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03-101001 • na City of Federal Way Community Development Services Building - Commercial Permit#:03 — 101001 — 00 — CO 33530 1st Way S —_-.._FederalWay,.WA 9S003di210-----------. .... __ PIt 23l..3..-rAl1u raa.na.wn.,ILy Iurpa'a aauU I vquewi Hite 293.835.3050 Project Name: JACK IN THE BOX Project Address: 2400 SW 336TH ST Parcel Number: 132103 9110 Project Description: NEW-Construct a 2,100 square foot building and occupy as a fast food restaurant with a drive-thru facility,per plan. Includes mechanical and plumbing work. Owner Applicant Contractor Lender JACK IN THE BOX*STEVE MONCI FREIHEIT&HO ARCHITECTS,INC MAGNUM ENTERPRISES GENERA JACK IN THE BOX*STEVE MONCU JACK IN THE BOX 10940 NE 33RD PL SUITE 202 MAGNUEG060JO 2/7/05 JACK IN THE BOX 8909 SW BARBUR BLVD SUITE 250 BELLEVUE WA 98004 2515 W WOODLAND DR 8909 SW BARBUR BLVD SUITE 250 PORTLAND OR 97219 ANAHEIM CA 92801 PORTLAND OR 97219 Includes: Census category: 327-New st #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 46 Floor Area(Sq,Ft.): 2100 1st Floor Proposed Sq.Feet 2100 Building Pre-con.Meeting Required Yes Census Category 327-New store and customer Fire Sprinklers No Mechanical Yes Number of Stories.. ..:... „,. Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required No Total Proposed Sq.Feet 2100 Will Certificate of Occupancy be Issued? Yes Sensitive Areas? No Zoning Designation BN Plumbing Fixtures �.b ,s 1.�w i i,soe.� „a a'W.. 3 �h�i�' �niZ�jfi. ig Drains 4 Gas Pipe Outlets I Lavatories 2 Dishwashers 1 L—Other Plumbing Fixtures 9 Water Heaters 1 Showers 1 Sinks 5 Urinals 1 Water Closets 2 Mechanical Fixtures ,;,� �__ �s�1y�-,^q�< ,.,ii�a�� .� ,yv3a,w u,;.yi,. �i� u��,�s .� .�„z� �D//�„✓D/�/�..� -'" �. �' � �.:, �.�.�9t� Ducts 18 Evaporative Coolers 2 Air Handling Units 1 Fans 4 Refrigeration Systems 2 Hoods —1 2 Ranges 1 CONDITIONS: No building shall encroach onto any building setback line or easement shown or not shown. This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. • 'y LA PERMIT EXPIRES September 9,200_. Permit issued on August 18,2003 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 srcordance with the laws,rules and regulations of the State of Washington and the City of Federal Wa . "& Owner or agent: - a... l Date: City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 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 City staff. Tenant Name: JACK IN THE BOX Permit number: 03- 101001 -00 Address: 2400 SW 336TH #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 46 Floor Area(Sq.Ft.): 2100 Owner JACK IN THE BOX*STEVE MONCUR* Name: JACK IN THE BOX Address: 8909 SW BARBUR BLVD SUITE 250 PORTLAND OR 97219 Building Official Date The priority focus in the review and inspection made by the City prior to issuance of 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 of said structure or the land upon which it is situated Such compliance is the responsibility of the owner and/or occupant of the premises. S . FOS''''"HIS CARD ON THE FRONT OF BUILDI-Tr' • • Federal WayBUILA,ING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 03-101001-00-CO OWNER'S NAME: JACK IN THE BOX *STEVE MONCUR* SITE ADDRESS: 2400 SW 336TH C) T PoaAt21f 6-p_oacrl Con- L- () FCOTINGS/SETBACKS #j j/ I/3 �7 () FOUNDATION WALL ( ) DRAINAGE: 1 __ ( ) Connectien 44 () TJ TDEP,FLOOi'. Q '- //q%. /Z.