05-100836 0 *-
ederai Way building - Commercial Permit #: 05 - 100836 - 00 - CO
ity Development Services
JX 9718
tai Way,WA 98063-9718
(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: GARLIC JIM'S FAMOUS GOURMET PIZZA
Project Address: 34024 HOYT RD SW SuiteH Parcel Number:308900 0320
Project Description: TI-Construct tenant improvements for new pizza assembly,pick up and delivery establishment. No
public seating. Plumbing and mechanical on separate permits.
Owner Applicant Contractor Lender
NICHOLSON INVESTMENT CORP MAGELLAN ARCHITECTS*DIRK I LINN-DOUGLAS CONSTRUCTION, NONE
2333 CARILLON POINT 15600 REDMOND WAY SUITE 101 LINNDCL000PC 9/27/05
REDMOND WA 98052 LINN-DOUGLAS CONSTRUCTION,
\KIRKLAND WA 98033 12846 223RD PL NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B
—
Construction Type: Type V-N
Occupancy Load 311 a
Floor Area(St t,): 1413
H-----
1 St Floor Proposed Sc.Feet, 1413 Cense Category. ...... ,.,, ,.....437-Commercial alt/add
Fire Sprinklers- ... Xis Mechanical _......... .. No
Number of Stories...,..• ....., r,.� ...... .......1 Permit for BuildingShell On . ....No
Plumbing No Total Proposed Sq.Feeta 1413
Will Certificate of Occupancy be Issued Yes Zoning Designation BN
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES September 19,2005.
Permit issued on March 23,2005
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.
Owner or agent: ( lit / Date: . /e)..5.-
17 C)..5.—
(,
v\
q\in+\
� r ,x
0 FINALED
O.
•
•
City of Federal Way S •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 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: GARLIC JIM'S FAMOUS GOURMET PIZZA Permit number: 05- 100836-00
Address: 34024 HOYT SW SuiteH
#1 #2 #3 #4
Occupancy Group: B
Construction Type: +— Type V-N
Occupancy Load: 30
Floor Area(Sq.Ft.): 1413
Owner NICHOLSON INVESTMENT CORP
Name: 2333 CARILLON POINT
Address:
\KIRKLAND WA 98033
1 7'II/ --CT--
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.
A ' THIS CARD IS TO .]MAIN ON-SITE
CITY OF .ommunity Developmr, t�llklspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100836-00-CO
Owner: NICHOLSON INVESTMENT CORP
Address: 34024 HOYT RD SW Suite H
FEDERAL WAY, WA 98023
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.
0 Footings/Setback(4110) ❑ 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) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By1.7krf" Date /0.1 - By Date
• •(❑ Underfloor Framing(4285) �❑ Floor Sheathing(4105) ❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
i
❑ Roof Sheathing(4220) 0 Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved I 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) ❑ Insulation(4150) 1: Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&ta.
By L .. '' Date L4-, + By Date By N. " Date 1 t
❑ Suspended Ceiling ri (4265) ❑ inaF l-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
"" v
By Y Date C/f/a ,✓ By Date By Date
❑ Final-Public Works (4080) ❑ Final-Building(4050)
Approved Approved
By Date By S Date S/fr-c2._T—
571?
RECBV• 5 - o 3 (o
. �l Way
� PERMIT5 �� - - -
COMMUNITYDEVELOPMENT SERVICEEEb 2 f�� (/`� A SF MFCO E EL PL DE EN FP
33328
F8Th ERALAVENUE AY,WAH•POBYOF FF DER��LI LICATI ON
FEDERAL WAY,WA 3 1 TD /
253-835.2607•FAX 253-83511'6019p n
www.atuoffederalwau.com eUl).,DINO OLPI,
The ollowin• is • fired in •rmation-an ince •tete • ••lication will not be acce•ted. Please •rint le!ibl in i or j• .
