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01-102722
• • • CmOf ederal Way Community Development Services 1 Building - Commercial Permit #:01 - 102722 - 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: POVERTY BAY COFFEE HOUSE Project Address: 1108 S 322ND Parcel Number: 150260 0040 Project Description: TI-Alterations to add demising wall and interior partition walls; change use from office to retail and occupy. Includes plumbing and mechanical. Owner Applicant Contractor Lender GILBERTSON FAMILY,LLC POVERTY BAY COFFEE CO RECON CONSTRUCTION NONE 1059 158TH AVE NE 3902 WEST VALLEY HWY N RECONC*016DB 3/20/02 REDMOND WA 98053 AUBURN WA 98001 30430 8TH PL S FEDERAL WAY WA 98003 NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type III-N Occupancy Load: Floor Area(Sq.Ft.): 1100 1st Floor Proposed Sq.Feet 8652 Building Pre-con.Meeting Required Yes Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical Yes Number of Stories 1 Permit for Building Shell Only No Plumbing Yes Total Proposed Sq.Feet 8652 Will Certificate of Occupancy be Issued? Yes Sensitive Areas? No Zoning Designation CC-F Plumbing Fixtures Description Quantity Description JQuantityi Description Quantity Dishwashers 1 Lavatories 2 Water Heaters .I 1 Sinks 9 i36 7 , "'1"A Mechanical Fixtures Description Quantity r Description Quantity Description Quantity Ducts 3 Fans 2 CONDITIONS: 1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)). 2.All ivy must be removed from trees and shrubs in the geographic portion of the subject site,and shall only be permitted as ground cover;3.A landscape inspection is required before occupancy.Contact Deb Barker at 253-661-4103 for the inspection; 4.Minimum size of shrubs shall be 24 inches at the time of planting.Minimum size of trees shall be 1.5 inch caliper measured 4.5 feet above the rootball.5.Add one tree to the interior parking lot landscape island as depicted on the approved landscape plan.6.Add 5 to 6 shrubs in planter island as depicted on the approved landscape plan to screen vehicle from street. J\1(1.\. 515-6,).4-1) PEAT EXPIRES April 10,2002,IF NO WORISSTARTED. Permit issued on October 8,2001 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: Date: 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: POVERTY BAY COFFEE HOUSE Permit number: 01 - 102722-00 Address: 1108 S 322ND #1 #2 #3 #4 Occupancy Group: B Construction Type: Type III-N _ Occupancy Load: Floor Area(Sq.Ft.): 1100 Owner GILBERTSON FAMILY,LLC Name: 1059 158TH AVE NE Address: REDMOND WA 98053 FMK. n ..a , Ct30 Z- 13- 0 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. • POS'OIIS CARD ON THE FRONT OF BUILDIS • �� BUILDING DIVISION VV FM' INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-102722-00-CO OWNER'S NAME: GILBERTSON FAMILY, LLC SITE ADDRESS: 1108 S 322ND ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL IMF DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS ROVED O UNDERFLOOR /2 / — () ROUGH PLUMBING: DWV/Z, - Z $ t7 / c. Water piping / 2 2_10 C-i.4J ( ) ROUGH MECHANICAL z - $ - 6 L G c..J Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING /z _ z_tosi © l G THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic immor THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK () WALLBOARD NAILING / "' 3 " O Z > SUSPENDED CEILING Z - oZ THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL Z - - O 'Z., J T ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL () FIRE FINAL Z - . • 0 '?�.► THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BUILDING FINAL 2 "!3 - DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED • • INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION �.or MOWREItovw--DCONSTRUCTION PERMIT APPLICATION APPLICATION NUMBER: O t - 10 Z 7z ?-- O --C D D R uV Y JUL 10 APPLICATION NUMBER: - GITYOF FRow4f APPLICATION NUMBER: - - **The following is required information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. ■ PROPERTY INFORMATION SITE ADDRESS: I I OgjSUAAN c �� ASSESSOR'S TAX/PARCEL #: 1 5 Z 6r-e) - 00 0'0 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ,r ■ PROJECT INFORMATION TYPE OF PROJECT(This application): tat BUILDING PLUMBING ,JJ'MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM g.C. Q� PROJECT DESCRIPTION (Provide detailed description): T • — �1 , U z ' ep ,Z,/C (. .ego- 1}1, .,4,.J -7"-- ---,--,e,_ ...