01-102045 I
City of Federal Way
Community Development Services Building - Commercial Permit #:01 - 102045 - 00 - CO
33530 1st Way S
Federal Way,WA 98003-6210
Ph 253 661 4000 Fax 253 661 4129 Inspection request line: 253.835.3050
Project Name: PAPA MURPHY'S
Project Address: 31217 PACIFIC S Parcel Number: 082104 9186
Project Description: TI-Interior alterations to exi ing re al grocery s ore for a pizza take and bake store; Includes
plumbing and mechanical.
Owner Applicant Contractor Lender
ALEXANDER HAAGEN OPERATIN PAPA MURPHY'S TAKE&BAKE P DAKOTA PACIFIC CONST INC PAPA MURPHY'S TAKE&BAKE P
1912 CHANNEL RD DAKOTPCO23OH 8/29/01 1912 CHANNEL RD
SUMNER WA 98390 15413 283RD ST E SUMNER WA 98390
GRAHAM WA 98336
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group M
Construction Type. Type V-N _
Occupancy Load 19
Floor Area(Sq.Ft) 815
1st Floor Proposed Sq Feet ... 1167 Census Category. ..... ........... .. 437-Commercial alt/add
Fire Sprinklers... Yes Mechanical . . Yes
Number of Stories. 1 Permit for Building Shell Only. ......No
Plumbing .. ... Yes Will Certificate of Occupancy be Issued') Yes
Zoning Designation....... ..... ..CC-F
Plumbing Fixtures
Description Quantity Description Quantity Description Quantity
Laundry Washer Outlets 1 Sinks 5 Water Heaters 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantity
Refrigeration Systems 1
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
PERMIT EXPIRES March 19,2002,IF NO WORK IS STARTED.
Permit issued on July 30,2001
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: 1 i Date:
, ` V1
•
•
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 109 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: PAPA MURPHY'S Permit number: 01 - 102045 -00
Address: 31217 PACIFIC S
#1 #2 #3 #4
Occupancy Group: M
Construction Type: Type V-N
Occupancy Load: 19
Floor Area(Sq.Ft.): 815
Owner ALEXANDER HAAGEN OPERATIN
Name:
Address:
M•K• ,6410. 70 7— d / Gc..J
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.
PO HIS CARD ON THE'FRONT OF BUILD.
error G
-1 BUILDING DIVISION
W Ay INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT#: 01-102045-00—CO
OWNER'S NAME: ALEXANDER HAAGEN OPERATIN
SITE ADDRESS: 31217 PACIFIC S
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
Oftis _ 4, Q' ?1' IQ C 'G N±GREDinvn ',t'1jk :.4#6;1 0-Annoys ►' -,:., ,;
( ) DRAINAGE: Line ( ) Connection <
( ) UNDERFLOOR FRAMING
q..!/- 0c
( ) ROUGH PLUMBING: DWV ffrduv../ work GMS.- Water piping �j '"(/^'c /C.Cr.)
() ROUGH MECHANICAL (� Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
( ) FRAMING/FIRESTOPPING 97 -1/- a r cZ c.,./
( ) INSULATION: Floors Walls Attic
'fir, '�''`'"� M�� ��*'; '�_= �D,�' µwV� �5YING�{:i, t.;�g:[; ` ���_ ��.<,�. /
WALLBOARD NAILING "" ?/G SUSPENDED CEILING 9^ Z C, - d /G C►✓
() ELECTRICAL FINAL q_ —7— O/ 1,--""
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL l 0 .54. !h / /j
0*Tr'', 1 16:Ati O E APPR D I ',I0, ;i[i i;i" t'..; _. : V-
( )
_( ) BUILDING FINAL /0 q- 0 / ..
