92-101432 � 9�.- Ja��3J
CITY OF FEDERAL WAY B U I L D I N G P E R M I T PERMIT NO.: BLD92-2128
33530 First Way South BUlLDING INSPECTION - 661-4140 ISSUED: 11/25/92
Federal Way, WA 98003 BY: k'LF
661-4000
SITE ADDRESS: 31855 PACIFIC HW 8
PARCEL NO.: 082104-9194
PROJECT DESCRIPTION: reloca�e trash enclosure, wall siqn, ins�all new quard rail posts, restipe parkinq lot,
041NER CONTRACTOR LENDER
ATLANTIC RICHFIELD C0. S.M.E. CORPORATION
7901 168TH AVE. N.E. 2302 "A" STREET
REDMOND 41A TACOMA NA 98402
5�2-3822 572-3822
SMECO**173CM
BLD?:X MEC?: PLM?: FLR--EXIST--PROP--- DUELLING UNITS: 0 COMP PLAN.........:B FEES:
TYPE OF 410RK:? USE:? 1ST.: 2400: O:sf STORIES........: 1 REQUIRED PARKING..: 0 SPRINKLERS?......:N F[NAL PLAN CHECK...* S 64.35
CENSUS CATEGORY.....:? 2ND.: 0: O:sf HEIGHT.....: 0.00 ft HAZARD CLASS...:ORD PLCK-FIR commt only* E 4.95
OCCUPANCY GROUP---------- 3RD.: 0: O:sf VALUATION---------- REQUIRED SETBACKS------- FIRE fLOW....: 0 gpm BUILDING PERM[T....* S 99.00
:B2 :? :? :? : OTNR: 0: O:sf EXIST..S: 0 fRONT.........: 40.00 ft SBCC SURCHARGE.....* S 4.50
TYPE OF CONSTRUCTION---•- BSMT: 0: O:sf PROP...S: 8000 SIDE..........: 15.00 ft NATER SERVICE..:FED PUB NORKS-PLAN CHECK S 35.00
:5N :? :? :? : DECK: 0: O:sf REAR..........: 15.00:ft SEWER SERVICE..:FED
OCCUPANT LOAD------------ GAR.: 0: O:sf RECEIVED.:09/02/92
. 80: 0: 0: 0: TOTL: 2400: O:sf IMPERV SURFACE: 0 sf SENSITIVE AREAS?.:N
FUEL TYPES.:? ? FANS..........: 0 BOIIERS/COMPRESSORS 41ATER CLOSETS......: 0 URINALS........: 0 TOTAL FEES E 207.80
GAS PIPING.: 0 ft HOOD..........: 0 0-3 HP......: 0 BATH TUBS..........: 0 DRINKING FOUNT.: 0
fURN<700K..: 0 DUCT WORK.....: 0 3-15 HP.....: 0 SHOUERS............: 0 SUMPS..........: 0
GAS H41T....: 0 WOOD STOVES...: 0 15-30 HP....: 0 LAVATORIES.........: 0 VAC BREAKERS...: 0
CONV BURNER: 0 fURN>100K.....: 0 30-50 HP....: 0 SINKS..............: 0 DRAINS.........: 0
BBQ........: 0 MISC..........: 0 5+ HP.......: 0 DISH WASHERS.......: 0 LAWN SPRINKLERS: 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS--------- ELEC NTR HEATERS...: 0 OTHER FIXTURES.: 0
RANGE......: 0 <=10,000 CFM: 0 ABOVE GROUND: 0 LAUN WSHR OUTLTS...: 0
f"' 'OGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
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ALL PERMITS EXPIRE 180 DAYS AFTER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AF7�
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT TO THE BEST OF MY KNOWLEDGE AND TH LICABLE CF�I'Y ' REMENTS WILL BE�ET.
