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11-103566". ' Plumbing City of Federal Way ! • ,((�� Community Development Services Permit #: 11 -1 03566 -00 -PL P.O. Box 9718Mena Lt 9021111 ederal Way, WA 98063-9718 Ins ection Re uest Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 p G Project Name: SAFEWAY FUELING FACILITY - VENDING KIOSK Project Address: 1207 S 320TH ST Project Description: Installation of drains and hose bibb. Parcel Number: 150050 0020 Owner Aw)licant Contractor SAFEWAY INC SAYBR CONTRACTORS INC SAYBR CONTRACTORS INC U S CORPORATE 3852 S 66TH ST SAYBRCI033L7 (6/14/12) 5918 STONERIDGE MALL RD TACOMA WA 98409 3852 S 66TH ST PLEASANTON CA 94588 TACOMA WA 98409 y r 0"" l`IXtureS�' Drains............................................. 2 Hose Bibbs..................................... 1 PERMIT EXPIRES Tuesday, February 28, 2012 Permit Issued on Thursday, September 1, 2011 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 ccordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. / Owner or agent: Date: P1 10V40 11 /1 I11 CITY OF Federal Way PERMIT #: 11 -103566 -00 -PL TIi1S CARD IS TO REMAIN ON-SITE Construction In�ection Record INTSB'UCTION REQU TS: (253) 835-3050 Address: 1207 S 320TH ST Project: SAFEWAY INC FEDERAL WAY, WA 98003-5339 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. Plumbing Groundwork (4190)1:1Rough Plumbing (4230) Gas Piping (4125) Approved to cover Approved Approved to release test By %.+ } Date _ — 1 1 //�� By3�� Date `L.J " �— " By Date E] Final - Plumbing (4075) Approved By r.,J Date/.I Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date QT, OF • Fed4eW; 7Y�' `PERMIT `' LIGATION COMMUNITY DEVELOPMENT SE[ilgB.S Q .� CuA 253-835-2607• FRX 253-835- �pp11 edervlvay. -,V o: e -L3s_ -6-t S MF CO ME PL DE EN FP i(—(vc (3(,., SITE ADD a 03 S 3C -)-0V--& SUITE/UNIT # � PROJECT VAL ATION $ ZONING ASSESSOR'S TAX/PARCEL # -LS-0 b S '0- OCA TYPE OF PERMIT ❑ BUILDING PLUMBING ❑ MECHANICAL YENGINEEE�RING ❑ DEMOLITION ❑ FIRE PREjVENTION NAME OF PROJECT (Tenant Name/HomeoumerLast Name) PROJECT DESCRIPTION r Detailed description of work to be included on this permit only PROPERTY OWNER NAME PRIMARY PHONE MAILING ADDRESS !! V E-MAIL CITY STATE 1\�P NAME PHONE MAILING ADDRESS I E-MAIL CONTRAC O CITY ZIP FAX WA STATE CONTRACTOR'S LICENSE # EX ION DATE FEDERAL WAY BUSINESS LICENSE # NAME ! PHONE APPLICANT MAILING ADDRESS E-MAIL CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive NAME `"� W"� eA`S PHONE 7G6 -9L- - 06 5 MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAME OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) 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 arise t of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city part of this application. ( �/ SIGNATURE: ' DATE PRI!RT E: G C'� I 1 Sf% Bulle 1 a0 — January 1, 2011 Page] of 3 k:lHandouts\Permit Application «,oF 4& PERMIT APPLIC;AXIPN Federal Way PER=T NummR 14' _ 10 4.9 FF SEP 2 4 2014 TARGET DATE CIN OF FEDERAL WAX CDS SITE ADDRESS SUITE/UNIT # South 320th St. Federal Way, 98003 -jAqq PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL • $ 1500.00 1 5 0 0 5 0- 0 0 2 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING EkMRE PREVENTION NAME OF PROJECT Sunset Square Emergency Replacement of the fire alarm panel , PROJECT DESCRIPTION Detailed description of work to reconnect existingsprinkler fire panel, s p er system to tre install wireless AES communicator for monitoring be included on this permit only NAME PRUTARY PRONE PROPERTY OWNER Merlonc Geier Partners 206 439 2330 