05-100607 00 vs
City of Federal Way Building - Commercial Permit #: 05 - 100607 - 00 - CO
Community Development Services
P.O.Ma 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: FRED MEYER GARDEN CENTER EXPANSION
Project Address: 33702 21ST AVE SW Parcel Number:930100 0010
Project Description: ADD-Relocate garden center fencing to increase garden center area.
Owner Applicant Contractor Lender
FRED MEYER,INC.*ANGELA IRV WESTERN CONSTRUCTION SERV WESTERN CONSTRUCTION SERV FRED MEYER,INC.*ANGELA IRV
P.O.BOX 42121 4312 NE MINNEHAHA ST WESTECS162R8(9/16/05) P.O.BOX 42121
PORTLAND OR 97242 VANCOUVER WA 98668 4312 NE MINNEHAHA ST PORTLAND OR 97242
VANCOUVER WA 98668
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Census Category 437-Commercial alt/add Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Will Certificate of Occupancy be Issued? Yes
PERMIT EXPIRES September 21,2005.
Permit issued on March 25,2005
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: (-�.�` . 05
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform Building Code certifying that at
the time of issuance,this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: FRED MEYER GARDEN CENTER EXPANSION Permit number: 05 - 100607-00
Address: 33702 21ST SW
#1 #2 #3 #4
Occupancy Group: M ;�
Construction Type: Type V-N
Occupancy Load: L
Floor Area(Sq.Ft.): r
Owner FRED MEYER,INC. *ANGELA IRVINE*
Name: P.O.BOX 42121
Address: PORTLAND OR 97242
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance
with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
44,
THIS CARD IS TO *MAIN ON-SITE ..
CITY OF A tommunitY Development �Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100607-00-CO
Owner: ANGELA IRVINE
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) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By fYJ4. Date 4/i i InS By Date By Date
❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
~
O Roof Sheathing(4220) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be ,
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 3
❑ Framing(4120)
0
Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By Date
A. RECEIVED
GTr Of111/1
• a ' / Q_ Z
Federal Way FEB 1 0 2005 PERMIT S.L
COMMUNRYDEVEZOPMENTSERVICES SF MF ME EL PL DE EN FP
33325 aTM AVENUE soul •PO BOX 9718
F PAP L I C AT I O N TD_ /N !-
�I /p
FEDE253-435-2607RAL WAY•,FAX 2WA 9653-635.2oc3-97�ITY OF FEDE
Immo cituolkderalwayoom BUILDING DEPT.
The ollowi • is -• ired in ormation-an inco •fete • ••lication will not be acce•ted. Please •rint le•ibl in in or .
7 • PROPERTY INFORMATION
SITE ADDRESS 33 ri 0 a o )s r)4i1E c_14 rapegfil.- eJAAii u h4 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# [ .3 0 ' 0 O - O 0 J_ Q LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT 3UILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlg)
6)11704141S(OW _OF vuTvnOl . 6)p1) SiEs j2.0 --7, J 3/ 0
779 iii 4 00 Fe(e )41 /NC264-se •F 5-06(04 .0
'in LS Xs
II
PROJECT NAME(Name of Business or Owner Last Name) 1'P-ET) J v`E V,Z („IA O 4/ Ci'/- Er-.P 510$
Nu PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER FD >llk., - Anita IRO (5-63)1i7 -'71•;N
MA LING ADDRESS CITY,STATE,ZIP
Pd 8o;' y?lr)-/ Po, rtJ0, OR 474 V2-
CONTRACTOR COMPANY NAME
APPLICANT NAME OFFICE PHONE
W/ IRS e0Ar.SEA/Ica, IOC. Bilt4 �F6n-p) 7� pS es53C7
MAILING ADDRESS CITY,STATE, CON
Lew
Z
CITY OFFEDERALAIL
A�3��&INESS IC ( NUMBER5� � �(i EXP T(O��N V� �AX NUMBER
-B L / / (3(oo)IA 14 ?gV 0
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
VI 6 4_ cc. S 1 to a 4 $ / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SP9-Mg R S ecrid 77214 c-1Jg- ( ) -
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
( ) -
RELATIONSHIP TO PROJECT //�� FAX NUMBER
0 Architect 0 Tenant 0 Agent 14Other(Describe)(71f'�Ic`et4-• &7)Ur. ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
;34,11 DEEZ„f97) (3t.0) [o'i-`,*-5317 fan)GiA)tesfrrncors <l�bit-
LENDER -t`:", , i' r'^ NAME) i
. -.dY•t�i. I" •a'nk+ +'v3ue 'e?C K ift-4
MAILING ADDRESS CITY,STATE,ZIP
.,1 c • DETAILED/ BUILDING INFORMATION ,. ,,G
EXISTING USE t 7 AR 0E1U Sift S X73 PROPOSED USE \5074 v
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /DP 000
SPRINKLERED BUILDING? a YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKERAVEN a HIGHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD FOURTH fr\' /
•
ADDITIONAL FLOORS(DESCRIBE)DECK(COVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTALEXD TIIO iF , TOTAL PROPOSED SF "TOTAL iF
NUMBER OF FLOORS `•
**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 inclu•e existing fixtures to remain.
MECHANICAL ,j14(
Value of Mechanical Work $ ,`I
AIR HANDLING UNITS EVAPORATI . COOLERS GAS LOG REFRIG.SYSTEMS
BBQS FANS HOP. •S(Commerclat) WOODSTOVES
BOILERS FIREPLACE INSE• ' • GES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS or Tub/ShouerCombo) SHOWER WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SIN.: DRINKING FOUNTAINS
GAS PIPE OUTLETS : MPS • ' ATER SYST
WASHING MACHINES URINALS HOSE B :s
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WAT -- RS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 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. (�
NAME/TITLE ' I f"elt t-r f,I' ) ID&DATE
ignature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect ❑ Other
I it DDI'IUN: jp:ALTERATION REPAIR -: :'=u TENANT IMPROVEMENT
ttit
„all.G�I4" 4 ONLY? =` .':%co YES D BASIO PLAN? M ,'.3 * .:t. :a YES
'� SIGIATIU '= ,. °
, ,,k.
• „ f%ipRESS REQUIRED?_r : u YES ?q NO`: UP/SEPA/SII?,' `_ :•"••••!-' ;t :A o YES ,';'ith;NO ,.;.:; .,. .
vI e+ED .. 0:01,10:1 -7T,'''.!''7 . DEMOX,'PERMIT UIRED? 6'YES" O r
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application