• - .v /► /� ( ) F.JUGH PLUMBING: DWV !®/7 1 Water piping /a/,1' ( ) :UCH MECHANICAL Gas piping__(._/J[,[L ( A'!' ::ING Roc Floor ^T:�:�AL ROUGI?-INCover. . .. _._ _Ditch., ''%!__'.FTST WS (7 F.'AMIN3/FIRESTOPPING /0 5 i7 • • () INSULATION: Floors (Q//5JF 4"Wa11s /05/93 in& Attic !10,5 TALLEOARD NAILING i 0.0(09 fvf- () SUSPENDED CEILING /i'/z/i - e () ELECTRICAL FINAL ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL () BUILDING FINAL / /3 40 c.� � �� ,�1 -7 tee, • . .. _ • INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION OW 1f -7/ hoop al61f;d1A 57db , r CIO/2,'3 9fl 1 ,4 Pl wool R-e h i 9( Or way 1 a n Po'Apit at ) Iw rite i yW /Qi/o� jJt i * 74 K t- r .Sear on so t*I Wes1 and # 511ar Pale )S a lecifica I*,Al l .: on. t Foil side e , R Oo1' 44►I v j comf,eIe 101043 7/I �� 45 P, 1 n -1''r ttl orlh will � P 1015/03 74. r'n Of K( 1 h 641li✓/PAS • to 10l6 elIC 1 a/t n /4, oh NA- . chtill T- erwr , i C CAT M eU efrt-- 141,01• io V A /ri va/ rid ah dal le/s o `� win 11 1441 •• )1- :pre- l A k dints ,60 s1/je/�3 ' p ech oii i ca I Gl,6d fe rri /Z-/8 `o - ' �/4.4 . F D1z 3 Gcam- rIIir1 ) 6i1.4 Permit No.; 03 101001 00-CO -- Site Address: 2400 SW 336th Street Project Name: Jack in the Box LIMITED ACCESS AGREEMENT A. Jack in the Box Inc., a Delaware corporation, ("Jack in the Box"), was granted permission under 03-101001-00-CO to construct a 2100 - square foot restaurant with drive-thru at 2400 SW 336th Street in the City of Federal Way("City"). B. The building shell has been constructed, but the restaurant with drive-thru is not substantially complete, nor suitable for occupancy, and conditions for issuance of a Certificate of Occupancy set forth in the Uniform Building Cock Section 109.1 cannot be met at this time. C. Due to the size of the restaurant with drive-thru, Jack in the Box desires to obtain access to the building interior for cleaning, organizing supplies, office set-up & filing, cooking food not to be consumed to test & calibrate the kitchen equipment and order systems, to allow for prompt opening of the restaurant with drive-thru upon issuance of a Certificate of Occupancy. D. In consideration of being allowed temporary access to the building interior prior to issuance of a Certificate of Occupancy,Jack in the Box hereby covenants and agrees as follows: AGREEMENT 1. Permission for Access. Effective upon the City's and Jack in the Box 's signatures below,Jack in the Box may gain limited access to the restaurant with drive-thru building interior; PROVIDED, however, that until such time as a Certificate of Occupancy is issued by the City, Jack in the Box shall limit any activities conducted within the restaurant with drive-thru building to the following: 1.1 Completion of all work required by applicable law, including the Federal Way City Code; 1.2 Completion of all work permitted under 03-101001-00-CO; 1.3 Development of a construction or architectural punch list; 1.4 Construction or installation of office furniture or other equipment necessary for restaurant with drive-thru operation; and 1.5 cleaning, organizing supplies, office set-up & filing, cooking food not to be consumed to test & calibrate the kitchen equipment and order systems by Jack in the Box employees within the building from 7 AM to 9PM from November 17,2003 until issuance of a Certificate of Occupancy. 