03-103962Ci,q offederal Way
Community Development Services Building - Commercial Permit #:03 - 103962 - 00 - CO
33530 Is[ Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
Project Name: HOME USA
Project Address: 2030 S 314TH ST Parcel Number: 092104 9053
Project Description: TI - Demo walls, new suite demising wall, sawcut new roll -up loading door installed. Accessible entry
way with new store front doors. No Mechanical or Plumbing on permit
Owner
Applicant
Contractor
Lender
ROSEN PROPERTIES
CONNELL DESIGN GROUP
DAVIS SCHUELLER, INC.
NONE
ROSEN PROPERTIES
CONNELL DESIGN GROUP
1715 114TF1 AVE SE UNIT 212
22000 64TH AVE W UNIT 2F
DAVIS SCHUELLER, INC.
BELLEVUE WA 98004
MOUNTLAKE TERRACE WA 9804
2122 164TH ST SW
NONE
lncludes:
Census category: 437 - Comm
•csupancy Groslp:
�Construction Type:
Om4panCy
CFloor Area t;�q. Ft.1:
#1
#2
#3
#4
M
Type V - N
311
Building Pre -con. Meeting Required ..................
No
Census Category .................................................
437 - Commercial alt/add
Fire Sprinklers .................................................
Yes
Mechanical ....................... ___ ... ........ ._.......
No
Number of Stories ................................................
I
Permit for Building Shell Only ............................
No
Permit for Foundation Oulv.............. ... ........No
Plumbing.................... ..
No
Sr.eeial hspe_tion Required ................................ No
Will Certificate of Occupancy be Issued? ......
...... Yes
CONDITIONS:
All new and refaced signs require a separate sign application and review. (FWCC, Sec. 22-335(g)(6))
PERMIT EXPIRES March 27, 2004.
Permit issued on September 29, 2003
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 WI.,
Owner or agent:Date:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: HOME USA
Address: 2030 S 314TH
Permit number: 03 - 103962 - 00
#1
#2
#3
#4
Occupancy Group: M
Construction Type: Type V - N
Occupancy Load: 311
Floor Area (Sq. Ft.):
Owner ROSEN PROPERTIES
Name: ROSEN PROPERTIES
Address: 1715 114TH AVE SE UNIT 212
BELLEVUE WA 98004
Building Official
Date
The priorityfocus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely
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 ofsaid structure or the land upon which it is
situated. Such compliance is the responsibility of the owner and/or occupant of the premises.
POST THIS CARD ON THE FRONT OF BUILDITT-,
Cirr pf
Federal Way BUILDING DIVISION
7 INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 03-103962-00-CO
OWNER'S NAME: ROSEN PROPERTIES
SITE ADDRESS: 2030 S 314TH
O FOOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
O DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
() UNDERFLOOR FRAMING
(; ROUGH PLUMBING: DW`✓ Water piping
O ROUGH MECHANICAL Gas piping
() SHEt.'CHING Roof Floor
() SHEAR WALLS
O ELECTRICAL ROUGH -IN Ditch Cover _
() FIRE/DRAFTSTCPS
ALL THE i1BOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING 1 �03
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHE; TROCKING
() INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
O WALLBOARD NAILING loe4 Y O SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
() PLANNING FINAL.
O PUBLIC WORKS FINAL
() FIRE FINAL
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
O BUILDING FINAL 1 dJ s
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
JV D � .
