15-102365 •Building - Commercial
CiCommunityy&Econ.Deof Federalvv.aServicesFPermit #: 15-102365=.00-CO
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609Request Inspection Re uest Line: (253)835-3050
Project Name: RITE AID
Project Address: 2131 SW 336TH ST Parcel Number: 873217 0030
Project Description: TI-Interior tenant improvement work to include construction of partition walls to create
(2)consultation rooms,bathroom and reception room.Plumbing included.Mechanical on
separate permit.
•
Owner Applicant Contractor Lender
RITE AID CORPORATION HOWARD KIMURA PRIME UNIVERSAL GROUP LLC
PO BOX 3165 HG KIMURA ARCHITECT PRIMEUG868PF(10/6/16)
HARRISBURG PA 17105 PO BOX 59415 505 UNION AVE SUITE 120
RENTON WA 98058 OLYMPIA WA 98501
Census Category: 437-Commercial alt/add/conversion
Includes: #1 • #2 #3 • #4
Occupancy Class:
Construction Type: _
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included', No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Plumbing Fixtures
Lavatories 1 Water Closets 1
PERMIT EXPIRES Tuesday, March 29, 2016
Permit Issued on Thursday, October 1, 2015
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 a rdance with the laws, rules and regulations of the State of Washington
d the Ci of Federal Way.
Owner or agent: Date: /-
LED
\pvt,c,
CITY c,= 10&"
• THIS CARD IS TO IN ON-SITE '
Federal WayConstruction In ection Record
INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-102365-00-CO Address: 2131 SW 336TH ST
Project: RITE AID CORPORATION FEDERAL WAY, WA 98023-2847
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.
El SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
* , ,
❑ Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
'
El Underfloor Framing(4285) ❑ Floor Sheathing(4105) 0 Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
0 Fire/Draft Stops(4095) 0 Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By 1,44 Date ( 3 f S` By Date approved. IBC 1093.4
Framing(4120) Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
'BSS Date S /5—� By Date (�
S Date (( / .
.❑ Suspended Ceiling rid(4265) ' El Final-SK F&R(4060) ❑ Final-Planning
Approved to drop tile Approved Approved
' .- Date /zc//c . By Date - 'By Date .
0 Final Erosion Co rol( 375) 0 Final-Plumbing(4075) .0Final-Building(4050)
Approved Approved Approved
By Date By Date Date vl t.„
r( i�—
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
4 •
CITY Of.A PERM YEZPLICATION
iFederal Way ,. • , . . . , i
MAY 18 2015
PERMIT NUMBER 15 - I 0 Z'3 6 5 _e 0 CITY OF1FEDgERtlyTDA E �/2'
WAyZC5
J
SITE ADDRESS SUITE/UNIT it
213 / 5W 33 Sit
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL Y
$ 7Saoo BA/ 7 3 2- i 7 - 0 a 3 0
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /k ,47d A1/4 C41i/e 7 (`
C hr1nr f" lPic7 5' f-ed Cl/),IC tiri ii 171e crhil
PROJECT DESCRIPTION
�
Detailed description of work to Sale A,01--- /-7,.i.£7 /1-i Eiv/i/ke 2 60,-tri/-4-17,017 Imoe,P&S
be included on this permit only '1;I&rile
AO
e p f714
A-15-7,,--y?
_ 7
NAME #- PRIMARY PHONE
PROPERTY OWNER Al bbyff I f' 1-cc Gocogf 30l 10 t
MAILING ADDRESSh ^
/ jI Pe-4,0-4,0LTJ/}-)e. i--- E-MAIL
CITY / D 9X 6 iGG'CsTATE ZIP
All iiintgv »4r )40t, 6 P7I 5Va
NAME iPHONE
MAILING ADDRESS n' E-MAIL
CONTRACTOR I 1 6e Ordie. --
CITY
CITY STATE ZIP FAX
1151)
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE A
NAME ,, / /
PRIMARY PHONE
ik ,did 49,79.07.44-0A, 2.r3 -12.g- r 753
APPLICANT MAILING ADDRESS E-MAIL
1, Ck-M7 tli f-
CITY / e 7i- STATE ZIP_to 4 z FAX
NAME riplti,e or/r/m r PRIMARY PHONE C,
PROJECT CONTACT � k/!77 i/4 Afl 4 -' /Li C '/2-5 Z 7)- /d 7,r
(The individual to receive and MAILING ADDRESS E-MAD,
respond to all correspondence Pv &1Ac S9 W f----
concerning this application) CITY STATE ZIP FAX
ite,, _ 14 / 'b,S-r 412f27/-2-3(3
PROJECT FINANCING NAME NA 0 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 a part of this application.
