Loading...
09-101151wilding - Com&erciffi City of Federal Way Jµ community Development Services Permit #: 09-101151 -00-CO P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: FEDERAL WAY COMMUNITY CENTER - CAFE Project Address: 876 S 333RD ST Parcel Number: 172104 9138 Project Description: TI - Adding a small cafe stand to the community center. Includes Plumbing; no mechanical Owner Agalicant Contracto Lende r CITY OF FEDERAL WAY STEVE IKERD RUSH COMMERCIAL CONST INC PO BOX 9718 CITY OF FEDERAL WAY - PARKS RUSHCCI973BZ (1/9/11) FEDERAL WAY WA 98063 -9718 33325 8TH AVE S 2727 HOLLYCROFT SUITE 410 Occupancy Load: FEDERAL WAY WA 98023 GIG HARBOR WA 98335 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Occupancy Load: Floor Areas . ft. 288 1 0 1 A 0 Existing Sprinkler System in Building?; ............ - .... Yes Mechanical to be Included? .......... ... ............NO. Number of Stories...... „ . ............. ..........,1 Permit for Building Shefl Only......:. ..............No Plumbing to be Included ? ...................................... Yes New / Additional Sq. Feet - Total..... ................ Occupancy # I - Use ................ ............................... Restaurant Zoning Designation ................................................ OP Dishwashers.... ............................... 1 Drains.............. ............................... 1 Sinks................ ............................... 4 PERMIT EXPIRES Wednesday, February 3, 2010 Permit Issued on Friday, August 7, 2009 1 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: 'T &6-0 °( q g 11 CITY OF Federal Way PERMIT #: Owner: THIS CARD IS T MAIN ON -SITE Construction I Afection Record INSPECTION REQUTS: (253) 835 -3050 09- 101151 -00 -CO Address: 876 S 333RD ST CITY OF FEDERAL WAY FEDERAL WAY; WA 98003 Scheduled inspections may be failed .if this card is not on -site. DO N6T 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. Slab /Concrete Floor (4255) Approved to place concrete By . Date Rough Plumbing (4230) Approved ­ By & Date Z Q ❑ Framing (4120) Approved to insulate By Date Suspended Ceiling Grid (4265) Approved to drop the By Date E Final - Plumbing (4075) Approved By , CA') Date E Footings /Setback (4110) 0 FINAL - Electrical Appwvcd Re -steel (4215) By Plumbing Groundwork (4190) Approved to place concrete Approved to place concrete or grout Approved to cover By Date By Date By ate 14 Slab /Concrete Floor (4255) Approved to place concrete By . Date Rough Plumbing (4230) Approved ­ By & Date Z Q ❑ Framing (4120) Approved to insulate By Date Suspended Ceiling Grid (4265) Approved to drop the By Date E Final - Plumbing (4075) Approved By , CA') Date E Underfloor Framing (4285) 0 FINAL - Electrical Appwvcd Approved to sheath floor By Date Fire/Draft Stops (4095) Approved By Date Insulation (4150) Approved to install wallboard By Date Final - Fire Department (4060) Approved By Date 4 / Final - Building (4050) Approved BY G Date 4R _ ,� 0 For inspector reference only E] Floor Sheathing (4105) Approved to install flooring By Date Prior to scheduling a Framing inspection; Electrical, Plumbing & Mechanical Rough -in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4 Gypsum Wallboard Nailing (4130) Approved to install mud & tape By Date Final - Planning (4070) Approved By Date ❑ Rough Electrical Appund 0 FINAL - Electrical Appwvcd By Date By Date CTTOF REe Federal Way RM IT commuAmDEv=,*ABNTSBwcas MAR 2 7�( SF MF CO ME EL PL DE EN FP 333458MAVBlIIfIB RUTH • PO BO)(9718 °Y p LI C AT I O N FBDBRALWAY,WA 980 9718 253 8351607• FAxY O, FEDERAL � / '' 0 l .ih WAy The following is required &Vrxm& pn — an incomplete application will not bs accepted. Please pmt bW;bbj (in inkl or tXm PROPERTY INFORALATION sr= ADDRESS - - -- X7(0 5 +. SUITZ /UNIT # ASSESSOR'S TAX/PARCEL * -L- 2— a 1. _ _ 9 1 LOT SIZE (sj) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (�•��•Fro•lo• � a••+F�4 TYPE OF PERMIT PROJECT DESCRIPTION (Provide detailed T Z - ad d a sw.a -1 F"ING Vrl�UMBING O MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM of work vtcluded on S- Va� A-0 A PROJECT NAME (Name of or Owner Lout Name) PROPERTY OWNER CONTRACTOR fu _� PROJECT CONTACT LENDER N"o C � ��(/ ► PRIMARY PHONE (ZfJ� (� !