08-105654 • • Building - Coiii i i
City of Federal Way rci l
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Community Development Services
P.O.O.BOx 9718 FILE Permit #: 08-105654-00-CO
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p a
Project Name: SAFEWAY #3501
Project Address: 2109 SW 336TH ST Parcel Number: 873217 0020
Project Description: ALT-New interior decor,alterations and additions of non-load bearing walls,ceiling facia
walls and exterior facade modifications. Restriping of parking lot and crosswalk.No
plumbing or mechanical with this permit.
Owner Applicant Contractor Lender
SAFEWAY INC STORE 3501 RICK UTT JAMES E JOHN CONST CO INC SAFEWAY INC STORE 3501
1371 OAKLAND BLVD UNIT 200 CORNERSTONE JAMESE.1173MM(11/7/09) 1371 OAKLAND BLVD UNIT 200
WALNUT CREEK CA 94596-8408 ARCHITECTURAL 1701 SE COLUMBIA RIVER DR WALNUT CREEK CA 94596-8408
6161 NE 175TH ST SUITE 101 VANCOUVER WA 98661
KENMORE WA 98028
Census Category: 437 - Commercial alt/add/ conversion
Includes: #1 #2 #3 #4
z I .ancy Class: ,
1,. „ ion Type: -w. Tie III -B (w. _: r--.,4,7 :,, ..."
1:, -
a Load: F
flo�'�� ft•) 4�0 6 a 0 � 0 ', ��, ,' 0 I �
1,, 7ws I,V rr P (# �,ry, s AG d (� ,.rd x
s. -- a , ..` 011# ,, I 4 ,,:l.•,-,-4-
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New/Additional Sq.Feet- 1st Floor 0 Building Pre-con.Meeting Required? No
Existing Sprinkler System in Building? Yes Mechanical to be Included° No
Number of Stories 1 Permit for Building Shell Only9 No
Plumbing to be Included? No Special Inspection(s)Required? Yes
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Market/Grocery
Sensitive Areas?(Wetlands/Slopes.etc) No Zoning Designation BN
1�4;m i No Fixtures Associated With This Permit f► 1xAo i,
PERMIT EXPIRES Monday, February 1, 2010
Permit Issued on Friday, February 6, 2009
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: t;gierwihrrDate: .11/4/11P g
F1K4L 1% .I ,o
• mmercial
.41
City of Federal Way • Building - Co Community Development Services Permit #: 0810565400CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 P 4
Project Name: SAFEWAY#3501
Project Address: 2109 SW 336TH ST . Parcel Number: 873217 0020
Project Description: ALT-New interior decor,alterations and ad 1ikions of non-load bearing walls,ceiling facia
walls and exterior facade modifications.Restriping of parking lot and crosswalk.No
plumbing or mechanical with this permit.
Owner Applicant Contractor Lender
SAFEWAY INC STORE 3501 RICK UTT ELITE COMMERCIAL SAFEWAY INC STORE 3501
1371 OAKLAND BLVD#200 CORNERSTONE CONTRACTING 1371 OAKLAND BLVD#200
WALNUT CREEK CA ARCHITECTURAL ELITECCO20CD 2/6/09 WALNUT CREEK CA
94596-8408 6161 NE 175TH ST SUITE 101 804 W MEEKER ST SUITE 201 94596-8408
KENMORE WA 98028 KENT WA 98032
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type III-B
Occupancy Load:
Floor Area(sq.ft.) 40,639 0 0 0
- • w� . •
�..�...
New/Additional Sq.Feet- 1st Floor 0 Building Pre-con.Meeting Required? No
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? No Special Inspection(s)Required9 Yes
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Market/Grocery
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation BN
a2s }
PERMIT EXPIRES Wednesday, August 5, 2009
Permit Issued on Friday, February 6, 2009
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: CiLC Date: a - 6 v kr`r
•
• THIS CARD IS TO REMAIN ON-SITE
.•• ; :444,46%:„.
CITY OF40%,...„...., Construction Ins .ction Record
Federal Way F I LI
INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 08-105654-00-CO Address: 2109 SW 336TH ST
Owner: SAFEWAY INC STORE 3501 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 Footings/Setback(4110) El Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
o Re-steel(4215) ID Slab/Concrete Floor(4255) El Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concreteteApproved to sheath floor
By Date By / f Date ///�L By Date '
El Floor Sheathing(4105) El Shear Walls(4245)/ 0 Roof Sheathing(4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Fire/Draft Stops(4095) Prior to scheduling a Framing inspection; ❑ Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By/..� Date ///8 Ac,
O Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
n
By Date By Date By• �-. Date /� l�/-
O Final-Fire Department(4060) El Final-Planning(4070) 0 Final-Public Works(4080)
Approved Approved Approved
By t'rC476... Date I1/3/t0 BDate '. By Date❑ Final-Building(4050) 4i4—
Approved
By Date // 1 lG
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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�.� RECEIViiii _6 _ 1 ��6Fit , Y • '�('
PERMIT SF MF CO E EL PL DE EN FP
3`32' ' . lb 8) 12 4 200"APPLICATION .
