13-102184City Of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax. (253) 835-2609
Project Name: VALLEY HARVEST MARKET
Project Address: 28855 MILITARY RD S
*Building - Commercial
Permit #: 13 -102184 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 042104 9037
Project Description: REM - Add 6' partition wall for seating area and add exit door. No plumbing or
mechanical. ***10/9/13 CLARIFICATION: Includes partition walls for restroom, and
infill wall near hand sink.***
Owner
ARRIlicant
Contractor
Lender
VALLEY HARVEST
GOLDEN T CONSTRUCTION LLC
GOLDEN T CONSTRUCTION LLC
OWNER IS LENDER
INTERNATIONAL MARKET
22630 88TH AVE W
GOLDETC941RQ (12/18/14)
28855 MILITARY RD S
EDMONDS WA 98026
22630 88TH AVE W
FEDERAL WAY WA 98003
EDMONDS WA 98026
Census Category: 437 - Commercial alt / add / conversion
Includes.
#1 #2 #3 #4
Occupancy Class:
M
Construction T
Type V - B
Occupancy Load
Floor Area . ft.
0 0 1 0 1 0
Additional Permit information
Existing Sprinkler System in BuildinW.................No Mechanical to be Included? ................................... No
Number of Stories.................................................1 Permit for Building Shell Only? ............................ No
Plumbing to be Included?......................................No New / Additional Sq. Feet - Total..........................
Occupancy # 1 - Use ............................................... MarkeVGrocery Zoning Designation...............................................BN
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Sunday, December 8, 2013
Permit Issued on Tuesday, June 11, 2013
1 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 W
Owner or agent: Date: /0 - 9—/ 3
FINALED
E � •
4puilding - Commercial
Corn°' ^ky & Federal evay
. Services Permit #: 13-102184-00—CO
33325 8th Ave S
Federal c
Way, 80
WA 98003 Inspection Ph: (253) 835-28007 Fax: (253) 835-29 �tion R4uest Line: 253 835-3050
Project Name: VALLEY HARVEST MARKET
Project Address: 28855 MILITARY RD S Parcel Number: 042104 9037
Project Description: REM - Add 6' partition wall for seating area and add exit door. No plumbing or.
mechanical.
Owner
ARulicant
Contractor
Lender
VALLEY HARVEST
GOLDEN T CONSTRUCTION LLC
GOLDEN T CONSTRUCTION LLC
OWNER IS LENDER
INTERNATIONAL MARKET
22630 88TH AVE W
GOLDETC941RQ (12/18/14)
28855 MILITARY RD S
EDMONDS WA 98026
22630 88TH AVE W
FEDERAL WAY WA 98003
EDMONDS WA 98026
Census Category: 437 - Commercial alt / add / conversion
Includes:
# 1 #2 #3 #4
Occupancy Class:
M
Construction T
Type V - B
Occupancy Load
Floor Area . ft.
0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building?.................No Mechanical to be Included? ................................... No
Number of 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 ............................................... BN
No Fixtures Associated YYith This Permit 11
PERMIT EXPIRES Sunday, December 8, 2013
Permit Issued on Tuesday, June 11, 2013
1 hereby certify that the above information is correct and that t construction on the above described property and
the occupancy and the use will be in accordance a laws, rules and regulations of the State of Washington
and Gity-of Federal Way.
Owner or
Date: !
cn,r of rW�
Federal Way
THIS CARD IS TO MAIN ON-SITE
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
PERMIT #: 13 -102184 -00 -CO Address: 28855 MILITARY RD S
Project: VALLEY HARVEST INTERNATION/ FEDERAL WAY, WA 98003-7912
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 Underfloor Framing (4285)
Footings/Setback (4110)Re-steel
Floor Sheathing (4105)
(4215)
Fire/Draft Stops (4095)
Slab/Concrete Floor (4255)
Approved to place concrete
By
Approved to place concrete or grout
By Date
Approved to place concrete
By
Date
By
Date
By
Date
0 Underfloor Framing (4285)
0
Floor Sheathing (4105)
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
By
Approved -
By Date
By
Date
By
Date
Date
0
Framing (4120)
Insulation (4150)
Prior to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -oft and
By
t�►.
_`6 Date t n
(10113
By
Date
approved IBC 1093.4
Y
Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By Date(,,_,,_,,,,
By
Date
By
Date
Final - Planning Final - Building (4050)
Approved Approved
By Date BY2� Date ?� *?_ (�
Rough Electrical
Approved
Final Electrical
Approved
Right of Way —�
Approved
By
Date
By
Date
By
Date
OwOF A
Federal Way
* RECEIVE�OERMIT APPLICATION
MAY 16 2013
CITY OF FEDERAL WAY
PERMIT NUMBER / 3 _ / J q _ C o
TARGET DATE
SITE ADDRESS
PROJECT VALVA ION
ZONING „1 /J
A33 TAX/PARCEL • -
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PROJECT DESCRIPTION
Detailed description of work to
✓ " 0Q
O dZ t
A C
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
ye"a C�
MAILING ADDRESS
A0o U
E-MAIL
CITY_ STATE
Bp-�O
ZIP_ LSGJ✓/'D
N G -o i 'T— C ��
PHGNE 7 8 9
MAILING ADDRESS
2 e—
�MrAII, t
CONTRACTOR
Ectwo & A S
I UA
Z>P?&d Z C
FAX
WA STATE CONTRACTOR'S LICENSE 8 EXPIRATION DATE
101
FEDERAL WAY BUSINESS LICENSE 4
GOLDEM 94 Rn /4c>/3j /1 :5
LE j o+ rr'c- d rJs e m "
PRIMARY PHG' - g ,
MAIIdNG ADD _
ZZ 6 30 ' % S M, &j tW,
E -
APPLICANT
CrA-YsTATE
zzP
FAX
PROJECT CONTACT
NAM
/
h i e 1�7P
PRIMARY PHONE !I
Z S �% '7 S< <l
MAILING ADD*ESS rf
E-MAIL
(The individual to receive and
respond to all correspondence
CITY STATE z>p
C CA WI P cit! U
FAX
concerning this application)
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 arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this application.
t
SIGNATU DATE J
PRINT NAME: A^ rr �NO*40 N
Bulletin #100 — January 1, 2013 Page] of 3 k_\ landouts\Permit Application
4%
b01
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type o to be installed or relocated as part of this project. Do not include existingfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commerciaq
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
Indicate how many o each type o
ure to be installed or relocated as
art o this ro ect. Do not include exislin ures to remain.
BATHTUBS (or Tub/shower combo)
LAVS (Hand sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (tcitch_/utaity)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FEKTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes o No
o Yes o No
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application