02-103105 1
City of unFederal Way
mrrm Co iry Development Services Building - Commercial Permit#:02 - 103105 - 00 - CO
33530 1st Way S — ————
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: WAL MART STORE#2571
Project Address: 1900 S 312TH ST Parcel Number: 092104 9125 110k l l
Project Description: TI-Construct new smokers breakroom,includes mechanical. No plumbing.
Owner Applicant Contractor Lender
WAL-MART STORES INC RICK DEVORE DENNIS JONES CONSTRUCTION WAL-MART STORES INC
2001 SE 10TH ST 1307 S BOULDER AVE 2001 SE 10TH ST
BENTONVILLE AR TULSA OK 74119 DENNIS JONES CONSTRUCTION BENTONVILLE AR
72716-0001 2658 HWY 68 72716-0001
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type II-N
Occupancy Load: 13
Floor Area(Sq.Ft.): 186
1st Floor Proposed Sq.Feet 186 Building Pre-con.Meeting Required No
Census Category 437-Commercial alt/add Fire Sprinklers Yes
Mechanical Yes Number of Stories 1
Permit for Building Shell Only No Permit for Foundation Only No
Plumbing No Special Inspection Required No
Total Proposed Sq.Feet 186 Will Certificate of Occupancy be Issued? No
Sensitive Areas? No Zoning Designation CC-F
Mechanical Fixtures
1 " ,3 " i' rlt r T ` ad;ib l ':�N n x 7 .' sf ripti 6 " °j.u� tt
�`" ..: w � �:� � !�,.<�, .� � x � ' %,;ems'' �L '��." ?�". "„. <" �,F
Ducts I 1 Fans I 1
PERMIT EXPIRES April 29,2003,IF NO WORK IS STARTED.
Permit issued on October 31,2002
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: �124-4 7 yam- Date: /0��/_/e
f1 :491 d°I'
17/1/1
9t1a3919y
1
RECEIVED
CONSTRUCTION PERMIT APPLICATION
Erb .____-___.
JUL 2 3 2002 mow � -
CATION NUM *
CITY OF FEDERAL WAY 8
BUILDING DEPT, TFa NUMB :mod
**The following is required infonnaton—Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
■ PROPERTY INFORMATION
SrrEADDRESS: 11o0 5. 3 4{t' S+JLe ASSESSOR'S TAX/PARCELS: Q 2 !p - g1 W
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): yl BUILDING O PLUMBING MECHANICAL o DEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION
PROJECT DESCRIPTION(Provide detailed description): CON,S{rbC.l new) '5 Mt9 ( O wV'D 1� a Yv�
PROJECT NAME: i I d( -I'f AA' goy * 2-51
• PEOPLE INFORMATION
PROPERTY OWNER: ►A E j DAYTIME PHONE
Wadi-P1af1' �eate S4 4 IJIA,711A.6SS firt,:.ti- (47' ) 27 7 - !l 51
MAIMS PDORESS(STREET ADDRESS;CITY,STATE,"):
Zod S.E. lo*k 1 2erv-tonJi Ke , AR- 727/4, `055o
CONTRACTOR: PH r DAYTIME ONE
IknrAs Jones Co�s}rv.cioh (+ 3)337 - "t 72-
MALPIG ADDRESS(STREET ADDRESS;CITY,STATE.ZIP):
‘3 U ?aof N&�J kit /&Jsota %A1 378?-/0 ( )
• � c Y OF f�ERAL WKf B JSRESS MJMBER:' FAX NUMBER:\/tit'Ard
)
CONTRACTORS REGISTRATION NUMBER: (XPIRATIO E N DAM
(copy a card regUed)
DAYTIME P`HOONE:
APPLICANT: %� .` Cl/8g 77 -42000 y7,41
HARM ADDRESS(MEETADORESS;aTY,STATE,ZIP): EVENBIG PHONE:
1501 5.TIONSHIP 6bl cler A . , I w15cc ak 7+I1`i (
FROACT: FAX NUMBER:
ARCHITECT o TENANT a OTHER(DESCRIBE): (9/S)677 - 4-0o
E-MAB.AOORESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER XAPPLICANT a CONTRACTOR f ms&t.!/A e y I/G4'M
■ DETAILED BUILDING INFORMATION ✓✓
EXISTING USE: /ttLnRi- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: iLfrfliR ti PROPOSED VALUATION FOR IMPROVEMENTS:
SPRINKLERED BUILDING? XYES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES a NO
WATER SERVICE PROVIDER: p.LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: RCAI(EHAVEN a HIGHLINE o PRIVATE(SEPTIC)
.
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: - __
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
■ FIXTURES
Indicate number of each type of fixture
—MECHANICAL .41 I7-046
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.
S)
BOILER(S) �— FIREPLACE INSERTS) RAANGE( MISC.( )
COMPRESSOR(S) FURNACE(S)
T DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE:O ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
DISHWASHERS) RAIN WATER SYS. VACUUM BREAKERS) O ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTORS) 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(inducing cods,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 dty,including its officers and employees,upon the accuracy
of the lnforma r to the city g /1? jee* yasapartofthisapplication.
NAME/TITLE I�: Ut f cY/ DATE: 7—no ' "1--
o PROPERTY OWNER )APPLICANT O CONTRACTOR
Z % ., -- `, /rTr pia n !f '„
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COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129
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