05-105314 r it. - "
0
City of Federal Way Building - Commercial Permit#: 05 - 105314 - 00 - CO
Community Development Services - i
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: L&L HAWAIIAN BBQ
Project Address: 32225 PACIFIC HWY S Suite105 Parcel Number: 150050 0100
Project Description: TI-Install demising walls and restroom walls.No mech/plumbing
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERT S D DEACON CORP OF WASHING? S D DEACON CORP OF WASHING? NONE
PO Box 2708 PO BOX 3070 SDDEACW108NT 6/20/06
BELLEVUE WA 98009 PO BOX 3070
PO Box 2708 Portland,OR 972084 BELLEVUE WA 98009 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-B ,
Occupancy Load
Floor Area(t.Ft.): 2146
Census Category ,410--- Commercial alt/add ' Mechanical No
Permit forBuilding She Only .No , Plums $ .No
Will Certificate of Occupancy be Issued?.. ..No 1 Zoningnesignalion......... �a,. .... .., CC-1i
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES April 12,2006.
Permit issued on October 14,2005
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. ,(J
Owner or agent: ` Date: 09 • I T'
THIS CARD IS TO MAIN ON-SITE
CITY OF :� tommunit Developm t Inspection Record
Y P P
Federal Way IVR INSPECTION REQUEST PHONE# (253) 835-3050
PERMIT#: 05-105314-00-CO
Owner:
Address: 32225 PACIFIC HWY S Suite 105
FEDERAL WAY, WA 98003-6000
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.
O Footings/Setback(4110) 0 Foundation Wall(4115) 0 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 Date By Date
❑ Underfloor Framing(4285) 0 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) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By G Dater s/.O
signed-off and approved. IBC 109.34/UBC 108.5.4
. • v,
❑ Framing(4120) e❑ Insulation(4150) •••,....Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By G,ci Date//.. / 0,5-` By Date f,..feiz �"'� By ,-- c3 Date'/ �Q�„S
l ( -�
❑ Suspended Ceiling Grid(4265) 0 Final-Fire Department(4060) �❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By �e I /�/
j
V_. RE ED 0---,f C. 0 1 b cr-f 0
•
ofOCT 14 2005 fi5I - 43i... {
Federal Way
PERMIT SF MF(5 ME EL PL DE EN FP
COMMUN17Y DEVELOPMENT SERVICES CITY OF FEDERAL f
33325 D AVENUE LWA 98063-9718
PO 9 9718 FPL1 CATION
FEDERAL WAY,WA B U I L D A7D / /
253-835-2607•FAX 253-835-2609
www.cltuoffederalwau.com
The ollowin• is r-.wired i ormation-an incom•fete a,•lication will not be acce•ted. Please 'lint le,ibl (in ink)or .j.-.
, j .fi • PROPERTY INFORMATION
SITE ADDRESS 3222r/ 9 1Ftz- Ill . C- .. SUITE/UNIT# 1.C.)�
ASSESSOR'S TAX/PARCEL# ` T p 0 y.`cD - 0 1 CO LOT SIZE(s 1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
/ • PROJECT INFORMATION
TYPE OF PERMIT "BUI DING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PR JECT DESCRIPTION(Provide detailed description of work included on this permit onliil
Gam. la>l,t i rG i cet
WA-KS A ( I)(Z' a .
PROJECT NAME(Name of Business or Owner Last Name) Li. cipazeoczove .
• PEOPLE INFORMATION
PROPERTY n E,p�. y ('�j� PRIMARY PHONE
OWNER N A IA t)V1r+kAA,ep 1 1 I'r"( `1,1 (45t3) 147.- 2 GI 19p
ADDRESS DDRESS C STATE,ZIP 4
Ito 4993 slot/044J 4,-eudo-n), 212. o
CONTRACTOR COMPANY NAME AP..LICANT NAME OFFICE PHONE
•n. Taresort.elJ -atao ¶Ztz.44.4..") (4110 `f- `{a1Do
MAILING ADDRESSCITY,STATE,ZIP CELL PHONE
2. 1��^'ME . tkX t 1‘7-400 RelLeVOE i G•1A eBcc" cox, ) Ss-4-3144
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-Qo-S ot_ 8 L. 6-s L t2- / 3t / cc' (fu) 28.f - If(VP
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
bDe. AC4La 5144- e=.(o / so /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
4e7DADO ( ) -
MAILING ADDRESS COY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant Agent ❑ Other(Describe) ( ) -
CONTACT NAME • � P Y PHONE tit= MAIL ADDRESS
LENDER Per RCW 19.27.095: Lender information is NAME /41- -
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE lAA PROPOSED USE �y • t •
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ -915)611110
SPRINKLERED BUILDING? /YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER /LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER,LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
•"' • •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. sg.FT. SQ.FT.
BASEMENT
FIRST A/1 i/6. 'J./1PC, A��
SECOND � �( +�
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORS Ela7 reoros€n U TOTALEXISTING SF TOTALPROPOSED SF
**NEW HOMES ONLY" NUMBER OF BEDROOMS / ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Mechanical Work $ 2 A /Cl" 1,4 rC C1 ..4y`t,LY
Ck AIR HANDLING UNITS 5 I EVAPO'• ••�- ' • - // GAS LOGS REFRIG.SYSTEMS
/ BBQS X16 HOO (Co WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES (Describe)
COMP' , •'" FURNACES GAS WATER HEATERS
✓ :• GAS PIPE OUTLETS
PLUMBING ' A'-
•■ .r'Nb/Shower Combo) SHOWERS 41,'1111 CLOSETS(met) MISC(Describe)
DISHWASHERS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS
•S NG ,' 'ES URINALS HOSE BIBBS �.,
- • (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. �y
NAME/TITLE ��:� W�I�.y j/�- DATE I D ')Ti fvc-
gnature)
(Tile)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ,Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application