11-104270' FiLE
CITY OF
Federal Way
December 14, 2011
Sherri Grueneis
Freiheit & Ho Architects
5209 Lake Washington Blvd NE, Suite 200
Kirkland, WA 98033
CITY HALL
33325 8th Avenue South
Mailing Address: PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www.cityoffederalway.com
Re: File #11-104270-00-PC, PREAPPLICATION CONFERENCE SUMMARY
McDonald's 320'h Remodel, 2302 South 320`h Street, Federal Way
Dear Ms. Grueneis:
Thank you for participating in the preapplication conference with the City of Federal Way's Development
Review Committee (DRC) held December 8, 2011. We hope that the information discussed at that
meeting was helpful in understanding the general requirements for your project as submitted.
This letter summarizes comments given to you at the meeting by the members of the DRC. The members
who reviewed your project and provided comments include staff from the City's Planning and Building
Divisions and Public Works Department, and representatives from Lakehaven Utility District and South
King Fire and Rescue. Some sections of the Federal Way Revised Code (FWRC) and relevant information
handouts are enclosed with this letter. Please be advised, this letter does not represent all applicable
codes. In preparing your formal application, please refer to the complete FWRC and other relevant codes
for all additional requirements that may apply to your project.
The key contact for your project is Matthew Herrera, 253-835-2638, matt.herrera@cityoffederalway.com.
For specific technical questions about your project, please contact the appropriate DRC representative as
listed below. Otherwise, any general questions about the preapplication and permitting process can be
referred to your key contact.
PROJECT DESCRIPTION
Applicant proposes to update exterior facade of existing McDonald's restaurant. Additional menu board
will be added to existing drive-thru lane.
MAJOR ISSUES
Outlined below is a summary of the major issues of your project based on the plans and information
submitted for preapplication review. These issues can change due to modifications and revisions in the
plans. These major issues only represent comments that the DRC consider most significant to your project
and do not include the majority of the comments provided. The major issues section is only provided as a
means to highlight critical requirements or issues. Please be sure to read the entire department comments
made in the next section of this letter.
Ms. Grueneis
Page 2
December 14, 2011
• Planning Division
One additional menu board will not intensify the restaurant's drive-thru nonconformity.
• Public Works Traffic Division
1. The existing right -in only driveway on South 32& Street could be modified to allow right -out.
2. A Concurrency permit is not required unless the project increases floor area or adds additional
drive-thru facility.
DEPARTMENT COMMENTS
Outlined below are the comments made by the representatives of each department present at the
preapplication conference. Each section should be read thoroughly. If you have questions, please contact
the representative listed for that section.
PLANNING DIVISION (Matthew Herrera, 253-835-2638, matt.herrera@cityoffederalway.com)
Zoning Designation and Use — The subject property is designated City Center -Core (CC-Q. The
fast-food's land use is "Entertainment" as defined by Federal Way Revised Code (FWRC)
19.255.040. Entertainment uses are permitted within the CC-C zoning district.
2. Use Application — The proposed exterior improvements to the existing restaurant are subject to
use process review pursuant to F)VRC 19.15.030 Review processes for improvements and
additions to developed sites. The improvements do not exceed thresholds set forth in FWRC
19.15.030(l) and are exempt from environmental review; therefore, a Process I Master Land Use
application will be required.
Process I is an administrative review conducted by city staff with a final decision issued by the
Director of Community and Economic Development. No public notice is required and a decision
is typically issued within two to four weeks of a complete application. The Process I decision
must be issued prior to the issuance of the associated building permit. Please see the enclosed
checklist for Process I submittal requirements.
3. Nonconforming Development — Fast food restaurants with drive-thru facilities are no longer
permitted within the CC-C zoning district. As a component of the exterior fagade upgrades, a
second menu board and customer order display (COD) has been added to the existing drive-thru
lane. The menu board and COD improvements do not intensify the existing nonconforming
aspect of the drive-thru and staff will allow the features as no new lanes are proposed.
Additionally, it appears the proposed improvements do not add gross floor area and do not exceed
50 percent of the assessed value of the existing building; therefore, the applicant will not be
required to bring the subject property into conformance with regard to zoning regulations such as
Community Design Guidelines, parking, landscaping, etc.
