12-101376 City of Federal Way • 0Bllildiln Com'r�her tial
Community&Econ.Dev.Services Permit #: 12-101376-00-CO
33325 8th Ave S ft
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 G
Project Name: FRED MEYER SUITE C-LANDLORD WORK
Project Address: 33702 21ST AVE SW Suite C Parcel Number: 930100 0010
Project Description: TI-Landlord work to create"vanilla" shell space for future tenant improvements,
including adding(2)accessible restrooms. Includes plumbing&mechanical.
Owner Applicant Contractor Lender
FRED MEYER INC BOOCO CONSTRUCTION INC BOOCO CONSTRUCTION INC FRED MEYER INC
PO BOX 42121 2725 COLUMBIA BLVD BOOCOCI951R1(12/22/13) PO BOX 42121
PORTLAND OR 97242 PORTLAND OR 97211 2725 COLUMBIA BLVD PORTLAND OR 97242
PORTLAND OR 97211
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 7,596 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included' Yes
Number of Stories. 1 Permit for Building Shell Only') No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Zoning Designation BN
Mechanical Fixtures
Fans2 fv� ? 1a
Plumbing Fixtures
Drains 2 Lavatories 4 Urinals 1
Water Closets 3 Water Heaters 1
CONDITIONS:
Replacement of exterior walls and glazing to match existing.
\ a
PERMIT EXPIRES Sunday, October 14, 2012
Permit Issued on Tuesday, April 17, 2012
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.
Date: "
Owner or agen : '
11116, r .
t \ •
. THIS CARD IS TO MAIN ON-SITE
Federal WayOF
Construction In ection Record
INSPECTION REQ TS: (253)835-3050 '
PERMIT#: 12-101376-00-00 Address: 33702 21ST AVE SW Suite C
Project: FRED MEYER INC FEDERAL WAY, WA 98023
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 SWM Precon Site Mtg(4400) Initial Erosion Control
Approved El (4365) ❑ Footings/Setback(4110)
To be done prior to breaking ground Approved to place concrete
By Date By Date
By Date
•
❑ Re-steel(4215) 0 PlumbingGroundwork 4190
Approved to place concrete or grout ( ) ❑ Slab/Concrete a concrete(4255)
Approved to cover Approved to place concrete
BY Date !�L
By /-� Date / —/P 11 By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring
Approved
By Date By Date
By frif Date y-75'f2
❑ Mechanical Rough-in(4165) 0 Gas Piping(4125)
110 Fire/Draft Stops(4095)
Approved
Approved to release test Approved
By % Date 2,,,..riz.— By Date By Date
O Interim Erosion Control(4370) Framing(4120)
Approved Prior to scheduling a Framing inspection;
Electrical,Plumbing&Mechanical Rough-in and 0 Approved to insulate
By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.14 By G Date V-26---(z_
❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended CeilingGrid (4265)
Approved to install wallboard Approved to install mud&tape
p Approved to drop tile
By Date 1 By Date Gs 6 /2 By Dat
❑ Final-Fire Department(4060) ❑ Final-Planning I ❑ Final Erosion Control(4375)
Approved Approved
1
Approved
,
By lo/f Date 5/302-' By Date
By Date
❑ Final-Mechanical(4065) ir,ApprovedFinal-Plumbing(4075) Final-Building(4050)
Approved
ApprovedBy �/ i Date 6'r. ` 2— y Date6-4-/2....._ By aw Date
L " h _12
•
❑ Rough Electrical
Approved ❑ Final Electrical Right of Way
Approved El
Approved
By Date 1 1 By Date
BY Date
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11F- �C.0111L) 3
°m'°F.' ..`PERMIT SF MF • ME PL DE EN FP
Federal Way MAR ,
COMMUNITY DEVELOPMENT SERVICES ATI O N7/1cL.0253-835-2607•FAX 253-835-2609ABP1d1
' -
www.alyoffedera/way.com
CID(
O CDS
SITE ADDRESS SUITE/UNIT#
Form33702 21s'Ave. SW, Suite# C, Federal Way, WA 98023 Video Halewood
Video Space
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 200,000 NB 9 3 0 1 0 0 - 0 0 1 0
TYPE OF PERMIT i BUILDING ® PLUMBING 0 MECHANICAL
❑ OLI0ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT D �}
(Tenant Name/Homeowner Last Name) (/
PROJECT DESCRIPTION Create one'Vanilla Shell'2'irpace in empty"Hollwood Video space. Create (2)two
Detailed description of work to accessible restrooms and replace existing ceiling tile.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER Fred Meyer Stores, Inc. 503-797-3113
MAILING ADDRESS E-MAIL
3800 SE 22nd Ave.
CITY STATE ZIP
Portland OR 97202
NAME PHONE
BooCo Construction, Inc. 503-262-6570
MAILING ADDRESS E-MAIL
CONTRACTOR 2725 Columbia Blvd. kbb@booco.com
CITY STATE ZIP FAX
Portland OR 97211 503-262-6551
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
BOOCOC1951R1 12 22 13 20-05-104006-01-BL
NAME PHONE
The Rommel Architectural Partnership, LLP 503-227-5844
APPLICANT MAILING ADDRESS E-MAIL
1500 NW Naito Parkway, Suite 550 grommel@rommelarch.com
CITY STATE ZIP FAX
Portland OR 97209 503-227-8490
PROJECT CONTACT NAME PHONE
(The individual to receive and Gary Rommel 503-227-5844
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) 1500 NW Naito Parkway, Suite 550 grommel@rommelarch.com
CITY STATE ZIP FAX
Portland OR 97209 503-227-8490
ALTERNATE CONTACT NAME: PHONE E-MAIL
Matt Atkins 503-227-5844 matkins@rommelarch.com
PROJECT FINANCING NAME
�_�l4"D 11 '1 1-e- E'S 1 7 I •C•
® OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
5r- _ ,tS2,c5vr—
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to th city as a part of this app ._....-._.._..._. .
SIGNATURE: / \�L/ ,=- , ,
•il
DATE 0.31Z-e)//Z-
PRINT
.3/Z2 JI Z-
PRINT NAME: K 1=1--1 i.1T7-4 ? " '"7-"L
Bulletin#100-January 1,2011 Page 1 of 3 k:AHandouts\Permit Application
Oh- ' • •
MECHANICAL,FIXTURES'
VALUE OF MECIIANICAL WORK ti$` ' '(7 .-j fist/ (a copy of bid or estimate must be provided)
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 2 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
PLUMBING FIXTURES
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 mb/Shower combo) 4 LAVS(Hand s(onks) 3 TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS 1 URINALS OTHER(Describe)
2 DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(N,tchen/Utility( 1 WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 11 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?
14 Yes ❑ No ❑Yes ❑ No
RESIOENTIIA ;. * NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW'HOMES OI11LY*'*
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NE t'/ADIIITIoli
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL--REMODEL/TENAT IMPROVEMENTS
AREA DESCRIPTION
AreaConstructionGroup(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL BUILDING 178,898 SF (M) Mercantile VB 1
TENANT AREA ONLY 7,596 SF (M) Mercantile VB 1
PROJECT AREA ONLY 7,596 SF. (M) Mercantile VB 1
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application