10-101928City of Federal Way
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718 _
Ph: (253) 835-2607 Fax: (253) 835-2609 -
Project Name: WAL-MART #3794
Project Address: 34520 16TH AVE S
Building - Comm, ereial
Permit #: 10 -101928 -01 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9010
Project Description: TI - Remove existing service seafood cases and replace with a self service refrigerated case
and frozen reach -in door cases. ****REVISED to add construction of 10 foot height wall
behind the new refrigeration cases.***
Owner Applicant Contractor Lende
FEDERAL WAY MARKETPLACE JOYCE LANDWEHR P S CONTRACTING INC
INVESTORS LLC RAYMOND H HARRIS, AIA PSCONCI963MG (7/7/12)
5743 CORSA AVE SUITE 216 211 N RECORD ST SPACE 222 2203 TAYLOR CUTOFF RD
WEST LAKE VILLAGE, CA 91362 DALLAS TX 75202 SEQUIM WA 98382
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? ................. Mechanical to be Included?....................................Yes
Mechanical Valuation............................................38300 Number of Stories .................................................. 1
Is this an Online or O.T.C. application?.................No Permit for Building Shell Only? ............................. No
Plumbing to be Included?.......................................No New / Additional Sq. Feet - Total..........................' .0
Mechanical Fixtures
Refrigeration Systems .................... 3
PERMIT EXPIRES Tuesday, January 11, 2011
Permit Issued on Thursday, July 15, 2010
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
�j and the City of Federal Way. � % �//C)
Owner or agent: ZL T Date: I
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction Ins, -ction Record
INSPECTION REQUESTS: (253) 835.3050
10 -101928 -01 -CO Address: 34520 16TH AVE S
FEDERAL WAY MARKETPLACE IN FEDERAL WAY, WA 98003-6841
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.
E]
Footings/Setback (41 IF)'
1:1
Re -steel (4215)
Final Electrical
Approved
Slab/Concrete Floor ( 255)
Mechanical Rough -in (4165)
Approved to place concrete
By
Approved to place concrete or grout
Approved to place concrete
By
Date
By
Date
By
Date
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final - Mechanical (4065)
Approved
By Date
® 'Final - Fire Departme�lk_[4U6Q � l� inal - Planning (4070)
A raved Approved
By Date By Date
s• aaaaa
/7
�yry �y Approved
1 /i�d6 I" Date 7 /�,n
f ' V:
Rough Electrical
Approved
❑
Final Electrical
Approved
Mechanical Rough -in (4165)
Floor Sheathing (4105)
By
Underfloor Framing (4285)
Approved to sheath floor
Date
Approved to install flooring
Date
Approved
By
Date
By
Date
By Date
Fire/Draft Stops (4095)
Prior to scheduling a Framing inspection;
Gas Piping (4125)
Approved to release test
Approved
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
By
Date
By
Date
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Insulation (4150)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By Date
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
Final - Mechanical (4065)
Approved
By Date
® 'Final - Fire Departme�lk_[4U6Q � l� inal - Planning (4070)
A raved Approved
By Date By Date
s• aaaaa
/7
�yry �y Approved
1 /i�d6 I" Date 7 /�,n
f ' V:
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
City of Federal Way
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WALMART #3794
Project Address: 34520 16TH AVE S
Mechanical
Permit #: 10 -101928 -0# -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9010
Project Description: Remove existing service seafood cases and replace with a self service refrigerated case and
frozen reach -in door cases
Owner
AnnlicaI3t
Contractor
WALMART REAL ESTATE BUSINESS
JOYCE LANDWEHR
P S CONTRACTING INC
TRUST
RAYMOND H HARRIS, AIA
PSCONCI963MG (7/7/12)
2001 SE 10TH ST
211 N RECORD ST SPACE 222
2203 TAYLOR CUTOFF RD
BENTONVILLE AR 72712
DALLAS TX 75202
SEQUIM WA 98382
Additional Permit Information '.
Mechanical Valuation.. ...... .......... .............. - 38300 Is this an Online or O.T.C. application? ................. No
Mechanical Fixtures
Refrigeration Systems ................... 3
PERMIT EXPIRES Wednesday, January 5, 2011
Permit Issued on Friday, July 9, 2010
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: /` Date:
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO REMAIN ON-SITE
Construction Ing ection Record
INSPECTION REQUATS: (253) 835-3050
10 -101928 -0f -ME Address: 34520 16TH AVE S
WALMART REAL ESTATE BUSINE FEDERAL WAY, WA 98003-6841
Scheduled inspections may be failed if this card is not on-site. ❑O NOT LQSry 'rt11S 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.
