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08-101887 Community City of Federal Way fopmentServices Buildig - Commercial Permit 08-101887-00-CCS tJe�: P.O.Box 9718 IFe�cral Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: FRED MEYER-RACKING Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010 Project Description: ALT-installation of racking for retail store. Owner Applicant Contractor Lender TEXAS COMMERCE BANK BOOCO CONSTRUCTION INC BOOCO CONSTRUCTION INC FRED MEYER INC. NATION PO BOX 20835 BOOCOCI951R(12/21/09) P O BOX 42121 33702 21ST AVE SW PORTLAND OR 97294 PO BOX 20835 PORTLAND OR 97242 FEDERAL WAY WA 98023-7762 PORTLAND OR 97294 Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: Censtructiou Type: Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 -_ —Additional ROO — g 1 Existing Sprinkler System in Building? Yes Mechanical to'be included? Number of Stories t Permit for Building Shell Only? No Plumbing to be Included', No Special Inspection(s)Required? Yes New/Additional Sq.Feet-Total 0 No Fixtures Associated With This Permit!! PERMIT EXPIRES Tuesday, October 28, 2008 Permit Issued on Thursday, May 1, 2008 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 agent Date: f- D THIS CARD IS TO *AIN ON-SITE CITY OF ��"""' � Pommuni Development Inspection Record t3' P P Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-101887-00-CO Owner: TEXAS COMMERCE BANK NATION Address: 33702 21ST AVE SW FEDERAL WAY, WA 98023-7762 This card is part of your required inspection documents. 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 Footing s/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel(4215) ❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date •❑ Floor Sheathing(4105) ❑ Shear Walls (4245) ❑ Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date i ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) • ❑ Framing (4120) i . Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be By Date sign;d-off and approved. IBC 109.3.4/UBC 108.5.4 Date ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By Date By Date ❑ Final-Fire Department(4060) ❑ Final-Planning(4070) ❑ Final-Building(4050) Approved Approved Approved By Date By Date By G Dateia../q c zer • For inspector reference only. ❑ Rough Electrical 0 FINAL-Electrical Approved Approved i By Date By Date b W A' nn Ch z 0er✓ � r 1 r _O 2 • J iteral� RECE ED C-_ ( o c Fc^7 Way PERMIT CQMWR/MTYDEVELOPMEN1'SERVICES APR 21 2008 SF MF CO E EL PL DE EN FP 3332E WA AVENUESOUTH FEDERAL WAY,, CATION WA 98063.9718 TO 2534354::PAX 253 yr O F FEDER W c-------1 / o The following is required inocaon-an incomplete application will not be accepted. Please print legibly(in ink)or type. 2 �/ • PROPERTY INFORMATION 33< SITE ADDRESS 62 21 S -vi- S 4) SUITE/UNIT# ASSESSOR'S TAX/PARCEL# �` � 1 C7 e"- - t O ( ° LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach cepa to PawAw www dmeipWn) ■ PROJECT INFORJIATION TYPE OF PERMIT 'BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description ork included on this Hermit only) N S-nl'L LST/6N crF S n G£ £s ,e-Ac., /A/G- 7/rt.PROJECT NAME(Name of Business or Owner Last Name) / 2C, "A-Xi-2- II PEOPLE INFORMATION ic PROPERTY NAME � ��//ff PRIMARY PHONE OWNER / /,' gpi-re--- ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTRACTOR COMMPP+NY NAME NT NAME OFFICE PHONE ISo o -orisrrzucT7 65N p,..._21.1-6`5>✓ ( ) - MAILINGG ADDRESS l/� �Q/ ATE, CELL PHONE2ZC Z5 OF FE yeAL wAY OL-U14BUSINE3 r A NUe1vaERo w P is 7 l/IRATIO ATE F j 3 8(07 -'4/J -�yoo oo AX NUMBER (Z 3 k/0Y ( ) - �� ZZ'E TION N MBER mai ION TE E-MAIL ADDRESS CC CsLZ��/ r' ( /L ' t/'vo`/ {�/('iJ4.I Coe Cowl APPLICANT C010 ANY NAME / CANT NAM OFFICE PHONE J� lav (' .6TlSr 4CZ lo.c./ ( LLS�� ( ) - MAUJNG ADDRESS /1STATE,ZIP CELL PHONE i 72c AI� C OLa h4 1� [�� p, o 972 �l 0503) 6‘,7 - y2�� RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect a Tenant a Agent 6"Other i?CSJ lTrZA Og-- ( ) - PROJECT NAME �/J PRIMARY PHONE E-MAIL ADDRESS CONTACT /��(/L�� 4515r--- (�63 )867 - I/Vs r(Ij/1F.A4 @' QpCO3 Gbh <LENDER NAME /) -., Per RCW 19.27.095: V AJIV 2_i.-__ Lender Information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE • ( ) - • ■ DETAILED BUILDING INFORMATION EXISTING USE PRO SED 1S EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 5i COD SPRINKLERED BUILDING? 0 YES a NO FIRE SUPPRESSION SYSTEM PR—OPO UIRED? 0 - -- _ • WATER SERVICE PROVIDER O LAKEHAVEN 0 HIGHLINE o TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) M PROJECT FLOOR AREAS • 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 MST= PSOPO1=D • Al. TO ar TOTAL PROM/BD ar TOTAtsr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SE i G PRICE $ II 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 CO Y OF BID OR ESTIMATE MUST BE CLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORA VE COOLERS OAS PIPE OUTLETS WOODSTOVES BBQS FANS rf GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSE HOODS(o.mmrdq COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS .� - REFRIG.SYSTEMS PLUMBING BATHTUBS(.rn,b/abo ercomb.) LAV (Bathroom Sink") URINALS MISC(Describe) DISHWASHERS ATER SYST UUM BREAKERS DRINKING FOUNTAINS SHOWERS WAT• LOS ' troneq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS. SUMPS SIGNATURE I certify under penalty of perJury that I am the property owner or authorised agent of the property owner.I cart*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 authorised 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 lance of the city,including its officers and employees, upon the accuracy of information supplied to the city as • •art of this ap tion. 11043NATURE• DATE 69 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 a NO UP/SEPA/SU? o YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January 1,2008 Page 2 of 4 16Handouts\Pennit Application an or�' - * 1' _ L D _L 5_ X Federal way y' C0MMUNNYDEVELOPMENT SER CI-1.V ED i PERMIT SF MF CO ME EL PL DE EN FP 33375 d'AVENUE SOUTH•PO BO 9 18 FEDERAL WAY,WA 98063-9718MEM 25344354:p• 253430,5-0,2609 b P R 01200 PLICATION ' The following isCne i�infurgc a incomplete application will not be accepted. Please print legibly(in � '� t'tU • PROPERTY INFORMATION SITE ADDRESS- 3 0 96d-- a f 'Si� Ste.) , , SUITE/UNIT e q ASSESSOR'S TAX/PARCEL* V l 0 0 - O 0 I O LOT SIZE(sj9 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach«riarnwMlengthy lewd dreriPdoq • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING II FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) Pre D 1,42Ar iyc. u L- 3 ei o JZ 12(3 ,_Su FP ft-&-s--5 nS may, 1 %-r 06,1--.1- PROJECT PROJECT NAME(Name of Business or Owner Last Name) (:-.-1Z-62717 (S)1J S - F w SJR X..- C.,-- al PEOPLE INFORMATION PROPERTY NAMEc� (, .. PRIMARY PHONE OWNER (/"y\ ( ) - MAILINO ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS CONTRACTOR CO''/P/ANY NAME APPLICANT NAME OFFICE PHONE /f>w Pi/50 M�.0 A et-fr C` cmr ATE,TIP �/)v ij; 1 ( -))077/ - 9-c4/ MAILING ADDRESSCELL PHONE P_ at-'01 c9 43 "- /a h...%,(Jea (,2 ) .4(?) - 6 06'9 CITY OF FEDERAL W Y BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER (441(C-)359° 1/74. CONTRACTOR'S REGISTRATION RUMENS EXPIRATION DATE E-MAIL ADDRESS 74o1A1p/ee-ii.i rAO7 0/-o1-6S -.15_ APPLICANT - APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 1 h' ✓7i.-n(i A k•-c- f Ley. G�_. cert.)*6--e--r- TadAi ,Ivrj (`1�) a'V- 90 l/ MAILIyp ADDRESS CITY,STATE,ZIP CELL PHONE a, Qas ..).6 3e- lee-xfQs).. '-Q 1.2 )1io -Cd 15 RELATIONSHIP TO PROJECT / FAX NUMBER ❑ Architect a Tenant it Agent 0 Other (9.2 .) .55 - j y 14 PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - _ LENDER NAME Per BCW 19.27.095: Lender£nformanon is required If project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE • ) - • DETAILED BUILDING INFORMATION l EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ -) JZ).6 C> SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES a NO WATER SERVICp PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) • PROJECT FLOOR AREAS 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 •• I PROPOS= TOTAL TOTAL=MO ST TOTAL MOMS sr TOTAL Ir "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • 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 INCLUDED WITH APPLICATION) AIR HANDLING UNITS APORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS F GAS WATER HEATERS MISC(Describe) BOILERS FIRE' CE INSERTS HOODS(aummard.q COMPRESSORS FURNA• ' RANGES DUCTS GAS LOG REFRIG.SYSTEMS PLUMBING BATHTUBS(.r Tub/sbnw.r Combo) LAYS(Bah.nil* URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rs.q ELECTRIC WATER H RS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perjury that I ant the property owner or authorised agent of the property owner:I cerlify that to the best of my knowledge, the information submitted in support of this permit application is true and correct I certl fy that I will comply with all applicable City of Federal Wag regulations p.talniny to the work authorized by the issuance of a permit I understand that the issuance of this permit does not remove tits 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 flied 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 a part of this application. SIGNATURE: Li /.—e - DATE 7!J MI—6 5) Pro.a -. Owner and/or Authorized Agent • o NEW a ADDITION a ALTERATION a REPAIR a,TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application