r,,)._r€0. *`e':o.C.C* ' :". 10 I NTIIs tt ONG TIN'S-,40004100,0
•
,
INSPECTION LOG
DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
q-2c, - o / <<.✓ f' lubet 1'�-,f �4Iel. <L
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CONSTRUON PERMIT APPLICATION
4,-, d„.„,=„__FIElk-IVED
APPLICATION NUMBER: Qt - c Z 0�S-490 C..j
Ay 2 3 2001 APPLICATION NUMBER: - -
CITY OF FEDERAL� •�WAY
APPLICATION NUMBER: - -
**The 1 iP&p1red information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
• per! PROPERTY INFORMATION
SITE ADDRESS: .5/2/7 Are�f 9&03 ASSESSOR'S TAX/PARCEL #: D OP 2- ( el( - 1J/16
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
' - L PRO3ECT INFORMATION
TYPE OF PROJECT(This application): ,BUILDING u PLUMBING S.MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL
p ❑ ENGINEERING❑ FIRE PREVENTIONTI� SYSTEM G
PROJECT DESCRIPTION(Provide detailed description): •pU/�(! Qa� a 419 /./604,5. /L b
,fie /3/2z/9 Mare. &'// /:77b7br- ur r//s , re(- 7 / . 7/
PROJECT NAME: / / u,e7 i T-ee / /JII�GQ /9r
,P PEOPLE INFORMATION
PROPERTY OWNER: NAME: J - (0244,
� ` I DAYTIME PHONE:
_ , /p (r2 )-230 -8,6•Z
�
-► MAILING ADDRESS(STREET ADDRESS; 1TY,STATE,ZI•):
i - re v"
CONTRACTOR: NAME: 7 /� DAYTIME PHONE:
,�ij ? /th/nC 4iij ucfld,v (zoG ) iv/ - 93z7
MAILING ADDRESS(STREET ADDRESS;SITY,STATE,ZIP):�� �� �� ��� EVENING PHONE - ����
/.5 73 ��3`1 f ll/-Q ��j/y6 ``J) 53i/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- - (r/6 ) 860 -sooZ/
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card requwed) .0 a K Q -t p C .c1 2 3 0 // f / .29' I 0/
APPLICANT: 4NAME: DAYTIME PHONE:
L 6-10 D e-1 t` Z 7 42 / (25 - ? o, (Zo6 ) V7oMAILING ADDRESS(STRE ; STATE, ): /� EVENING PHONE:
ga 1,01 /771.1 ckn7,V Ad 0.,0 (253 ) Az -361V
RELATIONSHIP TO PROJECT: FAX NUMBER: p
CI ARCHITECT I 'TENANT ❑ OTHER(DESCRIBE): (J3) Fa -677/ -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: CIPROPERTY OWNER APPLICANT CICONTRACTOR /777069V
0a0/,CMZ
c
L//`` ! L L)ETAILED BUILDING INFORMATION
EXISTING USELatii* / W -I�" EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: fak1 / SK frthZ4- PROPOSED VALUATION FOR IMPROVEMENTS: $ 15000
SPRINKLERED BUILDING? )11 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:Cl YES ❑ NO
WATER SERVICE PROVIDER: LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: gLAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• • IMP yr i
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
. - . . 1i PRO]ECT FLOOR AREAS
FLOOR _ EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST D /467
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
Indicate number of each type of fixture Wa ft ii. ade,'�_� ,`
MECHANICAL �7 c11a/7 SaC// o'd)
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) / REFRIG.SYSTEM(S)
BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( )
COMPRESSOR(S) FURNACE(S)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS
PLUMBING /
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) CR1 ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S) SHOWER(S) / WASH MACHINE OUTLET / /71Vs/n L
GAS PIPE OUTLET(S) if SINK(S) WATER CLOSET(S) MISC.( � IC )
INTERCEPTOR(S) SUM' )
. ' '-►: 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 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 of
Federal Way,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.
NAME/TITLE: �Cde/j -CM/
/ awl, DATE:
El PROPERTY OWNER X AP•LIC NT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIRENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION: C c- F BUILDING SHELL ONLY? ❑ YES 'NO
COMP PLAN DESIGNATION BASIC PLAN? ❑ YES )(NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ' NO
PLATTED LOT? El YES ❑ NO CHANGE OF USE? ❑ YES ) .%10
COMMI INITY OFVFI OPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
k' * I I
Construction Permit Fee Calculation Sheet
*******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT.
CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!*******
Building, mechanical,and fire prevention system fees are based on the following schedule.
