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17-104804 t 1 ft Building Commercial C� ,yDe;elPermit #:17-104804-00-CO 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax.(253)835-2609 Project Name: THE CHOPPED LEAF Project Address: 35002 PACIFIC HWY S .N_- `O 3. Parcel Number: 185295 0050 Project Description: TI-Interior tenant improvement work to convert previous retail use space to restaurant space. Plumbing and mechanical included. Owner Applicant Contractor Lender FEDERAL WAY CROSSINGS KEVIN DUECKFAST HEALTHY PANTHEON CONSTRUCTION LLC ACCLIVITY FINANCIAL 10655 NE 4TH ST SUITE 700 FOODS INC 22835 190TH AVE SE 50 LAKE OCONEE PKWY SUITE 1 BELLEVUE WA 98004 35031 41ST PL S RENTON WA 98058 GREENSBORO GA 30642 FEDERAL WAY WA 98001 USA Census Category: 437-Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 48.00 Floor Area(sq.ft.) 1,385.00 0.00 0.00 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet-3rd Floor 0 Occupancy#1-Area(Sq.Feet) 1385 New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type V-B New/Additional Sq.Feet-Deck. 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included'? Yes Plumbing Work Valuation'? 55000 Mechanical Work Valuation? 35000 Number of Stories 1 New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application'? No Permit for Building Shell Only? No Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0 Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Rest Area Restroom Comprehensive Plan Designation Commercial Enterprise Zoning Designation CE Total Valuation:150,000.00 �x � � f � ''E �, K E E .: a�xw: �' Ed F E:: ?s, :✓ i, y x '. Eh�C � -'/ Ste` ffa ! Ducting 1 Fans 1 Gas Piping 1 Hot Water Tanks 1 ° ''vx x'"hxP' ,7 x 8' s `E,.. { Y s$' t:-;i a 'sz ,i <.. �^ x xx x i .;r a < �u.iE x,,:.'f !x,G Sxl�� 5 •� ,x ( F ;'..�xk..a xN,N. ?..,,. „.• �€' � �,x&,.,.i ,a, � ,r'%� p�'�' ' �gr""*Y�. �.�'.��, �'n"�,�,€E. ..rxe.`�' ��, ,w�'.x�/f...,... Dishwashers 1 Drains 2 Lavatories 2 Other Plumbing Fixtures 1 Sinks 4 Water Closets 2 CONDITIONS: Separate Electrical Permit Required. ;✓t a.l e,0` { w..,y, ,a.,..0 tTM F PERMIT EXPIRES Monday,11 June,2018 Permit Issued on Wednesday,December 13,2017 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: G7w^' /� Date: /2—f 3-./7- City ./2 City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is 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: THE CHOPPED LEAF Permit# 17-104804-00-CO Address: 35002 PACIFIC HWY S Unit A-103 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: 48.00 0.00 0.00 0.00 Floor Area(sq.ft.) 1,385.00 0.00 0.00 0.00 Owner Name: FEDERAL WAY CROSSINGS Owner Address: 10655 NE 4TH ST SUITE 700 BELLEVUE WA 98004 --OLAalLd&-- - 6/7 i b 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. t THIS CARD IS TO REMAIN ON-SITE Federal Way Construction-Ins 'on Record ' INSPECTIOP EQUE I'S:1253)835-3050 I PERMIT#: 17 104804 00 Address: 35002 PACIFIC HWY S Unit A-103 POI ject: FEDERAL WAY CROSSINGS FEDERAL WAY WA 98003 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. El Initial Erosion Control(4365) ID Footings/Setback(4110) 121 Re-steel(4215) To be dont PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout By Date By Date By Date ® Plumbing Groundwork(4190) j El Slab/Concrete Floor(4255) ® Underfloor Framing(4285) itipproved to cover Approved to place concrete Approved to sheath floor BY jj 1 Date 1 ! By Date By Date ® Flopr Sheathing(4105) ® Rough Plumbing(4230) 12 Mechanical Rough-in(4165) Approved to install flooring Approved i Approved By Date By ' Date 7. 