05-101121 A
Gsty of Federal Way Building - Commercial Permit #: 05 - 101121 - 00 - CO
Community bevelopment Services
PO Box 9718
Federal Way,WA 50063-9718
Ph (253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: STARBUCKS
Project Address: 33702 21ST AVE SW Parcel Number:930100 0010
Project Description: TI-Interior renovations,including new walls&soffits,lighting changes and plumbing fixture
changeouts.
Owner Applicant Contractor liEender
TEXAS COMMERCE BANK NATO) ELITE COMMERCIAL CONTRACT) ELITE COMMERCIAL CONTRACT) NONE
33702 21ST AVE SW 804 W MEEKER ST SUITE 201 ELITECCO20CD 2/6/05
FEDERAL WAY WA KENT WA 98032 804 W MEEKER ST SUITE 201
98023-7762 KENT WA 98032 NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type: _ • Type V-N I
Occupancy Load:
Floor Arta(Sq.Ft.): -_ ' 1604I 1
Census Category 437-Commercial alt/add Fire Sprinklers Yes
Mechanical No Number of Stories 1
Permit for Building Shell Only No Plumbing No
Will Certificate of Occupancy be Issued9 Yes Zoning Designation BN
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES September 27,2005.
Permit issued on March 31,2005
I hereby certify that the above info.. ation is correct and that the construction on the above described property and
the occupancy and the use w'll .- ' accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: 3. 3), 05-
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City of Federal Way
•
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the Uniform 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: STARBUCKS Permit number: 05- 101121 -00
Address: 33702 21ST SW
#1 #2 #3 #4
Occupancy Group: B _
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 1600
Owner TEXAS COMMERCE BANK NATON
Name: 33702 21ST AVE SW
Address: FEDERAL WAY WA
98023-7762
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.
•
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A THIS CARD IS TO MAIN ON-SITE , -- •
CITY OF ommunitytDevelopm nt Inspection Record
p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-101121-00-CO
Owner:
Address: 33702 21ST AVE SW
FEDERAL WAY, WA 98023-7762
This card is part of your required inspection documents. 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.
❑ Footings/Setback(4110) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
❑ Re-steel(4215) 0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By4-yDate 4_\et_C' By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) 0 Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
/
By (-1,r Date 4/z 7 itS- By Date By F1-"fDate... O'r—
❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) 0 Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
❑ Final-Public Works(4080) ❑ Final-Building(4050)
Approved Approved
By Date By Date
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• RECEIVED
055 - o / l l
Federal Way PE RM I' AR 1 0 2005 SF
COMMUNITY DEVELOPMENT SERVICES
MF )ME EL PL DE EN FP
333258TH ERALWAVENUE SOUTH•PO 63BOX9718
APPLI CA�',I N
FEDERAL WAY,WA 98063-9718 f D E RA L WA
TD 253-8352607•FAX 253-835-2609 0)4A www atuoffederalwau.com BUILDING DEPT.
The oUowin, is re- ired i ormation-an Inco •fete a••lication will not be acce•ted. Please •rint le•ibl in in or f• .
III PROPERTY INFORMATION
SITE ADDRESS 3 37°2- 2. 1 et:-T P. e SW S•+t-t t 1r► ► SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 9 3 0 I 0 O - 0 O 1 O LOT SIZE NO
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1 W E VT 1A% .
