04-100927 • S
•
City of Federal Way
Community Development Services �,Building - Commercial Permit #:04 - 100927 - 00 4,:'O
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CHAMPS
Project Address: 1920B S SEATAC MALL BLVD Parcel Number:762240 0010
Project Description: TI-Interior alterations to an existing retail lease space,including plumbing&mechanical.
Owner Applicant Contractor Lender
STEADFAST SEATAC MALL RETAIL PERMIT SERVICES SIERRA CONTRACTING NO LENDER/SELF FINANCED
20411 SW BIRCH ST SUITE 200 3019 HOLLINWOLL DR SIERRC*021PM(01-30-05)
NEWPORT BEACH CA 92660 KATY TX 77450 445 CORPORATE DR SUITE A
ESCONDIDO CA 92029
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: _
Construction Type: Type V-N —_.__
Occupancy Load: 80
Floor Area(Sq.Ft): 6160 —11
-41
Building Pre-con.Meeting Required No Census Category 437--Commercial alt/add
Fire Sprinklers Yes Mechanical. ...... Yes
Number of Stories 1 Permit for Building Shell Only.....:. .No
Plumbing Yes Will Certificate of Occupancy be Issued?...........Yes
Zoning Designation CC-C
Plumbing Fixtures
Description Quantity Description Quantity Description (Quantity
Lavatories 1 Sinks 1 Water Closets11 — �
Water Heaters 1
Mechanical Fixtures
r Description Quantity Description Quantity Description 'Quantity
Air Handling Units 1 Ducts 1
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES November 22,2004.
Permit issued on May 26,2004
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 Way.
Owner or agent: _ �, e%�.c:.�-� Date:
0/ ��
t ,
et-
r0.0 4
Citi/ cif Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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 City staff.
Tenant Name: CHAMPS Permit number: 04- 100927-00
Address: 1920B S SEATAC MALL
#1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load: fl 80
Floor Area(Sq.Ft.): 6160
Owner STEADFAST SEATAC MALL
Name: 20411 SW BIRCH ST SUITE 200
Address: NEWPORT BEACH CA 92660
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.
•
KENNETBUTTS••ARCHITECT AIA•124 STAGECOACH ROAD•BELL CANVO LIFORNIA 91307*PHONE(818)999-4272 FAX(818)999-4321
411111
66 IIIKENNBUTTS
9 July 2004
Building Inspector
SeaTac Mall
Federal Way, Washington 98003
Re; Champs 1920B South SeaTac Mall
Dear Inspector:
The diagonal bracing called for on the drawings and at every 12 feet
may be omitted. This is at the discretion of the contractor.
Should you have any questions or require additional information, please
do not hesitate to contact me.
3405 REGISTERED
Siinc=rely;
ARCHITECT
O (/ +....
" KENNETH L. BUTTS
Kenneth L. Butts Architect STATE OF WASHINGTON
State of Washington
License # 2174
0 0 a '''
INSPECTION LOG
D 'T INSPECTOR OK CORR/RE AREA AND TYPE OF INSPECTION
CJ�O Pr
It rah11 01 firiiyi 5 - 6)k 4o
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00/ w, Ii b1 --d A II e/c6/3,1 /301111,60041,
• THIS CARD IS TO MAIN ON-SITE
CITY OF ItommunitY P Inspection m t Ins ection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-100927-00-CO
Owner: RETAIL PERMIT SERVICES
Address: 1920B S SEATAC MALL BLVD
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
.❑ Footings/Setback(4110) 0 Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
•
❑ Re-steel (4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By 7/ � Date (40 By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) 0 Mechanical Rough-in(4165)
Approved to install roofing Approved Approved
By Date Bys---(/ Date 1-/i7/.61/ By Date
❑ Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date By Date
•
•
•❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date 6//0 q By Date By Date
❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
. •
❑ Final-Public Works(4080) ❑ Final-Mechanical(4065) 0 Final-Plumbing(4075)
Approved Approved Approved
By Date By Date By Date
•
Final-Building(4050)
��yyjj � //JJ Approved
By//dlrt/ X4 Date "1'12--0V
RECD
COMMUNITY DEVELOPMENT SERVICES
.1*44,411h33530 FIRST WAY SOUTH•PO BOX 9718
p � FEDERAL WAY,WA 98063-9718
Federal Way RMIT APPLICATION 253-661-4115•FAX:253-661-4129
wwwci to o%fed eralwa u.com
9u"�C5`S",°I'
� O� 1p IO i i':t x� I'lrs t �g � r s
4411
• The ollowin• is re•uired in ormation—an incom•lete a••lication will not be acce•ted. Please •tint le•ibl (in in or •e.
