95-10159795- )0Jb 97
CITY OF FEDERAL WAY PERMIT NO: BLD95 -0542
33530 First Way South DOILDING PERMIT ISSUED: 07/20/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 01/16/96
ADDRESS:32935 1ST AVE S
NO.: 182104 -9037
PROJECT DESCRIPTION:TI - UPGRADING CEILING GRID.
(retail)
OWNER=--= -------� - - - - -- - - - - - -- — - - -- - - - - - -- - - -- - - CONTRACTOR - - - -- - - -- - - - - _ - - - - -- ___ -- - - - - -- LENDER - ___ - - -- -- ------- - - - - -- - - - - --
SOUTHLAND 7 -11 RELIABLE ENTERPRISES
32935 1ST AVE 1212 BROADHEAD
FEDERAL WAY WA 98003 WAXAHACHIE TX 75165
575 -6711 558-4519
RELIAE *066NS
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CONTRACTORS, PLEASE USE LOCATION CODE 1132 NHEN REPORTING SALES TAX FOR PROJECTS NITHIN THE CITY OF FEDERAL NAY. TAX RATE : 8.2% *__
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---_-
BLD ?:X NEC ?: PLM ?:X FLR-- EXIST -- PROP - -- DWELLING UNITS: 0 COMP PLAN ......... :BUS FEES:
TYPE OF WORK:TEN USE:COM 1ST.: 0: 1600:sf STORIES........: 1 REQUIRED PARKING..: 0 SPRINKLERS ?......:? PLAN CHECK FEE $ 76.05
CENSUS CATEGORY ..... :437 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:? FINAL PLAN CHECK ...$ $ 0.00
OCCUPANCY GROUP---- - - - - -- 3RD.: 0: O:sf VALUATION---- - - - - -- REQUIRED SETBACKS- - - - - -- FIRE FLOW....: 0 9Pm PLCK -FIR comml only* $ 5.85
A :? :? :? OTHR: 0: O:sf EXIST..$: 110800 FRONT.........: 0.00 ft BUILDING PERMIT....* $ 117.00
TYPE OF CONSTRUCTION --- -- BSMT: 0: O:sf PROP ...$: 10000 SIDE..........: 0.00 ft WATER SERVICE..:FED SBCC SURCHARGE.....* $ 4.50
:5N :? :? :? DECK: 0: O:sf REAR..........: O.00:ft SEWER SERVICE..:FED PLUMBING FIXT .... 93* $ 7.00
OCCUPANT LOAD- ---- -- ----- GAR.: 0: O:sf RECEIVED.:07 /17/95
53: 0: 0: 0: TOTL: 0: 1600:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS ?.:N
UEL TYPES.: FANS..........: 0 BOILERS /COMPRESSORS WATER CLOSETS......: O URINALS........: 0 TOTAL FEES $ 210.40
AS PIPING.: 0 ft HOOD..........: 0 0 -3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
F RN<IOOK... 0 DUCT WORK...... 0 3 -15 HP...... 0 SHOWERS ............. 0 SUMPS........... 0
GAS HWT....: 0 WOOD STOVES...: 0 15 -30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 FURN>100K...... 0 30 -50 HP..... 0 SINKS ............... 1 DRAINS.......... 0
BBQ ........ . 0 MISC........... 0 5+ HP........ 0 DISH WASHERS........ 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS-- - ---- -- ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 < :10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO NOR( S STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORNAT FURNISMEI BY E IS T E ND CORRECT TO THE BEST OF NY KNOVLEDGE AND THE APPLICABLE CITY OF FEDERAL NAY REQUIREMENTS HILL BE MET.
OWNER OR AGENT L_ _ DATE
FILE COPY
arrr or G
� 01 W�
F91-F-1 R10,9 i/L9'I
SITE LOCATION
Tenant (if known) n
Building Owner Name
D
City S
Nature of Work
• • RECEIVED City of Federal Way
JUL 171995
APPLICATION FOR BUILDING PERMIT CITY OF FEDERAL WAY
BUILDING DEPT,
APPLICATION #: ) LD kl� — 1 1 S `f 2
Address 3Z,33-5
Lot #
Address
03 ��
State k ,,.)K . Zip
Cr• LDUc k�,Y
Assessor's � ,TD #
vjt — J .