PBDBRAL WAY,WA 98063.9718 ,
253.8352607•FAX 253-835-2609 / / /� 'Alf_
wunaiei '°h"°°•°°CITY OF FEDERAL WAY (�/ t. / /
A`
The following is required it [ation-an incomplete application will not be accepted. Please print legib,_ (in or type.
• PROPERTY INFORMATION
SITE ADDRESS-210 "")211:1441 Shen— SUITE/UNIT ft_ ISA-
ASSESSOR'S TAX/PARCEL$ \� 1 a ` I - C c ca_ c) LO SIZE(sl (?j 7, (#5C0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Aat"AClrtM SA 5 I
( n.ePa.dePar dir krollw Segal delaiPgion)
• PROJECT INFORMATION
TYPE OF PERMIT `3(BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description o work included on • !.a.11_1 o
t+,ileismoraii,ii.c►.tl�iirr. ' 11, . • 1 t .I I' 4 I, 1.4 1. I i A I I ii.1 a" % in i
awl. a t1/4)wt nC NA-l 1 . Ir•Yujs 8 cit rwcc0 0� fvti a Cab't' t
� 1:,k--�� e... ltd iF-v1NAOS la vectka S.arvt.
Vim.. n k- LIAWs e?-t- s\--r(• C F -our-All/x:3 ,v Yl9..J
%w .'sty,, �'`� ' ''' .
PROJECT NAME(Name of Business or Ouster Last Name) I .
El PEOPLE INFORMATION
PROPERTY PRIMARY PHONE
OWNER ' : l_,tnilitled Payt�hp' ( ) A.-
•,i. , ,,mirk CITY,STATE,ZIP E-MAIL ADD
P*5.30 . ' 1t9a - tad 1&1 1911t N 16,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS 6E
6ue`C- 01‘.
Ac-,t�o,,c1�/. C,� �p(xtN(�- Ate (sa,1.tteWi/�'��� (253 )Ift3 -31M
WA `kleC II 1 QY �r`1C' CITY,{' • C.gV - ICrE,W..�POHON2
O CRY Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -����
t9- R - 1b1 tab- op -.L. 12-111013. (2 5 ) zsci3 - 3101
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
V\Y —i a llECC,O�bUD 2( c§cAC5 t stWQetite.-cc .cbnn
APPLICANT COMPANY NAMECANT NAME OFFICE PHONE
Cavieythn -Puck.tlhval @ o() iC t U (20(0 ) (o$Z - 50 0
MAILING ADDRESS (IIY STATE ZIP CELL PHONE
CICUO t 114 1 W 101 risTA1 t7k k Sc -$ (Zo') 41+ -D*g
RELATIONSHIP TO PROJECT FAX NUMBER
Architect a Tenant a Agent 0 Other (1-C6 )9t6 -S4115
PROJECT NAME
PHONE
�CONTACT � � (� toga - � ut� �,reve*rnea4n.c6m
LENDER NAME `
Per RCW 19.27.095:
r-)d., Lender Information is required Ifmaw lue exceeds;5,000
MA11.240 ADDRESSt D ' r� CITY.STATE, 14 Si(/ PHONE -
A A")
U (A50. C e.Y, e 4-
■ DETAILED BUILDING INFORMATION
EXISTING USE 1 1 (rnscgo6 -1 PROPOSED USE / '', , c
EXISTING ASSESSED/APPRAISED VALUE$ 2' T 4 S(o.OD.VALUE OF PROPOSED WORK $ 1 000
SPRINKLERED BUILDING? )YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO
WATER SERVICE PROVIDER y LAKEHAVEN a HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER $LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
0 PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
(---/P\
'
FIRST '1► (5... 0 0 --1)` S _
sEcoND 'M to►VISL(S) •
'1 9.►� v1
THIRD N/A
aAHDLI'PIbNAL FLOORS(DESCRIBE) N/
PC
DECK(0 COVERED OR 0 UNCOVERED?) WAC
AC
GARAGE 0 CARPORT 0 �NV/\
NUMBER OF FLOORS a rout a r TOTAL .►'l)
Alnr 7l�v 1
"'VIEW 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 include existing fixtures to remain.
AUSCHANICAL u/� ...
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLIC.ATIONJ
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS iceman
COMPRESSORS FURNACES RANGES .
DUCTS. GAS LOG SETS REFRIG.SYSTEMS
PLUWBING Pfbr .
BATHTUBS for /sh a er cook LAVS(Bathroom Sinks( URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS • WATER CLOSETS(remaq
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS •
•
SIGNATURE
I cert{B/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 certifythat I will comply with all applicable
City of Inderal Wqy 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 application.
SIGNATURE• _ _ DATE // 08
. • .. v Owner and/or Authorized Agent
•
o NEW a ADDITION • XALTERATION a REPAIRTENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? DYES d NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application