06-105993 9 i
CityoeFeveloderaiVVayervices Busing - Commercial Permt:: 06-105993-00-CO
Community Depment S
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax:(253)835-2609 Pitt Inspection Request Line: (253) 835-3050
Project Name: 99 BOTTLES
Project Address: 35002 PACIFIC HWY S Suite A102 Parcel Number: 185295 0050
Project Description: TI-Installing bathroom & office buildout (framing & drywall),drop ceiling,lighting,
HVAC diffusers and vents. Plumbing on separate permit.
Owner Applicant Contractor Lender
OPUS NORTHWEST LLC CRAIG&TIFFANY ADAMOWSKI DOG INC% FRONTIER BANK
915 118TH AVE SE SUITE 300 15415 46TH ST CT E DOGIN**00509 8/14/08 221 W GOWE ST
BELLEVUE WA 98005 SUMNER WA 98390' 30 TACOMA MALL BLVD SUITE 1 KENT WA 98032
TACOMA WA 98409
Census Category: 437 - Commercial alt/add /conversion
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type III-B
Occupancy Load: 36
Floor Area(sq. ft.) 1,232 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included" Yes
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No Occupancy#1 -Use Market/Grocery
Zoning Designation BC
Mechanical Fixtures
Ducts 5 Fans 1
PERMIT EXPIRES Friday, November 21, 2008
Permit Issued on Tuesday, November 21, 2006
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: ji j L'v4. -, Add,rkt.dtcrrri' Date: 11—‘71/ 'aO06
\�\
City of Federal Way • •
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: 99 BOTTLES Permit #: 06-105993-00-CO
Address: 35002 PACIFIC HWY S SuiteA102
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type III - B
Occupancy Load: 36
Floor Area(sq. ft.) 1,232 0 0 0
Owner Name: OPUS NORTHWEST LLC
Owner Address: OPUS NORTHWEST LLC
915 118TH AVE SE SUITE 300
BELLEVUE WA 98005
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 severly 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. �/
J
THIS CARD IS TO WAIN ON-SITE - . ' 4.,
v. ' ''f..... ommunitytDevelonm ,t t Inspection Record
CITY OF '"" r
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-105993-00-CO
Owner: OPUS NORTHWEST LLC
Address: 35002 PACIFIC HWY S Suite A102
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) ❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing (4285) ❑ Floor Sheathing (4105) 0 Mechanical Rough-in (4165)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
•❑ Gas Piping(4125) ❑ Fire/Draft Stops (4095) 1 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) �❑ Insulation (4150) �❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
/ `g'o7 ►
By G e..3 Date /2-7 0. O By Date _By --- C" Date/2-2j.b
❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By C Date /../ Z. c7 `By Date By Date
Final - Mechanical (4065) ❑ Final - Building (4050)
Approved Approved
By 11 , Date ' 0 By L t.0,3 Date 1 .i es. 4,7.
ep
•
Va
1 9 (3,3 9 Lk. _ L 0. -6-9q 3
CITY OF
Federal Way v 2 12006 PERMIT
10 SF EEL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33925 AVENUE ATA•PO BOX 9716
FEDERAL
38LWA . v
WA 98063-4116 LAPP LI CATI ON To
2533435- 607FAX 253- mirk
L„.„ --.--- /0* ( 0 � �
www.cituolfederalwai.com BV''. in.."'