Meeting Follow -Up — Work that is considered tenant improvement (internal) or normal
maintenance (ADA compliance) will not be included in the 50 percent calculation for determining
nonconforming development_ Unless required by the Building Division, there is no need to obtain
separate permits for internal vs. external improvements to comply with the 50 percent threshold,-
11-104270 Doc ID. 59321
Ms. Grueneis
Page 3
December 14, 2011
instead, staff recommends you categorize proposed improvements as a component of the Process
I application for nonconforming development compliance.
It is at the applicant's discretion to use the assessed or appraised value when determining
existing improvement value. Any appraisal must be prepared by a state certified real estate
appraiser.
4. Signs —A sign permit for the new signage will be required. Please find the enclosed sign permit
application for submittal requirements.
Pursuant to FWRC 19.140.060(16), a total of two menu boards are allowed per site. Boards are
not to exceed 32 square feet per sign face with a maximum height of five feet. (A sign permit for
the new menu board is not required).
Meeting Follow- Up — Height of sign is determined by existing or proposed surface grade beneath
the sign, whichever is lowest_ It would be acceptable to lower the grade in order to meet the five-
foot height requirement.
It appears the former Director of Community Development allowed the menu boards sign face at
the South 348" location to be increased to 34 square feet, Current staff is unaware of the
circumstances that led to the decision and is unable to approve such a request at this time. Any
proposed menu board that is in excess of the allowed 32 square foot increase will require the
menu board to lose its exempt status and will count against the restaurant's overall sign
allowance.
5. Application Fees — Process I Master Land Use application fees are billed at an hourly rate.
Please contact the Permit Center at 253-835-2607 for updated land use, building, and sign permit
fees.
PUBLIC WORKS TRAFFIC DIVISION (Sarady Long, 253-835-2743,
sarady.long@cityoffederalway.com)
Transportation Concurrency Analysis (FWRC 19.90)
A concurrency permit is not required for this development project unless the project adds or increases
floor area.
Transportation Impact Fees (TIF) (FWRC 19.91)
Based on the submitted materials to remodel the existing restaurant by updating the exterior facades and
add a second order point, the project is not expected to pay traffic impact fees due to no increase in the
total floor area.
Street Frontage Improvements (FWRC 19.135)
It appears that this proposal would not meet the 25 percent threshold criteria for requiring street frontage
improvements as identified in the FWRC 19.135.030.
11-104270 Doc 1 D 59321
Ms. Grueneis
Page 4
December I4, 2011
Access Management (FWRC 19.135)
The existing right -in only driveway on South 320`h Street may be modified to allow right -out if adequate
sight distance exists. This would improve traffic circulation as currently there is only one way out of the
site and it's restricted to right -out only.
BUILDING DIVISION (Scott Sproul, 253-835-2633, scoff.sproul@cityoffederalway.com)
International Building Code (IBC), 2009 edition
Washington State Amendments WAC 51-50*
International Mechanical Code (IMC), 2009 edition
Washington State Amendments WAC 51-52*
Uniform Plumbing Code (UPC), 2009 edition
Washington State Amendments WAC 51-56 & WAC 51-57*
International Fire Code (IFC), 2009
Washington State Amendments* WAC 51 -54
National Electric Code (NEC), 2009 edition
Accessibility Code ]CC/ANSI All 7.1-2003
International Residential Code 2009
Washington State Amendments* WAC 51-51
Washington State Energy Code 2009 WAC 5 1 -11
Washington State Ventilation and Indoor Air Quality Code 2006 WAC 51-13*
*Current State Amendments are dated: 06/01/2010
** As of January 1, 2002, the State amendments now require arc -fault interrupters for 15-20 amp branch
circuits serving sleeping rooms in dwelling units (R-l's).
Building Criteria
Occupancy Classification: A-2
Type of Construction: V-B
Floor Area:
Number of Stories:
Fire Protection:
Wind/Seismic: Basic wind speed 85 Mph, Exposure_, 254 Snow load, Seismic Zone D-1
A complete building permit application and commercial checklist. (Additional copies of application and
checklists may be obtained on our web site at: www.cityoffederalway.com.)
11-104270 Doc ID 59321
Ms. Grueneis
Page 5
December 14, 2011
Submit five sets of drawings and specifications. Specifications shall include: Soils report
X Structural calculations Energy calculations _Ventilation calculations. Note: A Washington State
Registered architects stamp is required for additions/alterations (new or existing) of 4,000 gross floor area
or greater unless specifically listed as an "exempt" structure per the Revised Code of Washington (RCW).