1 not utilize the interior of the restaurant with drive-thru building to conduct hiring or training of employees, conduct any other business, or permit public access, other than as expressly permitted in Paragraphs 1.1 — 1.5 above. 2. Termination of Permission for Access. The City, through its Building Official or her designee, may terminate at any time, with or without notice, the permission for access granted in Paragraph 1 above, if the City determines in its reasonable discretion that: 2.1 Conditions within the building create any risk to life,health,or safety; 2.2 Reasonable progress towards completion of the project is not being made; or 2.3 The conditions set forth in Paragraph 1 above have been violated. 3. Indemnification. Jack in the Box acknowledges that the City is not required by any provision of law to permit access to the building interior prior to issuance of a Certificate of Occupancy, and that any access taken pursuant to this Agreement is at Jack in the Box's sole risk. Jack in the Box agrees to indemnify, hold harmless and defend the City from any and all claims, damages, liability, costs, or expenses of any kind arising from or related to the grant of permission for access or the termination of permission for such access as provided for herein. AGREED TO this /9 day of Noves,der , 2003. CITY OF FEDERAL WAY Jack in the Box Inc. By: By: David H. Moseley harles Patton City Manager Construction Manager Approved as to form: Patricia A. Richardson City Attorney 2 STATE_OF--WASHINGTON ) ) ss. COUNTY OF KING ) On this day, personally appeared before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, David H. Moseley, to me known to be the City Manager of the City of Federal Way, a Washington municipal corporation, the corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute the said instrument. Given under my hand and official seal this f f ems. e( , 20_. ow %'Ilii f (notary signature) •mi 1,/ D�'of L-cc � (typed/printed name of notary) r i f Notary Public in and for the State of Washington. • f St w ,*of My commission expires: l O 2-1/No STATE OF /4.15(,i r will t1 )ss. COUNTY OF kil„ On this day personally appeared before me, the undersigned, a Notary Public in and for the State of Washington, duly commissioned and sworn, Charles Patton, to me known to be, or proven to be, the Construction Manager of Jack in the Box., the corporation that executed the foregoing instrument, and acknowledged the said instrument to be the free and voluntary act and deed of said corporation, for the uses and purposes therein mentioned, and on oath stated that he was authorized to execute said instrument and that the , if any, is the corporate seal of said corporation. rk GIVEN my hand and official seal this 9 day of c ei be-►' ,20 d 3 . (notary signature) L Nr �4�! �� (typed/printed name of notary) _ + y Notary Public in and for the State of Delaware • % *S. post.%WA)r My commission expires: t Di 21/ 06 iliwtmw 4 Op G:\LawformsktlAp 961rAggreement Revised 9/25/01 3 t -,A a; o, oFr _ CONSTRUCTION PERMIT APPLICATION APPLICATION N 11E2' j 3- l z_e2 APPLICATION NUMBER: - - APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. /18\ `. - - - . .: - ■ .PROPERTY INFORMATION / i SITE ADDRESS: - .O Su) 33(044' ST•) V.WE42.144.