98-104273 .. 9$ -lo yd23
CITY OF FEDERAL WAY PERMIT N : B. D9 -0 69
1311.11
uu �� J� y 'll E 0- L_ 8 7
23530 F i rs t Way South II.°;,I�11...11 .,.II.. 1,..,,, .,Il.,,,,h.,. ,. i!.�� l"::,:�; ..,� ,,. �,,.�k,M.,IL ,,, ,,. ISSUED: 04/14/99
Federal Way , WA 98003 Building Inspection Requests 253.-661-4:L40 BY : FC2
253-661-4000 EXPIRES: 10/11/99
ADDRESS : 2109 SW 336TH ST
N0. : 873217--0020
PROJECT DESCRIPTION:TI - INTERIOR WORK ONLY, TO INCLUDE PLUMBING & MECHANICAL (DELI, CHINA EXPRESS AREA, MEAT DEPT & PREP AREA)
-- OWNER --- .........._._______.__.__ _,y-------- CONTRACTOR -.__ __.-____.___._ LENDER .___--_.__-_-
I SAFEWAY ENRICHED DESIGN INC. SAFEWAY, INC.
2109 SW 336TH ST ; 4508 NE 4TH PO BOX 85001
t FEDERAL WAY WA 98023 RENTON WA 98059 BELLEVUE WA 98015-8501
425-255-5461
9 ) ENRICDI12809 ,
*** CONTRACTORS, PLEASE USE LOCATION CODE 1732 WHEN REPORTING SALES TAX FOR PROJECTS WITHIN THE CITY OF FEDERAL MAY. TAX RATE = 8.6% ***
---------------------- -- •-------- -...------_-------•----------q
BLD?:X MEC?:X PLM?:X FLR--EXIST--PROP--- DWELLING UNITS: 0 ! COMP PLAN •NB FEES:
I TYPE OF WORK:TEN USE:COM 1ST.: 36553: 0:sf STORIES • 0 y REQUIRED PARKING..: 120 SPRINKLERS' SBCC SURCHARGE * $ 4.50
CENSUS CATEGORY •437 2ND.: 0: Q:sf HEIC,',' - 0.00 ft 3 HAZARD CLASS ., BUILDING PERMIT....* $ 2189.50
OCCUPANCY GROUP 3RD.: 3: 0:sf VALUATION-- REQUIRED SETBACKS FIRE FLOW 0 ,N, MECH PERMIT FEE $ 343.00 I
:M :? :? :? OT HR: 0: 0:sf EXIST,.$: 0 FRO�:L.....,...: 00 t PLUMBING FIXT....93* $ 133.00
TYPE OF CONSTRUCTION BSMT: 0: 0:sf PROP...$• 550000 SIDE . 0.00 ft WATER SERVICE..:LAK ' MECH PLAN CHECK FEE $ 85.75
:3-IHR:? :? :? DECK: 0: 0:sf REAR • 0.00:ft SEWER SERVICE..:LAK PLAN CHECK FEE $ 1423.18 I
OCCUPANT LOAD GAR.: 0: 0:sf RECEIVED.:11/05/98 I PLCK-FIR comml only* $ 109.48
0: 0: 0: 0: TOIL: 36553: 0:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N j$$ PLUMBING PLAN CHECK $ 86.45 I
FUEL TYPES.:GAS ? FANS • 3 - BOILERS/COMPRESSORS ! WATER CLOSETS • 0 URINALS • 0 TOTAL FEES $ 4374.86
GAS PIPING.: 200 ft HOOD • 3 0-3 TON • 0 BATH TUBS • 0 DRINKING FOUNT.: 0
FURN<100K..: 2 DUCT WORK • 80 3-15 TON • 0 SHOWERS • 0 SUMPS • 0
GAS HWT • 1 WOOD STOVES...: 0 15-30 TON...: 0 LAVATORIES • 3 VAC BREAKERS...: 0 F I
CONV BURNER: 0 FURN>100K • 0 30-50 TON...: 0 E SINKS • 4 DRAINS • 10
BBQ • 0 MISC • 0 50+ TON • 0 DISH WASHERS 1 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS ELEC WTR HEATERS...: 0 OTHER FIXTURES.: 1
RANGE • 0 <:10,000 CFM: 0 ABOVE GROUND: 0 3 LAUN WSHR OUTLTS...: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
__.---_._ _---__-- --. . -_ I................... .. . ------_-_.,-..._ -- - I -- _____
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INFORMATION FURNISHED BY M RUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE CITY OF FEDERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _...(:S7:2 ____ ,e__. s DATE 4/-4/` ^9
FILE COPY
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CIY OF FEDERAL WAY PERMI r HO
, : 131D98 -0169
3530 Firs Way South -44 t I 1 ritI Nr '*‘‘ . : '7' I i , ,,stiLD, 04/14 /
Fd r1 Way, WA 93003 Hui : tirrj 114'''d . , fi (in Pmi,st 2".;,1 6 ,1 -4140 BY: EC?
