19-100489City of Federal Way
Community Development Dept.
33325 Sth Ave s
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: WALMART - VEHICLE CHARGE STATION
Project Address: 34520 16TH AVE S
Building - Commercial
Permit #:19-100489-00-CO
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9010
Project Description: ADD - Installation of electric vehicle charging station, electrical equipment screening - 8 foot
Trex Composite fence and (1) pedestrian light pole & fixture. No Plumbing or Mechanical.
Owner
Applicant
Contractor
Lender
WAL MART REAL EST BUS TRST
CHRISTINA SUAREZBLACK &
ENVIROSPARK ENERGY SLTNS
CHRISTINA SUAREZBLACK &
2001 SE I OTH ST
VEATCH
INC
VEATCH
5885 MEADOWS DR SUITE 700
3333 PIEDMONT RD NE SUITE 205(
5885 MEADOWS DR SUITE 700
BENTONVILLE AR 72712
LAKE OS WEGO OR 97035
ATLANTA GA 30305
LAKE OSWEGO OR 97035
USA
Census Category: 437 - Commercial alt / add /inversion
Includes:
#1
42 N.,
43
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.)
Nor 1 ■
Additia I Permit InfarmaNk,
�
Mechanical to be Included? ....... ................... I——..... No Phillibing V;11utltion:'............... ___ ................ 0
Mechanical Work Valuation? .................................. 0 Number of Stories................................................... I
Is this an Online or O.T.C. applicat Permit for Building Shell Only? ............................. No
Plumbing to be Included? ..............
Total Valuation: 25,000.00
004r94%,bNo Fixtures Ass t*d With This Permit !!
PERMIT EXPIRES Wednesday, 6 November, 2019
Permit Issued on Friday, May 10, 2019
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
THIS CAR l) IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION ItEQUE TS: (253) 835-3050
PERMIT #: 19 100489 00
Address: 34520 16TH AVE S
Project: WAL MART
REAL EST BUS TRST FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on -situ. 1)0 NOT LOSE 11I1S CARD. Inspections are listed as close to sequential r rdcr as possible
Work not be covered until it is approved. Check with your inspector if
(read left to right, top to bottom). Please schedule
you are unsure about any of the inspections or the
inspections as appropriate. must
inspection sequence. On -going inspections are logged on the back of this card.
❑
Footings/Setback (4110)
® Foundation Wall (4115)
❑
Drainage/Downspout (4040)
Approved to place concrete
Approved to place concrete
Approved to backfill
By
Date
By Date
By
Date
❑
Re -steel (4215)
❑ Slab/Concrete Floor (4255)
Underfloor Framing (4285)
Approved to place concrete or grout
Approved to place concrete
Approved to sheath floor
By
Date
By Date 64 7
By
Date
❑
Floor Sheathing (4105)
❑ Shear Walls (4245)
❑
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;
El
Framing (4120)
Approved
Electrical, Plumbing &Mechanical Rough -in
Approved to insulate
and Fire/Draft Stop inspections must be signed-
off and approved. IBC ]09.3.4
By
Date
$ y
Date
❑
Insulation (4150)
ElGypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By Date
By
Date
El
Final - S K F & R (4060)
❑ Final - Planning
Final - Building (4050)
Approved
Approved
Approved
By
Date
By Date
By
Date
M — �X�EK 3K ` &)?,7
❑
By
Final Electrical
Approved
Date
❑
Right of Way
A p p ro `,_'d
Date
❑ Rough Electrical
Approved
By Date
DATE
INSPECTOR AREA AND TYPE 6F INSPECTION
A
J
RECEIVED
PERMIT APPLICATION
CITY OF JAN 3 0 2019
Federal WayCITY OF FEDEi'tA1_ WAY PERMIT CENTER t 33325 $°i Avenue South +Federal Way, WA 9$003-6325
253-835-2607 + FAX 253-835-2609 + permitcentelocityoffederalway.com
r*MVUNrfY DEVELOPMENT
PERMIT NUMBER ` _ I V n Ll — V
TARGET DATE
SUITE/UNIT #
SITE ADDRESS
345 20 74vlE�. SoUTI+ FEDL-
�� W
PROJECT VALUATION ZONING=X/PARCEL #
$ 2 5, goo 0 z 1 Q -�� l 0
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT V\f A 2 0O Zj I T::eV1,>vZA L- WA tl [ IN ALAA
PROJECT DESCRIPTION ����6-AL-
t_ `
Detailed description of work to
be included on this permit only yx l �,�
NAME
PROPERTY OWNER MAILING ADDRESS
CITY
- - - - NAME
MAILING ADDRESS I
CONTRACTOR
CITY hh
L
WA STATE CONTRACTOR'S LICENSE #
APPLICANT
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
MAILING ADDRESS
5S56
CITY
a
ADDRESS
K& M
STATE I ZIP
7�_r ff
STATE ZIP
EXPIRATION DATE
I I
�'Ul ITf
STATE ZiP
00
STATE Z1
()� -7 ��
PRIMARY PHONE
E-MAIL
PHONE
E-MAIL
FAX
FEDERAL WAY BUSINESS LICENSE #
FAX
FAX
--rn-725
PROJECT FINANCING NAMEELE
-CT
ElOWNER-FINANCED
When value is $5, 000 or more MAILING ADDRESS, CITY, STAT , ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized 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 certUy that I atilt 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, 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 es out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied tot ciV av a part of th ppltca on.
SIGNATURE: I]ATE�
PRINT NAME: _ S NCI
Bulletin #100 - January 29. 2016 Page 1 of 2 k:\Handouts\Permit ADDlication
MECHANICAL PERMIT
I
Indicate how mSM of each type of
Axture to be installed or relocated as
part of this project. Do not it
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (commeroiai)
BOILERS
FURNACES
HOT WATER TANKS (Gas)
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
PLUMBING PERMIT
Indicate how grant. ofeach iUpe of
future to be installed or relocated as
part ofihis project. Do not in
BATHTUBS (or Tub/ShoworCombo)
LAVS (Hand Sinks)
TOILETS
DISHWASHERS
RAINWATER SYSTEMS
URINALS
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility(
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR
VALUE OF MECHANICAL WORK
OTHER (Describe)
VALUE OF PLUMBING WORK
WATER PIPING
OTHER (Describe)
TOTAL FIXTURE:
SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Squaze Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL -NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
Area Totals EXISTING PROPOSED TOTAL
"NEW H01I S ONLY**
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
N£w BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT
IMPROVEMENTS
AREA DESCRIPTION
Area in
S uare Feet
Occupancy Group(s)
TOTAI, BUILDING
TENANT AREA ONLY
PROJECT A RrA ONLY
FOR OFFICE USE
Construction I # of Additional Information
T e Stories
Construction 1 # of I Additional Information
Type__ Stories
Rnlletin #i no-.Innnary 29 2ni 6 Pave 9 of? k•\Hanrlonta\Permit Annlientinn