05-105984 0 0 _ _
City of Federal Way Building - Commer r #• 05-105984-00-CO
Community Development Services .
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 ction Request Line: (253)835-3050
Project Name: CIRCLE K CONVENIENCE STORE
Project Address: 2535 S 320TH ST Parcel Number: 599970 0010
Project Description: TI-New walls and plumbing; PLUMB ONLY no mech.
Owner Applicant Contractor Lender
CONOCO PHILLIPS KATHLEEN WARMAN CONOCO PHILLIPS
600 N DAIRY ASHFORD WARMAN DESIGN GROUP 600 N DAIRY ASHFORD
HOUSTON TX 1828 SWIFT SUITE 333 HOUSTON TX
N.KANSAS CITY MO
64116-3629
•
Census Category: 437 - Commercial alt/add
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-B
Occupancy Load: 20
Floor Area(sq. ft.) 1,969 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? No
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included9 Yes
Special Inspection(s)Required9 No Will Certificate of Occupancy be Issued?, Yes
Zoning Designation CC-C
Plumbing Fixtures
Drains 3 Sinks 5
PERMIT EXPIRES Saturday, April 26, 2008
Permit Issued on Wednesday, April 26, 2006
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:9 �rr�r ���/ Date: ` �
•
City of Federal Way ".��
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: CIRCLE K CONVENIENCE STORE Permit #: 05-105984-00-CO
Address: 2535 S 320TH ST
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-B
Occupancy Load: 20
Floor Area(sq. ft.) 1,969 0 0 0
Owner Name: CONOCO PHILLIPS
Owner Address: 600 N DAIRY ASHFORD
HOUSTON TX
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. �l
--
4k, • THIS CARD IS TOMAIN ON-SITE
CITY OF ° Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105984-00-CO
Owner: CONOCO PHILLIPS
Address: 2535 S 320TH ST
FEDERAL WAY, WA 98003-5443
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.
❑ Footings/Setback(4110) ❑ Re-steel(4215) 0 Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By Date
❑ Slab/Concrete Floor(4255) 0 Underfloor Framing (4285) 0 Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Rough Plumbing(4230) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved 1 inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
k, Ail
,n Framing(4120) 0
Insulation(4150) #�Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
II
B 100 Date 4\2,1 �49 By Date By "j;, Date +-1(0(0
IA Suspended Ceiling Grid (4265) %
❑ Final-Fire Department(4060) .
❑ Final-Planning(4070) •
Approved to drop tile Approved Approved
(t►1.
B a i'?` Date LA Z'" p(p By Date By Date
•• •
❑ Final-Plumbing(4075) a Final-Building(4050)
Approved Approved
4$
By Date B AN DaterAi! 0
(RECEIVED_ RECEIVED
4 C CEIVEr LCEI D
NOV 11 2 1 2005
OV 2 12005 !OCT� a 1 2005NOV 2 1 2005 , 1 ; 2! 05 Y4DI1 ' 1 F E�L,y,(�� c
CITY r-''iii FEDERAL WAY .t6_ 1) p- '�►, , . ` ILDNGDEP
.Fe I L,WODEPI 4F FED ' 'f IF 11'
COMMUNITY DEVELOPMENT SERVICES UILDING D .SF MF ME EL PL DE EN FP
33325 8T't AVENUE SOUTH•PO BOX 9718 AP • I CAT(0 N
FEDERAL WAY,WA 98063-9718 1 m
253-835-2607•FAX 25.3-835-2609 ( Gam^ J V/ ` ' / 1
INV ti,,goo rkcl:rahrncau.co
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
/f 2 i�• PROPERTY1INFORMATION
SITE ADDRESS 2 5 J5 3. ✓i `�7k /STb 0 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# S ti CI 1 ( 0 - ( 0 LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descriptioN
,/ • PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlg)
I LiTfal OF- Teik.t .tT n Ildl6It 12€ I-toDv L- co/ plixvilbine s
PROJECT NAME(Name of Business or Owner Last Name) ay-WE- t Ca-tVe.iki I .C.E, 6
NI PEOPLE INFORMATION
PROPERTY N ��//• I , PRIMARY PHONE
OWNER .Low o pg-tL 'Fs ( ) -
MAILING ADDRESS CI STATE.ZIP
ow kl-o&tre u5-rvj Tx
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1T1b ( )
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- / / ( )
B L
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT 1COMPANY NAME (� APPLICANT NAME OFFICE PHONE 2-2-35 2�
MAILING� ADDRESS ✓l 'ovp VATIA-LECITY,5 E� k (81(CELL 0)414- iJ J
1628 .li r' 333 1 N.K ,s crr- HD ( )
RELATIONSHIP TO P OJECT ���� 694-II t FAX NUMBER
0 Architect ❑ Tenant ❑Agent gd'uther(Describe) POS((pt.i p_ ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
03114-L-EEU 1 U642M kJ ( 21(o) 414- 2_233 Rk*Farto"i@ w •col
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
U DETAILED BUILDING INFORMATION G
)
EXISTING USE COIU I yn.e PROPOSED USE A-r e
,,/
EXISTING ASSESSED/APPRAISED VALUE $/po�I D VALUE OF PROPOSED WORK $ 5o Q/yam
SPRINKLERED BUILDING? ❑ YES L. 0 FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ANO
WATER SERVICE PROVIDER r LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) Gclyni,14,
SEWER SERVICE PROVIDER HAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
AllIlik, • •
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT 4.4. (�'n r.
FIRST
NIP l/ I ' -1`'� CI I `', c
SECOND
THIRD 11/4-1 t
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
Kt
DECK(COVERED?) P
GARAGETiTU ❑ CARPORT❑ �(
NUMBER 1v11aER OF FLOORS
EXIST PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
i
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ O
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING Q"'d%
BATHTUBS(or rub/shower Combo) SHOWERS WATER CLOSETS Yodel) 12 MISC(Describe)
C DISHWASHERS y SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCH
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, 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 of Federal Way,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 the city as a part of
this application.
NAME/TITLE � DATE % /2-'642S
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 14ent 0 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
•
NEW ADDITION E ALTERATION REPAIR XTENANT IMPROVEMENT
BUILDING SHELL ONLY? _YESXNO BASIC PLAN? _1 YES Y' '2.'
ZONING DESIGNATION 0CHANGE OF USE? YES ❑NO
NEW ADDRESS REQUIRED? 1 ElS (j D UP/SEPA/SU? YES ❑NO
PLATTED LOT? YES a NO DEMO PERMIT REQUIRED? YES 0
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application