04-102129 . a .
I - % - , • .
i City of Federal Wad r •
Community DevelrpmentServices Building - Commercial Permit #:04 - 102129 - 00 - CO
33530 1st Waya S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax 25: 661 4129 Inspection request line: 253.835.3050
Project Name: WINCO FOODS
Project Address: 106 SW CAMPUS DR Parcel Number:415920 0710
Project Description: TI-Demolition of existin gbakery sales area including framed wall and bulkhead removal,equipment
removal,mechanical and plumbing demo.New doors cut in CMV walls,new lighting,revised plumbing
&mech and 2 new checkstands
Owner Applicant Contractor Lender
WAREMART,INC BRS ARCHITECTS*TIM PERRY* CONTRACTORS NORTHWEST NONE
8590 FAIRVIEW AVE BRS ARCHITECTS contrn*252oh 6/16/05
BOISE ID 83704 1010 S ALLANTE PL SUITE 100 CONTRACTORS NORTHWEST
BOISE ID 83709 11425 W EXECUTIVE DRIVE UNIT NONE
Includes:
Census category: 437-Comm #1 #2 #3 ;; #4
LOccupancy Group: . M -
[-Construction Type;... 1��Y Type V L.N I� r _� - --
i Occupancy Load: 2000 1
Floor Area(Sq Ft): i
Census Category........! 437-Commercial altladd Mechanical...: No
Number of Stories....... .1 Permit for Building Shell Only . No
Plumbing Yes Zoning Designation.......: ....... ........ BN
Plumbing Fixtures
I -Description i:Quantityl 'Description__ ILQuantity Description ,Quantity',
- .
PERMIT EXPIRES November 29,2004.
Permit issued on June 2,2004
I hereby certify that the above information is correct and that the construction onthe 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: / �/ ./ i Date: /976
, r . .
• •
INSPECTION LOG
DATE:' INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
Gi° /fill/ --7I ,
-1:-')/Cf)y\)7 Oh yri
r) t (baktry Wetil \
1
Ilklk' ' .-. THIS CARD IS TO REMAIN ON-SITE r . .
CITY OF �Wi *ommunity Developnnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102129-00-CO
Owner: TIM PERRY
Address: 106 SW CAMPUS DR
FEDERAL WAY, WA 98023
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.
O Footings/Setback(4110) 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
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 Approved to cover Approved to place concrete
By Date By Date By Date
•❑ Underfloor Framing(4285) C' Floor Sheathing(4105) -0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) 0 Fire/Draft Stops(4095)
Approved to install roofing Approved Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) i ❑ Framing(4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4 ..
yN^W „p By Date By Date
'❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060)
. Approved to install mud&tape Approved to drop tile Approved
By Date By Date By 6,01 Date 7• frQ'9
•
❑ Final-Planning(4070) 0 Final-Public Works (4080) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
O Final-Building(4050)
pproved
By ti
Date 7.,... I 04
lilik REC*fp r% f:;) c{ �/1/ .� CIC)
CITY MAOF - f - t' v+
Federal Way Y 2 2HERMIT 00 SF MF CO ME EL PL DE EN FP
COMM TYDE[t�;LOPMENI"SERVICES
33530 FIRST WAY SOUTH•WAY,WA 6 BOX 971 17Y OF . R I C AT I O N
253-661-4115. AX 253-661 4129 3-9718 $UI1p��ja ,' TD /
/
www.cituoffederaiway.com
The oliowi • is required in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibi (in in or •e.
