09-104083V . `� ,
Building - !: o>c>�mercial
City of FedrrahWay '� •
Community Development Services P r4lit #. 09- 104083-00 -C
P.O. Box 9718 e
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: CWT HARVEST BREAD CO
Project Address: �';S$ S 320TH ST -
Parcel Number: 092104 9208
Project Description: TI - Improvements to interior for new tenant including partition walls, doors and accessible
restrooms. Includes plumbing; mechanical on separate permit.
Owner
Am)licant
Contractor
Lender
SEATAC VILLAGE SHOPPING
VICKI SOMPPI
S G FOUST CONSTRUCTION INC
SEATAC VILLAGE SHOPPING
CENTER
CONNELL. DESIGN GROUP
SGFOUGF91 IKJ (5/11/11)
CENTER
PO BOX 2708
22002 64TH AVE W
23502 25TH DR SE
PO BOX 2708
PORTLAND OR 97208 -2708
MOUNTLAKE TERRACE WA 9802
BOTHELL WA 98021
PORTLAND OR 97208 -2708
a
11
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Number of Stories ............................
Construction Type:
Plumbing to be Included? .......................................
Yes
Occupancy Load:
45
Occupancy # I - Use................ ...............................
Market/Grocery
Zoning Designation ................................................
Flour Areas . ft.)
1 2,326
0
0
0
Building Pre -con. Meeting Required? .......
.........No
Existing Sprinkler System in Building? .... .............
Yes
Mechanical to be Included? ....... .............................No
Number of Stories ............................
Permit for Building Shell Only? .............................No
Plumbing to be Included? .......................................
Yes
Special Inspection(s) Required? .............................No
Occupancy # I - Use................ ...............................
Market/Grocery
Zoning Designation ................................................
CC -C
,.
Drains.............. ...............................
5 Lavatories........
............................... 3 Sinks................ ...............................
5
Water Closets .. ...............................
2 Water Heaters..
............................... 1
PERMIT EXPIRES Monday, April 19, 2010
Permit Issued on Wednesday, October 21, 2009
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
y � � FINALED
U�,
City of Federal Way i
Certificate of Occupancy f..4
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: GREAT HARVEST BREAD CO
Address: 1758 S 320TH ST
Permit #: 09- 104083 -00 -CO
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Occupancy Load:
45
Floor Area (sq. ft.)
2,326
0
0
1 0
Owner Name: SEATAC VILLAGE SHOPPING CENT
Owner Address: PO BOX 2708
PORTLAND OR 97208 -2708
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 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.
y
THIS CARD IS TO IN ON -SITE
ry OF
Federal Way Construction INSPECTION RE U TS: (25 85- 050 >�d
Q
PERMIT #: 09- 104083 -00 -CO Address: 1758 S 320TH ST
Owner: SEATAC VILLAGE SHOPPING CEO FEDERAL WAY, WA 98003
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.
