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10-101891w City of Federal Way Applicant Community Development Services Lender P.O. Box 9718 Flo Federal Way, WA 98063-9718 qv Ph: (253) 835-2607 Fax: (253) 835-2609 DAVID'S FEDERAL WAY LLC Project Name: JERSEY'S SPORTS BAR Project Address: 35509 21ST AVE SW 1 • Building - Commercial Permit #: 10 -101891 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Number: 252103 9002 Project Description: TI - Interior remodel for new tenant, including reframing (2) restrooms, kitchen and office. No plumbing or mechanical. Owner Applicant Contractor Lender DAVID HOEK DAVID HOEK DAVID'S FEDERAL WAY LLC DAVID HOEK DAVID'S FEDERAL WAY LLC DAVID'S FEDERAL WAY LLC PO BOX 8164 DAVID'S FEDERAL WAY LLC PO BOX 8164 PO BOX 8164 TACOMA WA 98418 PO BOX 8164 TACOMA WA 98418 TACOMA WA 98418 TACOMA WA 98418 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: A-2 Construction Type: Type V - B Occupancy Load: 127 Floor Areas . ft. 3,000 0 0 0 Number of Stories..................................................1 Plumbing to be Included?.......................................No Occupancy # I - Use ............................................... Tavern/Bar Permit for Building Shell Only? .............................No New / Additional Sq. Feet - Total .......................... 0 'Wo g > PERMIT EXPIRES Sunday, November 21, 2010 Permit Issued on Tuesday, May 25, 2010 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: � Nr Date: (/ / ;71.N- a/3/lo 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: JERSEY'S SPORTS BAR Address: 35509 21ST AVE SW Permit #: 10 -101891 -00 -CO Includes: #1 #2 #3 #4 Occupancy Class: A-2 Construction Type: Type V - B Occupancy Load: 127 Floor Area (sq. ft.) 1 3,000 1 0 0 0 Owner Name: DAVID HOEK DAVID HOEK Owner Name: DAVID'S FEDERAL WAY LLC Owner Address: PO BOX 8164 TACOMA WA 98418 Building 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 severty 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 itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. ' r ' • • City of Federal Way Building - Commercial Community Development Services Permit #: 10-101891 -00-CO P.O. Box 9718 Federal Way, WA 98063-9718FILE Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050 Project Name: JERSEY'S SPORTS BAR Project Address: 35509 21ST AVE SW Parcel Number: 252103 9002 Project Description: TI - Interior remodel for new tenant, including reframing (2) restrooms, kitchen and office. No plumbing or mechanical. Owner Agnlicant Contractor Lende DAVID HOEK DAVID HOEK DAVID'S FEDERAL WAY LLC DAVID HOEK DAVID'S FEDERAL WAY LLC DAVID'S FEDERAL WAY LLC PO BOX 8164 DAVID'S FEDERAL WAY LLC PO BOX 8164 PO BOX 8164 TACOMA WA 98418 PO BOX 8164 TACOMA WA 98418 TACOMA WA 98418 TACOMA WA 98418 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: A-2 Construction Type: Type V - B Occupancy Load: 127 Floor Areas . ft. 3,000 0 0 0 Number of Stories..................................................1 Plumbing to be Included?.......................................No Occupancy # 1 -Use ............................................... Tavern/Bar Permit for Building Shell Only? .............................No New / Additional Sq. Feet - Total .......................... 0 . �..� -i��� .a�_sa . isr §.g-` ay.,d .,<", ;, y �., a•. :•. `' ". a,.. .' �� �•�E.x;�>,y {. t, t..., E .`�•.:r�.�,.,,�. �•'.^�.. PERMIT EXPIRES Sunday, November 21, 2010 Permit Issued on Tuesday, May 25, 2010 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use w' be in accorda with the laws, rules and regulations of the State of Washington t e Ci of Federal Way. Owner or agent: Date: S " THIS CARD IS TOIN ON-SITE CrrY OF 4r � • • Construction In ction Record Federal Way INSPECTION REQU TS: (253) 835-3050 PERMIT #: 10 -101891 -00 -CO Address: 35509 21 STAVE SW Owner: DAVID HOEK FEDERAL WAY, WA 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. ❑ SWM Precon Site Mtg (4400) 0 Initial Erosion Control (4365) 1:1Approved Footings/Setback (4110) By Approved By To be done prior to breaking ground By Approved to place concrete By Date By Date By Date Re -steel (4215) ❑ Slab/Concrete Floor (4255) 1:1Approved Underfloor Framing (4285) By Approved to place concrete or grout By Approved to place concrete By Approved to sheath floor By Date By Date By Date E] Floor Sheathing (4105)El Fire/Draft Stops (4095) Interim Erosion Control (4370) Approved to install flooring Approved