n/a O 401 -600 117.50 n/a O over 600 127.00 n/a I MISCELLANEOUS SERVICE/EQUIPMENT ® 1 #of Thermostats )1 1 #of Signs (First-$43.50;add'n-$13.50/ea) (First sign-543.50;add'n sign$20.50/ea) ® Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ® Fire Alarm System 0 Yard Pole meter loops $58.00 ❑ Security Alarm System ❑ Additional Plan Review $87.00/hour ® Voice Cabling (for modified submittals) ® Data Cabling ® Energy Management (Per System(s)P.2500 ft2-$51.00; Each add'n 2500 1t2-13.50)•Per WAC 296-46.910(5)(b))II%ii) Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application Permit Fee Estimate Worksheet Section 1 Building Permit o Mechanical Permit o Fire Prevention System Permit PROPOSED VALUATION: $384,777.00 FEE FACTOR FROM TABLE A:Number: 6 (a)Base Fee: 1279.50 (b)Additional Increment Fee: 7.50 (Valuation from permit application-base fee increment;)?nun Round up to nearest whole number (c){ 284,777 }/1000 = (d) 285 OR For valuations between$501.00 and$2,000 only: {Valuation from permit application-base fee increment);100 Round up to nearest whole number (cl){ }/100 = (d) Value from(d) value from(b) (e) 285 X 7.50 = (g 2137.50 Base Fee from(a) Value from(f) Permit Fee Permit Fee: 1304.00 + 2137.50 = (g) 3441.50 PermiCFee from(g) Plan Review Fee Plan Review Fee: 3441.50 X .65 = (h) 2237.00 Permit Fee from(g) Surcharge Fee FW Fire Department Surcharge: 3441.50 X .15 = (i) 516.23 +5.00 Automation Fee (COMMERCIAL ONLY) ------------ Total=$2758.20 Section 2 0 Building Permit [X Mechanical Permit o Fire Prevention System Permit PROPOSED VALUATION: $70,000.00 FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: (Valuation from permit application-base fee increment);1000 Round up to nearest whole number (c){ }/1000 = (d) OR For valuations between$501.00 and$2,000 only: {Valuation from permit application-base fee increment1/I00 Round up to nearest whole number (c1){ }/100 = (d) Value from(d) value from(b) (e) X = Base Fee from(a) Value from(f) Permit Fee Permit Fee: + = (g) Permit Fee from(g) Plan Review Fee Plan Review Fee: X .65 = (h) Pernut Fee from(g) Surcharge Fee FW Fire Department Surcharge: X .15 = (i) (COMMERCIAL ONLY) COMMUNITY DEVELOPMENT SERVICES•33325 8114 AVENUE SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-835-2607•FAX:253-835-2609 Section 3 B Plumbing D Electrical FIXTURE DESCRIPTION(A) I FIXTURE FEE(B) I NUMBER OF UNITS(C) TOTAL(D) I Floor Sink I 9.50 4 38.00 Drinking Fountain 9.50 1 9.50 TOTAL COLUMN(D): 47.50 Plumbing $26.50+{ 5 X$9.50/fixture)= 74.00 Estimated Permit Fee Estimated Permit Fee 74.00 X .65= 48.10 Estimated Plan Review Fee Miscellaneous Fixture Charge: 0 OR Electrical Total Column ID) Estimated Permit Fee: Estimated Permit Fee from line 12 Estimated Plan Review Fee: $74.00+ X.35= • Section 4 c Plumbing $4 Electrical FIXTURE DESCRIPTION(A) FIXTURE FEE(_B) ] NUMBER OF UNITS(C) TOTAL(D) 0-20 amp feeder 94.50 6 567.00 1 -5 Circuits 74.00 1 74.00 Additional Circuits 6.00 1 175 1050.00 Thermostat 43.50 1 43.50 Low Voltage 51.00 4 204.00 Low Voltage 13.50 25 337.00 Signs 43.50 1 43.50 I TOTAL COLUMN(D): 2319.50 Plumbing $26.50+{ X$9.50/fixture)= Estimated Permit Fee Estimated Permit Fee X .65= Estimated Plan Review Fee 'miscellaneous Fixture Charge: OR Electrical Total Column(D) Estimated Permit Fee: 2319.50 Estimated Permit Fee from line 12 Estimated Plan Review Fee: $74.00+( 2319.50 X.35)= 885.83 Section 5 o Demolition a Engineering c Other Fees Estimated Permit Fee: Bond Amount: Estimated Permit Fee: Bond Amount: Estimated Permit Fee: Bond Amount: Estimated Permit Fee: Bond Amount: Bulletin#101-August 19,2004