■ PROPERTY INFORMATION
SITE ADDRESS: Ek •0 a '--1 rti e-INKAMNL- - SUITE/APT# 13—t9NO
ASSESSOR'S TAX/PARCEL#: - SQUARE FOOTAGE OF LOT: 14(.0Z3 \Nt\
LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1)
f I 11\kt---- — (Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): .d:UILDING • PLUMBING ► ECHANICAL DEMOLITION ((1'4-7-1° /
01 ECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM ChM
PROJECT DESCRIPTION (Provide detailed d-scription of work included on this permit only):
[ N-.rt k0 X1-5-)W l O fm '-- J ç rvw- 66/161 )T-
TO
f 2J'r0 ?r- t'1-1il G T7 L- f i _
PROJECT NAME(Name of Business/Owner Last Name): r-4
• PEOPLE INFORMATION
PROPERTY NAME: �^ / ,�� � PRIMARY PHONE: 1 '2.,q-
OWNER: I CIj\A�. (0 671 fi I �C et 2_) -Lt 1
MAILING ADDRESS(STREET A DRESS;): CITY,STATE,ZIP
CONTRACTORI NAME COMPANY OFFICE PHONE:
J/ ( )
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP CELL PHONE:
( ) -
1 t ID CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER:
/ / ( ) -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required with each application) /
L NDER NAME: + DAYTIME PHONE:
of Proposed Value>$5,000126\fJ 0 j _ _ t ( ) -
MAILING ADDRESS(STREET ADDRESS;):ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
E1 k1r-- . ..-t-t-li2 --i--ptFc32 (-FS (%))s54,0 - oLt L
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
30 lit N W ULt YPVCFUI I 4So ( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
0 Architect 0 Tenant [Other(Describe): (Cir r ••-175)—1-- (2' ) r--4 9-2223
CONTACT"PERSON.FOR THIS,"PROJECT: ❑ Property Owner a Contractor" AppIisai t E-MAIL ADDRESS:
• DETAILED BUILDING INFORMATION
EXISTING USE: Tr e, _Z- \ t - PROPOSED USE: f 1/tj C t
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: ) ?'J 0 C
SPRINKLERED BUILDING? Ai YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ABS NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA a PRIVATE(WELL) /, 1i
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
E TdCll tJ«.
03/17/2004 : T( RETAIL PERMIT SVCS INC [�j003/003
03/17/2004 02 25 12;03 FAX 2b366142815792227 CITY FEDERALWAY 0 003
,
•
• PROJECT 7r LOOR AREAS '
AREA.Afs`ZCRIPTION •STIRIG S -ST: " PROPOSED S+, ITT,
EASEMENT . . TOTAL
FIRST ' S - � l •
r ��•
,
���J�lC �l C p O
SEOOND 4:0 (al (0
TH{RD .
rya . ' \\----7- : . '
FOURTH '
ADDITIONAL FLOORS(DESCRIBE) ,
DEC&(COVERED?)
GARAGE/CARPORT , •
•
HOW MANY FLOORS? ,mA •-
log TM'A..P V3Pris= TOT v7ST1t1c Ar
• •
D rttcPOa cn
`'NEW HOMES ONLY" NUMBER OF BEDROOMS: 11. 4110
a
ESTIMATED SELLING PRICE: $
■ P TUTEES
Indicate,number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
CEr.A.MC9d. OCIO
v / , ,_ / .fit-L —
f (-
..)
Value of McchaniazWork '
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRI
G,
SYSTEMSI 6BQS FANS HOODS Ica.-•--m0 WOVEg9OILERg
FIREPLACE INSERTg RANGES MISC(De➢crl )._SOMPR&SSORS FURNACES
IDUCTS GAS WATER HEATERS
GAS PIPE Ofesk'C.:•,/ 1702-1
TLETS
PLU'dtelNG �T '6�
BATHTUBS(orTub(Sn�eCombo) SHOWE1ts t"
DISHWASHERS i SINKS WATER CLOSETS 1To,,� -„'g (Deccrjbc)
OAS PIPE OUTLETSSUMPS RAIDRINWATER
FOUNTAINS 1,
r WASHING MACHINES urgt HO BIS R SYS
t) URINALS HOSE BI9BS U
LAVS(Botha.=si.i, VACUUM BREAKERS I ELECTRIC WATER HEA RS
•
•
DISCLAIMER/SIGNATURE BLOCK -
•
I certify under penalty of pe,]ury Chat the irtformcition furnished by me is true and correct to the best of my
lvtowtedge, and further, that lam authorized by Owner th `tf the above pr+errstses to perform the work for which the permit
apps{cation is made_ I.fur'ther agree.to hold
attorneys'fees incurred in.the investigation and defense of such claim),FWay as to be madeclaim by(including costs, nrtses, and
undersigned, and filed against the City of Federal W e suchwhnch claim
ou anythe person, includingthecity,the
including its officers ands 4E/, but only where cTaiilP,arises out of the reliance of the
employees, upon the acouraey of the inforntation supplied to the city as a part of this application.
NAME/TITLE: �-C
(Sfasature) ./1:41-
DATE: ____Slial_CH___.
eRELATIONSHIPP O PROJECT: 0 pro (filial
RELATIONSHIPP wner Applicant 0 Contractor o Architect ❑
c�- SSS C�
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C� v I
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'ivY :.J.:. :nmr,:..r” mt.:J�ryi rNY
p.kw.;i�.'rr'la'. i',:,a.ADDLTION •o ALTER4TIOIy
y$�);��•di«����I�t;z,QMLY? f !•:-'' � ® �REPAIR, ''::,� , .7,'EPIAi�iT XME120VEMENT' ,.
`,.� 7 ;Olitli d YES.. AO'1 . , IBASYC,PLAitt
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•
'IdE' '`ADDRES,'`i.t7 rEithilRED? s`=_ANO CF 'GE:OIF vsE? a a. ►'
'CI'ED LO'C? o YES VP/SEPArSV? r O,
OYES N
O DEMO PERMIT REQUIRED? n YES wr
NO•i
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