Energy code compliance worksheets are required to be completed and included with your permit
application.
A wet stamp and signature is required on all sheets of plans and on the cover page of any calculations
submitted.
Federal Way reviews plans on a first in first out basis; however, there are some small projects with
inconsequential review requirements that may be reviewed out of order.
Review Timing
The first comment letter can be expected within two to five weeks of submittal date. Re -check of plans
will occur in one to three weeks after re -submittal.
Revised or resubmitted plans shall be provided in the same format, size, and amount as the originally
submitted plans. Revised/resubmitted drawings shall indicate by means of clouding or written response,
what changes have been made from the original drawings. Plans for all involved departments will be
forwarded from Community Development Services.
Federal Way has an expedited review process. Information is available at our front counter.
Other Permits & Inspections
Separate permits may be required for electrical, mechanical, plumbing, fire suppression systems, and
signs. Applicants may apply for separate permits at any time prior to commencement of construction.
When required, special inspections shall be performed by WABO approved agencies or by agencies
approved by the building official prior to permit issuance. Construction must be approved by all
reviewing departments prior to final building division inspection.
All concerned departments (Planning, Public Works, Electrical, Fire) must sign off before the Building
Department can final the structure for occupancy. Building final must be approved prior to the issuance of
a Certificate of Occupancy. The City of Federal Way does not issue temporary Certificate of
Occupancies.
All construction projects may be required to have a pre -construction conference. If a pre -con meeting is
required, all subs, the general or representative, the architect or representative, the engineer or
representative, electrical contractor and any other interested party, should attend this meeting. Meetings
will occur at the Building Department and will be scheduled by the inspector of record for the project.
Site -Specific Requirements
■ Building permit required.
Separate electrical permit required.
■ Accessible parking stalls shall be as close to building entrance as possible, and person shall not have
to cross drive aisle.
11-104270 Doc 1 D. 59321
Ms. Grueneis
Page 6
December 14, 2011
• For any outside night work, approval from the Community and Economic Development Director will
be required.
The information provided is based on limited plans and information. The comments provided are
not intended to be a complete plan review and further comments are possible at time of building
permit plan review.
CLOSING
This letter reflects the information provided at the preapplication meeting and is intended to assist you in
preparing plans and materials for formal application. We hope you found the comments useful to your
project. We have made every effort to identify major issues to eliminate surprises during the City's
review of the formal application. The completion of the preapplication process in the content of this letter
does not vest any future project application. Comments in this letter are only valid for one year as per
FWRC 19.40.070 (4).
As you know, this is a preliminary review only and does not take the place of the full review that will
follow submission of a formal application. Comments provided in this letter are based on preapplication
materials submitted.
Modifications and revisions to the project as presented for this preapplication may influence and modify
information regarding development requirements outlined above. In addition to this preapplication letter,
please examine the complete FWRC and other relevant codes carefully. Requirements that are found in
the codes that are not addressed in this letter are still required for your project.
If you have questions about an individual comment, please contact the appropriate department
representative noted above. Any general questions can be directed towards the key project contact,
Matthew Herrera, 253-835-2638. We look forward to working with you.
Sincere
Matthew Herrera
Associate Planner
enc_ Bulletin 003 `Master Land Use Application -
Bulletin 053 `Process I Development Requirements'
Bulletin 100 `Building Permit Application'
Bulletin 102 `Sign Permit Application'
c: Scott Sproul, Plans Examiner
Sarady Long, Senior Transportation Planning Engineer
11-1oa27o
Doc ] D 59321
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McDonald's Restaurant Arcade Conversion
2302S320t"St, Federal Way, WA
Pre -Application Conference
Project Narrative
Ho
P,Ifteiheit
I ciilcucks
RECEIVED
OCT 19 2011
CITY OF FEDERAL 1 INY
CDS
Currently, there is an existing McDonald's restaurant on this site, however, the building is old
and outdated. The objective of this remodel is to neutralize the mansard roof and update the
exterior materials on the building to provide a clean, modern look.
The proposed project includes an updated Restaurant exterior, minor modifications to the drive-
thru and new drive-thru signage. The proposed work will enhance the aesthetics of the building
and provide a more contemporary design. The exterior building design will neutralize the
existing mansard roof to provide new parapets. New accent walls will be added. These walls
will be finished with cast stone, providing dimensionality, texture and a change in color to the
building design. Aluminum canopies and wall fascia trim will be added. These will provide
visual interest and weather and sun protection at doors, windows and the drive-thru windows.
