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04-102787 .004. 44bat City°r Federal Way Community Development Services Building - Commercial Permit #:04 - 102787 - 00 - CO 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661 4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: SAFEWAY STORE 1555 VI Project Address: 1207 S 320TH ST Parcel Number: 150050 0020 \ Project Description: TI-New racking system,moving a wall and suspended ceiling alterations. Electrical,plumbing and mechanical work require separate permits. Owner Applicant Contractor Lender 1560 INVESTORS LLC CORNERSTONE ARCHITECTURAL GRAHAM CONTRACTING LTD SAFEWAY#1555 200 S BROAD ST#6 CORNERSTONE ARCHITECTURAL GRAHACLO8OPH 10/8/05 FOB 29096 1904 3RD AVE SUITE 500 9709 3RD AVE NE PHOENIX,AZ SEATTLE WA 98101 SEATTLE WA 98115 85038-9096 Includes: Census category: 437-Comm #1 1 #2 ,r— #3 1 #4 Occupancy Group: M 4 Construction Type: L---- Occupancy Load: L Floor Area(Sq.Ft.): r 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 Zoning Designation CC-F PERMIT EXPIRES March 14,2005. Permit issued on September 15,2004 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. /� L� Owner or agent: 1.---z„..„7_ Date: 7 /J �Y • THIS CARD IS TOS MAIN ON-SITE '�' CITY OF - Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 04-102787-00-CO Owner: Address: 1207 S 320TH ST FEDERAL WAY, WA 98003-5339 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 Date By Date By Date .❑ Re-steel (4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date i By Date By Date .❑ Underfloor Framing(4285) 1 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 ❑ Roof Sheathing(4220) 0Fire/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 signed-off and approved. IBC 109.3.4/UBC 108.5.41 By Date By Date .❑ Framing(4120) 0 Insulation(4150) ❑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 0 Final-Public Works (4080) 0 Final-Building(4050) Approved Approved ,./ By Date By C►W Dat/2, — 04/ a Ito F d %r-) 0 U W • H � d � A Q 7_s--r---i_. RECEIVE* 07 Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICES JUL 1 4 7(1f14 SF MF CO ME EL PL DE EN FP 33530 IR WAY SOUTH•8 6 BOX 9718 APPLICATION� I ( FEDERAL WAY,FAX 93-6 1-412 TD / / if , 253-661-4115•FAX263-661-41dA-1Y OF FEDL, C/�'7 www.cilgoffederalwa5.com'• ' T BUILDING The ollowin• is re•uired in ormation-an incom•lete a••lication will not be acce•ted. Please •rint le•ibl in ink or t •e. I •}� PROPERTY INFORMATION D l I ) '` SITE ADDRESS l () �dd•• J ett+ �-C.d21 _ ki 1,'`, SUITE/UNIT# r�'Q /� ASSESSOR'S TAX/PARCEL# j J 0/r 0 - O 0 O - O� LOT SIZEn (4) •C 1 1, S�I�SF' LEGAL DESCRIPTION (e.g.Acme Estates, Lot 1) I—c4 2 Cts r r l c-0, 2,,,Q. V6 1 . 104 (Attach sepmgze P forgthylegal cjesenon) c_o ( 0 PROJECT INFORMATION TYPE OF PERMIT •1 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DECION (Provide detailed escription of r included on this permit only) � , /) ski,. -1i 42 Lu or - r—G��., 4---t�R-2"S' . PROJECT NAME(Name of Business or Owner Last Name) A- (A1 I 'e-i- 1 CS PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER Jt c Cod TN J-C.S Y'S L LQ- CA eb ON r� ) i'`'ce, ( ) /� - 1 '�G ADDRESS IP CITY, 3.e-I �V i 4 Le-(C‹ 2OOS STATE,ZI y,. ST, (V-V•`Iltl{ aj.0.1-, t 1 A )1102- CONTRACTOR COMPANY NAME APPLICANTNAME OFFICE PHONE 64. -I Le 1-r N0. (, V ),o il✓ LTD � 1 E/ � .2 - �� 101 10c • [LGADDRESS CISTZIP 976( 3RD 64Vi -571".2-571".206> f/� (4)A 78//5 ( )NE ( ) - CITY OF FEDERAL WAY BUSINESS-LICENSE NUMBER EXPIRATION DATE FAX NUMBER .2a -o -.L0 3322- B L /Z /3/ goy (A ) ?_pc9 ' Y- CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / APPLICANT /COMPANY NAME APPLICANT NAME OFFICE PHONE �ov rS )k V i � <-k v cT (2<>4)CP2 -cob C) MAILING ADDRESS CITY,STATE,ZIP CELL PHONE I Io `-f 3 Acre., 41 Soo Se,„-k}2(, INk 78IL ( ( mac. )-4 /LI - LLD-1g RELATIONSHIP TO PROJECT FAX NUMBER Architect ❑ Tenant gAgent ❑ Other(Describe)_ ( ) 6?Z( - 4--J 7 CONTACT NAME� PRIMARY PHONE E-MAIL ADDRESS LENDER Per RCW 19.27.095: Lender information is NAME` required if project value exceeds$5,000 ( MAILING ADDRESS CITY,STATE,ZIP ' DETAILED BUILDING INFORMATION EXISTING USE vs, G _ . • PROPOSED USE • 1 dn)C1i- EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ aSO, pOp O o SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES ❑ NO WATER SERVICE PROVIDER LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 'LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) • 'IP ' U PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT C FIRST 5 J ,2 ` O © c" � zcko SECOND Ate.z.s. /Kt JA Lc.j -46? I o -1 Co THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) . DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? 0 Pe TOTALcwarnio TOTAL PROPOSED TOTAL EXISTING AND,PROPOSED �jl�, Do ( O S"-COI(DC) **NEW HOMES ONLY** NUMBER OF BEDROOMS D 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 $ N1 7' AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING -_5Gc'1R,A--PO l l f- _-17-6.1 u tR . $/3/61f I3/l a ?Errc�2 AOz;4 4,a�-n r�Jr=a BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC escribe) DISHWASHERS �io� / SINKS DRINKING FOUNTAINS �f' GAS PIPE OUTLETS w SUMPS RAINWATER SYST \ WASHING MACHINES URINALS HOSE BIBBS •LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS ' 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. '? _ L.....). NAME/TI �� ).s„,iii - DATE 4 i ✓ 0 (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner ,Agent 0 Contractor Architect o Other FOR OFFICE USE ONLY ❑NEW o ADDITION ❑ TTION ❑REPAIR )(ENANT IMPROVEMENT BUILDING SHELL ONLY? o YES A� O BASIC PLAN?/// o YES )40 ZONING DESIGNATION Cr—( CHANGE OF USE? o YES NEW ADDRESS REQUIRED? ❑YES 4140 UP/SEPA/SU? o YES O ' PLATTED LOT? ❑ ES/601O DEMO PERMIT REQUIRED? ❑YES )co Bulletin#100-March 30,2004 Page 2 of 4 k\Handouts-Revised\Permit Application