7;3-661. 4000 EXPIRES: 10/11 ,1`.'".?
OD1)RESS:1,!1,09 SW '336TH CT
NO. : 87217 002LI
PHCLIECT DETSCRIPT1.011:11 - INTERIOR WORE ONLY, TO INCLUDE PLUMBING t MECHANICAL (DELI, CHINA EXPRESS AREA, NEM MI & PREP AREA)
SAFEWAY , ENRICHED DESIGN INC SAFEWAY, INC. I
2109 SW 3361H ST 4508 NE 4TH PO BOX 85001 I
FEDERAL WAY WA 98023 RENION WA 98059 BELLEVUE WA 980151501
1111 425255-5461
ENRICDI12809 L117 .9(4-4 c.. c,-••••\....
*** CININACIOAc0A log OK 1142 VilitEROWTIX SALES TAX TON PROJECTS worm TIE CITY or FEDERAL WAY. TAX RATE 7 8.61 ***
[ TILD?:X MEC?:X PLA?:X FIR--EXIST--fROP--- V Dettle8Oft. ” ! Imp PLAN N8 FEES:
. ,...
TYPE OF WORK:IERAISE:COM 1ST.: 36.0k..--.:- 0:ct '' `:'it*Itfn%%,....: tf 1 MO' WED PARKING..: 120 SPRINKLERS' •1 SBCC SURCHARGE * $ 4.50 I
,
CENSUS CATEGORY—..:437 2ND.: .-W's., 0::: '3, 1' ....: 041it i ,f ,-..--..;,-,- s- g,-, ':, ,,f, ...t.t.,44.2;,,:Am BUILDING PERNIT..,.* $ 2189.50 I
', TJ:Rib ''18A;r ='14,,iRE f! MECH PERMIT FEE
occupocy csitoup---r-,,-. 114.k.vori!."1}1,,, -\-41ti 4 VAL! -'IAN ,s.,‘ - ,,,, .- ..s -3.4.4,!.••Ikt-s-,:--, -,,„. o, .0 $ 343.00
:M :? :2 ':? : -*ITIt F''''It.."' ''4,1;S f # *1.* 0 1 ROC,-- ,- '•,-, ,t,, Y'1:1 37V ilk„,lit ' ,,,W‘ ,;.0.1,1,,"P"ING II"-••93* / 133.00
TYPE Of CONSTRUCTI*---- , . BSC: 11-----bSTr POO. :.$t 550000 1 -'51Dt -'' • 0.00-/t4 ' TER SERV' ' : AK — CHECK FEE $ 25.75
:OgrA:N?I 1.0A:D? :? ''''' : -'714'(K: 0.
