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16-100013Demolition City & FedEcon. al Dev. y Permit #: 16 -100013 -00 -DE Community& ECon. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: 253 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 p q Project Name: CAFE RIO MEXICAN GRILL Project Address: 1700 S 320TH ST Parcel Number: 092104 9208 Project Description: DEMO - Demolition and removal of existing bank down to slab. Owner Applicant Contractor DAVID GOULD WILL SCOTT BOYCE CONSTRUCTION INC CAFE RIO MEXICAN GRILL 10 NINE DESIGN GROUP BOYCECI066QQ (1/21/16) 215 N ADMIRAL BYRD RD SUITE 100 801 LAS VEGAS BLVD SUITE 150 628 S BRANDON ST SALT LAKE CITY UT 84116 LAS VEGAS NV 89101 SEATTLE WA 98108 Additional Permit Information , Demolition Valuation.............................................28000 CONDITIONS: Erosion and Sediment Control Measures shall be installed and maintained in accordance with the King County Surface Water Manual, Appendix C or D, dependent on site size. The City may inspect and require additional controls dependent on erosion or risk of erosion. Upon completion of operations, all disturbed areas shall be stabilized in accordance with the King County Surface Water Manual, Appendix C or D, dependent on site size. This can be accomplished by spreading seed at manufacturer's recommended rate and straw at a rate of 2" - 3" thick or alternate method listed in the manual. PERMIT EXPIRES Sunday, January 28, 2018 Permit Issued on Friday, January 29, 2016 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 accordanp"ith the laws, rules and regulations of the State of Washington . theme' City of Federal Way. Owner or agent: ,�r �°'Date:ZZ F114A &ED CITY*OF Federal Way PERMIT #: Project: THIS CARD IS TO MAIN ON-SITE - Construction In ection Record INSPECTION REQUE TS: (253) 835-3050 16 -100013 -00 -DE Address: 1700 S 320TH ST DAVID GOULD FEDERAL WAY, WA 98003 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. Final Erosion Control (4375) Final - Building (4050) Approved Approved By f::>06_Date By Date SWM Precon Site Mtg (4400) E] Initial Erosion Control (4365) El Interim Erosion Control (4370) Approved To be done prior to breaking ground By Approved By Date By'�>"v' Date 1091,5 By Date Final Erosion Control (4375) Final - Building (4050) Approved Approved By f::>06_Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date a Federal Way OECEIVED PERM IT4kPPLICATION JAN 2 9 2016 M. OF FEDERAL. WAY � PERMIT NUMBER ' _ 1 10 0 US) -3 _ + z TARGET DATE SITE ADDRESS SUITE/UNIT # 1700 South 320th Street, Federal Way, WA PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ co -c 0 9 2. 1 0 4 _ 9 2 0 8_ TYPE OF PERMIT ® BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Cafe Rio Mexican Grill Demolition / Renovation of existing bank building. New Restaurant - Fast Food PROJECT DESCRIPTION Detailed description of work to be included on this permit only PROPERTY OWNER NAME Cafe Rio Mexican Grill / Terry Loock Const. Manager PRIMARY PHONE 801-441-5010 MAILING ADDRESS E-MAIL 215 N. Admiral Byrd Road, Suite 100 tloock@caferio.com CITY Salt Lake City STATE UT ZIP 84116 NAME PHONE Q . C C MAILING AbDRESS r, Z '5 J � E-MAIL CONTRACTOR LY -1 CITY STAT/ pp /E�� ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME Will Scott / 10Nine Design Group PRIMARY PHONE 801-518-3849 APPLICANT MAILING ADDRESS 801 Las Vegas Blvd. #150 E-MAIL wscottt?10nine.com CITY Las Vegas STATE NV ZIP89101 FAX NAME Will Scott/ 10Nine Design Group PRIMARY PHONE 801-518-3849 PROJECT CONTACT MAILING ADtaS Vegas Blvd. #150 E-MAIL (The individual to receive and respond to all correspondence wscott@10nine.com CITY STATE ZIP FAX concerning this application) Las Vegas NV 89101 PROJECT FINANCING NAME © OWNER -FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) 1 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 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, 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 im), which may be made by any person, including the undersigned, and filed against the city, but only where such clai ri out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied he city art of this application. SIGNATURE: DATE PRINT NAME: Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application MECHANICAL PERMIT CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL RK 92,000 (incl. i 00k valuation) Indicate horn many o e t e o ixture to be installed or relocated as o this ro ect. Do not include existi res to remai 4 AIR HANDLING ITS 6 FANS GAS PIPE OUTLETS OTHER (Describ ON ONER FIREPLACE INSERTS 3 HOODS (Cem —iad) OTHER scribe) S io�RPRESSORS FURNACES HOT WATER TANKS ica % GAS LOG SETS 3 REFRIGERATION T G FOUNTAINS DUCTING 1 GAS PIPIN WOODSTOV SUMPS PLUMBING P IT40,000 CRITICAL AREAS ON PROPERTY? WATER PURVEYOR ALUEOFPLUMBING WORK (incl. in 500k valuatio Indicate ho!W-4-ny of each t74pe of fixture to be installe or relocated as Irt of this project. not include existinq fixtures to re In. BS (.,Tub/Sh.