93-100507CITY OF FEDERAL WAY
33530 First Way South
Fed-pral Way, 'NA 98003
66,1-4000
SITE ADDRESS: 33620 21ST AVE SW
PARCEL NO.: 242103-9001
PROJECT DESCRIPTION: TI
OWNER ®�
ALBERTSONS, INC
250 PARKCENTER BLVD
BOISE ID 83706
385-6438
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
CONTRACTOR
POE CONSTRUCTION, INC
P.O. BOX 899
AUBURN WA 980710899
833-2400
POECOI*24702
LENDER
R�e W ? R
PERMIT NO.: BLD93-0231
ISSUED: 05/3.9/93
BY: FC
BLD?:X MEC?:X
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :B
FEES:
TYPE OF WORK:TEN
USE:COM
1ST.: 41896:
O:Sf
STORIES........: 1
REQUIRED PARKING..: 140
SPRINKLERS? ...... :Y
FINAL PLAN CHECK...*
S
1690.00
CENSUS CATEGORY ..... :437
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS ... :ORD
FINAL PLAN CHECK...*
$
-591.83
OCCUPANCY GROUP----------
3RD.: 0:
O:Sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 Bpm
PLCK-FIR comnL only*
$
84.48
:B2 :? :?
:?
OTHR: 1423:
0:sf
EXIST..$: 1463800
FRONT.........:
20.00 ft
BUILDING PERMIT....*
$
1689.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... $: 400000
SIDE..........:
0.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE.....*
$
4.50
:3N :? :?
:?
DECK: 0:
0:Sf
REAR..........:
O.00:ft
SEWER SERVICE..:FED
MEC APPLIANCE FEES.*
S
94.50
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:03/02/93
PLUMBING FIXT.... 93*
S
259.00
400: 0:
0: 0:
TOTL: 43319:
O:Sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES
$
3230.15
FUEL TYPES.:GAS ? FANS..........: 9 BOILERS/COMPRESSORS
WATER CLOSETS......: 1 URINALS........: 0
GAS PIPING.: 100
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 1
SHOWERS ............: 0
SUMPS..........:
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
L.AVATORIES......... : 1
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K.....:
3
30-50 HP....: 0
SINKS ..............: 10
DRAINS.........:
23
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......: 0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...: 0
OTHER FIXTURES.:
1
RANGE......: 0
<=10,000 CFM:
0
ABOVE GROUND: 0
L.AUN WSHR OUTLTS... : 0
LOGS.... 0
> 10,000 CFM:
0
UNDERGROUND.: 0
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRAWNa PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT
bld_pant 10/23/92
L
r
DATE
SET BACKS AND FOOTINGS
DATE BY
O.K TO POUR FOUNDATION WALLS
DATE BY
FtLUMBING GROUNDWORK
VWN
DAT BY
PLUMBING ROUGH IN
DATE BY
WATER LINE O.K.
GAS PIPING O.K.
MECHANICAL INSPECTION
DATE BY
O.K. TO ENCLOSE FRAMING
DATE BY
INSULATION
DATE
BY
WALL BOARD AND FIRE WALL
DATE BY
FINAL O.K. TO OCCUPY
DATE BY
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PSD
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CERTIFICATE OF o ',"a
CITY' OF FEDERAL
■ ■
WAY
MM■
: I This Certificate issued pursuant to the requirements of Section 306 of the Uniform Building Code certifying that at the time of : =
MW issuance this structure was int eneral compliance with the various ordinances of the City regulating bi"Ing construction or use
for the fes_ Mm
o9M
_: ::
Occupancy Name: ALBERTSONS INC. Addrerss: 33620 21ST AVE SW M.
S Use Classification: RETAIL/STORE Permit No: BLD93-0231 RE
s:
Group az Type of Construction 5m Use 7,one BC 8q. Footage 43319 Occcupant Load 770
� Owner of Occupancy: ALBERTsoNs INC. Address: 33620 21sT AVE SW ;
Owner of Building: ALBERTSoxS IMC. Address: 250 PARRCENTER BLVD BOISE ID 83706 WE
•_ M.
' The priorioccas in the review and inspection made the Ci prior to issuance this Certificate was on those matters which W
experience has shown most severely affect the health and safety of the genera[ public. Although the City has made as complete a
review andinspectionas is reasonably possible (within budgetary time andpersonnel (imitations)) the City neitherguarantees nor ”
MEwarrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every %
SIM onanance orregulationof the City or the State of Washington affecting the construction or use of saidstructure or the fandu on
p
:: wkicfi 't is si tett: Suck p[iance is the r es onsibility of the owner and/or occupant of the premises. �M�
• ■ 'I
.s p �+M.6
: : Building Official Date /, ? �, R.
HE
;;% Post in a Conspicuous Place
MEMBER f RF.O:F.03 FEMME :tt:fORE. RF.0
* Note: Box #2 and Box #9 will be completed by Contractor.
Per #— GQ q13 - 62-41
MAR 0 2 1993 CITY OF FEDERAL WAY
Wv BUILDING PERMIT APPLICATION
axamom.— Please Print —
BOX 1 TENANT NAME: Albertson's X46 - "Twin LakPc" S(3 S-- FL1 ft
OWNER Albertson's. Inc. SITE LOCATION 33620 21st Ave. S.W.
OWNER'S ADDRESS 250 Parkcenter Blvd. CITY Boise. ID 83706 PHONE 208/385-6438
DESCRIBE JOB See attached "RL-mndel Work Synnpcic"
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X
BOX 2 CONTRACTOR'S NAME
CONTRACTOR'S ADDRESS
EXPIRATION DATE
CITY,
CONTRACTOR'S REG. #
Card MUST be presented
PHONE
—OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF REGISTRATION.
