92-101544CITY OF FEDERAL WAY
33530 First Way South
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28810 MILITARY
PARCEL NO.: 042104-9110
PROJECT DESCRIPTION: SPINGRLE
OWNER
SAFEWAY STORE #477
BUILDING PERMIT
BUILDING INSPECTION - 661-4140
RD S
EXISTING COOLERS
CONTRACTOR
PARK
2020 S 320TH ST
FEDERAL WAY WA
941-3266
LENDER
9,1- le /
PERMIT NO.: BLD92-2183
ISSUED: 10/12/92
BY: JJ
BLD?:? MEC?:?
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS:
0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
Omf
STORIES........:
0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
FINAL PLAN CHECK...* S
76.05
CENSUS CATEGORY.....:?
2ND.: 0:
O:Sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PLCK-FIR comm only* $
5.85
OCCUPANCY GROUP----------
3RD.: 0:
Omf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpin
BUILDING PERMIT....* $
117.00
:M2 :? :?
:?
OTHR: 0:
O:Sf
EXIST..$:
0
FRONT.........: 0.00 ft
SBCC SURCHARGE.....* S
4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
Omf
PROP ... $:
0
SIDE..........: 0.00 ft
WATER SERVICE—:?
:5N :? :?
:?
DECK: 0:
O:Sf
REAR..........: O.00:ft
SEWER SERVICE—:?
OCCUPANT LOAD------------
GAR.: 0:
O:Sf
RECEIVED.:09/17/92
0: 0:
0: 0:
TOTL: 0:
Omf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:?
TOTAL FEES S
203.40
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......:
0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....:
0
SHOWERS ............: 0
SUMPS..........:
0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....:
0
LAVATORIES.........: 0
YAC BREAKERS...:
0
CONV BURNER: 0
FURN>100K..... :
0
30-50 HP....:
0
SINKS ..............: 0
DRAINS.........:
0
BBQ........: 0
MISC..........:
0
5+ HP.......:
0
DISH WASHERS.......: 0
LAWN SPRINKLERS:
0
S DRYER..: 0
AIR HANDLING UNITS
FUEL TANKS---------
ELEC WTR HEATERS...: 0
OTHER FIXTURES.:
0
NGE...... : 0
<=10,000 CFM:
0
ABOVE GROUND:
0
LAUN WSHR OUTLTS... : 0
GAS LOGS...: 0
> 10,000 CFM:
0
UNDERGROUND.:
0
-
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 _S-i�Wy� fCX/lr._ DATE C/
bld_prmt 07/31/92
RECENED
SEP 171992
BOX 1 TENANT NAME:
E
Perm —&.D-� �- �3
CITY OF FEDERAL WAY
BUILDING PERMIT APPLICATION
— Please Print —
OWNER `� A Ne- SITELOCATION Z-012210 Y'AlL,11PIVI K4K In
OWNER'S ADDRESS P -o - fj;;16 ot. D rA +17 CITY ;;5nL-f- 11(44 - PHONE 4flt-&A41
DESCRIBE JOB W -f to b f e 6r Sr.
THE PROPERTY 19OWNED ED PARTNERSHIP CORPORATION
BOX 2 CONTRACTOR'S NAME Vq&(US CF:±f CO CONTRACTOR'S REG. I
Gard MUST be presented
CONTRACTOR'S ADDRESS CITY PHONE
EXPIRATION DATE
Mtm
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 PHON
BOX 4 SEWER DISTRICT WATER DISTRICT
BOX 5 ESTIMATED PROJECT COST EXISTING BUILDING VALUATION
BOX 6 PROPERTY TAX ACCOUNT NUMBER
LEGAL DESCRIPTION fXe-
S
(if necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # - - I I I
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) ' 1ST -
3RD -- FLOOR- BASEMENT -. _._.1___ - DEC GARAGE
BOX 8 SINGLE FAMILY ( ) NEW CONSTRUCTION
MULTIFAMILY (NO. OF UNITS C; -j EXISTING STRUCTURE
COMMERCIALANDUSTRIAL TOTAL AREA OF PROPERTY SO FT
BOX 9 PLUMBING FIXTURES (including rough -ins) MECHANICAL APPLIANCES - BASIC FEE $
NO.- -WATERCLOSETS; GAS PIPING, FEET $
-BATHTUBS NO. FURNACE, ELEC.GAS- $
-!.�,SHOWERS ' GAS HOT WATER HEATER
-LAVATORIES -.,-.CONVERSION BURNER
-L��SINKS -BOILER, SIZE - BTU $
�-nISHWASHERS !L��AIR HANDLING UNITS $
_ELECTRIC HOT WATER HEATER ------HEAT PUMPS, SIZE $
-LAUNDRY WASHER OUTLET -UNIT HEATERS $
URINALS COOLING UNITS, SIZE $
-
LLDRINKING FOUNTAINS COMMERCIAL HOOD $
�'L--SUMPS, SPRINKLER VACUUM BREAKERS OTHER a, $
-DRAINS :$
---:-OTHER
--L-TOTAL FIXTURES
TOTAL MECHANICAL FEE $
1 CERTIFY UNDER PENALTY OF PERJURY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE
AND FURTHERTHAT I AM AUTHORIZED BY THE OWNER OFTHE ABOVE PREMISES TO PERFORM THE WORK FOR WHICH PERMIT APPLICATION IS
MADE. I FURTHER AGREE TO SAVE HARMLESS THE CITY OF FEDERAL WAY ASTO 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 EMPLOYEES, UPON THE ACCURACY OF THE INFORMATION SUPPLIED TO THE CITY AS A PART OF THIS APPLICATION.
