11-104298i *Building = Co>r i*ercial
" City of Federal Way /�
Cofsmunity & Econ. Dev. Services Permit #: 11 -104298 -00 -CO
33325 8th Ave S
Federal Way, WA 98003 Request InS ection
Ph: (253) 835-2607 Fax: (253) 835-2609 p q est Line: (253) 835-3050
Project Name: MCDONALD'S FilLm"
Project Address: 34814 PACIFIC HWY S Parcel Number: 185295 0070
Project Description: ADD - Extend wall and add roof to existing trash enclosure.
ner
Applicant
Contractor
Lender
FED WAY CROSSINGS FANA
SHERRI GRUENEIS
E M PRECISION LLC
1621 114TH AVE SE STE 132
FREIHEIT & HO ARCHITECTS INC
EMPREL*981LO (7/22/12)
BELLEVUE WA
5209 LAKE WASHINGTON BLVD N
PO BOX 2266
98004
BELLEVUE WA 98004
SUMNER WA 98390
Census Category: 570 - Misc. bridge, residential dock, etc.
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft. 0 0 0 0
Mechanical to be Included?....................................No Number of Stories .................................................. 1
Permit for Building Shell Only9 .............................No Plumbing to be Included? ....................................... No
CONDITIONS:
***Land use permit not required per FWRC 19.15.020(3)***
i
PERMIT EXPIRES Saturday, May 19, 2012
Permit Issued on Monday, November 21, 2011
I hereby certify that the abov iriformati is correct and that the construction on the above described property and
the occupancy and t e us will be in , ,cordance with the laws, rules and regulations of the State of Washington
�^ and the City of Federal Way.
Owner or age ' Date: i
CITY OF
Federal Way
PERMIT #:
11 -104298 -00 -CO
THIS CARD IS TO REMAIXON-SITE
Construction In'ection Record
INSPECTION REQU TS: (253) 835-3050
Address: 34814 PACIFIC HWY S
Project: FED WAY CROSSINGS FANA FEDERAL WAY, WA 98003-8308
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)
❑
Initial Erosion Control (4365)
By
Footings/Setback (4110)
Approved
By
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
Final - Fire Department (4060)
Approved
By Date
Foundation Wall (4115)
❑
Drainage/Downspout (4040)Re-steel
By
(4215)
Approved to place concrete
By
Approved to backfill
Approved to place concrete or grout
By
Date
By
Date
By
Date
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
❑
Shear Walls (4245)
Roof Sheathing (4220)
Fire/Draft Stops (4095)
Approved to install siding
Approved to install roofing
Approved
By
Date
By
Date
By
Date
Interim Erosion Control (4370)
Framing 4120
g ( )
Prior eduling a Framing inspection;
Approved
lectrical, bing & Mechanical Rough -in and
[Fire/DrafftttS:top
Approved to insulate
Date
inspections must be signed -off andBy
BY
Date
pproved. IBC 109.3.4
AIIIIIIIIIIIIIIIII
Insulation (4150)
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
By
Date
By
Date
Final - Fire Department (4060)
Approved
By Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By� Date 1/1 4-/l 2 -
Final - Public Works (4080)
Approved
By Date
El
Final - Planning
Approved
By
Date
Final Erosion Control (4375) Final - Building (4050)
Approved Approved
By Date By� Date 1/1 4-/l 2 -
Final - Public Works (4080)
Approved
By Date
El
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Clrr OF
Federal W j , dRMIT SF CO E L DE EN FP
COMMUNITY DEVELOI�SEIES LIGATION N o+ 9� ' -F
253 C
iuu;m.cu
tumv. cmcn
607• F -- ",��..�Lg
u ede .m O \ ``'/r VLXXIJ l .0
SITE ADDRESSC�
�gl� ltw� 501
81"T/UNIT M
PROJECT VALVA
$ x.01000
ZONING
g
ASSESSOR'S TAR/PARCELN
t 8 5- 0_ -7 o
TYPE OF PERMT
BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(tenant Name/Homeoumer Last Name)
i
N s
PROJECT DESCRIPTION
O F TWh-
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
04W'5 iJ 6 I
PRIBIAR
l� f
G ADDRE7 � / , { _ I 0
12 I
E-MAIL
cP p
S�nl
W
Z>P O3
NAME
PHONIC
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE Y
EXPIRATION DATE
FEDERAL WAY BUSIr LICENSE M
a ifa!N� P�
2S- 27'
APPLICANT
BIAILITIGADDRESSW WfA&1VV bw-b PS #Zoo
�emese car
SZTA- 1100-3;3
PROJECT CONTACT/
rIhe individual to receive and
respond to all correspondence
concerning this application)
NAmm 6kyaQ5, �%1F
A '�ra�
NE
PHou_��7^�oQ
NLAILINGADDRESS y� ,{
14YB17IN up AT-, 4 mo
E-MAIL.
IV',/�pil1
8T
01
0 a3 �
FAX
e--
ALTERNATE CONTACT NAME:
PHONE
E-MAIL.
PROJECT FINANCING
NAm `t/
OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
�"
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 irtformation submitted in support of this permit application is true and correct. I certiN 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, andfiled iled against the city,
but only where such claimarisesut of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as part of this application.
SIGNA �✓r DAATfE
/ r
PRINT NAME: _-� Cd�`^"�/ liti/r 1
Bulletin #100 - January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
%b rN
r.
I
VALUE OF MECEFAMCAL WORK $
k__1
(a copy of bid or estimate must be provided)
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing furtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (co—rciap
BOILERS
FURNACES
HOT WATER TANKS (Gas)
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 of this project. Do not include existing furfures to remain.
BATHTUBS (or1Ub/Shower Combo)
LAVS (Hmdst.dks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS % i I11 -
DRINKING FOUNTAINS
SINKS (tut&b /Utmty)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
No $
EXISTING/PREVIOUS USE
/I t/ SIZE (In Sgqua- FF -t) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No E) Yes ❑ No
TENANT AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 kNiandoutsTern it Application
Area
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
in Square Feet
Stories
BiTII DA(t?A
kf
�P
ADDITION
. l A'
�%to
i its �'
I }�.E"'J�i
b
f ;E 1
E 4 Priv
MAP-
I'M
Area
Construction
# of
AREA DESCREMON
Occupancy Group(s)
Additional Information
in Square Feet
Tie
Stories
TENANT AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 kNiandoutsTern it Application