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08-101309 r R 6, City of Federal Way Buil 1 ' ,Y, I 1 rcial Permit,: 08-101309-00-CO Community Development Services P.O.Box 9718 I. Federal Way,WA 98063-9718 Ph'(253)835-2607 Fax:(253)835-2609 ( X b i Inspection Request Line: (253)835-3050 Project Name: FRED MEYER TEMPORAR PHARMACY TRAILER Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010 Project Description: NEW-Installation of 672 square foot temporary trailer for use as pharmacy during construction project. Does not include plumbing or mechanical work. c Owner Applicant Contractor Lender FRED MEYER INC. KYLE HERBER BOOCO CONSTRUCTION INC PO BOX 42121 BOOCO CONSTRUCTION INC BOOCOCI951R(12/21/09) PORTLAND OR 97242 PO BOX 20835 PO BOX 20835 PORTLAND OR 97294 PORTLAND OR 97294 Census Category: 999 -Unknown Includes: #1 #2 #3 #4 Occupancy Class: M Construction Type: Type V-B Occupancy Load Floor Area(sq. ft.) 672 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 Drug Store Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation BN No Fixtures Associated With This Permlttt '- - CONDITIONS: Trailer must be removed 30 days following completion of tenant improvements. PERMIT EXPIRES Saturday, March 27, 2010 Permit Issued on Thursday, March 27, 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 , . :- in accordance with the laws, rules and regulations of the State of Washington and th ity of Federal Way. / Owner or agent: E. Date: / 7/D& v ` THIS CARD IS T EMAIN ON-SITE CITY OF Community Develop ent Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-101309-00-CO Owner: FRED MEYER INC. 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. O Footings/Setback(4110) 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date O Re-steel(4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date O 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 El Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) ' 0 Framing(4120) Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be • By Date 'signed-off and approved. IBC 109.3.4/UBC 108.5.4 BY Date ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile •• 1 By Date By Date By Date i ❑ Final-Fire Department(4060) ❑ Final-Planning(4070) ❑ Final-Public Works(4080) Approved Approved Approved By G-2 Date 3..2,q..(Qs By Date By Date ❑ Final-Building(4050) . Approved By C j Date3.28-ems For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date c,„K RECEIVED - . S - LO i ,5 b 2 Federal Way E RM IT SF MF CO ME EL PL DE EN FP 3�S1A� b dMAR 1 8 " FEDERAL WAY,WA 9d069..60 :A P P L I C AT I O N r ZSJ12Z0X07•FAX .60 OF FE iITT—Z-1 ---/v6371114) DERAL WA The following is required i€ tion-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION � SITE ADDRESS 5(�'J 2� 2 ST-Aif. S lJ SUITE/UNIT#- ASSESSOR'S TAX/PARCEL# ff' U ( 0 „S.)._- 0 O ( CJ LOT SIZE(sf LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) l"a"d'«w•de'WOW len"Mar dfv l • PROJECT INFORMATION TYPE OF PERMIT B"BUILDING 0 PLUMBING 0 MECHANICAL Cl DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) I g'M.PorzAvi 11 si 17z-AIL-ig-. (62 PROJECT NAME(Name of Business or Owner Last Name) reD J41L yEe+ _ U PEOPLE INFORMATION PROPERTY NAME U ,yr– PRIMARY PRIMARY PHONE y OWNER / 1 iC' Vtt-yta_ ( 1 - 14 LINa,,,pDRESS (eITjY,STATE,ZIP E-MAIL ADDRESS f 0 t,0 V 4/2/ L l fo24—z Ki P, (ate 97 v CONTRACTOR CO)3ANY NAMECANT NAM OFFICE PHONE -2 6%CO 614 5uc-r(c .J fl'7 . a`ci- (503 )2692 -6516 'ADDRESS STATE,ZIP CELL PHONE /., o> 20%35 r rr i,,©rz ?79'/ ( 3 )$67 - diZ13 ' OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER - , 1 °' ( °Y04to —0c) ( Z , ') cir (4331242 - 46-/ CO ow; • .• II p ,' LEXPIRATION DATE E-MAIL ADDRESS APPLICANT COMPANY 71,1 APPUCANT NAME OFFICE PHONE 0-1VTT-24C- oal-- ( ) - MARINO ADDRESS CITY,STATE,ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑Architect ❑Tenant ❑Agent 0 Other ( ) - I PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT /--� /-4 2t3CL ( 63) 2(02- - 6570 L44 67 500 CO. coI7/) LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds 95,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) - ■ DETAILED BUILDING INFORMATION EXISTING USE N/Ft PROPOSED USE (edvl FOI2m-E-Lt Ftl6eiftliet TrAl .Lf2 , EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ Z 0 f GOO SPRINKLERED BUILDING? ❑YES erNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES iNO WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) AREA DESCRIPTION EXISTING PROPOSED TOTAL • SQ.FT. SQ.FT. SQ.FT. 1Z24,9 <---- A -t&Ar c, -- /A x 5—Ca (p 701--- FIRST • • SECOND • THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS ISCIRINO PROPOSED TOTAL TCIALzWmroIll TOTAL rsorosso sr TOTAL St **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ a FIXTURES Indicate number of each type offixture to be installed or relocated as part of this p .'- . -0. not include existing fixtures to remain. MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR I -' MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS VAPORATIVE C C.• RS GAS PIPE OUTLETS WOODSTOVES BBQS F `' GAS WATER HEATERS MISC(Describe) BOILERS FIREP NSERTS HOODS(c.mm.rdq COMPRESSORS ' + ACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/sh var ••• LAYS(eaterwm ma* •' AL3 MISC(Describe) DISHWASHERS RAINWATER SYST VACUU` - 'RS DRINKING FO ' AINS SHOWERS WATER CLOS: ' „ ELECTRI• • ATER HEATERS SINKS WASHING MACHINES HOS: • BBS SUMPS SIGNATURE I certify under penalty of perjury that I am the property owner or authorised 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 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 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 app • -on. SIGNATURE: DATE -18 -66 Property Owner and/or Authorized Agent • IIIII_ o NEW 0 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 o NO ' NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SII? o YES a NO • PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO 1 Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application