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
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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
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Dishwashers 1 Drains 2 Lavatories 2
Other Plumbing Fixtures 1 Sinks 4 Water Closets 2
CONDITIONS:
Separate Electrical Permit Required.
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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
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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
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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