16-103167 t
• 7` Building - Commercial
City of FEcon
c . Way Permit #: 16-103167-00-CO
Community&Ecoo n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: TI-Tenant improvement work to include replacement of current ALE heavy lift.
Owner Applicant Contractor Lender
FRED MEYER INC KEVIN KINCAID WESTERN CONSTRUCTION
PO BOX 42121 WESTERN CONSTRUCTION SERVICES INC
PORTLAND OR 97242 2300 E THIRD LOOP SUITE 110 WESTECS162R8(9/16/17)
VANCOUVER WA 98661 2300 E 3RD LOOP SUITE 110
VANCOUVER WA 98661
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type II-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required'? No Existing Sprinkler System in Building? Yes
Mechanical to be Included? No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
Proposed Structure Valuation 10000.00 Special Inspection(s)Required Yes
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Retail/Mercantile
No Fixtures Associated With This Permit l!
PERMIT EXPIRES Monday, January 23, 2017
Permit Issued on Wednesday, July 27, 2016
I hereby certify th. - wove information is correct and that the construction on the above described property and
the occupancy a :_ - 1 .e in accordanc- , 'th the laws, rules and regulations of the State of Washington
- City of Federal Way.
Owner or ag DateO-1.,Y . \ L
F.;biatl
THIS CARD IS TO REMAIN ON-SITE
CITY OF +" n Record
....:-
Federal vvay Construction
REQUES S: (253)835-3050
PERMIT#: 16-103167-00-CO Address: 33702 21ST AVE SW
Project: FRED MEYER INC FEDERAL WAY,WA 98023-7762
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 Initial Erosion Control(4365) 0 Footings/Setback(4110) Re-steel(4215)
To be done prior to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By &A Date SI t2..'21 ix-
O 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
O 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 109.3.4
Framing(4120) •
0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
• Suspended Ceiling Grid(4265) 0 Final-SKF&R(4060) Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
` .
O Final Erosion Control(4375) 0 Final-Building(4050)
Approved Approved
By Date By 4,,...) Date 101 iii I lit
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
411 •
art Of A P MIT APPLICATION
\ Federal Way EIVED
I 0 ( _ C N302016 eAlt(CS
PERMIT NUMBER (p _ (.47 7-
C `- CIIY-QE FEDERALTT DATE
CDS
SITE ADDRESS SUITE/UNIT#
33702 21st Ave SW, Federal Way, WA 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 10,000.00 BN 9 3 0 1 0 0 - 0 0 1 0
TYPE OF PERMIT ®BUILDING ❑PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT FM 111 Federal Way ALE Lift
PROJECT DESCRIPTION Replace current ALE lift
Detailed description of work to
be included on this permit only
F% PRIMARY PHONE
MEd Meyer 503 797-3885
PROPERTY OWNER MAILING ADDRESS E-MAIL
3800 SE 22nd Ave tim.anderson@fredmeyer.com
CITY STATE ZIP
Portland OR 97202
NAME /� PHONE
TBD ,e� .�i\ r l .Thk '�� f
r MAILING ADDRESS E- L
CONTRACTOR ,
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Western Construction Services Kevin Kincaid 360 737-0990
APPLICANT MAILING ADDRESS E-MAIL
2300 E Third Loop Ste 110 kkincaid@westernconstruction.com
CITY STATE ZIP FAX
Vancouver WA 98661 360 694-7818
NAME PRIMARY PHONE
PROJECT CONTACT Kevin Kincaid 360 737-0990
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 2300 E Third Loon Ste 110 kkincaid@westernconstruction.com
concerning this application) CIS Vancouver WA ZIPFAX
98661 360 694-7818
NAME
PROJECT FINANCING Fred Meyer ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) 3800 SE 22nd Ave, Portland, OR 97202 503-797-3885
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 claim arises out of the re • ce of the city, including its officers and employees, upon the accuracy of the
information supplied to he ci • a part . this . .. ation.
wall'
r
SIGNATURE: DATE 6/93/16
PRINT NAME: Kevin Kincaid
Bulletin#100—December 29,2015 Page 1 of 3 k:\Handouts\Permit Application
• 0 0S
VALUE OF MECHANICAL WORK J
MECHANICAL PERMIT N/A $
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(Commercia()
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT N/A $
Indicate how many of each type offixture 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 N/A
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
'
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DECK ,,-1,'A ,
t.
GARAGE ❑ CARPORT ❑
i
OTHER(descrt� _ .
EXISTING PROPOSED TOTAL
Area Totals
7�" "**1VEWWr HOMES _ * x ( r';'''''' `I
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION N/A
Area in Construction #of
AREA DESCRIPTION Occupancy Group's) Additional Information
Square Feet Type Stories
S
v
{
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
,
TENANT AREA ONLY 20
:Ear AEAoar2fl .. h , x
fix x r, . .��., � �' .,� � _ " . ces ... ,...
Bulletin#100—December 29,2015 Page 2 of 3 k:\Handouts\Permit Application