•
SIGNATURE: .,/4/ DATE S Itr"7�-
PRINT NAM . /73 s er GR-- k...//4-1k...//4-1✓
r�tI-3
Bulletin#100-January 1,2013 Page 1 of 3 k:\flandouts\Permit Application
. . I
Of
>� p�n VALUE OF MECHANICAL WORK I ii,
MECHANICAL PERMIT -` 'I c '` ii I r $ 7c.od u'
Indicate how many of each type of fixture to be installed or relocated as part ooJ'thisproject. Do not include existing fixtures to remain.
'' \ AIR NANDLiNG UNITS FANS 1 (a' .04S PIPS ouTLEiS OTHER(Describe)
C ' AIR CONDITIONER FIREPLACE INSERTS HOODS(Commerclef MOS/1.419
BOILERS FURNACES HOT WATER TANKS(Gee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
7C DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
$ 4 5))
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) / LAVS(Hand Sulks) I TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utdrty) WATER HEATERS(Eiecinc)
HOSE BIBBS SUMPS WASHING MACHINES 2— TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
AV IV EYES 77/ 6"-- &X15,77"✓g,--
$ 9 A4
EXISTING/PREVIOUSw USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
eg4;1140A/4 ee/ U�k /SPre 1-3-7 'tid'es❑ No ❑Yes ❑ No
1 f
' ESIDENTIAL - NEW OR ADDITION
- a I ESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFF
,-' ':• .. ' y moi',`';.Fr;•i'.:,';1+s.''4u,r,� 4 ji4•`...�'•`l',''-:.4.1'." :. s�4.._ 'e
FIRST FLOOR(or Mobile Home)
fil
07.11.,M; ' 'w ( ; * �Mf ', ' "% v;s " ri _....._.... ...... ... ........ +
,: ?•:r9 rE� ?" . ,` aVfs I`:^. , - . •r
.v• ,. x,K . , ys; ?. ... "=' • ti.+" ., .6..11..0._^•
- ...
COVERED ENTRY
3i,.rt. "�•xa , l jam ,r.' 2 r7:.1 `74,t yx "MST'
..
s,+i'Y '1 s,.a � yAII ' i.'t::'. _.... . __ . .. .. __ ... .
rr.
GARAGE 0 CARPORT 0
,'•Xi::�tiCl.'+'�M•_
rer1 xCg E art ` + a -zF
•• .. •3 • *^
ii:N.:g
e ? T IEyr. * '<L.- r7yA -fi
,o..01070,'4'4.!':.. , ..� .0',.-.1,- -,,,,:,!:4:t. - . '' ,, 4T••,= �•-,4=
_ - --- - -- _ .
PROPO$D TOTAL
Area To
' TIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTIONis -,uare Feet Occupancy Group(s) .j,a Stories Additional Information
Errr.« ay;Z:'��`�.. 4C;;, ♦ ..•'S. 137 . .c'�YT'S tfikTIEr�.'• .a. - .... 7.,"';:k'
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
in '.uare Feet j'e Stories
��� £r:.<°��, ''"w ;:.7. r� .. ,� r � r %':.;,.;: �i
' ...,, '''.:: :,,i! . �''2',7.r fiwi .a'-£7.., ''n2 4%"-i--:i44- P.:e.
YTENANT AREA ONLY 3 17 9 5 ' &,v 1v, &
rki:: 'acs';ix '�. S.•• " ";'i x.fAst' �, i..-t wr < Y.q',e 6q" .
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application