ri
SWM Precon Site Mtg (4400)
E]
Initial Erosion Control (4365)
El
Footings /Setback (4110)
Approved to insulate
Approved
By
To be done prior to breaking ground
By
Approved to place concrete
By
Date
By
Date
By
Date
Re -steel (4215)
Approved to place concrete or grout
By Date
Underfloor Framing (4285)
Approved to sheath floor
By Date
0 Plumbing Groundwork (4190)
Approved to covers ,g
By //y
l l/ Date
Floor Sheathing (41
Approved to install flooring
By Date
Slab /Concrete Floor (4255)
Approved to place concrete
By Date
Rough Plumbing (4230)
Approved
ByC Date I_ 8 S \tj
Fire/Draft Stops (4095) Interim Erosion Control (4370) m Prior to scheduling a Framing inspection;
Approved Approved Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
By Date By Date approved. IBC 109.3.4
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final Erosion Control (4375)
Approved
By Date
0 Final - Fire Department (4060)
Approved
By Date
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date Z�v
Final - Planning (4070)
Approved
By Date
Final - Plumbing (4075) Final - Building (4050)
Approved Approved
By Date _ t BY3 C S Date
Framing (4120)
Insulation (4150)
Approved to insulate
Right of Way
Approved
By
Approved to install wallboard
By
C Date _ 1
Date
By
Date
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final Erosion Control (4375)
Approved
By Date
0 Final - Fire Department (4060)
Approved
By Date
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
By Date Z�v
Final - Planning (4070)
Approved
By Date
Final - Plumbing (4075) Final - Building (4050)
Approved Approved
By Date _ t BY3 C S Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ctrr °� ERMIT
Federal vikvE C 1
COMMA= APPLICATION
253 - 835 -2607• FAX 253 -835 -2609 t�
www.cituoffederalwau.com OCT ,1 6 N09
SITE ADDRESS
So 0tv-N CMO *"-n Yee*
SUITE/ T
ZONDY ASSESSOR'S TAX/PARCEL #
7
f9Z
c O o 9 2 1 4 N - -- —
NAME PROJECT
r e Q� �✓�1 (� J
CC).
(Tenant or Homeowner Name)
BUILDING PLUMBING MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
e r
V
PROJECT DESCRIPTION
Detailed description of work to
L HC
be included on this permit only
i n r
NAME PRIMARY PHONE
PROPERTY OWNER
S eA+ac, V1 WN 'S ho PP M8GTR, ( ) -
MAILING ADDRESS, CITY, STATE, ZIP E-MAIL
PO Box Z70 g R7aa
10
❑ CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PHONE
U55"' Cb SirVG ' T
(L125) %77-1-7,3q
MAD.ING ADDRESS, CITY, STATE, ZIP
23502 Z51-in ' vim. SE W H
FAX
(NZ5 ) ` 66 -12N7
ONTRACTOR
WA STATE CONTRACTOR'S LIC
i°c°
NSE #
EXPIRATION DATE
i i
FEDERAL WAY BUSINESS CENSE #
h t-tic-t S F
NAME
PRMARY PHONE
) C P I
(925)(M - 6706
APPLICANT
MATUNG ADDRESS, CITY, STATE. ZIP w I q
FAX
22CO v¢, W. NI T'
PROJECT CONTACT
NAME
1C ki 'So mm
PRIMARY PHONE
6 S ) 6 A - (v 706
(The individual to receive and
MAEUNG ADDRESS, CITY. STATE. ZIP gyp,,,
��OZ 6 'ice W. J�i.-r- WA _' o s
FAX
(y25 )77 - T?,
respond to all correspondence .
concerning this application)
ALTERNATE CONTACT NAME:
ri l i pp,
PRIMARY PHONE
1((425 ) 670 - 676Co
E-MAIL
vieKi56 Cdnneft4avan
PROJECT FINANCING
-4py-0
NAME
OWNER- FINANCED
Required for projects with
value of $5,000 or more
MAILING ADDRESS. CITY. STATE, ZIP
PRIMARY PHONE
(RCW 19.27.095)
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I certlfll that to the
best of my knowledge, the igformation submitted in support of this permit application is true and correct. I cert(jy 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
igforlllation supplied to the city as a part of this application.
DATE
SI ATURE:
f
T NAME:
Bulletin #100 —4/21/2009 1 Page 1 of 4 k:\Handouts\Permit Application
com
` a
Value of Mechanical Work $ !A OPY OF BID OR EST MATE MUST BE PROVIDED)
Indicate number of each tope of fixtum to.W-InstWled or relowteckks P tt of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS S ETS OTHER (Describe)
AIR CONDITIONER N_ HOODS (com .mlaq
BOILERS � HOT WATER TANKS (Gas)
COMPRESSORS GAS G ETS 71— REFRIGERATION SYST
DUCTIN GAS PI G WOODSTOVES
Bulletin #100 — 4/21/2009 Page 2 of 4 k:\Handouts\Permit Application