Finally, there will be new drive-thru signage, keeping the existing configuration, for a new look
that complements the proposed exterior changes to the building. The work will have no
significant adverse environmental impact on or beyond the site.
The orientation of the building will remain relative to S 320th St. The building will maintain the
existing relationship to the existing access with no change. There will be no change in use,
utilities or site lighting. Accessibility upgrades will be made to the site, dining, and restrooms.
Overall, the proposed changes to the existing McDonald's restaurant will provide an updated
building with a more contemporary design. The proposed changes meet the code criteria
explained below.
Development Standards
Chapter 19.115 Community Design Guidelines
19.115.050 Site Design — All Zoning Districts
1. General criteria
All landscaping, pedestrian areas, pedestrian access, and pedestrian oriented
features existing to remain.
2. Surface parking lots
Parking lot design existing to remain.
3. Parking structures
Not applicable.
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McDonald`s Restaurant Kemodel
10/19/11
Page 2
4. Pedestrian circulation and public spaces
All pedestrian circulation and public spaces to remain. The pedestrian route to
the public right-of-way will be updated to meet current ADA regulations. The new
accent walls will emphasize the main entrance.
5. Landscaping
All landscaping existing to remain.
6. Commercial service and institutional facilities.
Trash corral and loading areas existing to remain.
7. Miscellaneous Site Elements
All site lighting, drive-thru windows and stacking lanes existing to remain.
Additional menu board and customer order display are proposed to reduce
vehicle stacking.
19.115.060 Building Design —All Zoning Districts
1. General Criteria
Existing building location to remain.
2. Building facade modulation and screening options, defined.
a. Facade modulation
Facade modulation existing to remain. New accent walls provide more visual
interest.
b. Landscape screening.
Landscaping existing to remain.
c. Canopy or arcade.
New canopies will be added over all storefront doors and windows and along
drive-thru.
d. Pedestrian Plaza
All site elements existing to remain.
3. Building Articulation and Scale
b. Methods to articulate blank walls
Canopies will be added to all storefront windows and doors. Material variations
are provided through large stone accent walls on three facades, paint accent
striping at the drive-thru, an existing brick wainscot, a metal corrugated accent
band at the top of the new parapet, and a metal fascia band at the same height as
the canopies.
19.115.070 Building and Pedestrian Orientation —All Zoning Districts
1. Building and pedestrian orientation
All site design and building location existing to remain.
19.115.090 District Guidelines
3. City Center Core (CC-C) and City Center Frame (CC-F)
a. Parking lot location existing to remain.
b. Principal entrance facade existing to remain. New stone accent wall provided to
add more visibility to main building entrance.
c. New facade treatments added at principal facade including new stone accent
wall and canopies over storefront door and windows. Stone accent wall and new
canopy over existing storefront added to the existing secondary facade, facing
right-of-way.
d. Pedestrian pathways existing to remain.
e. Existing drive-thru location at rear of site, existing to remain.
f. Not applicable.
August 5, 2011
City of Federal Way
Issac Conlen
Planning Manager
3325 E. Ace Ave S
Federal Way, WA 98803
ATTN: Issac Conlen
RE: Proposed Drive-thru updates
Mr. Conlen:
N Frei hest & Ho
I architects
RECEIVED
0CY 19 't" i
CITY OF FEDERAL WAIF
CDS
Thank you for taking the time to review the proposal to remodel the existing McDonald's Restaurant
located at 2302 South 320th.
McDonald's is proposing to remodel the existing Restaurant to update the exterior fagade to a clean -lined
and contemporary aesthetic. With the exterior building remodel, the efficiency of the drive-thru is
proposed to be enhanced by the addition of a second order point within the existing drive-thru lane. The
existing drive-thru configuration will remain unchanged per the attached site plan. A second set of order
point signage consisting of a menu board and a customer order display will be installed one car length
behind the existing to accommodate two orders being placed at the same time.
This restaurant is located within the City Center Core Zone (CC-C) where drive-thru facilities are not
permitted. With the existing non -conforming drive-thru, McDonald's is requesting a review of the
proposed second order point signage prior to proceeding with the remodel, to ensure the use of the
drive-thru can remain.