-.UM ASSESSOR'S TAX/PARCEL #: / 3_2.. / O , - a/ / / O LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): LO1' .2. Of K-tNlo cauMy 54'OQ-1 -PLAT No. 85844O, ACC.d2DfNc . -To 54toi2'C 'QLk-r 12ecog.DEI> p>C,-e r1saie ai1989 UNOe- 12�COWINt, No. 891 a . ICI�S I N �Inty Coti , tA3 1 1&Toni ;==___,. .-._ ?sue • '.. -.■ 'PROJECT INFORMATION TYPE OF PROJECT(This application): ® BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): A 2,1 oO S q.Ft PAST-gyp ef-s- A-0(2-A,N.f. u4 I- fir De-We-- -nkel) t-A-Ne- ON A W-IJ s -+ SQ P1. Lett LOT-A-rec> ,4-i AAe,ovE t_e-PF--2.-ENC,E.1� APPle-eSS. A1.170 I NG•WDEIt .4•12-e- .21 Ph .1-I N L. SPA-g .414t A4.cc.4 ATFA L...4Mosr.IrPIN4. PROJECT NAME: 0-,,4G1,L- ( N. -rite. Eck i -PP.(2-i-wA&j, U PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: aACie.- IfV 'ME 'RoX t S-rV-VE IMQt.Lcug ( sa3) 293 -3to8� MAILING ADDRESS(STREET ADDRESS;QTY,STA IIP): SRial sW 3kle.t302 'BLVD i-Q51) tFofZ-'fLA-c•tIJ C 9'}219 CONTRACTOR: NAME:ut/L DAYTIME PHONE: - nri Vd MAILING (STREET ADDRESS;CITY,STATE,ZIP): ( ) EVENING PHONE: ( ) QTY Of FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - _ ( ) - CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (SPY of Card required) / / APPLICANT: NAME: n DAYTIME PHONE: VIZE41.tf IT A N ID f�eC t+11"ge--i , INC-•,PS.l M A A ADk 0.4( y.s ) g, - .2100 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): L EVENING PHONE: 1oti1ao NE 331eD ?L. ,32:12 8eu-a•cuE.,WA 9130014 ( ) - RELATIONSHIP TO PROJECT: I FAX NUMBER: Egi ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): (y 2-.7. ) g.^(s -tagg9 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER ®APPLICANT 0 CONTRACTOR f}a I"5(47)F��tct{. ■ DETAILED BUILDING INFORMATION • EXISTING USE: N/& EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 7\i/F4 PROPOSED USE: VAST Fobt f2.$,1•/h)(2Arz-PROPOSED VALUATION FOR IMPROVEMENTS: $ 3OO1000.00 SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: gti LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: J LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) 03/20/2003 16:16 FAX 425 893 8092 FREIHEIT & HO 2002/003 ' **NEW RESIDENTIAL CONSTRUCTIO..-NLY5* NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ._. Z i'KUJtL i iti_ iUlc.tiREAS ..—_. FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT —O FIRST —a SECOND d_pP .....6 0 __ _0 _ THIRD FOURTH —0— --��' —4-0 r 0 OTHER FLOORS(DESCRIBE) DECK — Q - — 0 — -0r GARAGE ' HOW MANY FLOORS? t' O _. O — I 0 TOTAL: • a 1 OO =Q/Citn • - �/L`•F- -1f.:Ja.v. >-.i�M✓ML:�.SM:.wJ1�r.r.H r:..i�wA--�R��w j.pi Indicate number of each type of fixture MECHANICAL _i Tu SS 4* D� $4 .O ON 1 _ AIR HANDLING UNIT(S) , Z. EVAPORATIVE COOLER(S) e'00 GAS LOGS) a REFRJG.SYSTEM(S) e BBQ(s) N FAN(S) : 2. HOOD(S) p WOODSTOVE(S) O BOILER(S) O FIREPLACE INSERTS) I RANGE(S) MISC.( ) , 0 COMPREssOR(S) FURNACE(S) A DUCT(S) . I GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING A1.. VrrruiP.S pNSP>BTArI1-1Dr• ery is1.0 or') ?Vat*YT Sear -p04100-11,4 6- 0 BATHTUBS) oZ LAVATORY(S) 1 URINAL(S) I WATER HEATER(S) 1 DISHWASHER(S) 0 RAIN WATER SYS. VACUUM BREAKERS) 0 ELECTRIC ® GAS _ G DRINKING FOUNTAIN(S) , I SHOWER(S) 0 WASH MACHINE OUTLET _____L_ GAS PIPE OUTLET(S) S SINK(S) a WATER CLOSET(S) / , MISC.(F4 TP arm Ka ___3___ INTERCEPTOR(S _ ,• o sUMP(S) _ 3 Was0 43155 q Ft oae. 5/2vK.6 - - `■ "DISCLAIMER/SIGNATURE BLOCK 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 daim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of suds claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim 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. • NAME/TITLE: DATE: 420.8 ❑ PROPERTY OWNER fili APPLI 0 CONTRACTOR i.i e': Qaa 'K -le• L..;'6 • CZ� 1�r'✓:,-©3 0�J 0'• .. u.