2 . By Date El Gas Piping(4125) El Fire/Draft 4095 Stops P ( ) ' El Interim Erosion Control(4370) Ap roved to release test Approved I Approved Bye 1 Date By Date • ' BY Date Prior to sch fling a Framing inspection; 0 Framing(4120) P P El Insulation(4150) Electrical,Plf: hilt&Mechanical Roush-in and Fire/Draft p inspections must be signed- Approved to insulate Approved to install wallboard off and approved. IBC 1093.4 By Date +' C=- , ; , + By Date 1:1 Gypsum aboard Nailing(4130) El Suspended Ceiling Grid(4265) El Final-S K F&R(4060) Approved to install mud&tape Approved to drop tile Approved ( ) `,' Date "'�C— 4 By Date —1— ! By Date El Itinal-Planning ® Final Erosion Control(4375) ? El Final-Mechanical(4065) Approved Approved Approved By 1 Date By Date By _ Date .,3 Tc— ID Final-Plumbing(4075) El Final-Building(4050) Approved hi j Approved By L' .Lit.N.l Date 0 Ro*gh Electrical Final Electrical 0 Right of Way Approved } I Approved Approved By Date By Date By Date Dbt.TE INSPECTOR AREA AND TYPE OF INSPECTION ► 3/5 iY se4►A- RECEIVED X11\ OCT 0 6 2017 PERMIT APPLICATION cmttote <' rf, CITY OF FEDERAL WAY Federal PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 COMMUNITY DEVELOPMENT 253-835-2607+FAX 253-835-2609+permitcente n itvoffederalway.com PERMIT NUMBER ` _ 1 0 v 0+ _a o H7i /t 7-- _ TARGET DATE SITE ADDRESS 35002 PACIFIC HIGHWAY S SUITE/UNIT If FEDERAL WAY, WA 98003 A103 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL# $ 150, 000 GENERAL COMMERCIAL 1 8 5 2 9 5 - 0 0 5 0 TYPE OF'PERMIT XI BUILDING IN PLUMBING Ig1 MECHANICAL DEMOLITION Da ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT THE CHOPPED LEAF: FEDERAL WAY CROSSINGS THIS PROJECT IS TO CONVERT AN EXISTING SUITE PROJECT DESCRIPTION Detailed description of work to IN AN EXISTING STRIP MALL FROM A RETAIL STORE be included on this permit only INTO A RESTAURANT . NAME PRIMARY PHONE FANA GROUP OF COMPANIES 425 505 2502 PROPERTY OWNER MAILING ADDRESS E-MAIL 10655 NE 4TH STREET SUITE 700 JOHN.POWERS@FANAGROUP.COM OITY BELLEVUE ^,� SBNAZIP 98004 NAME PA.N I if EON) \^i ONS I F'(4C 11 t LQPHONE MAILING ADDRESS 'L/ • E-MAIL CONTRACTOR Z? ` ` 0 /KC- 5 L— an' STATE ZIPg s,6 FAX T.B.D. t :thf� kyr- —C A STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE N NAME PRIMARY PHONE Kevin Dueck 253 . 315 .4605 APPLICANT MAILING ADDRESS E-MAIL 35002 PACIFIC HIGHWAY S, STE. A103 KEVIN.DUECK@OUTLOOK.COM CITY STATE ZIP FAX AUBURN WA 98001 NAME PRIMARY PHONE PROJECT CONTACT David J Stagliano 303 . 996 .0871 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence 7076 S Alton Way, Building A dstagliano@cahen-arch.com concerning this application) crry STATE FAX n/a PROJECT FINANCING NAME Acclivity Financial 0 OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 6350 Lake Oconee Parkway, Ste 110 PMB 141 865-548-9913 Greensboro, GA 30642 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 city as a part of this application. 4 / '7 SIGNATURE: �'� DATE / v ` �/Z PRINT NAME: Kevin Dueck Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application fr VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 35K Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. AIR HANDLING UNITS 1 FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES 1 HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST 100 ± DUCTING 50'+ GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ 55K 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) 2 LAVS(Hand Sinks) 2 TOILETS 250'± WATER PIPING 1 DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) 2 DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS 4 SINKS(Kitcen/uwiry) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES 11 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ unknown EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? XYes❑ No DKYes ❑ No RETAIL STORE Under separate contract RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE FIRST FLOOR(or Mobile Home) COVERED ENTRY GARAGE ❑ CARPORT ❑ OTHER �. Area Totals =STING PROPOSED T�A MATED SELLING PRICE$ 1#OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRI• • Area Occupancy Group(s) Const Add '•nal Information uare Feet Stories MPIVN- COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TENANT AREA ONLY 119 0 A-2 V-B 1 Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application