--...'� PROJECT NAME: IJV-SCF r.= CO • rS EL or - !O? 4 0, -LAP) ■ PEOPLE INFORMATION . PROPERTY OWNER: NAME: DAYTIME PHONE: zz) /vyvtvi &p,y �,c, - MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): . CONTRACTOR: NAME: DAYTIME PHONE: coN �'vSi2rlGTCo.✓ ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( ) CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: , DAYTIME PHONE: c i, ,AQ\ ,�(z.ry (as3)2 33 -Gays MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 3 oz. •v;�L, ‘,\-....1e:.) kik), q Bc)I (as3) az( - S RELATI NSHIP TO PROJECT: ' FAX NUMBER: ��11 CI ARCHITECT CI TENANT El OTHER(DESCRIBE): (aS3)33 - -t)--1 Co E-MAIL ADDRESS' ` CONTACT PERSON FOR THIS PROJECT: CI PROPERTY OWNER PPLICANT ❑ CONTRACTOR f<i O C?OIII 46ky'.(OYY ■ DETAILED BUILDING INFORMATION EXISTING USE: Off« EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 537 7 OD PROPOSED USE: V-C1 Coffees- PROPOSED VALUATION FOR IMPROVEMENTS: $ 35, BOO SPRINKLERED BUILDING? ❑ YES KNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: Tif LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: KY LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • • • **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ., ■ PRO]ECT FLOOR AREAS. FLOOR EXISTING SQ. FT. PROPOSED SQ FT. TOTAL BASEMENT FIRST I I Dv (( bo SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? \\ TOTAL: / I Q U ■- FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) Z 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) Z LAVATORY(S) URINAL(S) I WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) jgELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. (- ) INTERCEPTOR(S) SUMP(S) ■ 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 cla-•4 arises out of the rel'.nce of the city,including its officers and employees, upon the accuracy of the information sup. •d to e . a ; part of this .iation. NAME/TITLE: 6- OW • DATE: 7 /6/c( ❑ PROPERTY 0 NER APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION : -(= BUILDING SHELL ONLY? ❑ YES O \ COMP PLAN DESIGNATION -- BASIC PLAN? ❑ YES ANO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED?? ❑ YES ) NO PLATTED LOT? LI YES ❑ NO CHANGE OF USE? YES ❑ N COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX: 253-661-4129 • 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$15.00 for each additional$1,000.00 or fraction thereof,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$7.50 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$3.91 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: �j Sf 000 FEE FACTOR FROM TABLE A: Number: (a) Base Fee: 403 . 6 (b)Additional Increment Fee: I O12I• 2.0 Estimated Permit Fee: (1) S I( ' S Estimated Plan Review Fee: (2) 331. ) S Estimated FW Fire Department Surcharge: (3) 7 L" (COMMERCIAL ONLY) Or MECHANICAL PROPOSED VALUATION: \ 000 FEE FACTOR FROM TABLE A: Number: (a)Base Fee: a I A 5- (b) (b)Additional Increment Fee: 1(035 Estimated Permit Fee: (4) 90 o C 0 Estimated Plan Review Fee: (5) 10 4 <5 ■ FIRE PREVENTION SYSTEM - PROPOSED VALUATION: NPPV— 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 Number AFixtures 1 - $21.00 +{ t X$7.00/fixture}= 2 (8)Estimated Permit Fee Estimated Permit Fee 7 - 8 0 �Z X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total thane 0ne1: Line(c1(11+(71+(31+(41+(51+(Fl+(71+(81+(91+(101 = (111 • • • ■ ELECTRICAL • . • • TABLE B • NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $44.25 _ft of Thermostats(First-$33.50;add'n-$10.50ea) (First 1300 ft2-$67.00;Each add'n 500 ft'-$21.50) _Service and feeder $72.25 ft of Low voltage fire or burglar alarms Square FccC First 2500 112-$38.75;Each add'n 2500 ft2-$10.50 _Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _ft of service or feeders * Per WAC 296-46-910(5)(b)(i R ii) _Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n service/ _ft 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 ;Jr• 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 amp 158.00 84.25 _201-400 169.00 67.00 _ft of circuits _Over 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 req'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