/_ . , /�'''��� PROPERTY INFORMATION
SITE ADDRESS (�SC_ `'rW w11� V4 V' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ - LOT SIZE(sf)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT BUILDINGPLUMBING MECHANICAL
DEMOLITION ELECTRICAL ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onit)
1klierlir vub44c( • *144,611111Y\ of e cvsfiiiroi l coale , fr l Lid(AI >1'61,m t KA(t
1 buI�l v2►�va1 ja�4 U'9A<A Ye WO VA i El eal-rLc -- ediavt i d.I- tywhc ciewio l+ft
���VGbW�1 alev vt II fin- 14w Prechot vAolu N.e &I cluvs Cv Tin GJ1V yi&li ,
hew l tl lA t'mu\ it 6V is rid pl uwt 6) 1440e-haw int,l/i # l kb vteW Cato ,fi?Wa1 s
PROJECT NAME(Name of Business or Owner Last Name) tJ JI lilt w Fcr,, s-
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
') /
OWNER II { O ( ) -
ING DRESS CITY,STATE,ZIP
. (.<1 aad 100A4 k'J5
6J06d bvrw , Ore 9-7 01
CONTRACTOR COMPANY NAMEPLICANT NAME OFFICE PHONE
GGv► ie.� Y RY\TY&kr-. (Zas ) 612 -mss&
MAILING ADDRES�Svf CITY,STATE,ZIP CELL PHONE
rjec 1` & PyivLfa, r% ay ' 53-7(3 ( ) ' -q
CITO gAI A BUSINESS LICENSE NUMBER'
EXPIRATION DATE FAX NUMBER
B L / / ( ) -970
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) 'EXPIRATION DATE
/ /
APPLICANT COMPANY N APPLICAN NAME OFFICE PHONE
,g� YGk( TIM 'reVVY ( ) 3&- e4370
IMOMAILING ADDRESS,'o4t �(aa / ,1 I CI STATE, �� ���� CELL PHONE
iia. /�n��1JIJ 1YlY 1 J) -
RE TIONP O OET - FAX NUMBER
Architect
SHIT ❑PRTenant 0 Agent ❑ Other(Describe) 06t1 ?J�-Z --'233a)
-___- CONTACT___ _.... ...NAME-- ------ . __ ___. - —'---- -PRIMARY-PHONE ----- ------ _.-_ _=-raAn -- - ss --
Gork
LENDER4� Lender •`;a e NAME
N. lir a ire cz lie• tX,, 3„'
- - MAILING ADDRESS --.-. - _ CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE ahD % Act Y G PROPOSED USE e
EXISTING ASSESSED/APPRAIS`D VALUE $ VALUE OF PROPOSED WORK $ /'`y�'0
SPRINKLERED BUILDING? /YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?) ES ❑ NO
WATER SERVICE PROVIDER `❑ LAKEHAVEN o HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAXEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ. FT. TOTAL
BASEMENT
tiff.
FIRST PW/3014;be rKallkitd.. le,3910 �a,wt� 7e. 3qa *Pi
SECOND
THIRD
•
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
NA-.
DECK(COVERED?)
1\4 Pr
GARAGE/CARPORT
HOW MANY FLOORS? aorax axr smdtixteoPoaws ' nvmwr ,
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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 $ MO 41,
1 "�'CAIR HANDLING UNITS EVAPORATIVECOOLERSGAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or n/shower combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS p...&6N SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expeses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be made by any person,including. the undersignedn,and filed against the City of Federal Way,but only where such claim
arises out of the reliance f the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. fl7h1611-
�f�J-
nNAME/TITLE "'i='Y / - / ` 7/ DATE ✓7' G. /
_.. -(Signa e) / (Title)
RELATIONSHIP T PRO -- 0 Own 0 Agent 0 Contractor A Architect 0 Other
y Ik a .t.1
a c
s > [', atil , .ITIO r F x :44 * ILII � I7 3ZF.P i, ,. t E �IM3'i If?FE'iT ' a k \
']?X iG . e4 ._ „ m y,, ,.. .. i.a Niki,g 404 , w ij
+FINI I� sIGNY x of 4 £OP` '. '
�� s s �{ 30\ DC7 -i NC#
`� PAR X'qQ: \\itU �' #- 0V i � l - ' SEPA ��
44I L 3T „'�,.�i ..._ to f t 1�T01 . .. . ` � � l*W PA3 kQ M D0 ?t .. 43*0:"-
..... .ag .
Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application