11-101135City of Federal Way *Building - Commercial
Community Development Services Permit #: 11 -1 01 135-00-CO
P.O. Box 9988 Federal Way, WA 98063 935- FILE Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q ( 1
R
Project Name: SAFEWAY FUEL CANOPY
Project Address: 1207 S 320TH ST Parcel Number: 150050 0020
Project Description: NEW - Construction of fuel canopy, slab and concrete islands for fuel dispensing facility.
Owner
Applicant
Contractor
Lender
MGP IX SUNSET SQUARE LLC
JOHN LLACUNA
SAYBR CONTRACTORS INC
SAFEWAY INC
425 CALIFORNIA ST FLOOR 11TH
STANTEC ARCHITECTURE
SAYBRCI033L7 (6/14/12)
U S CORPORATE
SAN FRANCISCO CA 94104
10234 134TH CT NE SUITE 102
3852 S 66TH ST
5918 STONERIDGE MALL RD
REDMOND WA 98052
TACOMA WA 98409
PLEASANTON CA 94588
Census Category: 327 - New Store and Customer Service Building
Includes:
#1
#2
#3
#4
Occupancy Class:
M
New / Additional Sq. Feet - Total ..........................
3630
Construction Type:
Type V - B
Occupancy Load:
Floor Areas . ft.
3,630
0
0
0
New/ Additional Sq. Feet - 1st Floor- , ..................
. 3630
Existing Sprinkler System in Building ? ...............No
Number of Stories.. .... ..... ................ .........1
Plumbing to be Included? .......... .............................No
New / Additional Sq. Feet - Total ..........................
3630
Zoning Designation ..................... ...........................CC
-F
...,y.,...,,... .....................
.,,,.
Mechapical to be Included ? ............. . . .............. No
Permit for Building Shell Only ? ....... .................No
Special Inspection(s) Required ? . ............................Yes
Occupancy # 1 Use ................ ............................... Market/Grocery
PERMIT EXPIRES Wednesday, January 4, 2012
Permit Issued on Friday, July 8, 2011
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
the City of Federal Way.
Owner or agent: Date:
/ /z�►�
171"*U6t> It 1 t
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: SAFEWAY FUEL CANOPY Permit #: 11- 101135 -00 -CO
Address: 1207 S 320TH ST
Includes:
# 1
#2
#3
#4
Occupancy Class:
M
Construction Type:
Type V - B
Occupancy Load:
Floor Area (s q. ft.)
3,630
0
0
0
Owner Name: MGP IX SUNSET SQUARE LLC
Owner Address: 425 CALIFORNIA ST FLOOR 11 TH
SAN FRANCISCO CA 94104
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 sevedy 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.
L-
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQUE TS: (253) 835 -3050
11- 101135 -00 -CO Address: 1207 S 320TH ST
MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003 -5339
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 (4 40)
Approved to place concrete
Approved to place concrete
Approved to backfill
By Date
By Date
By `, ' , Date
Fire/Draft Stops (4095)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
Framing (4120)
Approved to insulate
By Date
11 Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final - Fire Department (4060) E Final - Planning Final - Public Works (4080)
Approved Approved Approved
By Date By Date ��- l - /� By Date
Final - Building (4050)
Approved
By / G Date 11 -3
Rough Electrical
Approved
E]
Final Electrical
Approved
El
Right of Way
Approved
El
Re -steel (4215)
Slab /Concrete Floor (4255)
By
Underfloor Framing (4285)
Approved to place concrete or grout
Date
Approved to place concrete
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Shear Walls (4245)
E]
Roof Sheathing (4220)
Approved to install flooring
Approved to install siding
Approved to install roofing
By
Date
By
Date
By
Date
Fire/Draft Stops (4095)
Approved
By Date
Insulation (4150)
Approved to install wallboard
By Date
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date
Framing (4120)
Approved to insulate
By Date
11 Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final - Fire Department (4060) E Final - Planning Final - Public Works (4080)
Approved Approved Approved
By Date By Date ��- l - /� By Date
Final - Building (4050)
Approved
By / G Date 11 -3
Rough Electrical
Approved
El
Final Electrical
Approved
El
Right of Way
Approved
By
Date
By
Date
By
Date
,
0
RECEi\W&mIT
Federal Way
COMMU VELOPMEN-
253 -8w5-260 7• FAX 253 - 835 -2609
M ARAPP LI CAT I O N
wNwcituofd rolwau.rom
f-rry nF FEDERAL WAY
AL-J-L-i 1-3'5
SF MF CO ME PL DE EN FP
SITE ADDRESS �j
SUITE/UNIT #
eral
1207 South 320th Street, Fed Way, WA 98002
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL #
$ 100,000.00
CC -F
1 5 0 0 5 0_ 0 0 2 0
TYPE OF PERMIT
9 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /HomeoumerLast Name)
Safeway Fuel Canopy
Construction of new concrete slab -on grade for new fueling facility, concrete islands for
PROJECT DESCRIPTION
Detailed description of work to
fuel dispensers and stee framed canopy with cladding
3 Q
be included on this permit only
PROPERTY OWNER
NAME
MGP IX Sunset Square, LLC, c/o Merlone Geier Management
PRIMARY PHONE
858 - 350 -1977
MAILING
3 Ca mel Mountain Road #260
e iser @merionegeier.com
dg
CITY an Diego
S CA
92130
NAME
To Be Determined
PHONE
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
E%PIRATION DATE
FEDERAL WAY BUSINESS LICENSE M
NAME
Bob Blair - Safeway Inc.
PHONE
425 - 201 -6401
MAILING ADDRESS
PO Box 85001
E-MAIL
Bob.Blair @safeway.com
APPLICANT
CITY Bellevue
sWA I
'P 98005
FAX 425- 637 -2267
PROJECT CONTACT
NAME John Llacuna - Stantec Architecture
425- 298 -1066
(The individual to receive and
MAILING 14th Court NE, Suite 102
john Ilacuna @stantec.com
respond to all correspondence
concerning this application)
CITY Redmond
ZIP 98052
FAX 425 -198 A019
ALTERNATE CONTACT NAME:
Duncan Wallace
PHONE
425 - 298 -1063
E-MAIL
duncan.wallace @stantec.com
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 he reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the c' part f this application.
' X241
SIGNATURE: DATE l
PRINT NAME: 1)`� `Q-\" �jq L LA
Bulletin #100 - January 1, 2011 Page I of 3 k:\Handouts\Pernvt Application
Y • a
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLET'S OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS )commemiai)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo)
LAVS )Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS )Kitchen /utility)
WATER HEATERS (Eieottic)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FI3=RE8
AREA DESCRIPTION I in SauarAre Feet I Occupancy Group(s)
Construction 5 _ # of Additional Information
ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
In Sauare Feet I I TvDe Stories
TENANT AREA ONLY
Bulletin #100 - January 1, 2011 Page 2 of 3 kMandoutsTermit Application