00-105809Cot�o`f tyDevelop eitServices Building fC ommercial Permit #:00 -105809 - 0+
33530 1st Way S
Federal Way, WA 98003-6210 Inspection request line: 253.6
Ph: 253.661.4000 Fax: 253.661.4129
(3:30pm cut-off for next day ins
Project Name: ARCO
Project Address: 27202 PACIFIC HWY S Parcel Number: 332204 076
Project Description: COMMERCIAL ALTERATION - Install a 18" tall metal parapet along ther #line of the existing
convenience store. .0
Owner
Applicant
Contractor ft Lender
ATLANTIC RICHFIELD COMPAN
ARCO AM/PM MART
MADISON INDUSTRIES [N NM
Occupant Load:
27202 PACIFIC HWY S
MADISII164NH (4/01/00)
FEDERAL WAY WA 98003
MADISON IN INC.
Building Pre -con. Meeting Required...................No
1900 E 64TH ST NONE
Includes
Census category: 437 - Comm
Occupancy Group:
Construction Type:
Occupant Load:
Floor Area (Sq. Ft.):
Building Pre -con. Meeting Required...................No
Fire Sprinklers .................................................
No
Number of Stories................................................1
Plumbing.................................................
No
Sensitive Areas? .................................................
No
Process I fees due before building permit
PERMIT
I hereby certify that a i latioh is
the occupancy and a in a�e'�corda
the City of FAral
Owner or alae /e
#1
#3
qu
#4
CSsus,rategory... .. 437 - Commercial alt/add
ech nical..... ........... No
eFlnit for it he No
l�iil CeniGc •cupancy be Issued? ............ No
Zoning Desigt .............................. BC
I
co ITX
t
Y e , 2001, IF NO WORK IS STARTED.
t s on December 15, 2000
ect\athat the construction on the above described property and
%rs, rules and regulations of the State of Washington and
'�,� Date:
C"VD" M CONSTRUC1 WN PERMIT APPLICATION
'APPLICATION NUMBER:
APPLICATION NUMBER: - _ _ _ -
A `rf,� APPLICATION NUMBER:
**Thelowing is regQ)r_W ormation -Please print (in ink) or type**
FL- U •.�� p� .
Please note: Electrical, "$,ko' 14 Ktems and Engineering permits may require a separate application.
PROPERTY• •
SITE ADDRESS: G7ZVZ G�Gi�! P4z6&. 45, • ASSESSOR'S TAX/PARCEL #: �7 �7 2 Z
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT (This application): BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): [1J�l C l_ 0' ��L1 M�"4�,VAQW-.,-r
1 �
ti
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ALIDRE55; CITY, STATE, ZIP):
NAME:
� i4lev
DAYTIME PHONE:
( ) -
MAILING ADDRESS (SIRE AD RES ; CITY, STATE, ZIP):
EVENING PHONE:
)
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE:
NAME:
DAYTIME PHONE:
5
MAILING DRESS { EET ADDRESS; CITY, STATE, ZIP):
PHONE:
�I • Y �f' hr '
{'EVENING
)
FAX NUMBER:
EIATIONS IP TO PROJECT:
❑ ARCHITECT ❑ TENANT )(OTHER ( DESCRIBE):
LAZ'�? )h I j
Z
E-MAIL
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER %,APPLICANT ❑ CONTRACTOR
EXISTING USE:4'
PROPOSED USE:
SPRINKLERED BUILDING?
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $,
7 YES ❑ NO
4[LLAKEHAVEN
LAKEHAVEN
PROPOSED VALUATION FOR IMPROVEMENTS: $
FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES ❑ NO
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
"NEW RESIDENTIAL CONSTRUCTION ONLY"
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
1
GARAGE
HOW MANY FLOORS?
TOTAL:
FIXTURES
Indicate number of each type of fixture
MECHANICAL
1 AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC. { )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING
i
N 1 BATHTUB(S) LAVATORY(S) u _ URINAL(S) 1 WATER HEATER(S)
I DISHWASHERS) RAIN WATER SYS , t VACUUM BREAKER(S) ❑ EL1£CTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( }
INTERCEPTOR(S) SUMP(S)
7TSC1_AIMFR/SIGNATURE BLC
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 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
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 employees, upon the accuracy
of the informatio ppl' o the ity as a pa of this application.
NAME/TITLE: DATE: ) ) 7
❑ PROPERTY OtVNER /Y APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY-
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES ❑ NO
..... ..... .
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO _
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO _
COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 • 253-661-4000 • FAX: 253-661-4129