15-104997 CltyofFedera�way •3uilding - Commercial
Community&Econ.Dev.Services Permit #: 15-104997-00-CO
33325 8th Ave S ;
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: H-MART
Project Address: 31217 PACIFIC HWY S Unit C-103 Parcel Number: 082104 9186
Project Description: TI-Remodel existing deli counter
Owner Applicant Contractor Lender
KIMCO REALTY CORP KI NAM OWNER IS CONTRACTOR OWNER IS LENDER
3333 NEW HYDE RD KI NAM ARCHITECT
NEW HYDE PARK NY 11042 29605 MILITARY RD S
FEDERAL WAY WA 98003
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 Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0
Plumbing Fixtures
Sinks 3
PERMIT EXPIRES Wednesday, May 11, 2016
Permit Issued on Friday, November 13, 2015
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: 0510 1 i r t Date:
Pc---- , Fic):( (----7 -<,:c- ,_____, 6— (
fp L ,
• DATE INSPECTOR AREA AND TYPE OF 'NSPECTION
IZ-5- �� --�c� �w�,�,, ��., ' \,,)a.\\ 01�
THIS CARD IS TO ,MAIN ON-SITE -
CITY OFIII Construction In ection Record •
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-104997-00-CO Address: 31217 PACIFIC HWY S Unit C-103
Project: KIMCO REALTY CORP 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.
El Footings/Setback(4110) ❑ Re-steel(4215) ❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date B Date 1 2_ 0_'5
0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
PPApproved ,.
RoughPlumbing(4230) Fire/Draft Stops(4095)
Prior to scheduling a Framing inspection;
Approved
ElePri cal,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4
El Framing(4120) ❑ Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By yy, Date 12,1(4 it- . By Date By u p, Date 11-114. (i
Suspended Ceiling Grid (4265) ❑ Final-SKF&R(4060) ElFinal-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Plumbing(4075) El Final-Building(4050)
Approved Approved
Date 1-Z1( (5--- Bim(L- Date z, l'"j
Ei Rough ElectricalEl0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
eECEIVED
�,t °F OCT 012015 PERMI PAPPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER S _ 01 ' G _ 0 1 c / (5
(•I/ ` TARGET DATE
SITE ADDRESS SUITE/UNIT#
3/i 1I /24c7 HI'(' s: 44 7500.2 -3�42. e
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$
TYPE OF PERMIT BUILDING D PLUMBING D MECHANICAL D DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT tr, 6y1eir Pei
S0141()deC,
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIPT PHONE
PROPERTY OWNER 4f--'011(.4r4-- _7 an y
MAILING ADDRESS E-MAIL ) te_1111
CITY /) S� TATE Z27VlfrOn.[I'O /444}- 2
NAMEPHONE
MAILING ADDRE9 E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
ri ,fi WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME ! i - ai l PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
10 L i CITY t&& ^ j ZIP FAX
t NAME . N.r
_ PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDR E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING R fYIG�!' OWNER-FINANCED
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 Iaws 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 supplied to the city as a part of this application.
SIGNATURE: �-.
�/ DATE 7:C///5--
PRINT NAME: ( f1'�'/
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF 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(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
c5-07O
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(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
.-4,,k y/
z/; � �� ��/� ` f
5 P%, f/ )/i/;/.i /77/,-' /2,*4-,firi "�
FIRST FLOOR(or Mobile Home)
0 ,' ,,� ,i'r/rf`r' .'' j,,
COVERED ENTRY
GARAGE 70 CARPORT 0
,/s'/.r �� ld d' .,,� 1, ,./ ::, .... ...._._—......___.........._......_._...._._......__—_......
EXISTWO PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
,/- /r' ,/,' / /e ' / f y
/ /l/f <,,,,���i.��,,, � '//'/
�,�
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
tOT/lI �C3tfiiESTN4i i
.r." . '',/, ,,F !/y/ fi%i,.,. `v `; ; ��,�'`�� �' „i,�! /,fJ,/ ,, .,: .; ;%"�1 ✓�
TENANT AREA ONLY
/ /-,;; y ;! f/F!r !/
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application