11-101136j Building - Commercial
City of Federal Way it #: 11 - 101136 -00 - CO
Community Development Services Perm
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 FILE Ins ection Request Line: 253 835 -3050
p
1
Project Name: SAFEWAY FUELING FACILITY - VENDING KIOSK
Project Address: 1207 S 320TH ST
Parcel Number: 150050 0020
Project Description: ADD - Construction of 349 square foot enclosure for vending machines.
Owner
Agalicant
Contracto
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
Construction Type:
Type V - B
Occupancy Load:
Floor Areas . ft.
349 71
0
0
1 0
Plumbing to be Included? .......... .............................No
New / Additional Sq. Feet - Total .......................... 349
Zoning Designation ..................... ...........................CC -F
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
and the City of Federal Way.
Owner or agent: Date:
r�w�t� 1 G/a /r
City of Federal Way • •
Certificate of Occupancy''
This Certificate issued pursuant to the regjoirements of Section 110.lohe 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 Cily staff.
Tenant Name: SAFEWAY FUELING FACILITY - VENDING KII Permit #: 11- 101136 -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.)
349
0
0
0
Owner Name: MGP IX SUNSET SQUARE LLC
Owner Address: 425 CALIFORNIA ST FLOOR 11TH
SAN FRANCISCO CA 94104
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 severly 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.
I .
ato . Lu vY
OF
L
THIS CARD IS TO MAIN ON -SITE
C" OF Construction In ection Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 11- 101136 -00 -CO Address: 1207 S 320TH ST
Project: 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.
Shear Walls (4245)
Approved to install siding
By:T(:,S Date _Z9 _ I .
Interim Erosion Control (`4370)
Approved
By Date
Roof Sheathing (4220)
Approved to install roofing
By:Y(f S Date — _
Prior to scheduling a Framing inspection;
LFireffiraft lectrical, Plumbing & Mechanical Rough -in and
Stop inspections must be signed -oft and
approved. IBC 1093.4
Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By Date /0_(' -�l
Insulation (4150) E] Gypsum Wallboard Nailing (4130) E:] Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud & tape Approved to drop tile
By lZtAC Date 1,9-1,0 By �CC Date , O By Date
Final - Fire Department (4060)
Approved
By Date
0 Final Erosion Cc
Approved
By Date
Final - Planning
Approved
By �� Date
'Ei el Final - Building (4050)
Approved
By �� Date
Final - Public Works (4080)
Approved
By Date
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
SWM Precon Site Mtg (4400)
E]
Initial Erosion Control (4365)
'I
Drainage/Downspout (4040)
Footings /Setback (4110)
Re -steel (4215)
Approved
Approved to place concrete
o be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
B
G Date e _ 3 _
Shear Walls (4245)
Approved to install siding
By:T(:,S Date _Z9 _ I .
Interim Erosion Control (`4370)
Approved
By Date
Roof Sheathing (4220)
Approved to install roofing
By:Y(f S Date — _
Prior to scheduling a Framing inspection;
LFireffiraft lectrical, Plumbing & Mechanical Rough -in and
Stop inspections must be signed -oft and
approved. IBC 1093.4
Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By Date /0_(' -�l
Insulation (4150) E] Gypsum Wallboard Nailing (4130) E:] Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud & tape Approved to drop tile
By lZtAC Date 1,9-1,0 By �CC Date , O By Date
Final - Fire Department (4060)
Approved
By Date
0 Final Erosion Cc
Approved
By Date
Final - Planning
Approved
By �� Date
'Ei el Final - Building (4050)
Approved
By �� Date
Final - Public Works (4080)
Approved
By Date
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
Foundation Wall (4115)
Drainage/Downspout (4040)
Re -steel (4215)
Approved to place concrete
Approved to backfill
Approved to place concrete or grout
By
Date
S Date _ 2 2— (�
By
Date - 11
e?
Underfloor Framing (4285)
Slab /Concrete Floor (4255)
E:]
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
/rzf Date 44
By
Date
By
Date
Shear Walls (4245)
Approved to install siding
By:T(:,S Date _Z9 _ I .
Interim Erosion Control (`4370)
Approved
By Date
Roof Sheathing (4220)
Approved to install roofing
By:Y(f S Date — _
Prior to scheduling a Framing inspection;
LFireffiraft lectrical, Plumbing & Mechanical Rough -in and
Stop inspections must be signed -oft and
approved. IBC 1093.4
Fire/Draft Stops (4095)
Approved
By Date
Framing (4120)
Approved to insulate
By Date /0_(' -�l
Insulation (4150) E] Gypsum Wallboard Nailing (4130) E:] Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud & tape Approved to drop tile
By lZtAC Date 1,9-1,0 By �CC Date , O By Date
Final - Fire Department (4060)
Approved
By Date
0 Final Erosion Cc
Approved
By Date
Final - Planning
Approved
By �� Date
'Ei el Final - Building (4050)
Approved
By �� Date
Final - Public Works (4080)
Approved
By Date
D Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ECEIV RMIT
Federal Wa�
COMh u,'3v7S'DEVEIAPMENr3sERVICFS MAR 2 �AAPPLI CATI O N
253 -835-2607• FAX 253 -4.wm 09
www. cituo(federalwau.com
CITY nF FFnFRO! IAIAV
0 - I Q.1 1 3 &
SF MF CO ME PL DE EN FP
t�10 wfA
SITE ADDRESS '^^ nn
1207 South 320th Street,(`RL�� al Way, WA 98002
SUITE /UNIT M
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL k
$ 30,000.00
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 /Homeowner Last Name)
Safeway Fuel
Construction of a new 349 SF vending machine kiosk. Work will include exterior walls,
PROJECT DESCRIPTION
Detailed description of work to
roof, and interior finishes.