• PROPERTY INFORMATION
SITE ADDRESS 74029' 4 c?fT t��� v4A1(t I W Z3 SUITE/UNIT# 41.11
•ASSESSOR'S TAX/PARCEL# 7 0 '7 410 0 - OS Z. 0 LOT SIZE(sfl (O(OI 166 *
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) "' See A'(ri'c
/Attach separate page for lengthy legal descrip ion)
MI PROJECT INFORMATION
TYPE OF PERMIT leBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed des tion of work included on this permit only)
Pp OP 'c ' T ta►JM.)•(- IMPtzot e met-A- 'Far- Tri -atrr Pet•-t✓ert.r
PL2.26. VESrAfrut faco'r V IT)-& A tam-v.3 RES?fZd'OM.
PROJECT NAME(Name of Business or Owner Last Name) C L.1 io 411 PA'S CAM0US C4OUr-PET Pt zz A
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 141C-1401--50 DDV 1-OPME1 T PP r1 ES - (Liss) V1 -.pm/
MAILING ADDRESS CITY,STATE,ZIP
2333 eAv4 u.,ai•S Pb t t tr Ie-1 R1Lt n KIA 10013 -?3 S3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
t •Et. ( ) -
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L -
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Went U.kt AtuM rec-m Fttp.c. r Sio (4a )tom -4303
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
l'G000 RE0M0419 1447, #I01 V. PM01.Ur, 7 NA 's2 ('25 )t21 -oz'
RELATIONSHIP TO PROJECT FAX NUMBER
Architect 0 Tenant 0 Agent 0 Other(Describe) (425 )€B -4'.03
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
191tZK !'«C•VL.t•04&1 (47) S$i5 -4300 DIP-Ka milenEu"lArearrien.CIO
LENDER � NP ' RT� l�a
it)f-
required IN r ds : E
MAIIdNG ADDRESS CITY, ATE,ZIP
`' • DETAILED BUILDING INFORMATION
EXISTING USE V/4C-i Ar13 T PROPOSED USE VESTAVILANT
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SO( OOC
SPRINKLERED BUILDING? YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES I NO
WATER SERVICE PROVIDER (.AKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER SLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
{ 0
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.PT. SQ.FT. SQ.FT.
BASEMENT
FIRST Ilq,..? 0 _ _ /,
CI/3 46
r
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
Exra T�nr am rAorosia m rarar Iii
NUMBER OF FLOORS 1 l ' i .
**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 fvctures to remain.
Vallueue of - • ical Work $ /44 air t tor
AIR HANDLI r - EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS I HOS I .. , ..:alb WOODSTOVES
BOILERS FIREPLACE INSERTS .l`GES MISC(Describe)
COMPRESSORS ' ACES GAS WATER HEATERS P1 zzoil. CA/0%-.1
DUCTS GAS • • - .
PLUMBING
BATHTUBS(or7Lb/shower Combo SHOWERS _ ER CLOSETS(Toilet I MISC(Describe)
DISHWASHERS SINKS DRI '. OUNTAINS
GAS PIPE • '" - SUMPS RAINWATER
W: MACHINES URINALS HOSE BIBBS
VS(Bathroom sinks) VACUUM BREAKERS _l_ 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 investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed against the City of l edera;thew..,but only where such claim
arises out of the relian of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. �(
NAME/TITLE GQ �Gc (. c/ __ — pie(Ai c I e�"L--. DATE Z/Z�/ �j
(Signature) (Title) 1
RELATION P TO PROJECT 0 Owner 0 Agent 0 Contractor VArchitect 0 Other
'X FF
o NEW cIADDITION tl`, TION a REPAID, ENANT IMPRO{TEMENT
BUILDING SHELL ONLY? O YES liO BASIC a YES O
ZONING DESIGNATIONri4.3HAI(IGE'OF USE+. . �111E.4r NO
NEW ADDRESS a'
YES
. UY►/BEPA/SU? a YES II�IQ ;
PLATTED LIT?... a TE$;- tlk "DEM°MIMI REQUIRED? ;�r YES f?, '
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application