Per discussions with city staff, existing non -conformances can be remodeled as long as there is no
increase to nonconformance. Per section 19.30.090 "Non -Conforming Development" in the City of Federal
Way Municipal Code, Section (F); if the value of the work proposed to the non-conformance is not
greater than 50% of the assessed or appraised value, the non-conformance can remain intact. As
designed, this remodel will value below this threshold.
McDonald's is requesting confirmation that the proposed remodel to the building and site as attached will
not adversely affect the maintained use of the drive-thru.
Please feel free to contact me to discuss further or with any questions.
Sincerely,
FRE HEIT & RCHITErCTS, INC., P.S.
Shern Grue�ei
Senior Project Architect
CC: File, BM
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FREIHEIT 6 H0 ARCHITECTS, INC. P.S
CITY OF
Federal
November 23, 2011
Sherri Grueneis
Freiheit & Ho Architects Inc.
5209 Lake Washington Blvd NE, Suite 200
Kirkland, WA 98033
FILE
CITY HALL
33325 8th Avenue South
y Mailing Address: PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www.cityoffederalway.com
RE: File #11-104270-00-PC; PREAPPLICATION CONFERENCE RE -SCHEDULED
McDonald's 320'h Remodel, 2302 South 320tb Street, Federal Way
Dear Ms. Grueneis:
The Department of Community and Economic Development is in receipt of your preapplication
conference request. The application has been routed to members of the Development Review Committee
and a meeting with the project applicant has been re -scheduled as follows:
9:00 a.m. — Thursday, December 8, 2011
Hylebos. Conference Room
Federal Way City Hall, 2nd Floor
33325 81 Avenue South
Federal Way, WA 98003
We look forward to meeting with you. Please coordinate directly with anyone else you would like to
attend the meeting as this will be the only notice sent out by the department. If you have any questions
regarding the meeting, please contact me at 253-835-2638, or matt.hetrera@cityoffederalway.com.
Sincere ,
Matthew Herrera
Associate Planner
Doc. I.D. 59457
CITY OF
Ak Federal Way
November 10, 2011
Sherri Grueneis
Freiheit & Ho Architects Inc.
5209 Lake Washington Blvd NE, Suite 200
Kirkland, WA 98033
CITY HALL F'I'L .�
33325 8th Avenue South
Mailing Address: PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www.cityoffederalway.com
RE: File #11-104270-00-PC; PREAPPLICATION CONFERENCE RE -SCHEDULED
McDonald's 320`h Remodel, 2302 South 320`h Street, Federal Way
Dear Ms. Grueneis:
The Department of Community and Economic Development is in receipt of your preapplication
conference request. The application has been routed to members of the Development Review Committee
and a meeting with the project applicant has been re -scheduled as follows:
9:00 a.m. — Thursday, December 1, 2011
Hylebos Conference Room
Federal Way City Hall, 2"d Floor
33325 8"' Avenue South
Federal Way, WA 98003
We look forward to meeting with you. Please coordinate directly with anyone else you would like to
attend the meeting as this will be the only notice sent out by the department. If you have any questions
regarding the meeting, please contact me at 253-835-2638, or matt.herrera@cityoffederalway.com.
Sincere[
X5Z
4Z_
Matthew Herrera
Associate Planner
Doc. I.D. 59457
Pi L , " E-4
CITY OF
L Federal Way
October 25, 2011
Sherri Grueneis
Freiheit & Ho Architects Inc.
5209 Lake Washington Blvd NE, Suite 200
Bellevue, WA 98004
CITY HALL
33325 8th Avenue South
Mailing Address: PO Box 9718
Federal Way, WA 98063-9718
(253) 835-7000
www. cityoffederalway. com
RE: File #11-104270-00-PC; PREAPPLICATION CONFERENCE SCHEDULED
McDonald's 320'h Remodel, 2302 South 320`h Street, Federal Way
Dear Ms. Grueneis:
The Department of Community and Economic Development is in receipt of your preapplication
conference request. The application has been routed to members of the Development Review Committee
and a meeting with the project applicant has been scheduled as follows:
9:00 a.m. — Thursday, November 10, 2011
Hylebos Conference Room
Federal Way City Hall, 2❑d Floor
33325 81h Avenue South
Federal Way, WA 98003
We look forward to meeting with you. Please coordinate directly with anyone else you would like to
attend the meeting as this will be the only notice sent out by the department. If you have any questions
regarding the meeting, please contact me at 253-835-2638, or matt.herrera@cityoffederalway.com.
