09-102271 wilding - Com.mprei�ll
_ City of Federal Way Q
Community Development Services Permit #: 09-102271 -00-CO
PO. Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph (253)835-2607 Fax (253)835-2609 � aaa
y =
Project Name: MI TIENDITA LATINA II
Project Address: 2020 S 320TH ST SUITE M Parcel Number: 092104 9297
Project Description: TI- Soft demo of interior non-structural wall to existing retail space to create additional
space.
Owner Applicant Contractor Lender
ANDREW CRATSENBERG VICTOR GALICIA MI TIENDITA LATINA II VICTOR GALICIA
CRATSENBERG PROPERTIES MI TIENDITA LATINA II 2020 SW 320TH ST UNIT K MI TIENDITA LATINA II
PO BOX 3045 2020 SW 320TH ST UNIT K FEDERAL WAY WA 98003 2020 SW 320TH ST UNIT K
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/ add/ conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V- B
Occupancy Load:
Floor Area(sq. ft.) 1,440 0 0 0
'^ rvT „.M iik -Additional Permit Information
Mechanical to be Included? No Nuinhcr 01 Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Market/Grocery
Zoning Designation CC-C
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Saturday, December 26, 2009
Permit Issued on Monday, June 29, 2009
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 agenic �/ Date: -a 7) 5
SIN*u, > ?ASIC9
THIS CARD IS TOMAIN ON-STTE ' .
c v aE r Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09-102271-00-CO Address: 2020 S 320TH ST SUITE M
. Owner: ANDREW CRATSENBERG FEDERAL WAY, WA 98003
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 Footings/Setback(4110) 0 Re-steel (4215) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
•
By Date By Date By Date
•
0 Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
_
'
Prior to scheduling a Framing inspection 0 Framing(4120) 0 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 109 3.4 By Date By Date
0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
o Final-Planning(4070) ❑ Final-Building (4050)
Approved Approved
By Date By /fit'/ `�jDate ):/2,.
•
•
• •
.
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
CITY of A .. 0 4 / O2ZL_• Federal lNay ,EIVED — —
PERMIT SF MFC—CC—OWE
MUMTYDEVELOPMENTSERVICES DE EN FP
- 33325COM8TH AVEIV SOUTH•p0 BOX 7 8
53D8 607.FAX FEERAL WAY,WA U 1 S zoo: . APPLICATION ID Vim
ww w.d1uoj'federahuau.com
The fol n—an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY
YINA 14.11,FORMATION
SITE ADDRESS fS ;1 j` l LYN� 14.11, SUITE/UNIT# `"'4,
ASSESSOR'S TAX/PARCEL# 0"% d - i j2.CZ
7 LOT SIZE
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach s.P.mtePoPor latgthy 1egu1 desaiPIIo^)
IIW MI PROJECT INFORMATION
TYPE OF PERMIT :0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
(12 r04: 1: .4"-- . 94.17.1,1--.....-K_ v.►o► IL I .
PROJECT NAME(Name of Business or Owner Last Name) (,'r
�� �w� C/vr►—rCi cg• /;' /iel
• PEOPLE INFORMATION
PROPERTY NAMEC PRIMARY PHONE
OWNER tr(41-•)‹06-'.-i P c'f`f:" S L-,�. L
MAILING ADDRESS �] 1 "�{ j07, �. t- } (� �) ���S - �"�
' Oc.;10 S . 3' 6.l h 5l: 14A T l` c1 l W 4) 1'.. •4 • g OV5 E-MAIL ADDRESS
CONTRACTOR COMPANY NAME
" V 1,V `A Q L APPLICANT NAME OFFICE PHONE
� MAILING ADDRESS CITY,STATE,ZIP )
iy� CELL PHONE
U CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
O/' CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Crr R' cy' c4u C)rk --',AL_, c li ( )
-
MAILING ADDRESS - CITY.STs ni ," CELL PHONE
5--a-t&-k- - ''.i,-C7 2 C - 9-t•- � '' � " -4 'r( �/'1' 1/Y.il_ ( ;(-24 c�` _,
�.s ) a3 ORELATIONSHIP TO PROJECT FAX NUMBER
'((P 33 0 Architect ❑ Tenant o Agent 0 Other ( ) _
PROJECT NAME
PRIMARY PHONE E-MAIL ADDRESS
CONTACT
IIT .4-4 , --1, - ('7 -) k'3 4— 6c0 4
LENDER NAME Per RCW 19.27.095:
'--\,, `, Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
�' ( ) _
■ DETAILED BUILDING INFORMATION
EXISTING USE t � PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO •
WATER SERVICE PROVIDER o KEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE 0 PRIVATE(SEPTIC)
-
r
PROJECT FLOOR AREAS .w
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS aaaa w
esnPROPOS= TOTAL ron =WINOSr TOTAL PROPOSED Sr roma:
**NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
E FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUD APPLICATION)
AIR HANDLING UNITS EVAPOTIVE COOLERS GAS OUTLETS WOODSTOVES
BBQS FANS 9hAtiWATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Comm) LAVS(Bathroom smite) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Iroaeq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS �J
SIGNATURE'
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 reliance of the city,including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this appli on.
SIGNATURE: /17/ae‘-77 b ,ti / o )
DATE
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a-NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application