!J'sf 7' PtAR ......,: 0.00:ft SEWER SERVICE..:LAK PLAN CHECK FEE $ 1423.18 I
0: 0: 0: 0: :Ii:: 36550: til:-.'s: REtEIVFP.:11115/98 IMPERV SURFACE: 0 sf SENSITIVE AREAS .:N
ALL TYPES.:GAS ? . FANS. ' • 3 BOILERS/COMPRESSORS WATER CLOSETS 0 URINALS
lop PIPING.: 200 ft
FURN<100K..: 2
GAS NWT • 1 HOOD 3
DUCT WORK 80
WOOD STOVES...: 0 0-3 TON • 0 BATH TUBS
3.15 TON....: 0 SHOWERS
15-30 TON...: 0 LAVATORIES
30-50 TON...:
0 nEWASHERS • 0 DRINKING FOUNT:: : TOTAPPLIL!: cP°LIAINICYKI
0 SUMPS 0 I
• 3 VAC BREAKS.,.: 0
41 DRAINS 10
100 $ 413.0:964! 1
t
C000:V BURNER: 00 IMUIT1M 00
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- EIEC WIR HEATERS • 0 OTHER FIXTURES.: 1 I
RANGE....1.: 0
I (.7,10,000 CCM: 0 A:, VC GROUND. 0 LAUN WSHR OUTLIS...: 0 i
:
GAS LOGS...: 0 > 10,000 CFA: 0 UNDERGROUND.: 0
PERNITS EXPIRE 180 NAYS MIER ISSUANCE IF NO 401Tt IS SIARTEA. RESIN/111&. AND CRANING PERNITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
il',1111111 INAI 1111 INFORMATION FORNISIED NY 111 -1JWITE ANA MAKI TO TOE ecs1 of NY KNOWLEDGE AND INE APPITORIC CITY Of FEDERAL NAY REOUIRENEWTS Wit!. $1 NEI
RORAGENI
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-;- FIELD COPY
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1 SET,EAC CS 8 FOOTINGS:
Date By
2
Date By /
I v PLUMBING GROUNDWORK ^- gk-i4te �{�✓M. -t—O ✓ � e ,7 IJ�/ oh4
Date —2- e— �' Z By C t ..�— [ V— 3o —
4 SLAB INSULATION r va �' l
LcJw'lG .vt r is GGs c h
Date By P w I S-
5 FOOTINGID011IFNSPOIXr DRAINS [� � - t.Q � / cJ /'Glu s I /�/, ' S-/6-5'1
Date By 011 n ic,e.M h G..71 11--- e / - ' D14/r. /
6 UNDERFLOOR FRAMIN% /
Date By
7 SHEAR
A
Date By
8 PLUMBJNG ROUE H IN re(.44k ; h //L GJ4( ( 4 �../ 4k/ ( 4
Date'7 v c S By C—L / rte`- (i b,.., I 41 ( -23/- S c G„,1
9 GAS PIPING
Date By
10MECHANICAL ROUGH IN w'hG W_ _(� i v\ 1 ( ' 0, /-2�3Fi
- `3�i c • CF-r.14.,141841)Date 7- - �i `T By C c. / fZ l ( `ECU7� t,.lct l! inn �� �l 6.-ZS 9'f Gc,✓
�/ 6- Y•
11 M1C!1t ..: ! " '�G/ (� `�'- scam, � or-/S L /474. c� s� vn 1` 0•‘d
Date("-3c,. 1 By c �-� IU e.,/a` "7,0,--49 ct
12 INSULATION
+70-49""...! beAc_k pecick-tr-47
Date 7 - 4" 1 BY 6.21- C.-C.%./
;`-r `fids-4- 5"' i ��c f z�f, r { -0.
t a"lc.cl� ws e
13 GW B - 1ST LAYER ? r, j
Date 7-a- S . BY C��/ Cs^-mac - .: C / 9 C
14 GWB -2Nl LAYER D'"Z c✓�`\ i p✓eet ttt•G Ai-ex- 0 K
Date By
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15 SUSPENDED CEILING
............................. ....................
Date 7-g S S By
16 PLANNING FINAL
Date By
17 PUBLIC WORKS FINAL
Date By
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18
.....................................................................................
Date By
19 BUILDING FINAL
Date Zen. '' By CEJ
. .....................................
20 OTHEf�
Date By
CD0193(Rev 4/97)
BUILDING Dtvistorr
� ;.'I 33530 First Way South
-- F� -TL_E! Federal Way,WA 98003
uV FAY ' "i L :.r ;.: ll �25
. Fax 253)661-4
t .. - .6 ...� i •-
APPLICATION FOR BUILDING: pE`� fsALin'A
'�tTI DEPT • .
PLEASE PRINT APPLICATION # 3LD !O -pG.....,:...:_,„..,....,: : ::::: :::::::::...„:..m:i:i*,,,:::,:,:,:,,:,!,:i*,:x:i:xm::*,::,;,:if.. ...,,,:?;::: :
.i. ",:xu.u.Aw4rwiiwi „;ilioni.:i..womi]:::,.::.1.„ df
Address 01 0 q
Tenant (if known) it.‘ to1/4..)P'•%."1- Lot # AssessorTax #
Building Owner's Name .- ,* E. w'^.....i.. Address p`/2 ( /Zt/ 114 A`V `A`i► ' t
City 12,41t4 11vrt— State LA) R A Zip / / Phone
Nature of Work ! 1 [V1'l.Qa0u1=M of E kS 1 ta(1 c. t`r
0-VtE f2 c'( Ont(...
>::'N'1<` `< > ><' '`'<''' >>
APPUk ...