� - � L MAILING ADD CITY, STATE, ZIP E-MAIL ADDRESS I" e CF w. COMPANY NAME APPLICANT NAME PHONE MAILING ADDRESS CITY. STATE, ZIP /OFFICE MAILING ADDRESS CITY. STATE, Td CELL PHONE l ` t `O tf( CITY OF FED WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 0PS- 1®350 �1 t 3 Oq (TIS3X856 -3188 C0 3V5 TjoK 1ixputAT.'ION COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY. STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent ❑ Other FAX NUMBER NAME 5TE` � I V/� PRIMARY PHONE E -MAQ. ADD 5T EX G 25 NAME Par RCW 19.27.095. Lander Igor -Mort is required ;f p-j-t adue —eds ,45,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ( ' EXISTING USE PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLIKE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKERAVEN 13 HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION ENISTING 80. FT. PROPOSED 30. FT. TOTAL SQ. FT. BASEMENT FANS GAS WATER HEATERS MISC (Descn -be) FIRST FIREPLACE INSERTS HOODS (co®.dq SECOND FURNACES RANGES a NO THIRD GAS LOG SETS REMO. SYSTEMS UP /SEPA /SUP ADDITIONAL FLOORS (DESCRIBE) a NO PLATTED LOT? a YES a NO DECK (0 COVERED OR 0 UNCOVERED ?) IAVS URINALS MISC (Describe) GARAGE 0 CARPORT 0 RAINWATER SYST VACUUM BREAKERS NUMBER OF FLOORS 51281010 rsTOTAL es rcr� xoreesweaiop raracnaarareosr 70M. Sr "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ heduaate number of each type of fixture to be knstalled or relocated as part of this project. Do not inckude existing fixtures to remain. I Valise of Medumical Work $ (A COPY OFBID OR EST1 MTE MUST BE INCLUDED WrMAppLICATIONj AIR HANDLING UNITS EVAPORATIVE COOLERS OAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Descn -be) BOILERS FIREPLACE INSERTS HOODS (co®.dq COMPRESSORS FURNACES RANGES a NO DUCTS GAS LOG SETS REMO. SYSTEMS UP /SEPA /SUP 3 a NO PLATTED LOT? a YES a NO BATHTUBS (orn,b /sbo..rco.bq IAVS URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Tong ELECTRIC WATER HEATERS_ SINKS WASHING MACHINES HOSE BIBBS SUMPS knowledge, the Z oert yk under penalty of perJury that r am the property owner or authorised agent of the property owners r cmw fg that to the best of my City Of a+ederat WPay p tootheowor rued I � correct r ce der that r at he issuance nce of applicable does not remove the owner's responsibilitg for compliance with 16=4 state, or f permit understand that the i ronm ee of this permit -federal taws regulating construction or enetronmeretai laeos. I f urthw agree to hold harmless the City of Federal Way as is any claim (including costs, expenses, and attorneys' Jose incurred in the inwstigaiion and defense of such claim), which may be made by any person, including the undersi geed, and flied against the city, but only where such claim arises out of the reliance o ties city, including its o eers and employees, upon the accuracy of the bt&rmatton supplied to the city as a part of this applicatton. SIGNATURE: Authorized 3.2'1 • U7 a NEW a ADDITION a ALTERATION a REPAIR a TENANT DmPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? OYES a NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES o NO UP /SEPA /SUP a YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin #100 –January 1, 2009 Page 2 of 4 k\Handouts\Per nit Application 0 Alder Square Environmental Health Services 1404 Central Avenue South, Suite 101 r Kent, WA 98032 -7433 206 -296 -4708 Fax 206- 296 -0163 ww Relay: un RECEIVED www.kingcounty.gov/health May 13, 2009 MAY 14 2009 Mary Faber CM OF FEDERAL WAy City of Federal Way CDS PO Box 9718 Federal Way, WA 98063 -9718 RE: PLANS AND SPECIFICATIONS FOR: Federal Way Community Center Caf6 876 S. 333rd Ave Federal Way, WA 98003 SR1176023 P/E 6703 (Risk 3) Dear Ms. Faber: U Public Health 2 Seattle & King County The plans and specifications for the above new project have been reviewed and, in accordance with the provisions of Title 5, the Code of the King County Board of Health (The Food Code) are hereby APPROVED and subject to the following conditions: • Maintain temperature logs of foods received from Billy McHale's. • Foods that are prepackaged and prepared elsewhere shall be labeled with the common name of the food; a list of ingredients in descending order of predominance by weight; the name and place of business of the manufacturer, packer or