03-103983 4 • •
l r:rty of Federal Way
ommunity Development Services wilding - Commercial Permit #:03 - 103983 - 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: THE JAVA STORE
Project Address: 32945 PACIFIC HWY S Parcel Number: 172104 9068
Project Description: NEW-Proposal to locate a drive-through espresso building in the parking lot of Value Village.
Owner Applicant Contractor Lender
TVI INC SUSAN MANNS SUSAN MANNS NONE
11400 SE 6TH ST SUITE 220 1714 SW 334TH LN S UNIT D101
BELLEVUE WA 98004 FEDERAL WAY WA 98003 1714 SW 334TH LN S UNIT D101
FEDERAL WAY WA 98003 NONE
Includes:
Census category: 327-New sl #1 #2 #3 #4
LOccupancy Group: �� —
TConstruction Type: Type V-N
Occupancy Load:
,_Floor Area(Sq.Ft.): 120JL—
Building Pre-con.Meeting Required No Census Category 327-New store and customer
Fire Sprinklers No Mechanical No .
Number of Stories 1 Permit for Building Shell Only No
Permit for Foundation Only No Plumbing No
Special Inspection Required No Will Certificate of Occupancy be Issued9 Yes
Sensitive Areas? No Zoning Designation BC
CONDITIONS:
1)As the required perimeter landscaping along Pacific Highway South is approved for postponment,the applicant shall
submit a cash bond or equivent financial guarantee required landscaping prior to certificate occupancy being granted.This
landscaping shall be installed at the conclusion of Pacific Highway South right-of-way improvement work conducted by the
City of Federal Way.
2)Following successful landscape installation by the applicant,and subsequent inspection by the City,the financial
obligation shall be returned to the applicant.Contact Jane Gamble at 253-661-4120 for a landscape inspection.
3)This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES April 28,2004.
Permit issued on October 31,2003
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 Wa .
Owner or agent: - 7)l? Date: /D-' 3/-'v 3
.1
' all ,
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: THE JAVA STORE Permit number: 03 - 103983 -00
Address: 32945 PACIFIC S
#1
Type V N
#2 #3 #4
Occupancy Group: L B
Construction Type: fi
Occupancy Load:
Floor Area(Sq.Ft.): [ 120
Owner TVI INC
Name: 11400 SE 6TH ST SUITE 220
Address: BELLEVUE WA 98004
MK• YNa-Jt:K 030 ,g y, fi /1/703
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.
POSHIS CARD ON THE FRONT OF BUILDING116,
UTY`OF
Federal WayBUI ING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-103983-00-CO
OWNER'S NAME: TVI INC
If alY6(ap,/lJS
SITE ADDRESS: 32945 PACIFIC S
O FOOTINGS/SETBACKS Ii U /7 g / FOUNDATION WALL
/ ( )
DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
( ) DRAINAGE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL 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
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING () SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL // ?` O 3 5
( ) PLANNING FINAL _ beg
O PUBLIC WORKS FINAL
( ) FIRE FINAL r ' —
THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL
( ) BUILDING FINAL (l- 7 - O 3
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
Co
i EIVED CONSTRUC 1 i� PERMIT APPLICATION
CITY OF �� APPLICATION NUMBER:OS- 1- 03 ,-3. -00
R Federal Way AUG 2 7 2003 APPLICATION NUMBER: -
F APPLICATION NUMBER: -
CITY OF FEDERAL WAY
..The follow, [L1C siiE `dFl formation—Please print(in ink)or type** 4
Please note: Electrical Fire Prevention S stems and Engineering \"�J\03
y g g permits may require a separate application.
- I''PROPERTY INFORMATION , -
SITE ADDRESS: J$ `►S /9t/ S ASSESSOR'S TAX/PARCEL #: L-2 a L 0 -eta 6...r
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
./ • PROJECT INFORMATION
TYPE OF PROJECT(This application): •' BUILDING o PLUMBING 0 MECHANICAL o DEMOLITION
/4\ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): �Y(✓Q ���f fU `7i�f�
PROJECT NAME: i7i4 C di VG[ &T5'rL.
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: \ I 7 DA ME PHONE:
1 --WC ' (�) V - /57.5-
MAILING
DOD(STREET R�CITY,STATE,ZIP): 5 �/ _ �d o `/Fey ,e�‘4/�4
CONTRACTOR: NAME: /J/ J 1 / DAYTIME PHONE:
MAILING ADDRESS(STREET ADDRESS;hift.T.,..A—#1—
ZIP ( ENING PHONE:
i5(1°'7)(
( )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: - - FAX NUMBER: -
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) / /
APPLICANT: NAME' DAYTIME PHONE:
44(/n15 (QS3) (07O - kigs?
MAILiN[7/ESS�(STREET
ADDRESS;
CITY,
ATE,LIPL{/i(e �0 7 -,e/v / (�): IYJNG P)O1 0
RELATIONSHIP TO PROJECT: j FAX NUMBER:
o ARCHITECT ❑ TENANT o OTHER( DESCRIBE): ? ( ) -
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER APPLICANT ❑ CONTRACTOR I/J`1 j tLJC 574.4' )76.4Y9)
"))
--I DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA o PRIVATE (WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION O6* •
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
- , " ■ PROTECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
.. " - . :. ;- ■ FIXTURES.��
Indicate number of each type of fixture
MECHANICAL
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: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 daim arises out of the reliance of the city,including its officers and employees,upon the accuracy
of the information sup. ed to the city as a part of this application.
NAME/TITLE: 73 DATE:
❑ PROPERTY OWNER o APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:i4
U'NEW�;,, r ADDIIIONrtta[I ALTERATION - 7_ '❑ REPAIR ❑TENANT,IMPROVEMENT _ b .
CENSUS:`CODE: .-ss ; `.`4.. ' *,-- LOT SIZE:
ZONING,DESIGNATION ,"M',0-ne ,, 't.! BUILDING SHELL ONLY? a YES ❑ NO
COMP PLAN DESIGNATIONs . . BASIC PLAN? ❑ YES oNO
SECTION ».., ":TOWNSHIP ';'' "'RANGE NEVI/ADDRESS REQUIRED? ❑ YES • o NO
PLATTED LOT?. ` ❑YES ❑'NO -'` CHANGE OF USE? a YES =o NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www,dtyoffedera Iwav,com