06-102717i=y of Development
s BuiI�,>E - C rex 1 Permit #: 06 -102717 -00 -CO
Corrinunity Development Services
P.O. Box 9718
Federal Way, VVA 98063-9718 t
Ph: 1253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: ARCO AM/PM FACILI'T`Y NO 5363
Project Address: 27202 PACIFIC HWY S
P'y J
a
Parcel Number: 332204 9076
Project Description: TI - Interior remodel, new walls, finishes, cabinets, and floors. Includes plumbing &
mechanical.
Owner
Applicant
Contractor
Lender
BP WEST COAST PRODUCTS LL
DAVID CARROLL
EVERGREEN ENVRNMENTAL
BP WEST COAST PRODUCTS LL
6 CENTERPOINTE DR
BARGHAUSEN CONSULTING
SVCS INC
6 CENTERPOINTE DR
LA PALMA CA 90523-2503
18215 72ND AVE S
EVERGES061J5 (1/14/08)
LA PALMA CA 90623-2503
KENT WA 98032
17108 9TH AVE SE
MILL CREEK WA 98012
Census Category: 137 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
45
Floor Areas . ft.
2,497 0 0 0
Additional Permit Information
Building Pre -con. Meeting Required? .................. No Existing Sprinkler System in Building? ...... ..... .... No
Mechanical to be Included?...................................Yes Number of Stcries................................... .............. .1
Pe, iuit for Building Shell Only? ............................ No Plumbing to be Included? ........................ .............. Yes
Spec.al Inspection(s) Required? ........................... No New / Additional Sq. Feet - Total— ............ ........... 0
Occupancy #1-Usz.................................. .......Market/Grocery
Mechanical Fixtures
Fans...... ................................. 1 Hoods............................................. 1
Plumbing Fixtures
Lavatories ...................................... 1 Sinks.................. ......... 1
..................
PERMIT EXPIRES Saturday, December 19, 2009
Permit Issued on Wednesday, December 19, 2007
I hereby certify that the above information is correct and that the construction on the above described oroperty and
the occupancy and the use will be in co an 'th the laws, rules and regulations of the State of Washington
d the C' f Federal Way.
Owrer or agent: Date:/.) 2.—(2�2
City, of -Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that
at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City _staff.
Tenant Name: ARCO AM/PM FACILITY NO 5363 Permit #: 06 -102717 -00 -CO
Address: 27202 PACIFIC HWY S
Includes:
#1 #2 #3 #4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
45
Floor Area (sq. ft.)
2,497 0 0 0
Owner Name:
Owner Address: 6 CENTERPOINTE DR
LA PALMA CA 90623-2503
Building Official
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a
review and inspection as is reasonably possible (within budgetary time and personnel limitations), the City neither guarantees nor
warrants to the owner/ occupant or to any other person that this Certificate evidences strict compliance with each and every
ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and / or occupant of the premises.
THIS CARD IS TO REMAIN ON-SITE
}
CI of �..� Community Development Inspeetiou record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 3050
PERMIT #: 06 -102717 -00 -CO
Owner:
Address: 27202 PACIFIC HWY S
FEDERAL WAY, WA 98003-6998
This card is part of your required inspection documents. 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.
❑ Footings/Setback (4110) ❑ Re -steel (4215) ❑ Plumbing Groundwork (4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By Date
❑ Slab/Concrete Floor (4255) ❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
❑ Rough Plumbing (4230) ❑ Mechanical Rough -in (4165) ❑ Gas Piping (4125)
Approved Approved Approved to release test
By Date By Date By Date
❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) z ❑ Framing (4120)
Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate
Rough -in and Fire/Draft Stop inspections must be
By Date signed -off and approved. IBC 109.3.4/UBC 108.5.4
By _, Date
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud & tape Approved to drop tile
By Date B ��.`; Date �` � By (z, ` Date,2-Qt_
❑ Final - Fire Department (4060) ❑ Final - Planning (4070) ❑ Final - Mechanical (4065)
Approved Approved Approved
By �R ""'" Date !E� By Date By Date
❑ Final - Plumbing (4075) [] Final - Building (4050)
Approved Approved
By Date S By L_j/1-� Dated
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Q - Date _ 2�� By Date
CITY OF A U 1, Lam,( i l
I \I I 1I. ..).
Federal way
PERMIT
coArAlrJNMr i)E 4 .OnIENT SER VlCE3
1J � \
CITY, STATE, ZIP
3889a DER, -E: AY, WATFr • Ptl 9718
FEDERAL WAY, WA 98063-9718
APPLICATION
253.8.95.2GA7• Fyt7.:13.835.26
zcc s c^ A
mluul.clf rtlrraluxl .auy OF F'leL7
hlVI ,
UILINQ C?):
The followirtu is ftQuPrred iIJr}fdrmation
-- an incomplete application will not be
SITE ADDRESS 21 Z a
ASSESSOR'S TAX/PARCEL # 3 ) —12- Z 0. 4- a 0- T L
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (ATI p—A
(Alfach separate page for lengthy legal description)
PROJECT• •
SF MF C EL PL DE EN FP
C� 1 /0c
ted. Please print 1e04blu fin ink) or type.
