16-100022 CITY OF
PERMIT itPPLICATION
Federal Way RKEENED
JAN 0 5 2016
PERMIT NUMBER (4 ' _ 1 C) 0 0 2 ` _ TARGET DATE CITY FEDERAL WAY
— CDS
SITE ADDRESS SUITE/UNIT pF #
iq 00 SCP3 CO•m POS D--. °N 3
PROJECT VALUATIO/'N� ZONING ASSESSOR'S TAX/PARCEL#
1 TYPE OF PERMIT
❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ❑ ENGINEERING FIRE PREVENTION
NAME OF PROJECT
411
PROJECT DESCRIPTION m,.—tc aIn �� C iC T t'? i-�..P, P�CrCjfiv.C�
Detailed description of work to FA-01).
/t1.5-1 U �1
be included on this permit only
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PRIMARY PHONE
PROPERTY OWNER N C"`IN`.T WI --5 'Lcoo
MAAILING ADDRESS E-MAIL
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CITY STATE ZIP
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NAME PHONE
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MAILING ADDRESS '� 0
CONTRACTOR 1 L✓L L i k kt—Rif j J fk.C.;A. -t,01 014 7 me t „,, 1,,,..-;1 -
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I STATE, FAX
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WA STATE 'S LICENSE# ERPIRATIO /1016 FEDERAL BUSINESS
LICENSE#
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NAME PRIMARY PHONE
MAILING ADDRESS E-MAIL
APPLICANT .R- ..
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e, 0'1I) f'KiA %z., t #r9'7 :614„e4, ycs si -sits-cCM
CITY STATE ZIP FAX
NAME PRIMARY PHONE
PROJECT CONTACT MC.LC t Q-`�` ZS'Y -06qa
(The individual to receive and MAILING ADD S t E-MAIL
respond to all correspondence i 0Z- in-K - 1��i S '>' - I c1 `*l`1 7 ''4'.4 'k't` "4 "
concerning this application) CITY „ ZIP FAX
U\ N;'r"YA 13 1q `y` Z
NAME
PROJECT FINANCING ja”. 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 Iocal, 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 su • the cctyYrs�part of this applicatio
SIGNATURE: _ _-J �. _ DATE L Vl t t\. , ZO C
PRINT NAME: +Z-v�S.Q.,(N
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
O •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
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/Shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(xitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT ` ---
FIRST FLOOR(or Mobile Home)
y
}
COVERED ENTRY
DECK E - —� ---
GARAGE ❑ CARPORT ❑
OTHER(descrae)
.,. ._ ... EXISTING PROPOSED TOTAL �.��._.... .._ �._._.
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
fi.
TOTAL BUILDING
TENANT AREA ONLY
•
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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 City staff.
Tenant Name: GRAVITY COFFEE Permit# 16-103712-00-CO
Address: 35007 ENCHANTED PKWY S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 0.00 0.00 0.00 0.00
Floor Area(sq.ft.) 312.00 0.00 0.00 0.00
Owner Name: A THOUSAND HILLS LLC
Owner Address: 362 N HERBORN
POST FALLS ID 83854
1/2.0 7
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 severely 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. /,