12-104880`Building - Commercial
Communi &
City & Federal Way Econ. Dev. Services Permit #: 12- 104880 -00 -00
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: HULA GIRL ICE CREAM & DESSERTS
Project Address: 2010 S 344TH ST Unit A8
Parcel Number: 269330 0080
Project Description: TI - Construct partition walls to create (1) restroom. Install plumbing
fixtures. ** *REVISED 2/20/13 TO INCLUDE MECHANICAL FIXTURES * **
Owner
ARI211ican t
Contractor
lds
RHETT RUSSELL
RHETT RUSSELL
OWNER IS CONTRACTOR
HULA GIRL ICE CREAM &
5508 OYSTER BAY RD NW
Construction Type:
Type II - B
DESSERTS LLC
OLYMPIA WA 98502
Occupancy Load
5508 OYSTER BAY RD NW
OLYMPIA WA 98502
1,470
1 0
0
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
S -1
Construction Type:
Type II - B
Occupancy Load
Floor Areas . ft.
1,470
1 0
0
0
Additional Permit Information
Existing Sprinkler System in Building? .................Yes Mechanical to be Included? .................................... Yes
Number of Stories ................... ..............................1 Permit for Building Shell Only? ............................. No
Plumbing to be Included ? ........... ............................Yes New / Additional Sq. Feet - Total.......................... 0
Occupancy # 1 -Use ................ ............................... Storage - Moderate Zoning Designation. ............................................... CE
Hazard
Mechanical Fixtures
Ducting........... ............................... 1 Fans................. ............................... 1
Plumbing Fixtures
Laundry Washer Outlets ................ 1 Lavatories........ ............................... 2 Sinks................ ............................... 2
Water Closets .. ............................... 1 Water Heaters.. ............................... 1
PERMIT EXPIRES Monday, May 6, 2013
Permit Issued on Wednesday, November 7, 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
nd the City of Federal Way.
Owner or agent: I� � y Date: 2-- L o —1 7
G5� cG' de bozo �
(0 6/f I P/(A
City of Federal Way
Certificate of
Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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 Cfty staff.
Tenant Name: HULA GIRL ICE CREAM & DESSERTS Permit #: 12- 104880 -00-CO
Address: 2010 S 344TH ST UnitA8
Includes:
#1
#2
#3
#4
Occupancy Class:
S -1
Construction T
Type II - B
Occupancy Load-
Floor Areas . ft.)
1,470
0
1 0
0
Owner Name: RHETT RUSSELL
RHETT RUSSELL
Owner Name: HULA GIRL ICE CREAM & DESSERT
Owner Address: 5508 OYSTER BAY RD NW
OLYMPIA WA 98502
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 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.
City of Federal Way
Community& Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
U
Project Name: HULA GIRL ICE CREAM & DESSERTS
Project Address: 2010 S 344TH ST Unit A8
*Building - Commercial
Permit #: 12- 104880 -00 -CO
Inspection Request Line: (253) 835 -3050
Parcel Number: 269330 0080
Project Description: TI - Construct partition walls to create (1) restroom. Install plumbing fixtures.
Owner
ARRIlican t
Contractor
Lender
RHETT RUSSELL
RHETT RUSSELL
OWNER IS CONTRACTOR
HULA GIRL ICE CREAM &
5508 OYSTER BAY RD NW
Construction Type:
Type 11- B
DESSERTS LLC
OLYMPIA WA 98502
Occupancy Load
5508 OYSTER BAY RD NW
OLYMPIA WA 98502
1,470
0
0
Census Category: 437 - Commercial alt / add / conversion
Includes.
#1
#2
#3
#4
Occupancy Class:
S -1
Construction Type:
Type 11- B
Occupancy Load
Floor Areas . ft.
1,470
0
0
0
Existing Sprinkler System in Building? .................Yes Mechanical to be Included? ................................... No
Number of Stories ................... ..............................1 Permit for Building Shell Only? ............................ No
Plumbing to be Included ? ........... ............................Yes New / Additional Sq. Feet - Total.......................... 0
Occupancy # 1 -Use ................ ............................... Storage - Moderate Zoning Designation ................................................ CE
Hazard
Plumbing Fixtures
Laundry Washer Outlets ................ 1 Lavatories........ ............................... 2 Sinks................ ............................... 2
Water Closets .. ............................... 1 Water Heaters.. ............................... 1
PERMIT EXPIRES Monday, May 6, 2013
Permit Issued on Wednesday, November 7, 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
e City f Federal Way. *'�
Owner or agent. 1 t Date: I / —'" Z
CITY OF T
Federal Way
THIS CARD IS TO REMAIN ON -SITE •
Construction In ection Record
Q
INSPECTION RE TS: 253 O 835 -3050
PERMIT #: 12- 104880 -00 -CO Address: 2010 S 344TH ST Unit A8
Project: RHETT RUSSELL FEDERAL WAY, WA 98003
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.
