14-103549 •3uilding - Commercial
City of Federal Way Permit #: 14-103549-00-CO
Community&Econ.D ev.Services ,
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: 253 .835-3050
Ph:(253)835-2607 Fax:(253)835-2609 eQ
Project Name: WINCO FOODS
Project Address: 160 SW CAMPUS DR Parcel Number: 415920 0710
Project Description: TI-Interior remodel of existing deli to include demolition of an existing partition wall,and
drains.Plumbing included.Mechanical on separate permit.
Owner Applicant Contractor Lender
WINCO FOODS CHAD E Applicant
K D T L BUILDERS INC OWNER IS LENDER
PO BOX 5756 PETERSEN STAGGS ARCHITECTS DTLBUBI917N7(8/27/15)
BOISE ID 83705 5200 W STATE ST 13077 S 3600 W
BOISE ID 8703 RIVERTON UT 84065
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Plumbing Work Valuation .8860
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Zoning Designation. BC
Plumbing Fixtures
Drains 4
PERMIT EXPIRES Tuesday, March 31, 2015
Permit Issued on Thursday, October 2, 2014
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: /C;f`2//t�!
e--(\
•
. DATE INSPECTOR AREA AND TYPE Ov INSPECTION •
to ( I It 9 1 Ct Atwbt N4 C-sImo w.t n LAVid—le• - G�+t tS t-41 -De-
• THIS CARD IS TO MAIN ON-SITE
C,noF Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-103549-00-CO Address: 160 SW CAMPUS DR
Project: WINCO FOODS FEDERAL WAY, WA 98023
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.
O SWM Precon Site Mtg(4400) - 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Re-steel (4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout ' Al I . : r cover Approved to place concrete
By Date , •B of 4, Dater 2, 5/ •By Date
El Underfloor Framing(4285) Floor Sheathing(4105) Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
.
❑ Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) 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 1093.4
Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) El Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
• Final Erosion Control(4375) El Final-Plumbing(4075) El Final-Building(4050)
Approved Approved Approved
By Date By Q.. Date 1 ti� _t y By O �.. Date . i
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r
Cn of ....,4
0 PERMI' APPLICATION
. ay
3k1L 11 "14 S 17071
X444- t 0 3 S 9 C o
PE I _ l _ t
Cv"' _ _ TARGET DATE
CD
SITE ADDRESS SUITE/UNIT#
_160 5W CAMPUS DR. F_ FDERAL- ' JAY, WA
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ AITACK3> + 1 5 1 2 b - 0 7 1 0
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT W I N C O FOODS S TO RE' NO. 4_t
PROJECT DESCRIPTION D R M O DEL I..- 1
Detailed description of work to
be included on this permit only •
NAME / PRIMARY PHONE
PROPERTY OWNER W 1 NCO FOODS, 4+ C Z08-,J7-?- 011 a
MAILING ADDRESS E-MAIL
DSO N ,RAISTRON6 PLACE
CITY Bo 1 SE STATE ZIP D. •
2D 8 PHONE
NAME MAILING ADDRESS P• 'AN D� I _ L.C� E-MAIL
CONTRACTOR
CITY I STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
PETE RS EN •STA6&S A-RC H ITEGTS ZDS-345-146 t
APPLICANT MAILING ADDRESS E-MAIL
.5 2-oc w STATE�rsr. �j ��Jj QQ d I [�j
CITY&OI5g- 1 Z 2183 7-03 ZOC-, 45-1$ 3
NAME PRIMARY PHONE
PROJECT CONTACT CHAD G . PO L L o C K 248 -. 45-14-62.
(The individual to receive and MAILING ADDRESS '_/ .� E-MAIL�"
respond to all correspondence 5 200 W. STATE Sr. Gh .d-pep,sarcl.GOWt
concerning this application) CITY STATE ZIP FAX
BOISE ''' 0 ZO. - • -
NAME OWNER-FINANCED
PROJECT FINANCING
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 ma. be made by any person, including the undersigned, and filed against the city,
but only where such claim • out of the rel; • of the city, including its officers and employees, upon the accuracy of the
information supplied to th - a •• —• � placation. Q
S
IGNATU DATE 7 - 8 -- ! 4
PRINT NAME: C H A D E. Po L L C C K
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE_OP MECHANICAL WORK
MECHANICAL PERMIT $
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)Commrniol)
1301LERS FURNACES HOT WATER TANKS)Co.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST-
DUCTING GAS PIPING WOOUSTOVES-
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ r 13 P.
Indicate how many of each type of fixture to be installed or relocated aspart of this project. Do not include existing fixtures to remain.
BATHTUBS Ior Tub/Shower comho) LAYS OlandSkdrs) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
+ DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS)Nftcheo/Uulityl WATER HEATERS(hlecniq
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
/t/Dn/t�' T. B. n. T. B. P. $ ..8 0, OOO
EXISTING/PREVIOUS USE LOT SIZE De Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
6XI Sri N 6 vt.Yes C. No a Yes .$. No
MERCANTII.F 61 Z, 881 S4. F.T.
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR{or Mobile Home)
;SECOND FLOOR.
COVERED ENTRY
DECK:.
GARAGE 13 CARPORT fJ
OTHER.(describe)
Area Totals Isnna PROPOSED TOTAL
. NEW HOMES ONLY
ESTIMATED SELLING PRICE$___ #OF BEDROOMS,,,,_
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEw BUILDING.`
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in S.uare Feet •e Stories
EX(jTfN:
TOTAI BUILDING. Efl oQ .
. S.� M�>QLkwTILE , �' N.A;. I30;I C1416DEL-. -:
TENANT ARIA ONLY IIIIIIIIIIIII
�'• EXIST" N
PROJECT AREA ONLY t2.P E
K!rc piety •
Bulletin#100—January 1, Pa 1 2013 Page 2 of 3 k:Illandouts\Permit Application
B