❑
Mechanical Rough -in
❑
[was Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
Right of Way
Approved
Approved
Date
Approved to relenue test
By
Approved
By
Date
By
f' Date
By
Date
,V
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By Date
City of Federal Way
Community Development Services
RO, Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WAL-MART #3794
Project Address: 34520 16TH AVE S
Building - Commercial
Permit #: 10 -101928 -01 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9010
Project Description: TI - Remove existing service seafood cases and replace with a self service refrigerated case
and frozen reach -in door cases. REVISED to add construction of 10 foot height wall bchind
the new refrigeration cases.
Owne Al2plican Contractor Lender
FEDERAL WAY MARKETPLACE JOYCE LANDWEHR P S CONTRACTING INC
INVESTORS LLC RAYMOND H HARRIS, AIA PSCONC1963MG (7/7/12)
5743 CORSA AVE SUITE 216 211 N RECORD ST SPACE 222 2203 TAYLOR CUTOFF RD
WEST LAKE VILLAGE, CA 91362 DALLAS TX 75202 SEQUIM WA 98382
Census Category: 437 - Commercial alt / add / conversion
Includes: # 1 #2 #3 #4
Occupancy Class:
Construction Type:
Occu anc Load:
Floor Area {sq. ft.) 0 0 0 0
iii Additional Permit Information
Existing Sprinkler System in Building? .................. Yes Mechanical to be Included?....................................Yes
Mechanical Valuation.. .... .............................. ... .. 38300 Number of Stories ...... ................... ....................... .1
Is this an Onli[te or O.T.C. application?.................No Permit for Building Shell Only? ........... ........ ........ ..No
Plumbing to be Included? ................. No New / Additional Sq. Feet - Total............:....:........ 0
Mechanical Fixtures
Refrigeration Systems..... ...... . 3
PERMIT EXPIRES Tuesday, January 11, 2011
Permit Issued on Thursday, July 15, 2010
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 ac ordance with the laws, rules and regulations of the State of Washington
and th City of Federal Way.
Owner or agent:
Date:
V 114 AW91> 76toI(0
THIS CARD IS TO PvMAIN ON-SITE
CITY OF 461 Construction Ins 'VI Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 10 -101928 -01 -CO Address: 34520 16TH AVE S
Owner: FEDERAL WAY MARKETPLACE IN FEDERAL WAY, WA 98003-6841
Scheduled inspections may be failed if this card is not on-site. DO NUT 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)
E]
Initial Erosion Control (4365)
E]
Footings/Setback (4110)
Slab/Concrete Floor (4255)
Approved
Re -steel (4215)
To be done prior to breaking ground
Approved to place concrete or grout
Approved to place concrete
By
Date
By
Date
By
Date
El
Rough Electrical
Approved
El
E]
E]
Underfloor Framing (4285)
Slab/Concrete Floor (4255)
of Way
Re -steel (4215)
Date
Approved to place concrete or grout
By
Approved to place concrete
Approved to sheath floor
By
Date
By
Date
By
Date
El
Gas Piping (4125)
Mechanical Rough -in (4165)
n
Floor Sheathing (4105)
Approved to install flooring
Approved
Approved to release test
By
Date
By
Date
By
Date
El
or to scheduling a Framing inspection;
Interim Erosion Control (4370)[Fire/Draft
Fire/Draft Stops (4095)
Approved
Approved
cal, Plumbing & Mechanical Rough -in and
Stop inspections must be signed -off and
By
Date
By
Date
approved. IBC 109.3.4
Gypsum Wallboard Nailing (4130)
Insulation (4150)
Framing (4120)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
/` pate �
By
Date
By
Date_j
0
E]
Final - Planning (4070)
Final - Fire Department (4060)
Suspended Ceiling Grid (4265)
Approved to drop tile
Approved
Approved
By
Date
By
Date
By
Date
E]
Final - Building (4050)
Final - Mechanical (4065)
Final Erosion Control (4375)
Approved
Approved
,
By
Date
By
Date
By
/Approved
,�/ Date
El
Rough Electrical
Approved
E]
Final Electrical
ApprovedApproved
11Right
of Way
By
Date
By
Date
By
Date
CITY ar P Fj M I T SF MF CO E EL PL DE EN FP
Federal ��1Q
COMMUNITY
253 835-2607• FAX 253 8 5E209 h AT I O N
l[•u•tv.'�ry�blr�•llCftlGU1��Lc041
PROPERTY
SITE ADDRESS
34520 16th Qenue South
SUITE/UNIT # ZONING ASSESSOR'S TAX/PARCEL #
PROJECT
NAME OF PROJECT
(Tenant or Homeowner Name) Walmart #(3794 - Sea o d
G ❑PLUMBING MECHANi
TYPE OF PERMIT ❑DEMOLITION ❑ ELECTRIGAL ❑ GINEERING ❑ FIRE PREVENTION
Remove existing service seafood cases and replace with
PROJECT DESCRIPTION a self service refrigerated case and frozen reach -in
Detailed description of work to
be included on this permit only door case.