Ul
m
ON
CONSTRI,..TION PERMIT APPLICATION
RECEIVES PPLICATION NUMBER: --
PPLICATION NUMBER:-
AUG 2 6 2003 PPLICATION NUMBER: - -
*laffew rook t&� t � information — Please print (in ink) or type**
BLIILE)20, EPEP c����
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PRopiewry INFORMATION
SITE ADDRESS: 2Q.40 SL)O// 31Yr// S.-rQX,7' ASSESSOR'S TAX/PARCEL #:
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): %�/
TYPE OF PROJECT (This application): ® BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): 7),r/�AO ,4 . /�i .1oQ/ gV1 Demlj IN&
WA d - . 5A ►,v G v r NE v►/ 6. --11P koAP11v& p e o g 11V S-rA A, D . ACCr,.`.S % et
rAf i-e Y Iwo' , &Tlz Iy,c w STD,ee -eo.yr lnyPll-'e,
PROJECT NAME: rI't G3'Qf RM ZA 1igl e Vj"A,
PROPERTY OWNER: NAME: DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
CONTRACTOR: I NAME: 7-4P
MAILING ADDRESS (SIRELI ADDRESS; CITY, SIAIL, ZIP):
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
CONTRACTOR'S REGISTRATION NUMBER:
(copy of card required)
APPLICANT: NAME:
MAILING ADDRESS (STREET ADDRESS-
CITvFY, STATE, ZIP),:
/10.)a .y Tjy A. W�r Sv/T67
RELATIONSHIP TO PROJECT:
ARCHITECT ❑ TENANT ❑ OTHER ( DESCRIBE):
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ® APPLICANT ❑ CONTRACTOR
DAYTIME PHONE:
( )
EVENING PHONE:
( )
FAX NUMBER:
EXPIRATION DATE
/
DAYTIME PHONE:
ovzL j ) .K e
EVENING PHONE:
(,Zo6) 35y - -7100
FAX NUMBER:
(Yz5) -7711- 02 7
E-MAIL 4DDRES5:
EXISTING USE: !� EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ r
PROPOSED USE: 7S PROPOSED VALUATION FOR IMPROVEMENTS: $ L} 6)0
SPRINKLERED BUILDING? & YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER:
SEWER SERVICE PROVIDER:
❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
**NEW RESID&ENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: :F
■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
BASEMENT
FIRST
/ 7�
G �(
f 7
`
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC. ( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
BATHTUB(S)
DISHWASHER(S)
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
INTERCEPTOR(S)
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
SHOWER(S)
SINK(S)
SUMP(S)
URINALS)
VACUUM BREAKER(S)
WASH MACHINE OUTLET
WATER CLOSET(S)
WATER HEATER(S)
❑ ELECTRIC ❑ GAS
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 information s pplied to the city as a part of this application. Q
NAME/TITLE: DATE: r Z ! — ��
❑ PROPERTY OMNEff ®"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
CnMMI UNITY DFVFI OPM ENT SERVICES • 33S30 FIRST WAY SOUTH • P.O. BOX 9718 • FEDERAL WAY, WA 98063-9718 - 2S3-661-4000 • FAX: 253-661-4129
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building, mechanical, and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION
FEE FACTOR
(1) $1.00 to $500.00
(1) $24.25
(2) $501-00 to $2,000.00
(2) $24.25 for the first $500.00 plus S3.2iliwnachaefn6jidAal
Slip/) or fraction thereof, to and including $2,000,00
(3) $2,001.00 to $25,000.00
(3) $71.46 for the first $2,000.00 plus SfS00ldr ae 'klkvralSl.O7.Q{Jor
fraction thereof, to and including
$25,000.00
(4) $25,001.00 to $50,000.00
(4) $403.61 for the first $25,000.00 plus $1D.82Ioreaxh addrlra+
1;<%S -QO or fraction thereof, to and including
$50,000.00.
(5) $50,001.00 to $100,000.00
(5) $664.35 for the first $50,000.00 Plus
or fraction thereof, to and including
$100,000.00.
(6) $100,001.00 to $500,000.00
(6) $1,025.55 for the first $100,000.00 plus fGDDfarrarh JdU47ie�2LSL02W,
or fraction thereof, to and including
$500,000.00
(7) $500,001.00 to $1,000,000.00
(7) $3,337.23 for the fist $500,000.00 plus $509kv— Wh,x
t&W SI.W..00 or fraction thereof, to and including
$1, 000, 000.00.
(8) $1,000,001.00 and up
(8) $5,788.23 for the first $1,000,000.00 plus W1 Apr a&l or fraction thereof.
Bold number is the base fee for the specified increment
r t Le, underlined number is the fee der additional anecired
Increment
PLUS: Add 65 percent of the base building permit fee for plan review tee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District #39 surcharge, commercial only.
Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above.