E]
S M Precon Sit e Mtg (4400)
Initial Erosion Control (4365)
Plumbing Groundwork (4190)
Footings/ Setback (4110)
n
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
1
Re -steel (4215)
n
Plumbing Groundwork (4190)
n
Slab /Concrete Floor (4255)
By
Approved to place concrete or grout
By
Approved to cover
Approved to place concrete
By
Date
By
Date Z 1 _4_
By
Date
❑
Underfloor Framing (4285 )
Floor Sheathing (4105)
Rough Plumbing (4230)
Approved to sheath floor
Approved to install flooring
Approved
By
Date
By
Date
By
Date
Fire/Draft Stops (4095)
Interim Erosion Control (4370)
EW
prior
Approved
Approved
to scheduling a Framing inspection;
Electrical, Plumbing & Mechanical Rough -in and
By
Date
By
Date
Fire/Draft Stop inspections must be signed -off and
approved. IBC 1093.4
Gypsum Wallboard Nailing (4130)
Framing (4120)
Insulation (4150)
Approved to insulate
Approved to install wallboard
Approved to install mud & tape
By
Date
By
Date
By
Date
E]
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Final - Planning
Approved to drop tile
Approved
Approved
By
Date
By
Date
By
Date
Final Erosion Control (4375)
Final - Plumbing (4075)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
n
Final Electrical
Approved
n
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal Way
PERMIT #:
12- 104880 -00 -CO
THIS CARD IS TO MAIN ON -SITE
Construction In ection Record
INSPECTION REQU TS: (253) 835 -3050
Address: 2010 S 344TH ST Unit A8
Project: RHETT RUSSELL FEDERAL WAY, WA 98003
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)
0
Initial Erosion Control (4365)
0
Footings /Setback (4110)
Approved
Approved to place concrete or grout
To be done prior to breaking ground
Approved to cover
Approved to place concrete
By
Date
By
Date
By
Date
Re -steel (4215)
Plumbing Groundwork (4190)
0
Slab /Concrete Floor (4255)
Right of Way
Approved
Approved to place concrete or grout
Date
Approved to cover
By
Approved to place concrete
By
Date
By
Date
By
Date
E]
Floor Sheathing (4105)
Underfloor Framing (4285)
E:]
Rough Plumbing (4230)
Approved to sheath floor
Approved to install flooring
Approved
By
Date
By
Date
Date ! —Ce, --l3
Fire/Draft Stops (4095)
Mechanical Rough -in (4165)
Interim Erosion Control (4370)
Approved
Approved
Approved
By
Date X13
By
Date
By
Date
Framing (4120)
Insulation (4150)
scheduling a Framing ins pection;
lumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
LPrriorto
top inspections must be signed -off and
By
Date S (3
By
Date
approved. IBC 109.3.4
[]
Suspended Ceiling Grid (4265)
G
sum Wallboard Nailing (4130)
E]
Final - Fire Department (4060)
proved to install mud & t pe
Approved to drop tile
Approved
By
4L
Date �-
By
Date
By
Date
Final - Planning
Final Erosion Control (4375)
Final - Mechanical (4065)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Final - Building (4050)
Final - Plumbing (4075)
Approved
Approved
By
Date
By
Date 2
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
r
RECEIVE
* PERMIT
Federal Way
_I2 -1.0.4 E7S_0
olMF�ME PL DE EN FP
COMMUNITY DEVELOPMENT s--RvcE@CT 2 6 ZA p p L ICATION
% 8 253- 835 -2 5- 2609
w!w rif y0 fede rVu.m . Lon? [ con? OF FEDERAL WAY
rnq u 0 LA N D re t2> mac_> G i 5
SITE ADDRESS
2,,ok0 —S `3 q-tL-
SUITE /UNIT #
4�
PROJECT VALUATION
goo
ZONING
ASSESSOR'S TAX /PARCEL #
TYPE OF PERMIT
%BUILDING PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
.� `C
PROJECT DESCRIPTION
Detailed description of work to
S 1 k--
G
�C....�--�-•
be included on this permit only
PROPERTY OWNER
NAME
�,�Ci _ l � S b
PRIMARY PHONE
q-10 "(0(9 5
MAILING o ADDRESS W
Uie,
CITY
V'1 1 ✓�
G
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NAME
PHONE
MAILING ADDRESS
E -MAIL
CONTRACTOR
CITY U
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
NE
P 3 — / o '- UBLI /
MAILING ADDRESS
O a J
/2a� ,�
E -MAIL
> z i►li
APPLICANT
CITY
3 ATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
respond to all correspondence
concerning this application)
NAME I� �_f-
PHONE ,
MAILING ADDRESS / U
�w U-
EMAIL
C
CITY
" ' �
STA7'
1ILLff.•��ff
Z
FAX
FAX
ALTERNATE ONTAC N E:
M
PHONE
13vo yoL y 7 (
E -MAIL. .�
y✓► 4 P� �r
PROJECT FINANCING
NAME lu
OWNER- FINANCED
Required value of $5, 000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I c m the property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the information submittecE 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
informatioZ fuppti -ems o ty as apart or this application.
SIGNATURE: r DATE ,V
y -�-}— / I
PRINT NAME: i i ` Jj y�
Bulletin #100 -January 1, 2011
Pagel of 3
k:\Handouts\Permit Application
OL
1 i"- l
VALUE OFMECHAMCAL 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 qf 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 fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Showezcombo)
LAVS (Hand Sinks)
�_ TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
?a�h%
CRITICAL AREAS ON PROPERTY? WATER PURVE OR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ (� j
EXISTING /PREVIOUS USE LOT SIZE (In ISquare Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
11 / / q '71, .-I �; )eyes ❑ No ❑ Yes i'No
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts \Permit Application
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