—,C—bo� LAYS iea s;,,ks� TOIIN r t WATER PIPIN SHERS RAI TER SYSTEMS �— URI OTHER scribe) Z S WERS VACKERS 2 G FOUNTAINS INKS (Fetchen/UtiGry� W S (Ei—c id BBS SUMPS ASHING MACHINES 25 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR - VALUE OF EXISTING IMPROVEMENTS NIA L (Alp $ -7 EXISTING/PREVIOUS USE LOT( SIZE (In Square Feet( EXISTING FIRE SPRINELER SYSTEM? ❑ Yes ❑-o PROPOSED FIRE SUP79ESSION SYSTEM? s ❑ No ky Bulletin #100 - January 1, 2013 Page 2 of 3 k:\Handouts\Permit Application 0 COMMUNITY DEVELOPMENT DEPARTMENT 333258 1h Avenue South Federal Way, WA 98003-6325 4% !TY OF .r 253-835-2607; Fax 253-835-2609 'wFederal Way DEMOLITION PERMIT REQUIREMENTS A demolition permit is required to remove any structure on a subject property. Demolition of separate structures may require separate permits. I ' Address of Demolition: Prior to submitting a demolition permit, the following items must be signed by the respective agency or their approvals attached. Items not applicable to your project should be marked N/A. 'Cf A completed Construction Permit Application form is also required. 1. ASBESTOS ABATEMENT (Provide copy of Notice oflntentfrom Puget Sound Clean Air Agency and coW of inspection reort b�AHE ertified inspector) N U • (City of Federal Way Building Official) • 2. FUEL STORAGE TANKS ❑ Under grade tank(s) is/are present ❑ Above grade tank(s) are present ❑ Tank(s) has been pumped or removed under South King Fire & Rescue permit prior to any dismantling or excavation S. ELECTRICITY 5o Z-7 3 Z 8 Z 7 X31 ( rg) (Puget Sound Energy) 6. GAS SUPPLY I A (Puget Sound Energy) N I A C ? (South King Fire and Rescue) 7. WATER - P blit 41urce (Water Supplier) 3. SEPTIC SYSTEM 1 v I A S. WATER - Private Well (King County Environmental Services) I A (King County Environmental Services) 4. SANITARY SEWER N A (Ldkehaven Utility District) Bulletin #122 — May 13, 2015 Page I of I k:\Handouts\Demolition Pennit Requirements C Approved Transaction Page 1 of I pscleanair.org Puget Sound Clean Air Agemy Notification Case #: 201600348 This page must be printed. A printout of the notification, all amendments to the notification, and the asbestos survey shall be available for Inspection at all times at the asbestos project or demolition site (Reg til, 4.03(a)(6)). Fee Amount Paid $725.00 Credit Card Transaction # AL1FDO4938C9 Transaction Date 01/20/16 owner's flame Harsch Properties Phone (503) 975-5489 Project Street Address 1700 S. 320th St City Fetleral Way, WA Zip 98003 Contact Person Lindy Goodiing Phone (503) 975-5489 Mailing Address This project includes asbestos removal. Project Size linear feet / 6750 square feet Project Start Date 01/30/16 Completion Date 02/15/16 Asbestos will be removed by a licensed asbestos abatement contractor Contractor ECO Environmental Services, Inc. Contractor lob # EC16002 Contact Don Yamamoto Phone (253) 299-8744 Mailing Address 711 W. Titus St. Kent, WA 98032 This project Includes a demolition. Demolition Start Date 02/15/16 Completion Date 03/15/16 Demolition will be completed by a demolition contractor Demo Contractor NorthSKar CG, LP Contractor lob # Contact Ameni Moss Phone (425) 881-0623 Mailing Address 8160 304th Ave SE Issaquah, WA 98027 (1) I certify that the Information I have provided Is to the best of my knowledge true and accurate. (2)1 understand that I must file an Amendment to this Notification If: • The type of project has changed. The project types are asbestos and demolition. • The quantity of friable asbestos to be removed meets a larger project category. • The project's start or completion date has changed. (3) I understand one Notification must be filed for each structure. The only exception is for a single-family residence that includes multiple ancillary structures, such as a detached garage or other outbuildings having the same street address. If there is no street address, I have used a building number. (4) I understand the fees for this Notification are nonrefundable. If you have questions, contact us at asbestos*pscieanair.org or 206.689.4058. haps://secure.pscleanair.org/Asbestos/Approved.aspx - _ REJ#VD PERMIT PPLICATION Federal Way FEB 0 3 2016 CM, OF FEDERALWAY Fs,3 1PERMIT NUMBER _1 Q � _ TARGET DATE SITE ADDRESS SUITE/UNIT # 1700 South 320th Street PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL # $ 7,426 2 0 2 1 0 4 .9 0 7 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING B FIRE PREVENTION NAME OF PROJECT Cafe Rio PSACW L1 1�"' PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Cafe Rio MAILING ADDRESS E-MAIL CITY STATE ZIP NAME Zeus Fire & Security, LLC PHONE 253-445-6561 MAILING ADDRESS 14706 Meridian Ave E, #12 E-MAIL kris@zeusfireandsecurity.com CONTRACTOR CITY Puyallup STATE WA ZIP 98375 FAX 253-845-4083 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # ZEUSFFS861R4 12 24 x.016 NAME PRIMARY PHONE same as contractor APPLICANT MAILING ADDRESS EMAIL CITY STATE ZIP FAX NAME PRIMARY PHONE PROJECT CONTACT Kristopher Conner 253-306-3899 MAILING ADDRESS 14706 Meridian Ave E, #12 E-MAIL kris@zeusfireandsecurity.com (The individual to receive and respond to all correspondence CITY STATE ZIP Puyallup WA 98375 FAX 253-845-4083 concerning this application) PROJECT FINANCING NAME E:] OWNER -FINANCED Required value of $5, 000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW ]9.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federat 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 arises out of the reliance of the city, including Its officers and employees, upon the accuracy of the information supplied to the city as a part�Oqf this application. SIGNATURE: Z�/�DATE 2/3/2016 PRINT NAME: Kristopher Conner Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Handouts\Permit Application