The ollowin r is = iced i ormation-an incom•fete • ••lication will not be •• •ted. Please • nt le'ib1_ (in ink)or
• PROPERTY INFORMATION
SITE ADDRESS `350 0 2 Pa e i F-i C 4-i o{hwa j S SUITE/UNIT# A I 02.•
ASSESSOR'S TAgI/' CELS#y L 3� \1� z �� `7 - LOT SIZE(s1) 13 5
LEGAL DESCR1�7C1�'�`c . A P ttet5,1)ot I) Crossirt4s 3 Lei I LI//!a ) ' See Rill/oil- 1'4" ate-i-ached
(Attach separal ge for lengthy legal descriptio) /
IN PROJECT INFORMATION
TYPE OF PERMIT KBUILDING 'PLUMBING X MECHANICAL
0 DEMOLITION 'ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
-I' so e - +6
1 r �� i MVV) •r.' �'� ► r • ■ %. I , .•�
A L ' A U 1 I i • t i�rrirdl,ili ai•.e,t.'...1ii1 d it Al' ! ' LAI `_ ...4 < ."r..:_ , 4 'A.;WI'
eo•ltr/tondenser1- 'a ei aiy'ctsers iUl!vtf, Ol of serink.0.r •et s
PROJECT NAME(Name of Business or Owner Last Name) 1 t B o fies
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Tri`IYlari.. PederedW arbssi LI (ez3) 03
3 -7163
MAINP
{ Dl �PtIinason RA 2NaFI' a. i(i Lot? e OJ/7
, ,
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Dbi Toe, • Brie RgnoleLso►t (2s3 )'111 -9L/oo
MALto"f3o Tacov�a Mill imu 100 Taeoricc 104 1(�-t/ c (2CELL
3 PHONE
- Y a
CITY OF FEDE WAY BUSINESS LICENSE NUMBER E�IRATION DATE , FAX NUMBER
Q -1. 1 . -- - B L il ' 31 '0 - (263) 1175 51/
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
D O6 I N 4tQQa Det ���/j8 ' I4 'wD '
APPLICANT COMPANY NAME APPLICANT NAME �6&PHONE
1I Pio 1-}'les 1.. 2, CM i Ti itvi A-darridlok(i 2O O) 22-6" - //goo col
MAILING ADDRESS CITY.SR ZIP CELL PHONE
5ov2' Paz I5 S, A I oz. I%edera,I 1.045,4 q003 (.204 ) 353 - GL-iIo fAny
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ii,Tenant 0 Agent 0 Other(Describe) (253) PI I 97o5
CONTACT NAME • PRIMARY PHONE E-MAIL ADDRESS
77 '6ny_,Ge c rki t206 ) 3,53 - 6 171/o f7'
LENDER Per RCW 19.27.095: Lender information is NAME
required If project value exceeds$5,000 Frontier i ie,
MAILING ADDRESS CITY,STATE,ZIP PHONE
.22-I W . c owwe SI-. Ke ft t', toll Q3032_ (253 ) $5Z - gi6o
EXISTING USE ? hlii - Vac-414- PROPOSED USE retzul-spec IQ hj b sKiv rei
EXISTING ASSESSED/APPRAISED VALUE $ lob0,_ VALUE OF PROPOSED WORK $ MMINIFIEltrg
SPRINKLERED BUILDING? )C YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? )4 YES ❑_ NO
WATER SERVICE PROVIDER tr(,LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER lid LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
r ' 411 •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FkIRST i?e`4-41,i s; ac 131-/S` /3 1/5 1-31-/ --
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT 0
NUMBER OF FLOORSEXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
1 1 1
**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 (
Value of Mechanical Work $,: ,....„-q13 5,[,i e ( 4 JC)
)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS _/ FANS 63crOl HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
j cDUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or b/shower Combo) n SHOWERS / WATER CLOS •. / MISC(Describe)
I'SHWAS • 1' SINKS D• , . FOUNTAINS Fl 00 r p t4rw
G• • OUTLETS SUMPS RAINWATER SYST
W ro.HIN :CHINES URINALS ._ : BBS
LAVS(Bathroom sinks VACUUM B' * • I ELECTRIC WA RS
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. ®��- / �1
NAME/TITLE w ada-r4-es- °Ame DATE (( "iS/— Z�17�
ign e) ('title)
RELATIONSHIP TO ❑ Owner ❑Agent o Contractor 0 Architect X Other khat /hus/Aess money-
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION c REPAIR NENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES d?id
ZONING DESIGNATION k CHANGE OF USE? o YES
NEW ADDRESS REQUIRED? o YES cep UP/SEPA/SU? o YES ELNO
PLATTED LOT? o YES ojNO' DEMO PERMIT REQUIRED? o YES ri
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application