SUITE/UNIT #
LOT SIZE (sf • L�J� 5 5 •
TYPE OF PERMIT BUILDING Oi�PLUMBING 2rMECHANICAL
❑ DEMOLITION ]-ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
1 r v n -h s viaK s nw vyl e�k
u.wl
PROJEgT NAME. (Name of Business or Owner Last Nalne) � ✓ "`
PROPERTY
o R
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
OFFICE PHONE
(s]-rgS
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLI NT NAME
b ve
OFFICE PHONE
MAILING AO
A, SC
CITY, ATE, 21P
ti If L Lda 5 c)iz
CLL PHONE
tilo- 7J'y =/-Z y o
CITY O FEDE L W6Y H SINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
zcc s c^ A
(t.[� t7- rf -0-7
(�Y' ) 797.
COO•NT�R/A(CTO(R''S RZQISTRATZ*N >i R J
C.� V C.., 1\ E- � I V
TT/IO NA]A��TIS
1/7 l `� l]
E-MAIL ADDRESS P
� . ees f ATt9.LSY
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELA7 A RIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( _
NAM>'�ju ! V 0 h l e ( �� t �- ISI y E-MAFLADt)MS
j/ -- -
M6 Per RCW 19.2.7.098t
Lender trlformattan is required if prajact value exceeds $5,000
MAILING ADDRESS CITY, STATE, ZIP PHONE
r i _
4
EXISTING USE as
PROPOSED USE C
EXISTING ASSESSED/APPRAISED VALUE $- ��
VALUE OF PROPOSED WORK $
Oda
SPRINKLERED BUILDING?
❑ YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?
❑ YES 4NO
WATER SERVICE PROVIDER
�LAKEHAVEN❑ HIGHLINE
LiTACOMA ElPRIVATE (WELL)
SEWER SERVICE PROVIDER
LAKEILAVEN ❑ HIGHLINE
❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
Sq. FT.
TOTAL
SQ. FT.
BASEMENT
MISC (Describe)
GAS WATER HEATERS
Ctmv'C )(/)A Wn
FIRST
rx,4 vo k—
WATER CLOSETS nmieU
( MiSC [Describe)
SECOND
RAINWATER SYST
❑ NO
THIRD
❑ YES ❑ NO
ELECTRIC WATER HEATERS
❑ NO
FOURTH
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING PROPOSED
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED fir
TOTAL 6r
"NEWHOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type gf'j;dure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
ME, CHAllilC.A T, � �(� ••�i V
Value of Mechanical Work $ I 1
AIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS FANS
BOILERS FIREPLACE INSERTS
COMPRESSORS FURNACES
DUCTS GAS PIPE OUTLETS
PLEMMING
BATHTUBS (or Tub/510 erConbo) SHOWERS
DISHWASHERS SINKS
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS
LAVS ftflunaitl Stnksl VACUUM BREAKERS
GAS LOGS
REFRIG. SYSTEMS
J HOODS
WOODSTOVES
RANGES
MISC (Describe)
GAS WATER HEATERS
Ctmv'C )(/)A Wn
BUILDING SHELL ONLY?
rx,4 vo k—
WATER CLOSETS nmieU
( MiSC [Describe)
DRINKING FOUNTAINS
RAINWATER SYST
❑ NO
HOSE BIBBS
❑ YES ❑ NO
ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the Wormatfon 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 the permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim (including costs, expenses. and attorneys' fees incurred in the inuestigatiorn and defense of
such claim), which a made by any p n, including the undersigned, and filed against the City of Federal Way. but only where such claim
arises out pf the r ane of the city. inc Fhg
ifs officers and employees, upon the accuracy of the infarmation supplied to the city o.s a part of
this application. ,
NAME/TITLE
RELATIONSHIP TO PROJECT
Vial1c)
Owner „Agent ❑ Contractor ❑ Architect ❑
5/s//off
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑ YES
❑ NO
Bulletin #100 —January 1, 2006 Page 2 of 4 k\Handouts\Pennit Application
..........
ELECTRICAL PERMIT INFORMATION I
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL INDDSTRIAL. SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 IV- $107.50; Each add'n 500 ft2 - $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101 - 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 - 600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601 - 800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
0 401 - 600 amp 198.50 99.00
ALTERED COMMERCTAf./1TiDII_BTRWi.
❑ 601 - 800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/AWLTI FAD1MY
❑ 201 - 600 amp 272.00
L f W601 - 1000 amp 410.00
Service or Feeder
U ❑over 1000 amp 456.50
Ll 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
❑ # of circuits to be added/altered
❑ over 600 amp 218.50
P-5 circuits - $91.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERCIAL. INDUSTRIAL PLAN REVIEW
(1-4 circuits -$71.50; Add'n circuits $7.00/ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $63.00
❑ # of service or feeders
(First service/feeder-$71.50; each add'n -$46.50)
Commercial/industrial Service or Feeder Ampacity
❑ 0 - 100 amps $ 71.50
❑ 101 - 200 amps 91.50
❑ 201 - 400 amps 107.50
❑ 401 - 600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$53.50; add'n-$16.50/ea)
(First sign -$53.50; add'n sign $25.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $107.50
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops .................... $71.50
❑ Security Alarm System
❑ Additional Plan Review $107.50/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
❑ Automation Fee on all Permits $5.00
El
(Per System(s) 1st 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) `Per WAC 296-46-910(5)(b)(i & ii)
Bulletin #100 -January 1, 2006 Page 3 of 4 k\Handouts\Permit Application