Approved By Date By Date By Date ❑ Framing (4120) Prior to scheduling inspection; Insulation (4150) Electrical, Plumbing &anical Rough -in andApproved �a:Framing to insulate Approved to install wallboazd Fire/Draft Stop inspectiust be signed -off andapproved.109.3.4 By ��� Date wj p29 /© By Date Gypsum Wallboard Nailing (4130) Suspended Ceiling Grid (4265) Final - Fire Department (4060) Approved to install mud & tape Approved to drop tile Approved By Date -7 2, to By Date By Date Final Erosion Control (4375) Final - Building (4050) Final - Planning (4070) Approved Approved Approved By Date By Date By ;!5'Date , Rough Electrical Approved Final Electrical Approved 1:1Approved Right of Way By Date By Date By Date 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: JERSEY'S SPORTS BAR Address: 35509 21ST AVE SW Permit #: 10 -101891 -00 -CO Includes: #1 #2 #3 #4 Occupancy Class: A-2 Construction T Type V - B Occupancy Load: 100 Floor Area (sq. ft.) 3,000 0 0 0 Owner Name: JERSEY'S SPORTS BAR Owner Address: 35509 21ST AVE SW FEDERAL WAY WA 98023 — �tf�f 0-2-/3 ild ng ficial 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 at%cting the construction or use of said structure or the land upon which itis situated. Such compliance is the responsibility of the owner and / or occupant of the premises. WERMIT j� T A'j .\ r,,,ttin, ,rvueteco : BI�9Ic S �.�' UPLICATION 25.;-83.5-2607• FAX 2E1TRT -2609 :rho,.: cit�r;;u":etCrco, xrm ��� -Lvo Aj�F . CO ME PL DE EN FP SITE X90RkEiS SUITE/UNIT # PROJECT VALUATION $ 9 .az) ZONING 4� ASSESSOR'S TAX/PARCEL # � s 9- ( 6 3- o 0 1?-- TYPE OF PERMIT ,XjBUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) 1� �� S J c� PROJECT DESCRIPTION Detailed description of work to Tc H be included on this permit only PROPERTY OWNER NADA l U' 5-/ PRDNARYP ! NE ' (R MAILING ADDRESS (N � _? _? _77 J E- An, CITY 1 {��/� w '" , ZIP NAME W ,t /) n , PHONE MAILING ADDRESS E-MAIL . CONTRACTOR CITY STATEFAX rE WA STATE CONTRACTORS LICENSE f XPIRATION DATE FEDERAL WAY BUSINESS LICENSE I PADAE , V I � � ! PHONE MAILING ADDRESS E-MAIL APPLICANT CITY STATE ZIP FAX PROJECT CONTACT (The individual to receive and NAPAE V W /V PHONE MAILING ADDRESS EMAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX ALTERNATE CONTACT NAME: PHONE E-MAIL PROJECT FINANCING NAS OWNER -FINANCED Required value of $5, 000 or more MAUJNG ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27095) I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy 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 a s out of reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the c as art o t ' application. ^ / SIGNATURE: GSV/ L —'^ DATE PRINT NAME Bulletin #100 —April 14, 2010 Page I of 3 k:\Handouts\Pemut Application • 11 VALUE of MECHANICAL WORK (a copy of bid ore must be provided) Indicate how many of each type of fixture to be installed or relocated of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREP SERTS HOODS (Commercial) BOILERS NACES HOT WATER TANKS Ices) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES Indicate how many of each type of fixture to be installed or relocated as part gFthts project. Do not include existing fixtures to remain. BATHTUBS (or Tub/Sh—rCombo) LAVS (HmdSinks) / TOILETS WATER PIPING DISHWASHERS RAINW STEMS URINALS OTHER (Describe) DRAINS HOWERS VACUUM BREAKERS DRINKING FOU SINKS (Kitchen/utility) WATER HEATERS (Electric) (BBS SUMP S WASHING MACHINES •:;::'::::;:;::;::;:::::::::::::;:::;:::::::;;:':::;::::::: +::::::::::::t<5 .........................................................................................................RF..# ?k:::in:::'i�i'i ........................................: ::.....::::. ': ...........................................................................................:.::::::::::::. �:::::::::::::.::::;:;. �:. �::::::::::::::::::: .......................................... CRITICAL Aox.Ac E/PROPERTY? WATERPURVEYOR .12 SEWERPURVEYOR VALUE OF WASTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE Iia Squaw Fact) EXISTING FIRE SPRINKLER SYSTEM? No NSYSTEM? PROPOSED FIRE supS77 ❑Yeo 1 �A'"�AvLn(/A❑Yes AREA DESCRIPTION Area Occupancy Groups)I Construction # of I Additional Information in Square Feet Type Stories f ADDITION Area Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information is Square Feet Type 3tosies TENANT AREA ONLY I —5,6_z_ly� Bulletin #100 —April 14, 2010 Page 2 of 3 k:\Handouts\Peimit Application