distributor; and an accurate declaration of the quantity of contents. Your establishment has been assigned the following plan review service number (SR1176023). Please use this SR# in all future contact with us. As required in The Food Code, upon completion of the construction and before opening for business, the food service establishment operator /owner shall: 1. Complete an application for the annual operations permit if you don't have a current permit. Include a copy of this letter when applying for the annual permit. Please call me prior to paying for your permit to verify the correct fee. Be advised that the penalty for commencing operation of a food service establishment without the required permit is 50% of the applicable permit fee. 2. Obtain a preoperational inspection approval. Contact me at 206 - 205 -1903 at least one week in advance to schedule a preoperational inspection. Be sure all other inspections (plumbing, building, etc.) are done before you call the Health Department for an inspection. This approval letter only addresses the equipment, plumbing fixture locations and finishes. It does not include piping, grease traps, back flow prevention or other piping systems. CJ Mary Faber Page 2 May 13, 2009 40 Your application for a food service establishment permit from Public Health Seattle & King County may be approved during this inspection, however it is the responsibility of the food service establishment operator /owner to obtain all necessary permits and approvals from other agencies. Operating the establishment without these required permits or approvals may subject the operator /owner to legal action by the appropriate agencies. If the establishment is opened without the Health Department preoperational inspection, it may be subject to closure. Failed preoperational inspections will require a $347.00 fee for a repeat inspection. Contact your local building department or water district if pre- treatment facilities are required when wastewater contains more than 100 parts per million by weight of fat, oil or grease of animal, vegetable or mineral petroleum origin. If you have any questions, please don't hesitate to contact me. Thank you for your compliance in this matter and I look forward to seeing you soon. Sincerely; Diane Agasid Bondoc, R.S. Plans Examiner Alder Square Office DAB: kw Enclosures • BACKFLOW WEVENTION ASSEMBL )WEST REPORT ACCOUNT # NAME OF PREMISE f'�yC�2 �� &/,4 y C o ,-7 wt Uit,rT`/ <E,-72F/Z c4FE Commercial [@ Residential ❑ SERVICE ADDRESS CITY 8dcl?4 ` 1 y4 ZIP � - 6 CONTACT PERSON PHONE( FAX ( LOCATION OF ASSEMBLY i EHI& -) REF- /Z / `f?-,4 j 0;1 /i(i C IFF DOWNSTREAM PROCESS � SO D14 S7-/-7-7-/o" DCVA ❑ RPBA 90 PVBA ❑ OTHER NEW INSTALLATION [H] EXISTING ❑ REPLACEMENT ❑ OLD ASSEMBLY SERIAL NUMBER MAKE OF ASSEMBLY --4:! // TS MODEL 001 QT SERIAL NO. 0441'12,6 0 y SIZE _ AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑X NO ❑ Detector Meter Reading REMARKS: TESTERS SIGNA TESTERS NAME PRINTED PRESSURE PSI NO. B -3949 DATE TESTERS PHONE # (253) 606 -0858 REPAIRED BY: DATE FINAL TEST BY: CERT. NO. DATE eeq 5 �3� -aq %*V %G -5 W'r\.`t%"k5 CALIBRATION DATE GAUGE # MODEL# MAKE: SERVICE RESTORED YES MXX NO ❑ White: Return to Water District Canary: Customer Copy Pink: Tester Copy DCVA /RPBA DCVA /RPBA RPBA PVBA/SVBA INITIAL CHECK VALVE NO.1 CHECK VALVE NO.2 AIR INLET TEST � OPENED AT � � PSID J LEAKED ❑ LEAKED ❑ OPENED AT PSID CLOSED TIGHT CLOSED TIGHT #1 CHECK PSID PASSED ❑ q• o DID NOT OPEN 11 FAILED ❑ PSID PSID AIR GAP OK? CLEAN REPLACE PART CLEAN REPLACE PART CLEAN REPLACE PART CHECK VALVE NEW ❑ ❑ ❑ ❑ ❑ ❑ HELD AT PSID PARTS ❑ ❑ ❑ ❑ ❑ ❑ LEAKED ❑ AND REPAIRS ❑ ❑ ❑ ❑ ❑ ❑ CLEANED ❑ ❑ ❑ ❑ ❑ ❑ ❑ REPAIRED ❑ TEST AFTER REPAIRS CLOSED TIGHT ❑ CLOSED TIGHT ❑ OPENED AT PSID AIR INLET PSID PASSED ❑ PSID PSID #1 CHECK PSID CHK VALVE PSID FAILED ❑ AIR GAP INSPECTION: Required minimum air gap separation provided? Yes ❑X NO ❑ Detector Meter Reading REMARKS: TESTERS SIGNA TESTERS NAME PRINTED PRESSURE PSI NO. B -3949 DATE TESTERS PHONE # (253) 606 -0858 REPAIRED BY: DATE FINAL TEST BY: CERT. NO. DATE eeq 5 �3� -aq %*V %G -5 W'r\.`t%"k5 CALIBRATION DATE GAUGE # MODEL# MAKE: SERVICE RESTORED YES MXX NO ❑ White: Return to Water District Canary: Customer Copy Pink: Tester Copy