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12-100850@3uilding - Commercial City of Federal way Community & Econ. Dev. Services Permit #: 12 100850 00 CO 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 3 Inspection Request Line: (253) 8355 -30550 Project Name: QDOBA MEXICAN GRILL Project Address: 1301 S 320TH ST Parcel Number: 150050 0040 Project Description: ALT - Demolition of existing stucco, replace wall sheathing where necessary and install new stucco. Owner Annlicant Contracto Lende MGP IX SUNSET SQUARE LLC FANCY STUCCO LLC FANCY STUCCO LLC 425 CALIFORNIA ST FLOOR 11 34847 54TH AVE S FANCYSL991DE 5/29/12 SAN FRANCISCO CA 94104 AUBURN WA 98001 34847 54TH AVE S Occupancy Load AUBURN WA 98001 Census Category: 437 - Commercial alt / add / conversion Includes: #1 42 #3 #4 Occupancy Class: Construction Type: Occupancy Load Floor Areas . ft. 0 0 1 0 1 0 Additional Permit Information Mechanical to be Included? ....... .............................No Number of Stories ................................................. 1 Permit for Building Shell Only? .............................No Plumbing to be Included? ...................................... No New / Additional Sq. Feet - Total .......................... 0 Zoning Designation ................................................ CC -F No Fixtures Associated With This Permit It PERMIT EXPIRES Tuesday, August 21, 2012 Permit Issued on Thursday, February 23, 2012 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 a the 41 of Federal Way. Owner or agent: Date: P;(SAU& MY CW Federal Way PERMIT #: Project: THIS CARD IS TO MAIN ON -SITE Construction In ection Record INSPECTION REQUE TS: (253) 835 -3050 12- 100850 -00 -CO Address: 1301 S 320TH ST MGP IX SUNSET SQUARE LLC FEDERAL WAY, WA 98003 -5340 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. ❑ SWM Precon Site Mtg (4400) Initial Erosion Control (4365) 0 Footings /Setback (4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date Slab /Concrete Floor (4255) Approved to place concrete By Date 0 Underfloor Framing (4285) Approved to sheath floor By Date Floor Sheathing (4105) Approved to install flooring By Date Foundation Wall (4115) ❑ Drainage/Downspout (4040) Fire/Draft Stops (4095) Re-steel (4215) Approved to place concrete Approved Approved to backfill Date ` - By Approved to place concrete or grout By Date By Date By Date Slab /Concrete Floor (4255) Approved to place concrete By Date 0 Underfloor Framing (4285) Approved to sheath floor By Date Floor Sheathing (4105) Approved to install flooring By Date Final - Building (4050) Approved By Date 3- 217.12 /'S�c _�'7v'f L a Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Shear Walls (4245) Roof Sheathing (4220) Fire/Draft Stops (4095) Approved to install siding Approved to install roofing Approved By Date ` - By Date By Date Interim Erosion Control (4370) Framing (4120) Prior to scheduling a Framing inspection; Approved Electrical, Plumbing &Mechanical Rough -in and Approved to insulate By Date Fire/Draft Stop inspections must be signed -off and By Date approved. IBC 1093.4 Insulation (4150) Gypsum Wallboard Nailing (4130) E] Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape Approved to drop tile By Date By Date Z-_7-7-1-2- By Date Final -Fire Department (4060) E] Final - Planning Final Erosion Control (4375) Approved Approved Approved By Date By Date By Date Final - Building (4050) Approved By Date 3- 217.12 /'S�c _�'7v'f L a Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date By Date Federal ECIVPERMIT COMMUNITY DEVELOPMENT SERVICES n 253 - 835 -2607• FAX 253 -835 -2609 G� Q t.APPLICATION ut_u_.w_rit�j[eriernluu�L.om G pyre nF FEDERAL WA -Z - l Dn r__3O M10ME PL DE EN FP SITE ADDRES cv SUITE /UNIT M 13 01 S + PROJECT VALU((ATIO14 ZONING ASSESSOR'S TAX /PARCEL M ©o../ TI� TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name /Homeowner Last Name) 0a o�� DI t d PROJECT DESCRIPTION Detailed description of work to be included on this permit only 1 PROPERTY OWNER NAME ML P �)C "' LL PRIMARY PHONE 2S 8. �uart �f j. ADDRESS Li Z5 al'A �` W . lb- J I' F-MAIL C -P7� ` ZIP (94t `, V _ t NAME LLC.• PHONE _ trg -ar13 6 MAILING AD t E -MAIL 01 *4 S 13'.t CaZ m�i CONTRACTOR CITY �., . 1�„ - M 'fir Ft STATAE W0C ZIP `70 FAX WA STATE CONTRACTOR'S 1ACENSE, M - CY 0 EXPIRATION DATE FEDERAL WAY HDSINESS LICENSE M Pen(�th 5L• 9 1 /.29R NAME `4 +� PHONE APPLICANT MAILING ADDRESS E -MAIL CITY STATE ZIP FAX PROJECT CONTACT NAME PHONE (The individual to receive and MAILING ADD E -MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E -MAIL PROJECT FINANCING NAME OWNER - FINANCED Required value of $5,000 or more MAILING ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. • 2 SIGNATURE: DATE 22 jjt PRINT NAME: �! 1 "�� n Bulletin #100 —January 1, 2011 Pagel of 3 k:\Handouts\Pennit Application VALUE OFMECRAMCAL WORK .$ (a copy of bid or estimate must be provided) Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER —� FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS (Gas) , COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of future to be installed or relocated as part of this project. Do n1t include existing fixtures to remain. BATHTUBS (o Tub /shower combo) LAVS (Hand sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALXTERS OTHER (Describe) DRAINS SHOWER VACUUM S DRINKING FOUNTAINS SINKS (Kitchen /utmty) WATER lectric) HOSE 91BB S SUMPS WASHIN S Fes' � 6 WATER PURVEYOR SEWER PURVEYO VALUE OF EXISTING IMPROVEMENTS CRITICAL AREAS ON PROPERTY? EXISTING /PREVIOUS USE LOT SIZE )In Square Feet) EXISTING RE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No FOR OFFICE USE r • , • Information wm €� z z ga '��c�F, xw�� •^��' R �i�,�� .n2�.��"„G��s,.�,w� � � e aX �;,. �' ' ��' � F''�� r...,:„ Area I Occupancy GrouPls) Construction I # of I Additional Information in Sauare Feet lone Stories AREA ONLY Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts \Permit Application