Phone
Name (F,M,L)
Address 07- 6 Pr C_J( a o 4- Is V C_
7
City -.1 State Zip
Contact Peoon Day Phone Q P Q Other Phone Fax �+�}
BUILDING CONTRACTO
Company Nam
Address
1��O Zy
City
Contact Person
Contractor's # (¢ard must b
t
l
State Zip
Phone Fax
/
'jr`��t -gT(d3 ax SS—e
Expir tion Date Verified El Yes ❑ No
.V -SS"
LEGAL DESCRIPTION
Please Complete Reverse Side
CD0492 (Rev 4/93)
STRUCTURE
Gas Dryer
•I
Existing Use
•
I Proposed Use
Furn < 1 OOK BTUs
Gas Log
Permit includes:
Furn > 100 BTUs
eBuildi,g
IT PI mbing
❑ Mechanical ❑
Other
Boilers
Type of Work:
❑ ,,6sidential
❑ New
E94Remoclel
❑ Number of Units ❑
Deck
Commercial
❑ Addition
❑ Garage
_
❑ Shed ❑
Other
Enter 1st Floor
sq ft
2nd Floor
sq ft 3rd Floor sq ft
Existing Floor Area `j0sq ft
Area Basement
sq ft
Decks
sq It Garage sq ft
Proposed Total Area 00
sq ft
Water Availability
Sewer Availability Wf On_Site_Septic System Availability
Project Valuation
Is
P. 040 r s
Zoning
/j
Lot Size
Existing Bldg Valuation
1 $
7
Li.n
Name
City
:ON'7
Address
State
Zip
Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City Lmm State I Zip
Contact Phone Fax
License # �'� J �" Expiration Date ►S -Cf 4, Verified ❑ Yes ❑ No
we "1111
Water Closets
Bathtubs
Showers
Lavatories
'CHANICAL UNIT COUNT
Sinks
Dish Washers
Electric Water Heaters
Washing Machine
Urinals
Drinking Fountains
Sumps
Drains
Fuel Type (electric /other)
Gas Dryer
Air Handling < = 10,000 CFM
Length of Gas Piping
Range
Air Handling > = 10,000 CFM
Furn < 1 OOK BTUs
Gas Log
Unit Heater
Furn > 100 BTUs
Fans
Miscellaneous
Gas Hwt
Hood
Boilers
Conv Burner
Duct Work
0 -3 Tons
BBQ's
Wood Stoves
3 -15 Tons
Lawn Sprinklers
Other
15 -30 Tons
30 -50 Tons
50+ Tons
Fuel Tanks
Above Ground
Underground
DISCLAIMER: 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 permit application is made. I further agree to save harmless the City of Federal Way as to any claim (including costs, expenses,
and attorneys' fees incurred in 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 arise o f the reliance of the including its officers and employees, upon the accuracy of the information supplied to the City as a part of this
application.
i
Owner/Agent:_ Date: /- ���
Cat #g af waij
Tintif 1-1cate of ON-Cupaurij
This Certificate issuedpursuant to the requirements of Section 307 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. For the following:
OCCUPANT LOAD: 53
TENANT NAME..: SOUTHLAND 7 -11
ADDRESS......: 32935 1ST AVE S
GROUP: M ? ?
OWNER NAME...:
ADDRESS.......
i
? SQFT:
PERMIT NUMBER: BLD95 -0542
SOUTHLAND CORP.
1035 ANDOVER PARK WEST
"TPKWILA WA 98188
BUILDING OFFICIAL
1600 CONSTRUCTON TYPE: 5N
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.
11 POST IN A CONSPICUOUS PLACE I
CITY OF FEDERAL WAY PERMIT NO: BLD95 -0542
'- 33930 First Way South ZKJ I L.DI HIS PERMIT ISSUED: 07/20/95
Federal Way, WA 98003 Building Inspection Requests 661 -4140 BY: FC
661 -4000 EXPIRES: 01/16/96
ADDRESS:32935 1ST AVE S
NO.: 182104 -9037
PROJECT DESCRIPTION- TI - UPGRADING CEILING GRID.
(retail)
OWNERaama .m smmmmawncacxacammzrmmaammcaaema xmaxmmmvxaaaam -
SOUTHLAND 7 -11
32935 1ST AVE
FEDERAL WAY WA 98003
575-6711
CONTRACTOR - =R =m ----
RELIABLE ENTERPRISES
1212 BROADHEAD
WAXAHACHIE TX 75165
558 -4519
RELIAE *066NS
LENDER
:u CONTRACTORS, PLFASE USE LOCATION
CODE 1797 V0F1 REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL WAY.
