11-104345i
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Fe PERMIT
Federal Wa R
Y`
COMMUNITY 607- FAX 253-835-2609 ES OCT 2 AP P L I CA T I O N
af o ederalumt(R i
CITY OF FEDERAL WAY
12
*MF CO E PL DE EN FP
OTC-/ s T-F- l
SITE ADDRESS
SUITE /UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
TYPE OF PERMIT
UILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
l '
Del
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME I
6 L S
r
PRIMARY PHONE
i
MAILING ADDRESS / ^ c /
�I] (i1J 7
E -MAIL
CITY
STATE
ZIP
NAME
/7 (at.s f' uc4-1'0 "1
PHONE
.moo � _ �9 r - �3 f-3
MAILING ADDRESS
it� S e
E-MAD:
�- Ell 'm S ; Y1 "
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME � �
PHONE
MAILING ADDRESS
E -MAIL
APPLICANT
CITY �_ -
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAME % A
Cry`," • �e
PHONE cG'
MAILING ADDRESS
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,
PHONE
(RCW 19.27.095)
w
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.
SIGNATURE: � � DATE
�i�A
PRINT NAME: 11 -51/V 4
Bulletin #100 — January 1, 2011
Pagel of 3
k: \Handouts \Permit Application
c7 -
0
VALUE OF MECHANICAL WORK $ (a copy of bid or estimate must be prouided
AIR HANDLING UNITS FANS GAS PIPE OUTLETS _
AIR CONDITIONER FIREPLACE INSERTS n000u(C.~~~~vd)
ao/LEaa vommxcEu HOT WATER ne«ou
cowpnEamona GAS LOG SETS uEnmuouAnomqsn�
0000mu GAS PIPING w0000rovEa /
Indicate how many of each type offtdure to be installed or relocated as part of this p!�±ct. Do not include existing fixtures to remain.
BATHTUBS (or Tub/ Sho— Combo)
IAVS (Hand Sinks)
TOILET
WATER PIPING
DISHWASHE
RAINWATER SYSTEMS
IN S
OTHER (Describe)
DRAINS
SHOWERS
/VA
UM BREAKERS
DRINKING FEIO\UNTNS
SINKS (Kitch=/UtffitA
W TER HEATERS (El�tri�)
HOSE BIBBS
SUMPS
ASHINCG MACHINES
Area
AREA DESCRIPTION I Occupancy Group(s)
CRIoCALAREAS omPROPERTY?
EXISTING/PREVIOUS USE
wAT7 OR
LOT SIZE jln'bauare Feet)
SEWE7R VALUE OF EXISTING IMPROVEMENTS
EXI PROPOSED FIRE SUPPRESSION SYSTEM?
/*ING FIRE SPRINKLER SYSTEM?
AREA DESCRIPTION (in square feet) | FMSVG /1 PROPOSED | TOTAL | FOR OFFICE USE
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
GARAGE 0 CARPORT 0
OTHER (describe)
M113TING
PROPOSM
TOTAL
Area Totals
ESTIMATED SELLING PRICE #OF BEDROOMS
Area
AREA DESCRIPTION I Occupancy Group(s)
Cons ruction # of
X,
Additional Information
in Square Feet
TVpe Stories
E BUILDING
ADDITION
Area
Construction
# of
AREA DESCRIPTION
I in Square Feet
Occupancy Group(s)
Ype
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PRojFcT AREA ONLY
Bulletin #/o0 —January l.2O\} Page zvf3 Application
` uildin mmercial
•
g .
City of Federal Way ..//..//,,
Community Development Services Permit #: 11-104345-00-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: JOE'S DINER
Project Address: 1230 S 336TH ST Unit C Parcel Number: 926503 0050
Project Description: ALT-Non-structural demolition of interior partition walls, finishes,etc.preparatory to
tenant improvements.
Owner Applicant Contractor Lender
HASSEN PROPERTIES INC S A CONSTRUCTION S A CONSTRUCTION
3727 S 194TH ST 16 CASCADE KEY SACONC*894K5(5/25/13)
SEATTLE WA 98188-5360 BELLEVUE WA 98006 16 CASCADE KEY
BELLEVUE WA 98006
Census Category: 437- Commercial alt/add/conversion
Includes: #h #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
�v.. ,,...:, s� ,t ..✓.a�.,yc,��. ..<� ,. ;:'.> :. �moo.:.. 7! xs..,�c.� ;..� �, � ...�.. .,, .. .. .��.. a�aa�� r,�_ .�� ,
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
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, April 23, 2012
Permit Issued on Wednesday, October 26, 2011
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
��� and the
City of Federal ay.
Owner or agent: ,r e��%GZ- /(L��Lr1''t�✓ ( Date: /t b- - L' - //
1NALLED zV13 IZ
4%, THIS CARD IS TO MAIN ON-SITE
•
CITY OF Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 11-104345-00-CO Address: 1230 S 336TH ST Unit C
Project: HASSEN PROPERTIES INC 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.
0 SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
Re-steel(4215) Slab/Concrete Floor(4255) El Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date By Date By Date
El Floor Sheathing(4105) Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) 121 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Date By Date
Ei Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
0 Final Erosion Control(4375) El
Final-Building(4050)
Approved Approved
By Date By ft/F
Date 2.-75.
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date