(Attach separate page for lengthy legal descriptor)
• PROJECT INFORMATION
TYPE OF PERMIT lc BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
STwttbaclGi C-+FFE6 Coll.rAr.$"% - S2eIIO3Ai1a4 (s-ia')- C6Ns- tat.tat i.1Cty wrov-s cons•V+u.a.-r
- t . S.cc -t�. Moo4F•4 6oct, rlNe % .00ec I1.1 QEPv.t..r'e EcuV.P %vs 1Mh'TACW
FvAV%Twite, leaSir Atoo/ gI1-ocXtG40.•O•ctNt. /..•tiK'C V%x'.04VS t.fsTAa4 11.46%V (r%M9$ ..%) i.)A•rtM
PR1�•E ?A%w+•T' 1.I6.46%-s
PROJECT NAME(Name of Business or Owner Last Name) STA .%u C..K S - TW I N LAKES (2 a C'•a
PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Fe>r b MEy E iZ t tit c.. (S% )2 4 - -4-1
MAILING ADDRESS CITY,STATE,ZIP
3800 SE L2 MO ?Oa,:rLA..1� OR. 9 -12.07-
CONTRACTOR
2.02-
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
EL%Te tc.# . Co..s CPAC(u J•+e►'*1 P.3€%1 t.4 (25; ) Si 3 - 3121
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
//CM W. PISE10E2 n. s# Z.b1 Ke-w=, '.4A• 9 2(532 (2.,. ) ass- - r'41s
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
9 9 -� v - '7 i S o o-s L 12. 3 ( / or (2 s3) 823 3wt
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
E L 1 T E G C. g ?_ G D 2 /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
STAaea‘,►cKS CoF#G eo, (Zion• ) 318 - 79S'o
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
2401 V-TA14 Age S. SC"Tr LS 41., 95113 ( ( ) -
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect KTenant 0 Agent 0 Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
us-r .� E/i 4S (2s3 ) 893 '312" .)vs-rINE42Ee.1-re-Ce..Cor1
LENDER Per RCW 19.27.095: Lender tn/onnaitian is NAME
required if project value exceed**8000 5T,at¢be44.1t S C 0PP0 0 Co.
MAILING ADDRESS CITY,STATE,ZIP
2*y 0 t v'rA v1 Ave s. S e A•RIJE, W A• 9 813 t-I
• DETAILED BUILDING INFORMATION
EXISTING USE C.oFOE G SHOPywo.+•ar, C.PROPOSED USE oFFe 6 5„',
s inn r.wdrw.a
EXISTING ASSESSED/APPRAISED VALUE $ k%s Pse-r •F F n•et.e 5.j VALUE OF PROPOSED WORK $ 40,00
SPRINKLERED BUILDING? RYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO •
WATER SERVICE PROVIDER )(LAKEHAVEN o HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER XLAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
ir
l - S 0
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
NI/fs- N/A " NY
FIRST t to coo Nip I x.00
hagglia c..NANtiE '4' —
SECOND 1•1t or t..1 /A- 1414
THIRD
FOURTH
/ /
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) 4
GARAGE ❑ CARPORT❑ t4/A N /A- )4/a
NUMBER OF FLOORS emn
r,ao OPOS= TOTAL ioTM.sznTSVAL v4 aSr TOTAL PROPOS= TOTALIGO
1 1 1 kW) ..Gi-- .QIP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 0. 00
AIR HANDLING UNITS EVAPORATIVE COOLERS AI_/ LOGS REFRIG.SYSTEMS
BBQS FANS a _,_1 - •�y`•ODS(Commernv) WOODSTOVES
BOILERS FIREPLACE INS o i,r. i GES MISC(Describe)
COMPRESSORS FURNA.0 J) GAS WATER HEATERS
DUCTS GAS PI'' .int s
I
PLUMBING
BATHTUBS or Thb/Shower Combo) . SHOWERS WATER CLOSETS(toilet) MISC(Describe)
DISHWASHERS 'L SINKS(' FLveQ DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS t Quest; RAINWATER SYST
WASHING MAC .1. URINALS HOSE BIBBS
LAVS):. ..m sink.) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way to any claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which may be m an person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of city,i hiding its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE .310.O g-
(Signature) (Title)
RELA ONS TO PROJECT ❑ Owner ❑ Agent R'Contractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
a NEW o ADDITION a ALTERATION o REPAIR VIBRANT IMPROVEMENT
BUILDING SHELL ONLY? a YES SFO BASIC PLAN? a YES itlo
ZONING DESIGNATION.e N _` CHANGE OF USE? a YES 0310
NEW ADDRESS REQUIRED? a YES tFNO UP/SEPA/SU? a YES 140
PLATTED LOT? ❑YES 640 DEMO PERMIT REQUIRED? o YES 11410
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Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application