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11-101803FederjMCEIVEF. PER1VIIT CON Ml,NITY DEVELOPMENT SERVICES APPLICATION 2.53-83.5-2607• FAX 253-835-26099V rli.i•ili_'_'l"'.:'._� err A �r.rr7 n 1 lA NV 'SO 3 MF CO ME PL DE EN FP am to, ( S /I SITE ADD)ZS I SUITE/UNIT # PRO]ECT VALUA ION La !) ZONING ASSESSOR'S TAX/PARCEL # TYPE OF PERMIT jell BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) ��������T% t�f" ��� �U� ��r•C,��� PROJECT DESCRIPTION Detailed description of work to /"� // be included on this permit only PROPERTY OWNER NAME - - ehH��Izl—c ylm�A- 11-9/Y/, PPJMIARY PHONE _ X&AO(I&M /Y`1J�LIX ALR-C, Ch'L� i/�// / WM STATF- ZIP (� NAME ,� / n PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # NAME 4 ` .�L+T�[N�'T 1� /LV r�r/I� /— Z— / 6C PHONE �T L�� I �7z✓® APPLICANT KAIyPG ADD SS zmll S� !/ PROJECT CONTACT NAMEL N/L {E� /IX/ S�J PHONE ���_���I L� (The individual to receive and respond to all correspondence MAILVI `� 5�' " fC concerning this application) AI R�NATE CONTACT NAME. -DOAIA-9d PHONE 739 PROJECT FINANCING NAME _ ,A / /� � OWNER -FINANCED Required value of $5, 000 or more (RCW 19.27.095) 1C � / j MAILING ADDRESS, CITY, STATE, ZIP PHONE 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 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 dgf'anse of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such cl rLsea out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to heyty as a part of this application. SIGNATURE: DATE PRINT NAME: © , V �T Y �L� 4 r 012 Bulletin #100 — April 14, 2010 Page 1 of 3 k:\Handouts\Peraut Application I flkC6;r&mc woRl $ 11 (a copy of btd or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) _ AIR CONDITIONER FIREPLACE INSERTS HOODS (Commerciei) BOILERS FURNACES HOT WATER TANKS (G-) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how marzy of each type BATHTUBS (or Tub/Shower Combo) DISHWASHERS DRAINS DRINKING FOUNTAINS HOSE BIBBS rfvture to be installed orreloa LAYS (Hand Sims) RAINWATER SYSTEMS SHOWERS SINKS (Kitchen/Utility) SUMPS as part of this project Do not include existing fixtures to remain TOILETS WATER PIPING URINALS OTHER (Describe) VACUUM BREAKERS WATER HEATERS (Electric) WASHING MACHINES NEWMANN >.: SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS CRITICAL AREAS ON PROPERTY? WATERPURVEYOR EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No AREA DESCRIPTION I in 3ztArea uare Feet I Occupancy Groups) ADDITION Construction I # of I Additional Information T vve Stories Area Construction # of AREA DESCRIPTION in Scuare Feet Occupancy Group(s) Type Stories Additional Information TENANT AREA ONLY Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Permit Application QICC- HERS 3 � gyp) p �gd9 FINAL INSPECTION REQUIRED UPON COMPLETION OF WORD 2� �'P•au iI7� ��1t �l�1JAG�c, C1O11• t) Exit signs shall be Illuminated at all times- To ensure continued illumination for a duration of not less than 90 minutes in case of primary power loss, the sign illumination means shall be connected to FILE an emergency power system provided from storage CITY OF FEDERAL WAY batteries, unit equipment or an on -site generator (IBC 1011.5.3). DEPT. OF COMMUNITY DEVELOPMENT The means of egress, including the exit PERMIT #: 1 1-101803-00-CO 35509 21 st Avenue SW discharge, shall be illuminated at all times the building space served by the ADDRESS: PROJECT: Establish Occupony/Use means of egress is occupied (IBC JERSEYS SPORTS BAR 1006.1). DATE: 5/11 /11 IICCIANSI Al17.1 -2003 404.2.6 Door Hardware. Harjdles, _ r� r) .. -r7 A PnOV1] 6 -�� ----` pulls, latches, locks, and other operable parts on accessible doors shall have a shape that is easy to grasp with one hand and does not require tight grasping, pinching, or, twisting of the wrist to operate. Such hardware shall be 34 inches (865 mm) minimum and 48 inches (1220 mm) maximum above Separate permits for new or the floor or ground. Where sliding doors are in the fully open altered electrical work required. a position, operating hardware shall be exposed and usable f ED from both sides. EXCEPTION: Locks used only for security11)��V purposes and not used for normal operation are permitted in any location. 1 V11 MA`I CM OF FCDs�L W AS —Building - Commercial City of Federal Way Community Development Services Permit #:` 11-101803-00-CO P.O. Box 9718 Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: JERSEY'S SPORTS BAR Project Address: 35509 21ST AVE SW Parcel Number: 252103 9002 Project Description: ADD - Installation of 32'x16' (512 sq ft) fenced area for outdoor service in the back of the existing bar, to establish use and occupancy of outdoor seating area. Owner Applicant Contractor Lender GLEN & PATTI'S FEDERAL WAY NEAL NILSEN NILSEN FAMILY LLC PO BOX 8164 4515 44TH ST NE PO BOX 23011 TACOMA WA 98418 TACOMA WA 98422 FEDERAL WAY WA 98093 Census Category: 437 - Commercial alt / add / conversion Includes: 41 #2 #3 #4 Occupancy Class: A-2 Construction Type- Type V - B Occu anc Load: Floor Area (sq. ft.) 1 512 0 0 0 Additional 0ermit Information' New / Additional Sq. Feet - 1 st Floor ................ 512 Mechanical to be Included? .................................. No Permit for Building Shell Only? ............................ No New / Additional Sq. Feet - Total ......................... Existing Sprinkler System in Building? .............. No Number of Stories..................................................1 Plumbing to be Included? ..................................... No 512 Occupancy # 1 -Use ............................................... Tavern/Bar XW" No Fixtures Associated With This Permit !! PERMIT EXPIRES Wednesday, November /,111 Permit Issued on Friday, May 13, 2011 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 in accordance with the laws, rules and regulations of the State of Washington and t* City of Federal Way. Owner or agent: Date: L- ( 3- I 1/ 6?9a 90 2og 'THIS CARD IS TO REMAIN ON -SITE Cfflf OF Construction IL ection Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 11-101803-00-CO Address: 35509 21 STAVE SW Project: GLEN & PATTI'S FEDERAL WAY FEDERAL WAY, WA 98023 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. El 1+,00tings/Setback (41 Approved to place concrete By Date Final - Building (4050) Approved Byy Date > ,` Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 Framing (4I21 Approved to insulate By Date Rough Electrical Final Electrical Right of Way Approved 1:1Approved 1:1Approved By Date By Date By Date