Sincerely, 1�
Matthew Herrera
Associate Planner
Doc, LD. 59320
CITY OF FEDERAL WAY
DEPARTMENT OF COMMUNITY DEVELOPMENT SERVICES
DEVELOPMENT REVIEW COMMITTEE TRANSMITTAL
DATE:
TO:
FROM:
FOR DRCMTG. ON.•
FILE NUMBER(s):
RELATED FILE NOS.:
PROJECT NAME:
PROJECT ADDRESS,
ZONING DISTRICT. -
October 25, 2011
Ann Dower, Senior Engineering Plans Reviewer
• Development Services
• Traffic
Scott Sproul, Assistant Building Official
Brian Asbury, Lakehaven Utility District
Chris Ingham, South King Fire & Rescue
Matt Herrera, Associate Planner
November 3, 2011- Internal
November 10, 9:00am - with applicant
11-104270-00-PC
None
MCDONALD's 320t' Remodel
2302 S 320TH ST
CC-C
PROJECT DESCRIPTION: Remodel to existing restaurant to provide updated exterior facades and the
addition of a second order point, including signage, at the existing drive-thru
lane.
LAND USE PERMITS: Preapplication
PROJECT CONTACT: FREMEIT & HO ARCHITECTS INC
SHERRI GRUENEIS
5209 LAKE WASHINGTON BLVD NE Suite200
MATERIALS SUBMITTED: Narrative, site plan, demo plan, floor plan, and elevations
RECEIVED
MASTER LAND USE APPLICATION
7!t
44s�� O C Iy 19 0 1 DEPARTMENT OF COMMUNITY DEVFL0PMENT SERVICES
33325 81h Avenue South
CITY OF Y QE FEDERAL WAY Federal Way, Fax
98835-6325
2609
Federal
� �! � � � 253-835-2607;Fax 253-835-2609
i�^.+1� CDS www.cit t}fr0dfiralwrti .V)
APPLICATION NO(S) _ I i - i 04Z ' '" -O Tv Date
Project Name �Ae- ONLQI!'S "� OL -
yM
Property Address/Location S-
Parcel Number(s) a 10 4 2�'L
Project Description n�L E15tj NG T �� �' ? AI
qxtrg,m NPO AVA T I D P O f\- fc:O N SA
PO I NT (!51 bWbo r,,- ) A,�- T+f-- 9� ( 5T7 NG DR�I lam- T W- A LfOF- '
r nar: r fULN 1
Type of Permit Required
_ Annexation
Binding Site Plan
Boundary Line Adjustment
Comp Plan/Rezone
Land Surface Modi f cation
Lot Line Elimination
A Preapplication Conference
Process I (Director's Approval)
_ Process II (Site Plan Review)
Process III (Project Approval)
_ Process IV (Hearing Examiner's Decision)
_ Process V (Quasi -Judicial Rezone)
Process VI
_ SEPA w/Project
_ SEPA Only
Shoreline: Variance/Conditional Use
Short Subdivision
Subdivision
Variance: Commercial/Residential
Required Information ))
Lei(ayl �' '60�Zoning Designation
C( &T - 60W Comprehensive Plan Designation
6Z-7 �-- Value of Existing Improvements
WO �- Value of Proposed Improvements
Inteniational Building Code (IBC):
{Occupancy Type
g Construction Type
Bulletin #003 —January 1, 2011
Applicant
Name: 1 Rul f i M WAKTErs, I PC- F5 f�I - ir-0 rs (u}
City/State:
Zip: g803
Phone: �Z,S 27 ZI D 0
Fax: . CpVl1
Email: G"eWS fit'�t'G
Signature: f' T- y tfo A6aw&F,15t 100 i9
Agent (if different than Applicant)
Name:
Address:
City/State:
Zip:
Phone:
Fax:
Email:
Signature:
Owner
Name, [r �)i (A6A, !_.1 /
Address: 17,1; - jJ3` he pl�+ W)03
Ciiylstate:
Zip: q
Phone:
Fax: 21# 2 - Z4gQ
Email:
Page 1 of 1
k:\Handouts\Master Land Use Application
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ELEVATIONS
PRELIMINARY DESIGN FOR
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