06-101179�I--- City of Federal Way
Commt.M1ity Deve,opment Services Bu'I'tding - Commercial PerrriTt #: 06- 101179*00 -CO
RO. Box 9718
Federal V ay, WA 98063 -9718
Ph: (M) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
i
Project Name: JAMBA JUICE
Project Address: 1413 S 348TH ST Suite L101 Parcel Number: 185295 0090
Project Description: TI -Tenant improvements for juice bar, includes plumbing & mechanical.
Owner
A
licant
Contractor
Lender
OPUS NORTHWEST LLC
SEGUE
FISCHLIN
WILCOX CONSTRUCTION
JAMBA JUICE CO
915 118TH AVE SE SUITE 300
CITYWIDE
>LANS & PERMITS
WILCOC*194Q0 12/10/07
1700 17TH ST
BELLEVUE WA 98005
5235 17TB
AVE NE SUITE 4
234 5TH AVE S
SAN FRANCISCO CA 94103
SEATT
LE WA '98105
EDMONDS WA 98020
Census Cat6aorv: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V - B
ccuUancv Load: 33
I Floor Area (so. ft.) I 1.500 1 0 1 0 1 0 1
Permit for Building Shell Only ? ........... .. ................ No
Special Inspection(s) Required ? ....... .................No
Zoning Designation ................... .............................BC
Existing Sprinkler System in Building? ................Yes
rmit lnform a for
Number of Stories < .. ....i ...... ..!........1
Plumbing to be Included ?............................ .Yea
Occupancy #I - Use ......................... .....................Restaurant
Building Pre -con. Meeting Required ? ................... No
Mechanical fixtures
Air Handling Units ......................... 1.0 Compressors.... ............................... 2.00 Fans................. ............................... 1.00
Refrigeration Systems ................... 2.0 Gas Pipe outlets ............................. 1.00 Hot Water Tank ............................. 1.00
Plumbing Fixtures
Water Closets .. ............................... 1.0� Laundry Washer Outlets................ 1.00 Lavatories........ ............................... 1.00
Sinks............... ............................... 4.0
CONDITIONS:
Prior to certificate of occupancy th� developer shall pay all traffic mitigation fees outlined in the SEPA
decision under file #04- 102096 -SE. D
PER IT EXPIRES Sunday, June 29, 2008
Per it Issued on Thursday, June 29, 2006
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
. an the City of Federal Way.
Owner or agent: Date: `1 t'1 G
!, a.
City of Federal Way V V
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying th&t
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: JAMBA JUICE
Address: 1413 S 348TH ST SuiteL101
Permit #: 06- 101179 -00 -CO
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
33
Floor Area (s q. ft.)
1,500
0
0
1 0
Owner Name: OPUS NORTHWEST LLC
Owner Address: OPUS NORTHWEST LLC
915 118TH AVE SE SUITE 300
BELLEVUE WA 98005
x i& 06tame4+ , cal. bet---, V I t 8Co
Building Official I 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 sevedy 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.
INSPECTOR DATE OF 1
d G S
r THIS CARD IS TO AIN ON -SITE
��loFommuni Develo m�e>< t Inspection Record
f tY p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3056
PERMIT #: 06- 101179 -00 -CO
Owner: OPUS NORTHWEST LLC
Address: 1413 S 348TH ST Suite L101
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑
Footings /Setback (4110)
❑
Re -steel (4215)
Approved
❑
Plumbing Groundwork (4190)
By
Approved to place concrete
Rough -in and Fire/Draft Stop inspections must be
Approved to place concrete or grout
Date
Approved to cover
By
Date
By
Date
❑
By
&&,) Date 7 -I — �(o
❑
Slab /Concrete Floor (4255)
Approved to install wallboard
❑
Underfloor Framing (4285)
By
❑
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
❑ Rough Plumbing (4230)
Approved
By "jJ�- Date
Mechanical Rough -in (4165)
Approved
Date
LJ
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved
By
inspection; Electrical, Plumbing & Mechanical
By
Date
Rough -in and Fire/Draft Stop inspections must be
By
Date
signed -off and approved. IBC 109.3.4/UBC 108.5.4
❑
Insulation (4150)
❑ Gypsum Wallboard Nailing (4130)
Approved to install wallboard
Approved to install mud & tape
By
Date
By C,1�0 Date p
[] Final - Fire Department (4060)
❑ Final - Planning (4070)
Approved
Approved
By
Date
By
Date
❑ Final - Plumbing (4075) Final - Building (4050)
Approved A Approved
By Date b By Date
of
ederal Way► 'VO
• COMMUNnYDEVELOPMENT SERWCI� I^ ' e'v PERMIT
r 33325 FEDERAL A , WA 98063-9718 . BOX 9718 APPLICATION
� FEDERAL WAY, WA J
253- 835 -2607• FAX 253 -835 -2609 MAR 1
I u!wtn.cituoffederWiyauxani (�
WAY
is
will
41 - 1.)- Z1
SF MF CO E Et E EN FP
ited. Please print leaiblm [in ink) or tine.