MAH,INO ADDRESS EMAIL P.O.box 36121 CITY Charlotte STATE I NC ZIP 28236 NAME Fire Protection Inc PRONE 425 290 9600 MAILING ADDRESS EMAIL CONTRACTOR 1730 Gibson Rd davidCf iseattle.c CITY STATE ZIP FAX Everett IWA 98204 WA STATE CONTRACTOR'S LICENSE i FIREPI*021ML EXPIRATION DATE 07 13/16 FEDERAL WAY BUSINESS LICENSE Y 20 -00 -102494 -00 -BL NAME PRUUARY PRONE Same as Contractor APPLICANT MA11MG ADDRESS EMAN. CITY STATE ZIP FAX PROJECT CONTACT NAME David Mow PRIMARY PRONE 425 290 9600 MAWNG ADDRESS Same as Contractor EMAM (The individual to receive and respond to all correspondence CITY STATE I ZIP FAX concerning this application) PROJECT FINANCING NAME ❑ OWNER -FINANCED Required value of $5, 000 or more (RCW 79.27.095) MADJNO ADDRESS, CITY, STATE, ZIP PRONE 1 certffly under penalty of perjury that 1 am the property owner or authorised agent of the property owner. Z certVy 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 Tederal 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, , ich may be made by any person, including the undersigned, and flied against the city, but only where such claim arjse out o e reliance of the city, inciuding,,,.its gpicers and employees, upon the accuracy of the information supplied to 0-61iy asp of this application. `a $IGNA DATE 9/21/14 PRINT NAME: David Mow Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Iandouts\Permit Application 11 -ti V VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingftxtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS )comme .w) BOILERS FURNACES HOT WATER TANKS (G—) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL ARRAS ON PROPERTY? WATER PURVEYOR VALUE oFPwi�nvc woRx PLUMBING PERMIT '. � �d�Y x �'✓ '. YiC $-15 . 0 EffiSTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINRLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Indicate how nwny o each type offixture to be installed or relocated as part of this project, Do not include existingfixtures to remain. BATHTUBS )or Tub/shower combo) LAVS (Hood sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS )Kitchen/utility) WATER HEATERS (Eiectric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIRTURES GENERAL INFORMATION CRITICAL ARRAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEM$IITB '. � �d�Y x �'✓ '. YiC $-15 . 0 EffiSTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINRLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? in Square Feet IXYes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) FMISTING PROPOSED TOTAL FOR OFFICE USE '. � �d�Y x �'✓ '. YiC :'� � ;i wiv � 3'� � hH f�f°/7✓` nn, � L "a'°a� .foal d,g `§ 1 if N � f Additional Information in Square Feet FIRST FLOOR (or Mobile Home) ' f G` 77, _..._.._..__....... _..�._..__�_ if 4',6 'E g a� fr 4 COVERED ENTRY _ ADDITION # COMMERCIAL - REMODEL/TENANT IMPROVEMENTS Area Construction # of GARAGE ❑ CARPORT ❑ Additional Information in ware Feet Stories w,i' s�fA� R ifs r't i'3 'fi' `3 J 4 ry ! .. .r" � � � .F '��%,,J f �w,, `. .,,,! � >t�,r', :'a%'�k��"2 �e ��' x"' .� y � a�� y 4-• b BSS MG Area Totals ntOPOM TOTAL TENANT AREA ONLY ; r ESTIMATED SELLING PRICE S # OF BEDROOMS COMMERCIAL - NEW/ADDITION Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in Square Feet Stories ' G` 77, if L fr 4 _ ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information in ware Feet Stories w,i' s�fA� R ifs r't i'3 'fi' `3 J 4 ry ! .. .r" � � � .F '��%,,J f �w,, `. .,,,! � >t�,r', :'a%'�k��"2 �e ��' x"' .� y � a�� y 4-• b w c. TENANT AREA ONLY Bulletin #100 - January 1, 2013 Page 2 of 3 kAliandoutsTennit Application