•g off_al :.;fin k.o-. l 7.1 }' . E ail^..-°'� . - _n • , ,� �, Fi-t1- I. z�, r*:a _ r: _T-d.--1 -r.t.,.•,. 44:.ti M-� I�„\ll Mi l• .r.,,t.I � ,!-z u 7- �n p 1_p �•�--t,,�,K r.7.....n. 1' �'Y' � 9..._,.-.....-,�� L� ��v..�Ar�+r ��'�'�1�0�:-y. '^Iri' `��'.�-��J� p��` J 0 '; r•.�,Q I-•�� :_-2. - :� 9•h - :441EW •D:��1• yE.Q ' 1 —',y::',yc5"Era 1 _',i6e G.wn�tit L:�t1.�\ LF .1..�.0 a �1=1b ��`.if� r,'^Mr �`•rt�, rr��i�MI .TT .•s1.:.� 3 1. `rf,;F= .1�2!r� � ► •...L, I:UI commuNI'ly DEv .OPMCM SERVICES•33530 FIRST WAY SOUTH•PO BOX 971e•maw.WAY,WA 96063-9712•253-661-1000•FAX:253-661.4129 wwwsiboaf►ederahvav mm 03/20/2003 16:17 FAX 425 893 8092 FREIHEIT & HO R1003/003 C.vi,struction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* fir ,mecnanior,-2ma nre'prevention system fees are based-on the fallowing soleoufe. - TABLE A TOTAL VAt JAnOft FEE FACTOR - (1)$1.00 to$500.00 (I)$26.00 (2)$501.00 t0$2 000.00 (2)$26.00 for the first$500.00 plus 1.1„gdar_gadietrtfonal S100.0g or fiction thereof,to and lndiding (3)$2,001.00 to$25,000.00 $Z000 00 (3)$78.50 for the first$2,000.00 ples115,50fricarkarkfighgat.sh.020.,220r fraction thereof,to and inding ,000 (4)$25.001.00 to$50,000.00 � $� .00 (I)$425.00 for the first$25,000.00 plus 511.02 far cad adddbaat sl-aanf or fraction thereof,to and including$50,000.00. (5)550,001.00 to$100,000.00 (5)*710.00 for the first$50,000.00 plus OM forego',additional fJ.aoo d2 or fraction thereof.to and irndhding$1.00,000.00. (6)5100,001.00 t0$500,000.00 (6)$1,110.00 for the first$100,000.00 plus$6.00 for each adtikiena($J„got.00or fraction thereof,to aid lnducli1,Oo0ng$500,000.00 (7)$500,001.00 to$ ,00O.Op (7)$3,510.00 for the fist$500,000.00 plus.$150for each aafdltionals1.074100or fraction thereof,to and (0)$1,000,001.00 and up irhdudM S1,000,000 oo. (8)*6,260.00 for the first$1,000,000.00 plus c.100 Avow*a4*h,zal sl Mtn m or fraction thereof. bold number Is the base fee for the spedfied increment X vffdaeal aattetlined nmberr/s lhn foe n erecter sF cnroriid(n�nrenr ' PLUS: Add 65 percent of me base building permit fee for plan review fee. Add 25 percent of the base metfiankml permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District*39 surcharge,commercial only. Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above. • 'a Boetrital,plumbing,and mechanlahl fees are calculated separately** • BUILDING PROPOSED VALUATION: . FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: • Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (OOMMERQA1.OM.13 • MECHANICAL PROPOSED VALUATION: f7 O.tosx) Oo FEE FACTOR FROM TABLE A:Number. L►L)O,0 (a)Base Fee: - (b)Additional Inaement Fee: jLo5.e0 Estimated Permit Fee: (4) 410 00 r gab Estimated Plan Review Fee: (5) f)d8 .CC' • FIRE PREVENTION SYSTEM - - PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Inaement Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) • • -■ PLUMBING - ' - . . ease *4'1 wes 0+( 6e!l X$8.0O/fixture)= 2 y L o.5 O (8)Estimated Permit Fee a Lj VE CI r X .65= 1100 • o (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) • Sub Total(page one): Une(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+<9)+(10) (11)