21-101868_Building Permit App_05.11.2021_V1PERMIT NUMBER
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter((i,,,cityoffe.deralway.com
F11T_1TFT4V1_k_T1M
SITE ADDRESS
SUITE/UNIT #
2031 SW Campus Drive
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 200,000
BC
2 4 2 1 0 3 9 1 0 2
TYPE OF PERMIT
N BUILDING IN PLUMBING 1:1 MECHANICAL El DEMOLITION El ENGINEERING El FIRE PREVENTION
NAME OF PROJECT
Taco Bell 313287win Lakes'
Remove exterior signs and prep walls/ pole for new signs per jurisdiction code, retain circuits in all
PROJECT DESCRIPTION
situations. Repair existing building facade and prep for new finish. Remove and replace interior dining
Detailed description of work to
filmiture nrder counter, menu boards and signage with new Remove existing,9nd rf-nlq(-f- interior
finishes with new. Remove and replace existing lighting in dining areas. Remove and replace restroom
be included on this permit only
fixtules,
NAME PRIMARY PHONE
Northwest Restaurants Inc. (206) 851-5095
PROPERTY OWNER
MAILING ADDRESS E-MAIL
18815 139th Ave NE, Ste C fboII(,!,,nri-inc_com
CITY
STATE
ZIP
Woodinville
WA
98072
NAME PHONE
Kugel Construction (360) 740-4305
MAILING ADDRESS E-MAIL
CONTRACTOR
1722 Bishop Rd adam.kugelC,kugelconstmetion.com
CITY
STATE
ZIP FAX
Chehalis
WA
98532
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE UBI #
KUGEI,C*971D4
3 2_3 602618277
NAME PRIMARY PHONE
Dimensions, Inc (425) 827-9293
APPLICANT
MAILING ADDRESS E-MAIL
19730 64th Ave W. Ste 201 dimenisons(adimensionsarch.com
CITY
STATE
ZIP FAX
Lynnwood
WA
98036
NAME PRIMARY PHONE
PROJECT CONTACT
Jeremy Smith (425) 827-9293
(The individual to receive and
respond to all correspondence
MAILING ADDRESS E-MAIL
19730 64th Ave W, Ste 201 jsmilth(crdimensionsarch.com
CITY
STATE
ZIP FAX
concerning this application)
Lynnwood
WA
98036
PROJECT FINANCING
NAME OWNER -FINANCED
When value is $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.
Ifurther 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 of this application.
SIGNATURE: -DATE 5/10/2021
PRINT NAME: Mike Perry
Bulletin #100 — February 19, 2020 Page 1 of 2 kAHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type Qffixture to be installed or relocated as part of this pMj'ect. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (c...j.1)
BOILERS FURNACES HOT WATER TANKS (G—)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ 15,000
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (- Tb/Sh— combo)
LAVS (Hand sinus)
2 — TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
1 URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
5 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
No
Lakehaven
Lakehaven
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
r] Yes X No
11 1 Yes x No
Fast Food Restaurant
12,526
COMMERCIAL - NEWADDITION
AREA DESCRIPTION
Area in
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
Type
Stories
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
0
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
Bulletin #100 - February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application