07-103197 . . F112
r City of Federal Way s Buing - Commercial Perm #• 07-103197-00-CO
Community Development Services >l •
P.O Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DOMINO'S PIZZA
Project Address: 1426 S 324TH ST Suite A108 Parcel Number: 150050 0080
Project Description: TI- Construction of a new demising wall,partition walls,new barrier-free restroom,
flooring,includes lighting changes and some plumbing fixtures.Mechanical on separate
permit. **7/25/07 Added gas piping**
Owner Applicant Contractor Lender
HARSCH INVESTMENT LINN-DOUGLAS CONSTRUCTION LINN-DOUGLAS CONSTRUCTION HARSCH INVESTMENT
PROPERTIES INC INC PROPERTIES
851 SW 6TH AVE SUITE 550 12846 223RD PL LINNDCL000PC 9/27/07 851 SW 6TH AVE SUITE 550
PORTLAND OR 97204 KENT WA 98031-3962 12846 223RD PL PORTLAND OR 97204
KENT WA 98031-3962
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type III-B
Occupancy Load:
Floor Area(sq. ft.) 1,050 0 0 0
Additional PermitinfortilatiOn
Existing Sprinkler System in Building9 Yes Mechanical to be Included? Yes
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes Occupancy#1 -Use Restaurant
Zoning Designation CC-F
Mechanical Fixtures
Gas Piping 1
Plumbing Fixtures
Laundry Washer Outlets 1 Lavatories 1 Sinks 4
Water Closets 1
CONDITIONS:
Subject to field inspection
PERMIT EXPIRES Friday, June 12, 2009
Permit Issued on Tuesday, June 12, 2007
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 he City of eder Way.
Owner or agent: 0.,./7,1e;Wo, ��/ Date: 7/Z5/607
(pg-or- 4
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: DOMINO'S PIZZA Permit#: 07-103197-00-CO
Address: 1426 S 324TH ST SuiteA108
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type III-B
Occupancy Load:
Floor Area(sq.ft.) 1,050 0 0 0
Owner Name: HARSCH INVESTMENT PROPERTIE:
Owner Address: 851 SW 6TH AVE SUITE 550
PORTLAND OR 97204
uilding Official Da e
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.
• q . .f-. a ,
DATE INSPECTOR AREA AND TYPE OF INSPECTION
ik/10 fi-r ethr2-77e-t_ Ye.vm6//1/6 o/vcy
L/Afe- 70/e_e--7- /7--4,)".9 ee-•;*-7t) -e)/a/977e--i7 o.vey
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A` '. THIS CARD IS TO &WAIN ON-SITE
I? %
CITY OF ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE 14 (253) 835-3050
PERMIT#: 07-103197-00-CO
Owner: HARSCH INVESTMENT PROPERTIES
Address: 1426 S 324TH ST Suite A108
FEDERAL WAY, WA 98003-8444
•
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) ❑ Re-steel(4215) 0 Plumbing Groundwork(4190)
Approved to place concrete Approved to.place concrete or grout Approved to cover
•
By Date By Date By, , C3 Date 7,42.5-......„7
•
0 Slab/Concrete Floor(4255) ❑ Underfloor Framing (4285) ❑ Floor Sheathing(4105)
•
Approved to place concrete . Approved to sheath floor Approved to install flooring
By Date By Date By Date
�❑ Rough Plumbing(4230) ❑ Mechanical Rough-in (4165) ❑ Gas.Piping(4125)
_ ll Approved Approved Approved to release test
` By W Date 7 t ?..5� 452 `By Date By ...1....) Date 7, 3d_G.
❑ Fire/Draft Stops (4095) i NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be ,
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date � ... v� m, a�,d,� By �. r� Date7, 30 _ �.
`❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) '
Approved to install wallboard Approved to install mud&tape Approved to drop tile
1
By Date By C t� Date 7 , 3 O. 07 By ej Date 69 4- 07 1
❑ Final-Fire Department(4060) 0 Final-Planning(4070) ❑ Final-Mechanical(4065)
Approved Approved Approved
By Date By Date • By Date
0 Final-Plumbing(4075) 0 Final-Building(4050)
Approved Approved
• �e" ,...,/Date I o7
•
By Date By
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By0-r Date 9—... 6, 0 7
r • •
cin or` REi,,.�tl E® i1,1 1,0 ,...__,
`ITh- 1. 0 :3 r .)-
q
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES l ..1 % 200? SF MF CO ME EL PL DE EN FP
3332E DER LWAY,E SOUTHAPO BOX of A1D LI CATI ON TD �,&'
FEDERAL WA 98063-9718 ",�������
253-835-2607•FAX 253-835-2609 1
www.cityoffederalwag.com
CWI iniNG DEPT.
The following is requi ( rmation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS s J . 5 " •/� SUITE/UNIT# A to?
ASSESSOR'S TAX ' O O
_a- _a o_ LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefor lengthy mat description)
MI PROJECT INFORMATION
TYPE OF PERMIT UILDING ❑ PLUMBING ❑ MECHANICAL
Z(E
DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this rmit onitl)
�e . . WC11 Ct P v O �l�bur�h-I iov �,t)Q�� 'r4
min' ‘Sti•:
• (� n:Ptuynir)t P .rPik-)
h 1
"rive- 1)rfniiiiir tl...-R,e. ab,Inn -- , , 1
PROJECT NAME(Name of Business or Owner Last Name) hV%5 L?.
al PEOPLE INFORMATION �`
PROPERTYN-� Vl�• + PRIMARY PHONE
OWNER h (S` ) ollg "
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
'6si St ) & "Apt colt. 45?cb at Rlamt
CONTRACTOR C.OMPANY NAME APPLICANT NAME(,A'�r� U� 5 C ,hbnl Lit, aktol1 ! , IIAX[�C�L`S OFFICEPHONE
3 t- SAO
O
-rO Ga A�D./DVRyES O(� f�l'IY,i TA ZIP �citritta `ELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER njt(`j!��, F}CPIRATION DATE 'i IFAX NUMBERJ1
Sin -ot - l039LtS - Ott PS(. l.P. -31 - ei CREd93q - Si j
COP4 0[oard required CONTRAC�TOR'S REGGIISTRATION NUMBERepcd f/E�'X�'PIRATION DATE E-MAILE-jADDRESS/RE //���
.rith each appLLc.Uou LV`• , ,V /�'1 Q I - l --of bti W ti nh"a • 1 .`�iA
`
APPLICANT COMPANY NAME C,U APPLIC AME OFFICE PHONE
Uhr.-70Lao t� 6' , C-�►� t (as3) 93a - 51' O
t iir
D J STATE,ZIP �. CELL PHONE
tom.INoG A.�PTOP �s'otq � ,W4 �iq . ( PHO)
RELATIONSHIP TOP OJECT FAX NUMBER
❑Architect ❑Tenant Agent Other ( S ) qj S
- '56
PROJECT NAME %u..Ntoal h 2 " AT—L/µ/J PRIMARY PHONE E-MAIL ADDRESS
CONTACT yn.{y�y� h��p� (�) �T p 5 aq SAO
QO
LENDER M• •• - i 4" �r l Per Lender 19. o5:
j� „ � information is required if project value exceeds$5,000
T� MAILING D CITY,STATE,ZIP PHONE
.ThYeath./41115`65( 5w lo`wAva. `iaL55o ,02 Cj- (6 ?ASs -33t01
• DETAILED BUILDING INFORMATION
EXISTING USE "g.`- (0_ • PROPOSED USE ��� tl I 'y'
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 4 7aJ
SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER :, HAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER trlLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S•.FT. S .FT. •.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT D
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offucture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) I LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS ' ^rn�G fi•rr
DRINKING FOUNTAINS SHOWERS ___I___ WATER CLOSE Ib front ►� �7 nit.
ELECTRIC WATER HEATERS a it, SINKS I WASHING MACHINES ( Tri t SinK
HOSE BIBBS SUMPS r J 1V
SIGNATURE
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.
NAME/TITLE de '' ,?yaj eek (Decti naifO✓'' DATE (Q — lea cr.)
111 (Signature) (Title)
RELATIONSHIP • PROJECT 0 Owner 0 nt Contractor ❑Architect 0 Other
raiz. E USE ONLY , y,.�,
o NEW o ADDITION o ALTERATION ❑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 o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application