Name (F,M,L) coiajftK? lotzg. AP-r-Mitc4DaAL. 44cor L `' -1
Address c 4 3 i�JY/G sdi ' �y
City A 11./7 L .,State [�t 44 Zip qt./°1
Contact Perscie_ /V Ili Day Phone t„ .5Z0 Other Phone Fax
2040 (02! -7717
13Fit1.011aCiiNT#i#1. ;fil .. .: >,> FEDERAL
WAY
BUSINESS NE
SS
LICENSE
�
i
Company Name
e1fl 7"L /`C+�t
ddress �'rG l•L
City State Zip
Contact Person Phone Fax
Contractor's # (card must be presented) Expiration Date Verified 0 Yes 0 No
.... . .......................... ..........................................
ARCHITECT
1
Name C/�����i//3ALQIvS e- /��1z vv'/-'G�i •t lkL L//zoo
Address &/)s_
�Jl//t /C _ J,r/-g- S-6°CityState 144 Zp ( t 1 o
Contact Person Phone Fax
�►C 14— Olt' Zorn (P�2' 102, -
I_
.,od 7717
LEGAL DESCRIPTION
G 14 1G/ i 5./4i "i
Please Co' Q1ete Reverse Side I
.t UCTU Existing Use Cyyj/� ,6 5-6a4.... Proposed Use c/?QGrte .5-to
Permit includes: tie Building (" _'^ 0 Plumbing 0 Mechanical ❑ ther
Type of Work: ❑ Residential 0 New pt. Remodel 0 Number of Units 0 Deck
,1 . Commercial 0 Addition 0 Garage 0 Shed 0 Other
—
Enter 1st Floor 3C'''j•53 q ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area 36 5 sq ft
Area Basement sq ft Decks sq ft Garage sq ft Proposed Total Areae sq ft
Water Availability X Sewer Availability 01' On-Site Septic System Availability 0 Project Valuation $ .5,O`GaC2
Zoning G L - coM.M it"._ I Lot Size Existing Bldg Valuation $ /, S3'r 3840
LEN > yij es{{/./•?*.sr r:':,:✓fid/j >{iii ? ;f.,'
Name e:),A,F,- i / Addjess
,,z) •
City • • .. • . - • State . _ Ztp
t .A
Contractor Name "' • / " + :? Address
City State Zip
CeiritAct' 7 N. -, • ;'C'.•' . a It :y� • •'w‘'.. •`,1, . . .a Phone .j A ;.Y'.►Fax
License # - '• ;Expiratio.n'lQate VBrified 0 Yes 0 No
r • N. %
<: •
;:::
Contractor Name01 %ri Address
'— cfrir,-4D
City GO Fj� C State Zip
Contact Phone Fax
License # Expiration Date Verified 0 Yes 0 i /`
�RA7�P m arz_ l"
0
P
�t-
Oi
L
ftE1611iruc cc r > »
A+�� A—r U
.
Water Closets O Sinks 4 Urinals 0 Lawn Sprinklers en
Bathtubs b Dish Washers I Drinking Fountains 0 Other yQi'N'€ 1A?
Showers 0 Electric Water Heaters o Sumps 0
Lavatories 3 Washing Machine 0 Drains /0 Total Fixture Count 's
!VI ECHANICAL UN1T COUNT; (�"', to
°ILL 'Pk?/.6 ' - MECHANICAL EVALUATION O,JVLY $34f QQO
Fuel Type (electric/other) Plk4 Gas Dryer . _ d Air Handling_< = 10,000 CFM 15-30 Tons
Length of Gas,PiQing 2L r gHandling
f Range � Air > =•10,000 CFM 30-50 Tons
Furn <100K BTUs 2- Gas Log 0 Unit Heater '" ' , 0 f,Tons
Furn >100 BTUs 0. Fans 3 Miscellaneous Fuel Tanks
— S1 (� ' ' Above Ground
Gas Hwt � ...Hood 3 Boilers
Cony Burner C Duct Work 9,01 f 0-3 Tons Underground
BBC's b Wood Stoves D 3-15 Tons Total Unit Count Qj
r.
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and corre&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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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 offi and employees,upon the accuracy of the information supplied to the city as a part of this application.
A424AN) z C/f - l -- Date: { / 1/ 96
Owner/Agent:
Bk.O..Ar. (.0'v/v 61 1‘1Z 14tai I
nw ar o au nem a