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OWNER OR AGENT �� �"�� DATE ��'� % — �
bld_prmt 70/23/92
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SET BACKS AND FOOTINGS O.K TO POUR FOUNDATION WALLS PLUMBING GROUNDWORK
DATE�Z�P��BY_ -- DATE _____ ...---_-_.BY _-_--_ ----.. DATE ___. _____-_ BY _. __ ____
PLUMBING ROUGH IN WATER LINE O.K. _____ ____ _......_-__ MECHANICAL INSPECTION
DATE ___ -_ .__BY GAS PIPING O.K.____-_ _-__-____ DATE __ ._____ _ _BY __
O.K. TO ENCLOSE FRAMING INSULATION WALL BOARD AND FIRE WALL
DATE _.___- _ ____ BY _ .-... DATE __ -__.--- BY __ ___-_ _ DATE _ BY __
FINAL O.K. TO OCCUPY
DCD PSD FD
DATE__ __ __--BY _ ._-
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����'���'�``� CITY OF FEDERAL WAY � _
S EP - 2 1992 �.��'� �'-c��-4.�.�,�
BUILDING PERMiT APPLICATION �-�,, �i
'�`r���;�s s ,L,�.�,�^�.,'� �,���,'� — Please Print— �%� "�"�
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BOX 1 TENANT NAME: ARCO AM/PM Mini-Market
OWNER Atlantic Richfield Company SITE LOCATION 31855 Pacific Hwy. So.
OWNER'S ADDRESS 7901 - 168th Ave. N.E. ���-y Redmond, WA PHONE
DESCRIBEJOB Relocate trash enclosure, wall si n, install new uard osts and restri e arking
THE PROPERTY IS OWNED BY: SINGLE/MARRIED PARTNERSHIP CORPORATION X o
BOX 2 CONTRACTOR'S NAME S.M.E. Corporation CONTRACTOR'S REG. # SMEC0173CM
Card MUST be presented
CONTRACTOR'S ADDRESS 2302 "A" Street ���, Tacoma pHONE 572-3822
EXPIRATION DATE 11- 3 .
— OR—
I HAVE READ CHAPTER 18.27.010 RELATING TO DEFINITIONS OF GENERAL CONTRACTORS AND SPECIALTY CONTRACTORS AND
CHAPTER 18.27.110 WHICH PROHIBITS ISSUING PERMITS WITHOUT PROOF OF RF�ISTR.ATION.
BOX3 CONTACTPERSON Will Wolfert - Barghausen Engineers PHONE �206) 251-6222
BOX 4 SEWER DISTRICT Federal Way WATER DISTRICT Federa Way
BOX 5 ESTIMATED PROJECT COST $8,000.00 EXtSTING BUILDING VALUATION ���"���-y
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BOX 6 PROPERTY TAX ACCOUNT NUMBER 082104-9194
LEGAL DESCRIPTION See Attached
(If necessary, please submit a separate page with the legal description.)
K.C. Plat Recording # N/A .
BOX 7 BUILDING SQUARE FOOTAGE: (Existing/Proposed) 1ST FLOOR 2�400 � N/A 2ND FLOOR N/A
3RD FLOOR N�A / BASEMENT N�A I DECK N� GARAGEN A /
BOX 8 ( ) SINGLE FAMILY O NEW CONSTRUCTION
( - ) MULTIFAMILY(N0. OF UNITS = __�. ( ) EXISTING STRUCTIIRE '
(x ) COMMERCIAVINDUSTRIAt TOTAL AREA OF PROPERTY 14,375 SQ�
BOX 9 PLUMBING FIXTURES (including rough-ins} MECHANICAL APPLIANCES— BASIC FEE$
N0. WATERCLOSETS GAS PIPING, FEET $
BATHTUBS N0. FURNACE, ELEC. GAS $
_ SHOWERS GAS HQT WATER HEATER $
IAVATORIES CONVERSION BURNER $
SIhKS BOILER, SIZE B i U $
DISNWASHERS AIR HANDLING UNITS $
ELECTRIC HOT WATER HEATER HEAT PUMPS, SIZE �
_ ' LAUNDRY WASHER OUTLET UNIT HEATERS �
URINALS AIR COOLING UNITS, SIZE $
_ _ DRINKING FOUNTAINS COMMERCIAL HOOD $
SUMPS, SPRINKLER VACUUM BREAKERS OTHER $
DRAINS $
OTHER $
TOTAL FIXTURES $
TOTAL MECHANICAL FEE $
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 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
OFFICERS AND EMPLOYE , PO E ACCURAC ;HE INFORMATION SUPPLIED TO THE CITY AS A PART OF TNIS APPLICATION.
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OWNER/AGENT: DATE: _ ���� � �-a/- �
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