04-103439 (2)Fderal W-'04 103439 00 - CO -
ityeDevelopmaeny t services Building - Commercial PernA #:.,'Ji
,9718
Nay, WA 98063-9718
� R15-7000 Fax: (253) 835-2609 Inspection request line: (253) 835-3050
---J- - - - - ---- - - --- . - - - - -
Project Address: 650 SW CAMPUS DR Parcel Number: 192104 9051
Project Description: TI - Replace existing concession w/Subway, including partition walls, walk-in cooler, walk-in freezer,
mop, vegetable and hand sinks, & 2 drains for pop machine & front counter. This permit INCLUDES
mechanical and plumbing. A second, separate mechanical p
Owner Applicant Contractor Lender
KING COUNTY (PARKS& RECREF AQUATIC CENTER SUBWAY LLC BEVAN CONSTRUCTION *DAVID EDLOLEASING
500 A KING COUNTY AD BLD 2148 SW 336TH ST BEVANC*121QT 1/22/06 428A MAIN ST
SEATTLE WA FEDERAL WAY WA 98023 BEVAN CONSTRUCTION WINDERMERE FL 34786
198 104 J L 19312 SKINNER RD
Includes:
Census category: 437 - Comm #1 #2 #3 #4
-b—esc--r'
:ion Syst,
.E C11111L 1JJUGU V11 AJ, --
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 Way.
Owner or agent: Date:
City of Federal
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 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 Cjjy staff.,
Tenant Name: KING COUNTY AQUATIC CENTER SUBWAY Permit number: 04 - 103439 - 00
Address: 650 SW CAMPUS
#4
B Occupancy Group_
I-F
Construction Type:Type l-F
-'&7.pa—nTy Load.
--
Floor Area (Sq. Ft.): ------------ r13277
Owner KING COUNTY (PARKS & RECREATION DEPT) *KING COUNTY
Name: 500 A KING COUNTY AD BLD
Address: SEATTLE WA
98104
Building Official Date
the priority focus in the review and inspection made by the City prior to issuance pf 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.
CUT
Federal Warr' , .. [ � ` ~ .y,,
t ERMIT SF
commuRP1Y ....iIE1 f N S Y10E3
33325 8M AVENUE SOUTH • Pa BOX 9718 ,$4 ,; P` D
FEDERAL WAY, WA 98063-9718
253-835-2607• FAX 253-835-2609 -
r axuc eir rele tatctntera.cLICATION
ram. C)s. F'ED �..si.�`?�. 1,'V'
SITE ADDRESS-o C A SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page f . lengthy regal awe Pcaa1
a m I,
TYPE OF PERMIT 15/BUILDING EePL ING EI/MEC CAI.
l3/' DEMOLITION E (ELECTRICAL E-ENGINEERING 1g'/FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
�-00U- C-001� eodc.(191,a A 7H_ re e I-rlf
PRO E (Name of Business or Owner Last Name) 6T Q d^ -( I G LG� TC�
PROPERTY NAME PRIMARY PHGNE
OWNER �-(Ac
MAILINGADDRESS -- CITY, STATE, ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
s
LING ADDDR. C . STATE, ZIP .-^— CELL PHONE
" ( ( ( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION 'T FAX NUMBER
m. B L
FONTRACTORa REGIS� Tif}N NUMBER( P5 of card x�g,�.taea£ +�1t]a �a�k apPAi�wti�p�... EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
AgvA71c CG--yj7ar3 [LA4M ,r}-I. I ( )
MAILING ADDRESS -- CITY, STATE, ZIP CELL PHONE -
a(4 Sv) 3U-t4 S-i L w '1 km 19013 (3-06 ) T79 - o5 o9
RELATIONSHIP TO PROJECT ^: :. FAX NUMBER
❑ Architect �fenant ❑ Agent ❑ Other (Bes ofP414) -
LENDER
EXISTING -• •i ■ USE
EXISTINGASSESSED/APPRAISED VALUE OF •i•Oi W•-
SPRINKLERED BUILDING? 0 YES F1 NO FUZE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES [I N*
WATER SERVICE PROVIDER0 LAKERAVEN ■ HIGHLINE 1 TACOMA 0 s
Indicate number of each type of fixture to be installed or relocated as part of this project=. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
_ REFRIG. SYSTEMS
BBQS
..'FANS
HOODS (Co_erciat)
_ WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
_ GAS PIPE OUTLETS
PLUMBINGBATHTUBS (®rT b1She rCm bol
SHOWERS
WATER CLOSETS (r.ue)
FOUNTAINS
MISO (Describe)
DISHWASHERS
SINKS
DRINKING
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
i �Qrv!�A w4L
WASHING MACHINES
URINALS
HOSE BIRDS
_
LAVS alfl oom StA%s
VACUUM BREAKERS
ELECTMC WATER HEATER
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 supplied to the city as a part of
this application. W64 N E/TITLE DAIS
(Signaturcj
(Title(
LATIONSIP TO PROJECT Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
/SEPA/SU? ❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED? ❑
❑ NO
Bulletin #100 —March 30, 2004
Page 2 of 4 L-Viandouts — P-evised\Permit Application