02-102978 • •
C mmunitFederal Way Building - Commercial Permit #:02 - 10290CO
Community Development Services
` 33530 1st Way S
Pc�a1 Stay,WA 98003-6210
Ph:253.661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: FRED MEYER
Project Address: 33702 21ST AVE SW Parcel Number: 930100 0010
Project Description: TI-Interior alterations to home department section of existing retail store,per plan. No plumbing or
mechanical under this permit.
Owner Applicant Contractor Lender
TEXAS COMMERCE BANK NATO/ WESTERN CONSTRUCTION SERV WESTERN CONSTRUCTION SERV TEXAS COMMERCE BANK NATO/
PO BOX 5768 WESTECS162R8 9/16/03
VANCOUVER WA 98668-5768 PO BOX 5768
VANCOUVER WA 98668-5768
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 187000
Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add
Fire Sprinklers Yes Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Permit for Foundation Only No Plumbing No
Special Inspection Required No Will Certificate of Occupancy be Issued? No
Sensitive Areas? No
PERMIT EXPIRES February 11,2003,IF NO WORK IS STARTED.
• Permit issued on August 15,2002
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the _ be in accordanc- 'th the laws,rules and regulations of the State of Washingtop and
the City of Feder. + ay. /
Owner or ag t: ���� Date: �Sja 2
P0 HIS CARD ON THE FRONT OF BUILD.
cir = BUILDING DIVISION . •
ECier<Rtr
R " INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 02-102978-00-CO
OWNER'S NAME: TEXAS COMMERCE BANK NATON
SITE ADDRESS: 33702 21ST SW
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
-:.:1)00fiffi)Mic011,Icktr*tiNtIVM1:07.01vE APAtovE07,3i.;61j1,EACIF:774,7q7:-,'
(
) DRAINAGE: Line ( ) Connection
ISEIRMTV:=7? -.'ARY-A,MtritWiiftfirttrEIKBTIVE is APi*Otii
) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
BREINPPP: : 141-4:017-0110-.WieWXE.WAVYK:PM-TUO11"01:0qi0:0 1$10...'t.tioAPINEVE4:7i
( ) FRAMING/FIRESTOPPING 7A42 3 riot'', 1 for door, lei 'a ries
ISINC-A,41WOO.W.AV,STIKET*M3Mitr:gatikftstO 7 OPittf*V0140iAgiv1=
(
) INSULATION: Floors Walls Attic
IMElraFRWtffEa0_+bkal.V$T alkiff491Y.- 13.OW-000,10Kg11111Fi"::;:
( ) WALLBOARD NAILING 2>- 62_ c...1/4.) ( ) SUSPENDED CEILING
IDSZEMME TAIOVEWSVP.E-*1)0,91tP,A010..PMANW-.29::
) ELECTRICAL FINAL /0 / 7 - 0 2,
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
WNW fritEAM*OOTSCAPYWy$0;_409107WWT.: DEPE
) BUILDING FINAL / 0 /
VO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
• • ,
INSPECTION LOG A
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
0/07, 311/ X K ne 14/11 F
Knee. kn air 1o11 one 506 (rfr
141iliziP griee voll dy 1,0t/ 0 fk1 ij ci
pi 1 /02 Si -- ii-df ), ho , cow,
REOIVED •
e..a G CONSTRUCTION PERMIT APPLICATION
per` JUL 1 5 2002 APPLICATION NUMBER: D,ZE - 1 a Z 3,-LE -00 co
CITY OF
BUILDING
DALWAY APPLICATION NUMBER: - -
APPLICATION NUMBER: -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application.
"�■ PROPERTY INFORMATION
SITE ADDRESS:33'70a o�I l T A1/E %SYv ASSESSOR'S TAX/PARCEL#:a 3 Q 1 60 - Qt) L Q
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT(This application): ('BUILDING 0 PLUMBING ❑ MECHANICAL 0 DEMOLITION
❑ ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): T&--iirld r PfLTE i4TI OA OF D I'z]E i)Err
PROJECT NAME: /'ILEO ItiJ YE /1D4I& DEPT /G.E JO✓i4T1d N
• PEOPLE INFORMATION
'PROPERTY OWNER: NAME: DAYTIME PHONE:
P > /flYEQ, iii/O. (503)?9/
-354/
MAILING (STREETADDRESS;CISTATE,ZIP):
PD Box 41.)l al M/S 23R, po -1,4, o, OR 97;4/a
CONTRACTOR: NA : DAYTIME PHONE:
i JSrejel C,oxlsT,eucTio.J .flg✓itC.S ,4 0 4,0)640 -53/?
MAILING ADDRESS(STREET ADDRESS;y STATE,ZIP): / EVENING PHONE:
Po Boy .5''IG81' Votr/aouJ, Ahl ??(#U (3"D)7I? -5wa
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
A _ - aa 1 O L L - 8' l_ Oho) Ott - 7SIt
CONTRACTOR'S REGISTRATION NUMBER: �o EXPIRATION DATE::/_
(copy of card required) W $_ r C- C S L 2- g e 9 / 1(p 103
APPLICANT: NAME: DAYTIME PHONE:
B,exl ELLi0 - `✓Es iti Coosr,4.0 N/C106s1e✓ice5i#iC- (36'o) &CV) -531'7
MAILING ADDRESS(STREET ADDRESS;CITY,FATE,ZIP): EVENING PHONE:
Po Sox 5''m78, Vehileou✓of, v✓a gd'lo(oP &&0 )7r)?. - 5W/A
RELATIONSHIP TO PROJECT: _ I FAX NUMBER:
El ARCHITECT o TENANT OTHER(DESCRIBE) ( 14L(4o I17.A tR4? (340 ) (,4t( - 78'1 '
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER ❑APPLICANT ❑CONTRACTOR brenowes'iarAcoAs't/uc tein.Co/h.
• DETAILED BUILDING INFORMATION
EXISTING USE: P.C1741L. SAGES EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: - :ISI - PROPOSED VALUATION FOR IMPROVEMENTS: $ 95;000
SPRINKLERED BUILDING? Op ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES O
WATER SERVICE PROVIDER: KEHAVEN ❑ HIGHLINE ❑TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER: ,LAKEHAVEN o HIGHLINE ❑ PRIVATE(SEPTIC)
• •
I **NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
• 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 th city .- a . of this application.
NAME/TITLE: .rA...u41./ � ! .Y. L/ ► DATE: 7 /U�2
o PROPERTY OWNER APPLICANT CONTRACTOR
FOR OFFICE USE ONLY:
a NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? a YES a NO
COMP PLAN DESIGNATION BASIC PLAN? o YES o NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES o NO
PLATTED LOT? a YES a NO CHANGE OF USE? a YES a NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.corn