** Electrical, plumbing, and mechanical fees are calculated separately **
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee: (4
Estimated Plan Review Fee:
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number:
Estimated Permit Fee:
Estimated Plan Review Fee:
(a) Base Fee:
(b) Additional Increment Fee;
(a) Base Fee:
(b) Additional Increment Fee:
_ ■ FIRE PREVENTION SYSTEM
(a) Base Fee:
(b) Additional Increment Fee:
r
Base Fee Number of Fixtures
$21.00 + { X $7.00/fixture} _ _ (8) Estimated Permit Fee
Estimated Permit Fee
X .65 = (9) Estimated Plan Review Fee
Miscellaneous Fixture Charge: (10)
Sllh Total (P... nn.): I in(,(-,)(1)+(7)+('I)+(4)-4-(5)+(6)+(7)+(8)+(9)+(10) - (11)
TABLE B
NEW RESIDENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Single Family
Service or feeder only ........,...
$44.25
_ # of Thermostats first-$33.50; add'n-$ I0,50ca)
_
(First 1300 1`12-$67.00; Each add'n 500 ft'-$21 S0)
_ Service and feeder ...............................
$72.25
# of Low voltage fire or burglar alarms
Square Fcct:
First 2500 li2-$38.75; Each add'n 2500 ft'-$10.50
Each outbuilding or garage ...........................
$28.00
MOBILE HOME/RV PARK
Square Feet:
(Inspected %with service)
# of service or feeders
' Per WAC 296-46-910(5)(b)(i K ii)
_ Each outbuilding or garage................. _.........
$44.25
(First service/fecdcr-$44.25, Add'n service/
_ # of Signs (First signA33.50; add'n sign
(Inspected separately)
fecdcr-$28 each)
$16.00 each)
_ Progress inspection per hr ...............$33.50
_ Swimming pool. hot tub, spa_ ...............67.00
Yard Pole meter loops ...........................4425
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service
Feeder
Amps Service or
Add'n
_ 0 to 200.... .................. ............ :....... :.,..$ 72.25
_ Up to 200 amp ............... $ 72.25.................
$ 21.50
Feeder
_ 201 -600 .............................................. 169.00
_ 201 - 400 amp .................. 89.75....................
44.25
0 to 100..................... .....$ 72.25........
$ 44.25
601 - 1000............................................254.50
_ 401 - 600 amp ................ 123.25....................
61.50
_ 101 -200 .......................... 89.75...........
56.25
over 1000....:................... ...................... 282.75
_ 601 - 800 amp ................ 158,00 ....................
84.25
_ 201 - 400........................ 169.00...........
67.00
_ # of circuits
Over 800 am ... 225.25.................
_ p----..........
169.00
401 - 600......................, 197,00...........
78.75
(1-5 circuits-$5625; Add'n circuits. $5 ea)
ALTERED SINGLE/MULTI FAMILY
_ 601 - 800.......................1 254.50.........
107.25
(When inspected separately from the services-)
_ 801 - 1000...................... 310.75.........
129.75
Temporary Service
Service or Feeder
-Over 1000:........ ........... :., 339.00,........
181.00
_ 0 to 60..................................................S38.75
_ 0 to 200 amp.. ....:.:.......:...::.......:....:.............
$ 61.50
_ Over 600 volts surcharge......................
56.25
61 - 100........... ,........ ............ _............. 44.25
_ 201 - 600 amp.... ......... -------
4.4 89.75
_ Mast or meter repair.,....,.....,.................
61.50
_ 101 -200 .......... .......... * .........
_ over 600 amp ............. -.. ... 4............. ..............
135.25
_ 201 - 400................................................67.00
_ Mast or meter repair........... ............
33.50
_ 401 - 6004....4.............. 89.75
_ # of circuits
, over 600... ............ 44 ............................ 9 7.7 5
(14 circuits-$44.25; Add'n circuits $5 ea)
.. aa., . 11 - 6- w.1- ..,.... .. vv uiuii, - IF-.. rw 13 1�4 - I - u jo-W& VI IICI III It ICC Ta.W. L J. AUII I pli&I ICYtC1Y IUI 4AI Cr ]UUI I I ISSIQnS i5 a I.VU/nr,
FIXTURE DESCRIPTION A
FIXTURE FEE FROM TABLE B B
NUMBER OF UNITS
TOTAL D
TOTAL COLUMN D :
Total Column (D)
Estimated Permit Fee: (1
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25 +
X .35 = (13)
I ■ DENOLMON
Estimated Permit Fee: (1
Bond Amount: (15)
Estimated Permit Fee: (16)
Bond Amount: (17)
Mitigation Fee: (18)
■ OTHER FEES
(20) (22)
SBCC Surcharge: (19) (21)
TOtal (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) =
Bulletin #100 -January 3, 2001