BOX 3 CONTACT PERSON __ James tzer 71
PHONE 208/385-6438
BOX 4 SEWER DISTRICT Federal Way Water & sewer
WATER DISTRICT Federal Way Water
BOX 5 ESTIMATED PROJECT COST $400.000.00
EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER #4-4200-195779-98
LEGAL DESCRIPTION Lot 1 of Short Plat Number 1084006 recorded December 31. 1985 ac nnrumPnt
No. 851231-1597 in the Office of Records and Elections
of King County. Washington -
(if necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # 1084006
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed)
1ST FLOOR 41,896 /41,896 2ND FLOOR
/
3RD FLOOR / BASEMENT / DECK / GARAGE 1
BOX 8 ( ) SINGLE FAMILY
( ) NEW CONSTRUCTION
( ) MULTIFAMILY (NO. OF UNITS = )
(X ) EXISTING STRUCTURE
( ) COMMERCIALANDUSTRIAL
TOTAL AREA OF PROPERTY
SO FT
BOX 9 PLUMBING FIXTURES (including rough -Ins)
MECHANICAL APPLIANCES --- BASIC FEE $
* NO.__tWATERCLOSETS
GAS PIPING, FEET / ej 0 "_
$
BATHTUBS
NQ. FURNACE, ELEC. GAS
$
SHOWERS
GAS HOT WATER HEATER
$
--j--LAVATORIES
CONVERSION BURNER
$
10 SINKS
BOILER, SIZE BTU
$
- DISHWASHERS
AIR HANDLING UNITS
$
ELECTRIC HOT WATER HEATER
HEAT PUMPS, SIZE
$
LAUNDRY WASHER OUTLET
UNIT HEATERS$
` ff P
URINALS
LAIR COOLING UNITS, SIZE
$
.._DRINKING FOUNTAINS
SUMPS, SPRINKLER VACUUM BREAKERS
COMMERCIAL yMl)
_OTHER & 5' C/, --f
$
$
--L,3—DRAINS
$
OTHER
$
TOTAL FIXTURES
$
TOTAL MECHANICAL FEE
$
I CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHERTHAT IAM AUTHORIZED BYTHE OWNEROFTHE ABOVE PREMISESTO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY AS TO ANY CLAIM (INCLUDING COSTS, EXPENSES, AND ATTORNEYS'
FEES INCURRED IN 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 EMPLQY ES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
4J;P- 2.23 - 93
OWNER/AGENT: DATE:
CITY OF FEDERAL WAY BUILDING PERMIT PERMIT NO.: BLD93-0231
33530 First Way South BUILDING INSPECTION - 661-4140 ISSUED: 05/19/93
Federal Way, WA 98003 BY: FC
661-4000
SITE ADDRESS: 33620 21ST AVE SW
PARCEL NO.: 242103-9001
PROJECT DESCRIPTION: TI
OWNER
ALBERTSONS, INC
250 PARKCENTER BLVD
BOISE ID 83706
L -g5-6438
CONTRACTOR
POE CONSTRUCTION, INC
P.O. BOX 899
AUBURN WA 980710899
833-2400
POECOI*24702
LENDER
BLD?:X MEC?:X
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS: 0
COMP PLAN ......... :8
FEES:
TYPE OF WORK:TEN
USE:COM
1ST.: 41896:
O:sf
STORIES........: 1
REQUIRED PARKING..:
140
SPRINKLERS? ......
:Y
FINAL PLAN CHECK...*
S
1690.00
CENSUS CATEGORY ..... :437
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS ... :ORD
FINAL PLAN CHECK...*
$
-591.83
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
PLCK-FIR comm only*
$
84.48
:82 :? :?
:?
OTHR: 1423:
O:sf
EXIST..$: 1463800
FRONT.........:
20.00 ft
BUILDING PERMIT....*
$
1689.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... S: 400000
SIDE..........:
0.00 ft
WATER SERVICE..:FED
SBCC SURCHARGE.....*
$
4.50
:3N . :? :?
:?
DECK: 0:
O:sf
REAR..........:
I
O.00:ft
SEWER SERVICE..:FED
MEC APPLIANCE FEES.*
$
94.50
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:03/02/93
PLUMBING FIXT.... 93*
S
259.00
: 400: 0:
0: 0:
TOTL: 43319:
O:sf
IMPERV SURFACE:
0 sf
SENSITIVE AREAS?.:N
TOTAL FEES
S
3230.15
FUEL+TYPES.:GAS ? FANS..........: 9 BOILERS/COMPRESSORS
WATER CLOSETS......: 1 URINALS........: 0
GAS PIPING.: 100
ft
HOOD..........:
0
0-3 HP......: 0
BATH TUBS..........:
0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....: 1
SHOWERS ............:
0
SUMPS..........:
0
GAS HWT....: 0
WOOD STOVES...:
0
15-30 HP....: 0
LAVATORIES.........:
1
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K..... :
3
30-50 HP....: 0
SINKS ..............:
10
DRAINS.........:
23
BBQ........: 0
MISC..........:
0
5+ HP.......: 0
DISH WASHERS.......:
0
LAWN SPRINKLERS:
0
GAS DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...:
0
OTHER FIXTURES.:
1
RANGE......: 0
-10,000 CFM:
0
ABOVE GROUND: 0
LAUN WSHR OUTLTS...
: 0
GAAmknGS... : 0
> 10,000 CFM:
0
UNDERGROUND.: 0
qw
ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT �� �/ c- '��lz.� Y DATE
bld_prmt 10/23/92