13-104069 • 1103uilding - Commercial
City &Federalon.D Way _ „ Permit #: 13-104069-00-CO
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p q
Project Name: STARBUCKS MODULAR RETAINING WALL
Project Address: 28722 PACIFIC HWY S Parcel Number: 332204 9119
Project Description: ADD- Construction of"Kelly Block" retaining wall up to 7'in height.
Owner Applicant Contractor Lender
STARBUCKS ANDY PAROLINE WILCOX CONSTRUCTION OWNER IS LENDER
2401 UTAH AVE S 3617 SW CHARLESTOWN ST WILCOC*194Q0(12/10/13)
SEATTLE WA 98134 SEATTLE WA 98126 234 5TH AVE S
EDMONDS WA 98020
Census Category: 565-Fence/retaining wall
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
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
No Fixtures Associated With This Permit!!
CONDITIONS:
This does not grant approval of modified landscape plan.Trellis and modified landscaping will be reviewed as
a revision to the modular building permit.
PERMIT EXPIRES Monday, April 21, 2014
Permit Issued on Wednesday, October 23, 2013
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 accor•1;nce . ' the laws, rules and regulations of the State of Washington
• . Federal Way.
Owner or agent: Date: 1 ��/ 7
THIS CARD IS TO MAIN ON-SITE
"TM of Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-104069-00-CO Address: 28722 PACIFIC HWY S
Project: STARBUCKS FEDERAL WAY, WA 98003-3224
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 Mfg(4400) ❑ Initial Erosion Control(4365) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
O Foundation Wall(4115) 0 Drainage/Downspout(4040) Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
Shear Walls(4245) 0 Roof Sheathing(4220) El Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
• Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 By Date
❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
▪ Final-Fire Department(4060) El Final-Planning 0 Final-Public Works(4080)
Approved Approved Approved
By Date By Date By Date
O Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date By (\‘ Date t 3-- --b
E Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
k
CITY OF PERMIT IPPLICA�'I
ON
Federal Way RECEIV A
SEP II 2013
PERMIT NUMBER J 3 a R Ci _ C 0
TARGET DATE
COS
SITE ADDRESS p,420)
Cr) '/Hn
SUITE/UNIT#
8 4.22 ?/46.1 Pi L ly•wJSc t -m,i,
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
8c 3 3 ...2. A 0 4 _ 9 i i
TYPE OF PERMIT BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 5-mii,,,3V 4,14 IZ.C-71S-1 i•-[!N.[C 1-.41.C..
PROJECT DESCRIPTION i',her 41.1- .+1 g, 4 " ee�E7, B�c t'' I-t✓TA/r,<4
Detailed description of work to to q 1.4.— ?e1 -. 7L.4
be included on this permit only
NAME _ __ __. PRIMARY PHONE
S C706
PROPERTY OWNER ,/.- (J(�,LS 7 O 6 ' -9'15- a 3 3,)
AING ZT"D I s Lrr4 r-1 Ave, S / EMAIL
CITY
�en- / Le. ST1"/4. ZII' 1 13 i
NAME PHONE
14)i L.. c o ‘0,.. .rnt.e-714.n
MAILING ADDRESS - E-MAIL
CONTRACTOR I i
CITY -STA e• FAIL
WA STATE CONTRACTOR'S LICENSE# �•IRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME J� _ __
�n77 ----7 PRIMARY
(-11'4 G PRIMAR b Ho4t5 .03•34'
'S •p 3 3d
APPLICANT MAILING ADDRESS E-MAIL
36/9. .s H.I- S,--mw,-+ ---y--- Anlef ilos.. to AJ.ltn./**res•(•.r►
CITY s6-A,7-77-C STATE✓ ZIP FAX G FAX ',IR
PRIMARY PHONE
PROJECT CONTACT SA'hi(
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING Al 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 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 I as •1•art of this application.
/ S /3
SIGNATURE: 0 DATE /7
PRINT NAME: l �,� ]
,�--J A1/OL 41/L..
Bulletin#100—January 1,2013 Page 1 of 3 k_\Handouts\Permit Application
A
1111 •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT Ajii
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) w
BOILERS FURNACES HOT WATER TANKS)ca.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING - GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT N I),
Indicate how many of each type of fort` ure 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)Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION iv`Jk
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE fin Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
RESIDENTIAL - NEW OR ADDITION ,/l pi
AREA�yDESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
IaS kyr 3 y a.,, eo _., --'---
FIRST FLOOR(or Mobile Horne)
COVERED ENTRY
... `� s i F , pt . , , - '„ ew. -.: r /c gi , : ?�.<, ,,- <. ,,,. ^r . ,-, -,.
,
GARAGE 0 CARPORT ❑
LffiSTING PROPOSED TOTAL%
Area Totals
v ' ` ** g OZJLY ..., .. . ,_.,,..Alf
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION N1 P'
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
UR. E
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area rea Construction #of
Occupancy Group(s) Additional Information
in Square Feet Type Stories
t.4''-;,.;.„-;=,'1,-,,,„-,7,-.--,-.,----
TAI.I -•' -0 v ,Yu 4 i„ x0 Ya
TENANT AREA ONLY
PR�"AREA ONLY 'o--'04-'40,,,„0,4,--,A'0� � &� • '!---1:,,,-&17.4 a � i ri , r a
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application