OWNER/AGENT: - T -)' DATE:
(, I
CITY OF FEDERAL WAY BUILDING PERMIT
33530 First Way South BUILDING INSPECTION - 661-4140
Federal Way, WA 98003
661-4000
SITE ADDRESS: 28810 MILITARY RD S
PARCEL NO.: 042104-9110
PROJECT DESCRIPTION: SPINGKLE EXISTING COOLERS
OWNER
SAFEWAY STORE X1477
CONTRACTOR
PARK
2020 S 320TH ST
FEDERAL WAY WA
941-3266
LENDER
PERMIT NO.: ELD92-2183
ISSUED: 10/12/92
BY: JJ
BLD?:? NEC?:?
PLM?:X
FLR--EXIST--PROP---
DWELLING UNITS:
0
COMP PLAN.........:?
FEES:
TYPE OF WORK:?
USE:?
1ST.: 0:
O:sf
STORIES........:
0
REQUIRED PARKING..: 0
SPRINKLERS?......:?
FINAL PLAN CHECK...* S
76.05
CENSUS CATEGORY.....:?
2ND.: 0:
O:sf
HEIGHT.....: 0.00 ft
HAZARD CLASS...:?
PLCK-FIR comm only* $
5.85
OCCUPANCY GROUP----------
3RD.: 0:
O:sf
VALUATION----------
REQUIRED SETBACKS-------
FIRE FLOW....:
0 gpm
BUILDING PERMIT....* $
117.00
:M2 :? :?
:?
OTHR: 0:
O:sf
EXIST..$:
0
FRONT.........: 0.00 ft
SBCC SURCHARGE.....* S
4.50
TYPE OF CONSTRUCTION-----
BSMT: 0:
O:sf
PROP ... $:
0
SIDE..........: 0.00 ft
WATER SERVICE..:?
:5N :? :?
:?
DECK: 0:
O:sf
REAR..........: O.00:ft
SEWER SERVICE..:?
OCCUPANT LOAD------------
GAR.: 0:
O:sf
RECEIVED.:09/17/92
. 0: 0:
0: 0:
TOTL: 0:
O:sf
IMPERV SURFACE: 0 sf
SENSITIVE AREAS?.:?
TOTAL FEES S
203.40
FUEL TYPES.:? ? FANS..........: 0 BOILERS/COMPRESSORS
WATER CLOSETS......: 0 URINALS........: 0
GAS PIPING.: 0
ft
HOOD..........:
0
0-3 HP......:
0
BATH TUBS..........: 0
DRINKING FOUNT.:
0
FURN<100K..: 0
DUCT WORK.....:
0
3-15 HP.....:
0
SHOWERS ............: 0
SUMPS..........:
0
GAS HWT.... : 0
WOOD STOVES...:
0
15-30 HP....:
0
LAVATORIES.........: 0
VAC BREAKERS...:
0
CONV BURNER: 0
FURN>10OK..... :
0
30-50 HP....:
0
SINKS ..............: 0
DRAINS.........:
0
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.:
0
RANGE......: 0
<a10,000 CFM:
0
ABOVE GROUND:
0
LAUN WSHR OUTLTS... : 0
0
> 10,000 CFM:
0
UNDERGROUND.:
0
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 RE
OWNER OR AGENT :CLQ � DATE
bld_prmt 07/31/92
SET BACKS AND FOOTINGS
DATE BY
OX TO POUR FOUNDATION WALLS
DATE BY _
PLUMBING GROUNDWORK
DATE 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 S Y
DCD I
PSD
TFD
9