11-103154 J
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Community Development Services FILE Owilding - ;om mer ial
City of Federal Way •
Permit #: 11 -103154-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) $35-3050
Ph:(253)835-2607 Fax (253)835-2609 p a
Project Name: SUB ZERO ICE CREAM
Project Address: 31653 PACIFIC HWY S Suite A Parcel Number: 082104 9196
Project Description: TI-Interior modifications for new tenant,including wall changes,ceiling repair and minor
lighting changes. Includes plumbing; no mechanical.
,
Owner Applicant Contractor Lender
SUBZERO ICE CREAM TERRY SMITH SUBZERO ICE CREAM COLUMBIA STATE BANK
31653 PACIFIC HWY S SUITE A TDSA ARCHITECTURE 31653 PACIFIC HWY S SUITE A 1301 A ST
FEDERAL WAY WA 98003 29607 4TH AVE S FEDERAL WAY WA 98003 TACOMA WA 98402
FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 00 . 0
-„ems ,a,..^ ^^ry / ..„L � his
jc 3/ �" "s.'f as " f +1 al r , "t S•` , ,,,4 "'
PI'
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echanical to tre Included No Number of Stories........,,i 1
Permit for Building Shell Only? No Plumbing to be Included? Yes
Zoning Designation CC-F
k % h ,- ` . \\4 ,;4Plumbing Fixtures ','r'''' `3 .. vF 4j
Lavatories 1 Sinks 1
CONDITIONS:
Fire Department approval required for cryogenic fluid storage and use prior to final.
PERMIT EXPIRES Wednesday, February 1, 2012
Permit Issued on Friday, August 5, 2011
I hereby certify that the above information is correct and that the cons ction on the above described property and
the occupancy and the use will be in accordanc- , ith t e laws, rule:�nd regulations of the State of Washington
d t e Ci of Feder ay.
i
Owner or agent: zr '4-'3 � /` Date: —v_ //
F1UA1.Wt ' /"4ft (
4106, , , ,. , ,
THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT#: 11-103154-00-CO Address: 31653 PACIFIC HWY S Suite A
Project: HARSCH INVESTMENT PROPERTI 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) El Initial Erosion Control (4365) El
Footings/Setback(4110)
Approved fo be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Re-steel(4215) El Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout pproved to cover Approved to place concrete
i
By Date By F✓(/ G Date b ,/d/„it By Date
O Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By • Uf. Date Ig —i,"
0 Fire/Draft Stops(4095) .❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By - Date By Date approved IBC 109.3.4
0, ° Framing(4120) 0 Insulation (4150) n Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By /f Date -f'-`i By Date By Date k-03.,_/(
O Suspended Ceiling Grid (4265) 0 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) 0 Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date - By Date By Date
ECEIV
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AU li 111, '
CITY Fe ittIT
Federal W�ITY OF FED� SF M CO E PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES A' p LI CATION9�o b
253-835-2607•FAX 253-835-2609
www.cttuollederalwati.com
SITE ADDRESS SUITE/UNIT#
. 3/66-. y°4I ar. / 5• -
PROJECT VALUATION ZONING AS ESSOR'S TAX/PARTL# 1 ® -
Ll
TYPE OF PERMIT \BUILDING MBING f: MECHANICAL
❑ DEMOLITION ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) C,_ //4,2 0 /c-
(T9/
/L7 Q'S'(). ) ((J4-)/ - sU/�
Detailed description of work to ,- /(•7'06 ,,,r/� 777 4-6F-:(,(1 . -e ',i= �.-j4- ( J&..__ ..
be included on this permit only
NAME 1 ._{_ PRIMARY PHONE
^� (17,7Li
PROPERTY OWNER E-.{��-5r Y I ✓i(/G ,e,,�I--Pro/�,e-/-l l*e f rJ 03 9 /,3 '-CLL` 6 1(�LING ADDRESS f E-MAIL
1 IA( .5kJ 50.-.IM0
CI STAT ZIP
at^ -I.0..,lnA OK 9`2oZ.o5
NAME PHONE
V.-.a,UN.l. .y • i• __.�-- , 5 - - l-333
MAILING ADDRESS !' . E-MAIL -�
CONTRACTOR �_ •••`. 1.�'1 i .' (�Ga fc�5e-1 C CQInCns I^
CITY "IF STATE ZIP FAX
50 Alwl- 98"3 0 Asa-'9V.4—AOOt
WA • - -• .•CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
ONE
N ti p7.t�cT- PH IS 3-214-,S 77 Z
APPLICANT MAILING ADDRESS E-MAIL
/ ' L A , ,
C �IJ STATE ZIP FAX
PROJECT CONTACT NAME 7 iW, LSI Y PHONE
(The individual to receive and 7-61211e-4-1 "
� -I '
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) Z-9 7 -114.4 /�ji2 5 . '�I @ fdret.G is(_k I-tecit4e._Q i l
CITY STATE ZIP FAX
F //�- £• I8' 3
ALTERNATE CONTACT NAME: PHONE E-MAIL
PROJECT FINANCING NAME / ,r7 OWNER-FINANCED
Required value of$5,000 or more C n`�'�"�l '✓Q"� I�-'
(RCW 19.27.095) MAILING ADDREsr STATE,ZIP / PHONE
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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, incl .ing its officers and employees, upon the accuracy of the
information supplied to the city as a part of is appli - n .
-��SIGNATURE: i•...✓ a DATE ��
PRINT NAME: � liL( ID• S G al-
-Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
., • • 0
N' "AL Fix"IC tRES
VALUE OF MECHANICAL Wo••, $ A \ (a co. - " .td or estimate must be provided)
Indicate how many of each type of y re t. lied• ,.cated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS _ GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE SEATS HOODS(Commeee,an
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING FIXTURES
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 forT¢b/Shower combo) I LAYS(Handsh,ks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS I SINKS(Kitchen/Unhry) WATER HEATERS(Eteerne)
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)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT ❑
OTHER(describe)
ERISTRiGPROP036D TOTAL
Area Totals
**NEW HOMES ONLY'** ____
ESTIMATED SELLIN. 'RICE$ #OF BEDROOMS _
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL--REMO1 E.L/T'ENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
In Square Feet Type Stories
TOTAL BUILDING ISD 7 ._. f
TENANT AREA ONLY l l
PROJECT AREA ONLY
Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application