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10-100649 I , I , uilding -e Co>► n ercial 'City FederalWay Perm' #: 10100649 00-CO Community Development lopmmeat Services - - P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: ALBERTONS#0496-STARBUCK'S KIOSK Project Address: 31009 PACIFIC HWY S Parcel Number: 082104 9062 Project Description: TI-Remove and replace existing kiosk. Relocating(2) floor sinks.Plumbing included. Electrical on separate permit. Owner Applicant Contractor Lender NEW ALBERTSONS INC RHONDA STARK NORTHVIEW CONSTRUCTION PO BOX 20 4308 TIARA BLANCA CT INC BOISE ID 83726 LAS VEGAS NV 89031 NORTHCI953N3(8/23/11) 169 50TH ST BOISE WA 83714 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 xii1 ' Mechanical to be Included,' ncluded No Number of Stories......... I Permit for Building Shell Only? No Plumbing to be Included? Yes P Fixtures Other Plumbing Fixtures 2 CONDITIONS: Subject to field inspection without plans. PERMIT EXPIRES Monday, August 16, 2010 Permit Issued on Wednesday, February 17, 2010 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: --/6y_...- a....z.../C____ Date: /fir l G �Y flJPUZ 3 1 S' !o ' THIS CARD IS T MAIN ON-SITE CITY OF 11.1 • Construction I ection Record . ' Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 10-100649-00-CO Address: 31009 PACIFIC HWY S Owner: NEW ALBERTSONS INC 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. ❑ SWM Precon Site Mtg(4400) ❑ Initial Erosion Control(4365) 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) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By -,,,,i Date 3// go By Date • Underfloor Framing(4285) El Floor Sheathing(4105) Rough Plumbing(4230) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date 3/10 0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) .. Prior to scheduling a Framing inspection; 49 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 • 0 Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date By Date • By Date O Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) ' ° 0 Final-Planning(4070) Approved to drop tile Approved Approved By Date By ›r,AdDate 3 /'g.../ By Date ▪ Final Erosion Control(4375) El Final-Plumbing(4075) Final-Building(4050) Approved Approved Approved By Date By C Date 3 _la,.(v By GJ Date a_ / Ea.'-to Ei Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date • AtECEIVElg it _ I DO r45 Federal Way PERMIT SF MF CO ME EL PL DE EN FP E 1 6 201APPLICATION / / G COMMUNITY DEVELOPMENT SERVICESS 253-835-2607•FAX 253-835-2609 www.`ue 1)F FEDERAL WAY SITE ADDRESS 00 1°,9C,141! C SUITE/UNIT# ZONING ASSESSOR'S©� TAX/PARCEL� # 0 � - qo NAME OF PROJECT �� ) (Tenant or Homeowner Name) )49-/p/3 C� /C/• a 5 K — COQ e t V S 2143UILDING CXPLUMBING 0 MECHANICAL TYPE OF PERMIT DEMOLITION ❑ rLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION WA° e LI • R /rice ' sic PROJECT DESCRIPTION Detailed description of work to ®t - /al. /�' it" - r'Q�SGC be included on this permit only /e e ki C A - t;C��E'(CA 4-- NAME NAME PRIMARY PHONE PROPERTY OWNER ( ) - MAHdNG ADDRESS.CITY•STATE,ZIP E-MAIL OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT NAME PRIMARY PHONE - O / 'T r.- c..) 00 At-Si—Rue r a4( 4)e 7�1 e c�'e ONTRACTOR MAILING ADDRESS,CITY,STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# `'G I / r-/ 31-3 r' /2-3 / %c- NAME . PRIMARY PHONE APPLICANT / (7(2) 75-6, -7/ 9( MAILING ADDRESS.CITY,STATE.ZIP FAX /Ii f4 /?/ t' : s , E 4 4 2 2) ' 'p 3 e' PROJECT CONTACT PRIMARY PHONE (The individual to receive and (11'10 >L respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX concerning this application) C ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL (.242) 7.2 rGd PROJECT FINANCING NAME 0 OWNER-FINANCED Required for projects with value of$5,000 or more MAILING ADDRESS.CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws• I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the city, but only where such • m arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied t e ci / a part of this application. SIGNATURE: i. DATE � PRINT NAME: e% '� 401+1!,57-0 �C Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Permit Application , _ 0 p , immoililiiit e r ' ` „; . .i ,. ., , � ` e arm , ya k rtt „........, Value of Mechanical Work$ 47A (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate number of each type offixture 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(cal) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES rk 1 kir ri@1 : i iEdg" �t § y § t om- �i a 6 r � : 3 iaa 411674)5411 Indicate number of each type off�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 c7. SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES ,,'.TOTAL.1rIXf GENERAL'INFORMATION ,, PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? „5-09-m ❑Yes ❑ No ❑Yes 0 No .t i i, °x r, ,.. y kt x. W�_ „Ay 6r e 1 ,M1P .11i k' a- r t '-,;. "� I.,'uP.M y;3 i;;- _� .,�s - srr,t. a „e��i iuYt .. �t ! � ter`. � �e45�e� r�9'�,�?�,�PUa- s v, AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE a FIRST FLOOR(or Mobile Home) 'aECO`H1) 14) 2 o COVERED ENTRY OECIC GARAGE 0 CARPORT 0 XER?.C+eser EXISTING PROPOSED TOTAL Area Totals •5NE/HOMES'ONLY"'* ESTIMATED SELLING PRICE$ #OF BEDROOMS e' ro- t + e ' r1t, r v � Qnp ��f n s ' 4,.9',::;,',:,-;-..,;;;,;,-A-.404—;1::,,,:;.:,;::-.7,7,7,4,,,,rr4t F� s " q y¢ " ` ' r i O 'VI It � ' ` 1., a' � n at S. -ti' r� x t sr)PA glnSBW°e, �s , AREA Migi % DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square FeetType Stories ENS bF �r: � c �. 0 i T � ,as-, r ADDITION --4P—q--1— A / _ °baa �' g e3 � R �, e -4,-.7..-, 7rr ,_�-° �I '"`�4 �-`�a� - raemsW ,. 3 ° fir tr,oi . to .. ,E o �.� .. "e � ®� D B 4 N(� x.$—w_�,..r. ,41 AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) TypeStories Additional Information TOTALS BODI1�G. %w ; .. ,1; , r _ 1k. r{. *tea: TENANT AREA ONLY (" f / I 1. 1 1/1Al' I �.~7t^ '''�`" a, `n /`/ t ? r tit) :'?!m Pity ONLYsi. t Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Permit Application