I certify under penalty of perjury that I am the property owner or authorized agent of the property oioner. l cert{jy that to the best
of my knowledge, the irtformation 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, st«te, 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 maybe made by any person, including the undersigned, and filed against the
city, but only where such claim arises out tlf the reliance of the city, including its q,(Jicers and employees, upon the accuracy of the
irtformation sup i . to the city as a art of this application.
SIGNATffial - DATE
PRINT NAME Mac elle TeYti Design Mgr. on behalf of Wal-Mart R, Business Trust
Bulletin #100 -January 1, 2010 Page 1 of 4 k:\Handouts\Permit Application
u
NAME
PRIMARY PHONE
PROPERTY OWNER
Wal-Mart R.E. Business Trust
(479)204 -3090
MAILING ADDRESS, CITY, STATE, ZIP
E-MAIL
2001 S.E. 10th Street, Bentonville, AR, 72712
machelle.terrill@wal-marts
OWNER IS ALSO:
❑ CONTRACTOR ❑ APPLICANT PROJECT CONTACT
NAME
PRIMARY PHONE
TBD
[ } -
MAILING ADDRESS, CITY, STATE, ZIP
FAX
CONTjtACT43R
WA STATE CONTRACTOR'S LICENSE #
ERPIIIATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
Raymond H. Harris Architect
(214 )749 -0626
APPLICANT
FAX
MAILING ADDRESS, CITY, STATE, ZIP
211 N. Record St., Ste. 222, Dallas, Tx, 75202
(214 )748 -0656
PROJECT CONTACT
NAME
PRIMARY PHONE
Joyce Landwehr, Project Administrator
(479 ) 267- 1817
(The individual to receive and
MAILING ADDRESS. CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
211 N. Record St., Ste. 222, Dallas, Tx, 75202
(479) 267- 1810
ALTERNATE CONTACT NAME:
PRIMARY PHONE
EMAIL
Missy Doherty
L(214 ,'749 - 0626
jlandwehr@rhaaia.com
PROJECT FINANCING
NAME
OWNER -FINANCED
Requiredfor projects with
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(RCW 19.27.095)
( -
I certify under penalty of perjury that I am the property owner or authorized agent of the property oioner. l cert{jy that to the best
of my knowledge, the irtformation 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, st«te, 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 maybe made by any person, including the undersigned, and filed against the
city, but only where such claim arises out tlf the reliance of the city, including its q,(Jicers and employees, upon the accuracy of the
irtformation sup i . to the city as a art of this application.
SIGNATffial - DATE
PRINT NAME Mac elle TeYti Design Mgr. on behalf of Wal-Mart R, Business Trust
Bulletin #100 -January 1, 2010 Page 1 of 4 k:\Handouts\Permit Application
u
14
4
CHANI ALF TU E
I �� 11IN
Value o Mechankxtl Work t C Y OF ATT; MUST I3E PTS ts"D1
Indicate number of each typeof fixture No be Install d or relocated as part of this project. Do not include exis[ nq ,fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS (MER (Describe)
FRE
IPLACEINSERTS HOODS c inj) 3x new refrig.
_ AIR CONDITIONER
BOILERS
FURNACES
HOT WATER TANKS )Gas)
cases
r COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING
FIXTURES
Indicate number of each type off lure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS )or1),b/sbowerC rnbo)
LAVS (Hand Sink,)
TOILETS
WATER PIPING
r DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
r DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS Ruiohen/Gumy)
WATER HEATERS (ei—mo)
_
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
FROJECT VALUATION FWATER PURVEYOR SEWER PURVrYOR VALUE OF EXISTING IMPROVEMENTS
.$40,000.00
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
XYes ❑ No ❑ Yes ❑ No
COVERED EM
DEG
G>E Q G RT 8
■xt,arxa snaneaau 'msec
Y
Type
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DEWREMON Area Occupancy Group(s) Construction # of Additional Information
in Square Feet 7,9ve Stories
TOTAL Bunmu G
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 -January 1, 2010 Page 2 of 4 k:\Handouts\Permit Application