16-103677 4 t • R
Building - Commercial
Ciof&FEcon.alD Way Permit #: 16-103677-00-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: CAFFE D'ARTE
Project Address: 33926 9TH AVE S Parcel Number: 926480 0125
Project Description: ALT-Installation of coffee bucket elevator in accordance with manufacturer's
requirements and structural calculations.
Owner Applicant Contractor Lender
ROYALS INVESTMENTS LLC KIMBERLY ZIER OMNI PROPERTIES INC
909 S 336TH ST SUITE 103 CAFFE D'ARTE LLC OMNIPI*995BW (8/27/16)
FEDERAL WAY WA 98003 909 S 336TH ST SUITE 103 33926 9TH AVE S
FEDERAL WAY WA 98003 FEDERAL WAY WA 98003
Census Category: 437 - Commercial alt/add/conversion
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 Included9 No Number of Stories. 1
Permit for Building Shell Only9 No Plumbing to be Included? No
Proposed Structure Valuation 1500 New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit !!
CONDITIONS:
Subject to field inspection without plans,w/calcs.
PERMIT EXPIRES Tuesday, January 24, 2017
Permit Issued on Thursday, July 28, 2016
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:A agent: - LiAtil 5S1 1C) Date: -4 • ,*3. /(.e
F : 4
I
- - THIS CARD IS TO REMAIN ON-SITE '
CITY OF
4.1:4%.....,,,
'�, �� Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103677-00-CO Address: 33926 9TH AVE S
Project: ROYALS INVESTMENTS LLC FEDERAL WAY, WA 98003-6709
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.
❑ Final-Building(4050)
Approved
By Date g)/1/Ji
--^
Rough Electrical Final Electrical Right of Way
ElRough ElFinal
•CIRight
By Date By Date By Date
RECEIVE
illJug Q ERMIT'APPLICATION
ITY OF �+ 20I
Way Federal CITY OF FEDERAL WAY
CDS
PERMIT NUMBER /V _ / � _ � O /014
TARGET DATE
SITE ADDRESS SUITE/UNIT#
1 • I 41) , vQ J . CLC 33-SLI QS
(DO
c-•JECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT E/;/),�.,, �- -1 L h-
PROJECT DESCRIPTION ie tkak 1, ( v
Detailed description of work to AC/LEG Lik V C}Lk,1 Le "V P—KA C 1L C
be included on this permit only
NAM PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
33-5,9(D l- ocie
CITY ,' STATE ZIP
red „rtLC I 1 L ` 8c3
NAME PHONE
0 V\IVI-\ Gb9ev-k ee'r) IIVte. 2�-"z/ Lu 1- =(.: `(c"
MAILING ADDRESS E-MAIL /
CONTRACTOR ..,}2,c . Ci - S. 0 YWlvl: Q w-1�V.1E,,NrxE.t
CITY 1 STATE ZIP FAX / t �j
1-- L000,c;.\ U:.)\.0 \).",A G(Et 00 7 s 27 L 1.\- f C1`I
WA STATE CONTRACTOR'S LICANSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
C- Wk N w" 61 6( 5 6W / /
NAME € , 1_ k��, PRIMARY PHONE
��(/�� 11�J'(/xl J,`-K�J ce3 alb?- 0
APPLICANT MAILING ADDRESS E-MAIL
3°)oZCD ()Ph ituf S • -iSP.t-aC2YVlects-f..ne--
CITYST TE 2IP FAX
L) i
NAME ���,,,J PRIMARY PHONE G, �l
PROJECT CONTACT ( i1 l�1 3C�X g'j p71- ll6"�
(The individual to receive and MAILING ADDRESS
, , /�, e E-MAIL /y ,,,,,�
respond to all correspondence 339dco 1 7�lJC ileraecz 1 cast.0€4-
concerning
concerning this application) CITY STATE Tem FAX
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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), ich may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of • iance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part . . .plication. (t
(�
SIGNATURE: / DATE 4 -� - �`�
PRINT NAME: ire 4
Bulletin#100—February 22,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
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)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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.
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
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Yes ❑ No ❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE Cl CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—February 22,2016 Page 2 of 2 k:AHandouts\Permit Application