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04-101831 ' 110 ill • City of Federal Way Community Development Services Building - Commercial Permit #:04 - 101831'-00 - CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253 661 4000 Fax 253.661.4129 Inspection request line: 253.835.3050 Project Name: MARLENE'S MARKET Project Address: 2565 S GATEWAY CENTER PL Parcel Number:092104 9137 Project Description: TI-Construction work for SECOND FLOOR ONLY for new tenant,including WA barrier-free upgrade to existing restroom,addition of new restrooms,addtion of kitchen,addition of dining area, addition of lecture area,retail areas,upgrade of hall serving st Owner Applicant Contractor Lender NONE SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC WASHINGTON STATE BANK PO BOX 1849 SUPERBI112D2 3/4/05 PO BOX 6226 MILTON WA 98354 PO BOX 1849 FEDERAL WAY WA 98063 NONE MILTON WA 98354 Includes: Census category: 437-Comm r #1 F #2 #3 #4 Occupancy Group: M L_ Construction Type: Type V N 1 Occupancy Load: —�� 215 _ — -------IL r Floor Area(Sq.Ft.). C _ 10,166 Building Pre-con.Meeting Required...................No Census Category ....;437-Commercial alt/add Fire Sprinklers No Mechanical...,:.. No Number of Stories 2 Permit for Building Shell'Only....... ..............No Plumbing No Special Inspection Required No Total Proposed Sq.Feet 10166 Will Certificate of Occupancy be Issued? Yes PERMIT EXPIRES December 4,2004. Permit issued on June 7,2004 I hereby certify . tie abov inf. at'- i cot and that the construction on the above described property and the occupancy an. - ; 1 11 .- , _ cords ce the laws,rules and regulations of the State of Washington and the City of Federa i - Owner or agent: k _ =-�i.�116.-,WAlibb-_ ,,, Date: I • City of.Federal Way • S , Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 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. This certificate is valid ONLY when endorsed by City staff. Tenant Name: MARLENE'S MARKET Permit number: 04- 101831 -00 Address: 2565 S GATEWAY CENTER #1 #2 , #3 #4 Occupancy Construction oype: Type V-N Occupancy Load: 215 Floor Area(Sq.Ft.): 10,166 Owner NONE Name: Address: NONE mK. P140.40‘,, coo I '` 30 Oh/ 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 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. INSPECTION LOG DATE I SPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION' THIS CARD IS TO FMAN ON-SITE CITY OF p it Develo m nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-101831-00-CO Owner: SUPERIOR BUILDERS INC Address: 2565 S GATEWAY CENTER PL FEDERAL WAY, WA 98003 This card is part of your required inspection documents. 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. 0 Footings/Setback(4110) 0 Foundation Wall (4115) 1❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date J •❑ Re-steel • (4215) ❑ Plumbing Groundwork(4190) �❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date ❑ Underfloor Fra;_ing(4285) ❑ Floor Sheathing(4105) �❑ :ar`.'Valls(4245) Approved to sheath floor Approved to install flooring A ra:-wed to irstall siding l....._:.‘...ivd .� Date By Date B..__:_%.___________ irate ❑ Roof Sheathing(4220) 1 G Fire/Draft Stops (4095) NOTE P„z;to scheduling c Framing(412 Approved to install roofing Approved inspection;E:e:trical,Plumbing&Mechanical Rough-i:.and F_:•^/Draft Stop inspections must be By Date By Date signed-off and e.ppr oved. IBC 103.3.4/UBC 11b8.5.4 ❑ Framing(4120) ❑ Insulation(4150) 0ypG sum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud Or.tape By Date . ..c.) By Date By Date-1441, •❑ Suspended Ceiling Grid (4265) 1 1❑ • Final-Fire Department(4060) •❑ Final-Planning(4070) Approved to drop tileilleApproved Approved Byi/> to ` l r 4) ByC Date , �_ q/3 © � .By Date ❑ Final-Public Works(4080) • • ❑ Final-Building(4050) , Approved A proved • By Date By Date.3 6`©I FederalV/ay.,... , PERMIT COMMUNITYDEVECOPA1ENTSERVICEs SF M" CO E EL PL DE EN FP 3353EDFIRST AWAYSO(1TN.P 3BOX-971818 APPLICATION TD FEDERAL WAY,FAX 53-6 1-4 18 O i 2•(- ( //� FEDERAL 4115•FAX 2536614129 O)^ U ww w.d hroffede ral wa q.co m The ollowin• is re•uired,in ormation-an inco •Iete a.