12-101377 it
0 •3uilding Commercial
City of Federal Way .9 c.
Community&Econ.Dev.Services - -
33325 8th Ave S 9 ' Permit #: 12 101377-00 CO
r , ,
Federal Way,WA 98003
Ph:(253)835 2607 Fax (253)835-2609 .„-A Inspection Request Line: (253)835-3050
Project Name: FRED MEYER SUITE C-LANDLORD WORK
Project Address: 33702 21ST AVE SW Suite C Parcel Number: 930100 0010
Project Description: ALT- "Soft" demolition work preparatory to landlord improvements.
Owner Applicant Contractor Lender
FRED MEYER INC BOOCO CONSTRUCTION INC BOOCO CONSTRUCTION INC
PO BOX 42121 PO BOX 20835 BOOCOCI951R1(12/22/13)
PORTLAND OR 97242 PORTLAND OR 97294 PO BOX 20835
PORTLAND OR 97294
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 Only9 No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
Mechanical Fixtures
Fans 2
PERMIT EXPIRES Monday, September 24, 2012
Permit Issued on Wednesday, March 28, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the u will be in accordance with the laws, rules and regulations of the State of Washington
and tr i o -•-ral Way.
Owner or agent: 7 %/s 4— ___ Date: G.)3%P,117
FIN4 It /iZ
THIS CARD IS TO MAIN ON-SITE
FeOF deral All • Construction I ection Record
Way
INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-101377-00-CO 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.
Ei SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El 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) 0 Slab/Concrete Floor(4255) 0 Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) 0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) El Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4 By Date By Date
❑Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
O Final Erosion Control(4375) El Final-Building(4050)
Approved Approved ,r�
By Date By �G Date y-/7--/#2._
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
iO
ce - o / 3 - 7
CITY Of AvaEcErVEPERMIT
FederalSF MF -CO ME PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES MAR 2 sAP P LI CAT I O N - _. _...,,..,. tas o''
253-835-2607•FAX 253-835-2609
www.cilgol(ederalwau.comWY
A
CIS OF FEDERALN
SITE ADDRESS CDS SUITE/UNIT#
Former Hollywood
33702 21'Ave. SW, Suite# C, Federal Way, WA 98023 Video Space
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 10,000 NB 9 3 0 1 0 0 - 00 1 0
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
® DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Fr ^ B A • Ce4A-"--
/I �/(Tenant Name/Homeowner Last Name) 'C,,(�,IAJ V►VA` SlA
th-
Demo existing interior rtitions, ceiling, plumbing &fixtures, etc.
PROJECT DESCRIPTION
Detailed description of work to
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
��� OWNER-FINANCED
Required value of$5,000 or more L=1 r1 l='Yom 'a7Zssz.i= g i It-AG'
IRCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
'' G15_, A't:)a./
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 reli• o = city, including its officers and employees, upon the accuracy of the
information supplied to th city as a part of th'-application.
i
SIGNATURE: /t-.`� Ig DATE 3 t/� �%L
PRINT NAME: 9'CC1-1 L‘F-714 7,e2.1 .T�
Bulletin#100-January 1,2011 Page 1 of 3 k:\IIandouts\Permit Application