TABLE A
TOTAL VALUATION FEE FACTOR
(1)$1.00 to$500 00 (1)$24.25
(2)$501 00 to$2,000.00 (2)$24.25 for the first$500.00 plus$3 27 for each additional$100.00 or fraction thereof,to and including$2,000 00
(3)$2,001 00 to$25,000.00 (3)$71.46 for the first$2,000.00 plus$1500 for each additional$1,000.00 or fraction Hereof,to and including
$25,000 00
(4)$25,001.00 to$50,000.00 (4)$403.61 for the first$25,000.00 plus$10 82 for each additional$1,000.00 or fraction thereof,to and including
$50,000 00.
(5)$50,001.00 to$100,000 00 (5)$664.35 for the first$50,000.00 plus$750 for each additional$1,000 00 or fraction thereof,to and including
$100,000.00.
(6)$100,001.00 to$500,000.00 (6)$1,025.55 for the first$100,000.00 plus$6.00 for each additional$1,000 00 or fraction thereof,to and including
$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$3,337.23 for the fist$500,000.00 plus$5 09 for each additional$1.000 00 or fraction thereof,to and including
$1,000,000.00.
(8)$1,000,001 00 and up (8)$5,788.23 for the first$1,000,000.00 plus$391 for each additional$1,000.00 or fraction thereof.
Bold number is the base fee for the specified increment
Italicized,underlined number is the fee per additional specified increment
PLUS: Add 65 percent of the base building permit fee for plan review fee.
Add 25 percent of the base mechanical permit fee for mechanical plan review fee.
Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only.
Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above.
** Electrical,plumbing,and mechanical fees are calculated separately**
• BUILDING
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (1)
Estimated Plan Review Fee: (2)
Estimated FW Fire Department Surcharge: (3)
(COMMERCIAL ONLY)
PROPOSED VALUATION: AV° -------
FEE
— --"FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (4)
Estimated Plan Review Fee: (5)
- • FIRE PREVENTION SYSTEM
•
PROPOSED VALUATION:
FEE FACTOR FROM TABLE A: Number: (a)Base Fee:
(b)Additional Increment Fee:
Estimated Permit Fee: (6)
Estimated Plan Review Fee: (7)
• PLUMBING
Base Fee Numbey of Fixtures
$21.00+{ &2 X$7.00/fixture) = (8)Estimated Permit Fee
Estimated Permit Fee
X .65 = (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total (Paneonel: Line(s)(1l+(21+(3l+(41+(51+(61+(7)+(8)+(91+(101 = (11)
IIIP
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ea)
(First 1300 ft2-$67.00,Each add'n 500 ft2
-$21.50) _Service and feeder $72.25 #of Low voltage fire or burglar alarms
Square Fcct: First 2500 ft2-$38.75,Each add'n 2500 ft2-$10.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) -#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44 25,Add'n service/ _#of Signs(First sign-$33.50,add'n sign
(Inspected separately) feeder-$28 each) $16 00 each)
_Progress inspection per'/2 hr $33 50
_Swimming pool.hot tub,spa. 67.00
_Yard Pole meter loops. 44.25
NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL
(Includes three units or more) Altered Service or Feeders
Service Feeder Amps Service or Add'n _0 to 200 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
_201-400 amp 89.75 44.25 _0 to 100 $72.25.......$44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 _over 1000 282.75
_601-800 anip 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254 50 107.25
(When inspected separately from the services.) _801-1000 310.75 129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 _0 to 60.... ... $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 .....67.00
_Mast or meter repair. 33.50 _401-600 89.75
_ •
#of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is rcq'd.Fee is 35%of permit fee+$56 25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from line 12
Estimated Plan Review Fee: $56.25+ X.35=(13)
• DEMOLITION
Estimated Permit Fee: (14)
Bond Amount:(15)
• ENGINEERING
Estimated Permit Fee:(16)
Bond Amount: (17)
• • OTHER FEES
Mitigation Fee:(18) (20) (22)
SBCC Surcharge: (19) (21) (23)
Total (Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24)
Bulletin#100-January 3,2001