•lication will not be acce•ted. Please •rint Ie•ibl (in ink)or . PROPERTY INFORMATION SITE ADDRESS 3&,S 6_,1- ' W 4 Ce_' e-" 4 s SUITE/UNIT# �_ ASSESSOR'S TAX/PARCEL# / - . . 1 Jek .. LOT SIZE(s� ' z\` LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) A! ('C' 'e (Attach separate page for lengthy legd d:sarip:on) PROJECT INFORMATION TYPE OF PERMIT UILDING 0 PLUMBING 0 MECHANICAL EMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT D RIPTION Provide detailed description of work included on this f e t only) ,f) / ®cti . re �O C /"L s, k-f I-� ( (.weft C oc's-`e c— C PROJECT NAME(Name of Business or Owner Last Name) C'1.ict-r-(ed.`3 t 1 i PEOPLE INFORMATION PROPERTY NAME , \\ m PRIMARY PHONE OWNER 0q-+e4,... /N.,..7! C 4-c.c--- /Z i ( f � 3V -'1Y0 U MAILING ADD�S CITY,STATE,+P F.0- )c i 61 Si © c Avc , s4 �}0te Zp f CONTRACTOR COMPANY NAME A APPLICANT NAME OFFICE PHONE TOG ADDRESS CITY,STATS IP CELL PHONE �- .06.‘e3,4- /,2.) k( c- `l °� 7$35 ic-i 12.5-s) -Z`( -`(ery CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - / / ...(2-s-q57: - 17c(7 B L CONTRACTOR'S REGISTRATION NUMBER(copy of cardwith each application) EX required PIRATION DATE S Pa. .;X--I I ZZ / (( /6 C APPLICANT COMPA NAME 11 APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ( ) RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect 0 Tenant o Agent 0 Other(Describe) ( ) - CONTACT Nqp� PRIMARY PHONE E-MAIL ADDRESS l '\) &--/0.0q1 - 93-A,571_IG. Cet .1 ND e.....--;-0 1.-d-c-ta4-6.(e4 LENDER Per RCW 19.27.095: Lender information is NAME t required if project value exceeds$5,000 '' 4_,....,(„_‘ e\\.. t, s e...... R 4 MAI G A r i RESS I ` STATE IP ( e . . ..-4_ ` •1 re- A-4-( 4 b Oc1. DETAILED BUILDING INFORMATION (( EXISTING USE P r '-- I PROPOSED USE j 'A'---- 4--1 EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $43;2ice/ %Ci al SPRINKLERED BUILDING? o YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDERAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST 11 i G-) I ��C a (zC Do SECOND /6 c �( '`, �. ('Q THIRD V �V FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL.PROPOSED TOTAL PROQOSED **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Z FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS -!•DS(commeruet) WOODSTOVES BOILE FIREPLACE INSERTS RANG- MISC(Describe) CO 'RESSORS FURNACES GAS WA ATERS D- GAS PIPE OUTLETS PLUMBIN BATHTUBS(or Tub/Shower combo) SHOWERS WATER CLOSETS(roue) C(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS AS PIPE OUTLETS RAINWATER SYST HING MACHINES URINALS HOSE BIBBS LAVS : ......Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify un',er pe •lig of perjury that the information f i. .ed by me is true and correct to the best of my knowledge,and further,that I am authorized .1 the owner o he •i:o premises t• orm the •rk for which the permit application is made. I further agree to hold harmless the Ci 9 of edera "ay to an -'m ' _•>> • costs, penes, and attorneys'fees incurred in the investigation and defense of such claim), whi m• be ••e •:i any •n i :in t .r'- 7 ed against the CityofFederal Wa but onlywhere such claim y P' 9 9 y, arises out of the a ce of t',�qty • CI • g ' - .fficers � on the accuracy of the information supplied tot e city as a part of this application. NAME/TITLE � _���Vr \ ,,e--> DATE c/N W (Signature ` (Title) RELATIONSHIP T• 'ROJECT 0 Owner ❑ Agent d}Fsntractor 0 Architect ❑ Other FOR OFFICE USE ONLY a NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application