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:mmS =: " L"=.. itGIL"- : : : :.:',giR'^m"A'.449Rm bCAk x
tEitim90 :M0iC .Sit...lnACmimma........ SQ6L,— ..ais........ tl.......1� S.".
BLD ?:X NEC ?: PLM ?:X
FLR--
;'y IST -- 46 P� --
]WELLING UNITS: 0;
COMP PLAN.........:
BUS
0
DUCT WORK.....:
TYPE OF WORK:TEN USE:COM
1ST.:
0:
1600:sf`'
STU IES........: 1
REQUIRED PARKING..:
0
SPRINKLERS ?...... :?
0
CENSUS CATEGORY.....:437
2ND.:
0:
O:sf"
HETCHT.....: 0 00 ft
MISC..........:
0
HAZARD :LASS...:?
GAS DRYER..:
OCCUPANCY GROUP---- - - - - --
3RD.:
0:
0:sf
VALUATION---- - - - - --
REOUTRED SETBArKS
- - - - --
FIRE FLOW....:
ABOVE GROUND: 0
:M :? :? :?
OTHR:
0.
O:sf
EXIST..S: 110800
FRONT..........
O.0) ft
TYPE OF CONSTRUCTION--- --
BSNT:
0:
O:.E
P"OP...E: 10000
SIDE .......... :
O. :ft
',WATER SERVICE.. _FED n�
:SN :? :? :?
IN CK:
O
sA
7
REAR..........:
O.00:ft
SEWER SERVICE..:FED
OCCUPANT LOAD------ - - - - --
GAR,:
0:
f,
RECEIVED. :07 /17/
: 53: 0: 0: 0:
TQTL:
0:.
140. -sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS ?.:N
---------------
FUEL TYPES.:
_ _.___.,_
__. ___ ..... - ___-
FANS..,.,,;......
__....__..._..-
0,-,
.---- -u.�y:
GAS PIPING.:
0 ft
HOOD...........
0
0 -3 HP....... 0
FURN<100K..:
0
DUCT WORK.....:
0
3-15 HP.....: 0
GAS HWT .... :
0
WOOD STOVES...:
0
15-30 HP....: 0
CONV BURNER:
0
FURN>1OOK.....:
0
30 -50 HP....: 0
BBO ........ :
0
MISC..........:
0
5+ HP.......: 0
GAS DRYER..:
0
AIR HANDLING UNITS
FUEL TANKS -- - - - - --
RANGE......:
0
< :10,000 CFN:
0
ABOVE GROUND: 0
GAS LOGS...:
0
, 10,000 CFM:
0
UNDERGROUND.: 0
m- mmiemmme;m vav mma.. cc s:ammam- xr:- axc:camx- namxmmttz'.
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK
I CERTIFY THAT THE INFORNAT FURNISHED Bris
OWNER OR AGENT \ % =
WATER. CLOSETS......:
0
URINALS........:
0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
SHOWERS .............
0
SUMPS...........
0
LAVATORIES.........:
0
VAC BREAKERS...:
0
SINKS ...............
1
DRAINS..........
0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
0
IAUN WSHR OOTLTS ... :
0
TAX RATE : 8.2% M
FEES:
PLAN CHECK FEE
FINAL PLAN CHECK ...#
PLCK -FIR comel only*
BUILDING PERMIT....S
C,CHARGE.....i
PLUMBING FIXT .... 93;
TOTAL FEES
aaxc
STARTED., RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
E,#NO CORRECT TO THE BEST OF MY KNOWLEDGE AND TIN: APPLICABLE CITY OF FEDERAL MY REQUIREMENTS WILL BE NET.
DATE -7- 2,,-D
s 76.05
3 0.00
Z 5.85
S 111.00
S 4.50
= 7.00
$ 210.40
CDO193
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Date
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PLUMBING ROUGH -IN
Date
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OAS I�PING
Date
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7M.E.CHANICAL
ROUGH IN;
Date
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MECHANICAL (OTHER)
Date
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FRAMING
Date (— t'.S
By
7
INSULATION
Date
By
GWB 1ST LAYER
Date
By
G-WB - 2ND «LAYER
Date
By
7
SUSPENDED CEILING
Date - —
By
7
PLANNING I FINAL`
Date
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ENGINEERING FINAL
Date
By
FIRE 6INAL
Date
By
BUILDING FINAL
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