SITE ADDRESS 1'113 S7' ✓ q" T H STS �QS U SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # 2 (f y o % - O ! 0 (' " � /$SQT SIZE (sf
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) _NIA
I
(Attach separate page for Lengthy legal desnYpttoal
PROJECT • ' •
TYPE OF PERMIT f BUILDING 'Vf PLUMBING 19 MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
NoIV - IAIM —ICwlc IMP12 --V— 2/7"S 7V 4 �Er� C'�yyr//1E�2C l /'fZ
/N vrOc -,2 ID 6P6,V A TuicC BAe.
PROJECT NAME (Name of Business or Owner Last Name)�� J kiC<
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR 22n
TVy
APPLICANT
CONTACT
LENDER
NAME PRIMARY PHONE
D4vE Al, W: L`L; , 1 (S,) 3 ) -
MAILING ADDRESS CITY. STATE, ZIP
`��S 1gT� ion S� STS 3ov I .geL-LIS ioKf-, i-v4 9ra ()S
COMPANY NAME
APPLICANT NAME
S �CiScl�z-//v
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
S6A I-f -tF cti %' 7�-A)
5- —
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant $ Agent ❑ Other (Describe)
( ) -
MAILING ADDRESS
3�
s
CITY, STATE, ZIP
.�
-,
CELL PHONE
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
FAX NUMBER
V -� L -1 t
ti Y3 -B
-
L
CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application)
EXPIRATION DATE
Id d L - Lc-- g'�
1 -'�(' c2Q
12/ 10/0-7
CO rANY NAME
ir y w10 a ��, s a �� s� S
APPLICANT NAME
S �CiScl�z-//v
OFFICE PHONE
(2')6)3-e5- -C65y_
MAILING ADDRESS
SZ3S 7TH 14-✓� NC Sri
CITY, STATE, ZIP
S6A I-f -tF cti %' 7�-A)
CELL PHONE
(206) 2 S'V - 6
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant $ Agent ❑ Other (Describe)
FAX NUMBER
(Z o61 6 6 L( - POP '
NAME PRIMARY PHONE
IMAIL ADDRESS I
S Crt�tC. �ISC /f �/N (zoU) Z5'n - C S'�Z SP of 6'Ct.
P�
> .
,
NAME �.
�T ,
MAILING ADDRESS C, STATE, T J ¢ � ,ZI�P � inn T t i ct" r l
v '
PHONE
o u
i to ST. SA.,j Flew e /Sco C! 113f6
EXISTING USE 1�L}c, (%_ ���' �d� . PROPOSED USE - 6 rr4 14 C ,4( r K ev
P E DE.f�L -
EXISTING ASSESSED /APPRAISED VALUE $ 90 — w+-t/ X //1145 VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING?
NYES FS NO
FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED?
16 YES ❑ NO
WATER SERVICE PROVIDER
Cl LAKEHAVEN
❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
54,6m f IT/I/
SEWER SERVICE PROVIDER
9 LAKEHAVEN
❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
89. FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT Aj A
FIRST K E T4/L Poo S66"I` C E I T U I C6 d 'ji
- c) c)
U U
SECOND
THIRD ^(A
FOURTH / 4
ADDITIONAL FLOORS (DESCRIBE)
DECK(COVERED ?) q
GARAGE ❑ CARPORT ❑ /V✓�
MOTE O M79D TOTAL TQ'4' + 111131MM Sa: - y
NUMBER OF FLOORS
"NEW HOMES ONLY'* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing Jbdures to remain.
MECHANICAL
Value of Mechanical Work $ 0 65-0
I AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS FANS HOODS (com rcw) WOODSTOVES
9_ BOILERS FIREPLACE INSERTS RANGES ' MISC (Describe)
Z COMPRESSORS 4141 Lk Inl FURNACES I GAS WATER HEATERS
400 �-F DUCTS *FREFZE� GAS PIPE OUTLETS
PLUMBING �(
BATHTUBS (orT b /Shower Combo) SHOWERS WATER CLOSETS nbuet) MISC (Describe)
_ DISHWASHERS SINKS �_ DRINKING FOUNTAINS J-4v i Td ,(' SA11
_ GAS PIPE OUTLETS SUMPS RAINWATER SYST
I WASHING MACHINES URINALS _ HOSE BIBBS
I LAVS (Bathroom Sinks) VACUUM BREAKERS �_ ELECTRIC WATER HEATERS
I certVy under penalty 4f 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 Qf the city, including its offleers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAM �' ��- `� w � f^S DATE �! J 3 A P/TITLE
RELATIONSHIP TO PROJECT ❑ Owner �( Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 —January 1, 2006 Page 2 of 4 MandoutsTermit Application