be included on this permit only
PROPERTY OWNER
NAME
MGP IX Sunset Square, LLC, c/o Merlone Geier Management
PRIMARY PHONE
858 - 350 -1977
3580 Carmel Mountain Road #260
dg ie ser @merlonegeier.com
C San Diego
S CA
�P92130
NAME
To Be Determined
PHONE
MAHMG ADDRESS
EMAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE M
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
f
NAME
Bob Blair - Safeway Inc.
PHONE
425 - 201 -6401
MA11MG ADDRESS
PO Box 85001
EMAIL
Bob,Blair @safeway.com
APPLICANT
CITY
Bellevue
STATE
WA
ZIP
98005
FAX
425 - 637 -2267
PROJECT CONTACT
NAME John Llacuna - Stantec Architecture
425- 298 -1066
(The individual to receive and
MAILING A 4 134th Court NE, Suite 102
john Ilacuna @stantec.com
respond to all correspondence
concerning this application)
CITY Redmond
WE
ZIP 98052
FAX 425- 198,V19
ALTERNATE CONTACT NAME:
Duncan Wallace
PHONE
425 -298 -1063
E-MAU.
duncan.wallace @stantec.co
PROJECT FINANCING
NAME
OWNER - FINANCED
Required value of $5,000 or more
(RCW 19.27 095)
MARMG 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 the reliance of the city, including its officers and employees, upon the accuracy of the
information supplietthe ci as this ap plicaton.
j ^a � 'pa
SIGNATURE: DATE
� ,
PRINT NAME: U �CAdy L140L�4
Bulletin #100 —January 1, 2011 Page 1 of 3 k:\Handouts\Pelmit Application
0
VALUE OF AMCHANICAL WO" tiS
to be installed or relocated as part of this project. Do not include existing fixtures to remain.
(a copy of bid or estimate must be provided)
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.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commemiaq
BOILERS
FURNACES
HOT WATER TANKS (Gas(
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate how many of each type offixture
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 (ximhen /Urnity)
WATER HEATERS (Ei -jric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
L Yes of No
a Yes x No
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING /PRRVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
Parking lot
29,500 SF
L Yes of No
a Yes x No
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet TvDe I Stories
ADDITION
AREA DESCRIPTION I in Square Feet I Occupancy Groups)
TENANT AREA ONLY
Construction # of
_ ,,. _ Additional Information
Bulletin #100 - January 1, 2011 Page 2 of 3 k:\Handouts\Permit Application
October 31, 2011
0110 ROSENAU & ASACIATES INC.
Geotechnical Engineering, Construction Inspection 8 Materials Testing
6747 M. L. King Way South, Seattle, Washington 98118 -3216 USA
Tel: (206) 725 -4600 • Toll Free: (888) OTTO -4 -US • Fax: (206) 723 -2221
WBE W2F5913684 . WABO Registered Agency. Website: www.ottorosenau.com
RECEIVED BY
COMMUNITY DEVELOPMENT DEPARTMENT
NOV o 3 aon
FINAL REPORT
City of Federal Way Building Department
33325 8th Avenue South
Federal Way, Washington 98003
Project: Safeway Store #1555 Fuel Station Permit Number(s): 11- 101134 -00 & 11- 101136 -00
Address: 1207 S. 320th Street, Federal Way Job Number: 11 -0377
We state that the work requiring special inspection was, to the best of our knowledge, in conformance
with the approved plans and specifications and the applicable workmanship provision of the building
code. Our knowledge is limited to our reports.
All typewritten reports have been mailed to your office or are enclosed. All reports appear to be
complete. This report should not be considered as a warranty for conditions and /or details of the
building.
Items inspected are:
1. Soil bearing
2. Soil compaction
3. Reinforcing steel for concrete
4. Reinforced concrete
5. Structural steel fabrication (on site)
6. Structural steel erection (welding and bolting)
7. Reinforcing steel for masonry
Sincerely,
OTTO ROSENAU & ASSOCIATES, INC.
Susan Rosenau -Moser
Vice President
Email c: Saybr Contractors Attention: Jeremy Jenson