04-104862 . . • . . „ •_ , • . . .
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City of Federal Way '
Community Development Services � Building - Commercial Permit #: 04 - 104862 - 00 - CO
P.O.Box 9718 1
ot
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: FOX HOLLOW COFFEE
Project Address: 27404 PACIFIC HWY S Parcel Number:332204 9009
Project Description: NEW-New 435 sqft drive-thru coffee stand,including mechanical and plumbing work.
Owner Applicant Contractor Lender
272ND&PACIFIC HWY ASSOCIAT HELIX DESIGN GROUP*MIKE ME SUNSET PACIFIC GENERAL CONT COLUMBIA BANK
6402 TACOMA MALL BLVD 6021 12TH ST E SUNSEPG187BF(9/5/05) PO BOX 2156
TACOMA WA 98409 TACOMA WA 98424 9500 FRONT ST TACOMA WA 98401-2156
LAKEWOOD WA 98499
Includes:
Census category: 327-New st #t #2 #3 #4
OccupancyGrouP
B = Jr L 7,L
Construction Type: V-B -1
r
Occupancy(Load: 3 -
Floor Area Sq Ft.): 435 _t_Aftgrail
1st Floor Proposed Sq.Feet 435 Census Category Joao 27*40Ostore and customer
Fire Sprinklers No Mechanical es
Number of Stories 1 Permit for Building Shell Only No
Permit for Foundation Only No Plumbing 1 Yes
Special Inspection Required Yes Total Proposed Sq.Feet. 435
Will Certificate of Occupancy be Issued? Yes Zoning Designation BC
Plumbing Fixtures
' Description ..., Quantity]!{ Description Quantity Description POuantity
Lavatories 1 I Other Plumbing Fixtures 1 Water Closets 1
Water Heaters 1
Mechanical Fixtures
Description ,Quantity]
l Description QuantityDescription -QuantitY1t —
Air Handling Units 1 [Compressors [ 1— I I Fans r I
CONDITIONS:
This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES December 24,2005.
Permit issued on June 27,2005
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: /e_e_....:(Y4./:,...-1--W Date: 6 a -2/0-4---
...; THIS CARD IS TIVEMAIN ON-SITE..Ai.'
D 1
CITY OF Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-104862-00-CO
Owner: DAN DURR
Address: 27404 PACIFIC HWY S
FEDERAL WAY, WA 98003-6999
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.
0 Footings/Setback(4110) 0 Foundation Wall (4115) 0 Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
-
F2iRe-steel (4215) �( ] Plumbing Groundwork(4190) • Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By \ _;t Date 8 I _ •B jai Date 8\3 O , •B k� Date e t7 Q.
0 Underfloor Framing(4285) ❑ Floor Sheathing(4105) la Shear Walls(4245) ,
Approved to sheath floor Approved to install flooring Approved to install siding
By Date •By *...) Date Cid 6(06-, By Date q x 5 us----
o Roof Sheathing(4220) Rough Plumbing(4230) • v Mechanical Rough-in (4165) •
Approved to install roofing Approved Approved
to
By�j'� Date 1"5 t� By \ 0, Date 9 • C)< ;y `•�'-.ii.--- Date fii,„
NIB
❑ Gas Piping (41 5) k— Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
\ /` Rough-in and Fire/Draft Stop inspections must be
l By Date By '\t`� Date Z
1r
CITY Of 40
/- �.
��dvery �EGEIv�.• PER 4 (-{ - _toicy '``/")
COMMUNI7YDEERVICEs MIT SF MF CO ME EL PL DE EN FP
335 FEDIRST ERAL WAY,W 8 9018 77b E C d 2
APPLICATION TD
253-6611115•FAX 253-6611129 / / 1
www.atuoffederalway.com
CITY OF FEDERAL .
The ollo • is re•ui 7, . ?, ' ..abut-�an inco •lete • ••lication witl not be acce'ted. Please •rint le•ibl (in ink)or •e.
PROPERTY INFORMATION
SITE ADDRESSHwY S ""'
lain SUITE/UNIT#
ASSESSOR'S TAX/PARCEL "7 L4 C` - LOT SIZE (st)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) ll ,i A
(Attach separate page for lengthy legal desmp000)
PROJECT INFORMATION111
TYPE OF PERMIT BUILDING LUMBING /MECHANICAL
❑ DEMOLITION if ELECTRICAL E ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
•OFTY�="r ° , sr- N' ■ U-V �► - , .,
r
PROJECT NAME (Name of Business or Owner Last Name) Fo) 110((0t0 eocfe_r
PEOPLE INFORMATION
PROPERTY PRIMARY
HONE
OWNER 2" 2Np1 " Va1V{' 1Ay -`t• cvanl�r '
i ( 247� o 63
MAIL G ADDRESS
CITY STATE,
640 Z TaCCkek. all I51 vWM/ IV 840Y
)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE FFICE PHONE -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/
CONTRACTOR'S REGISTRATION NUMBER(copy of card requirewith each application( / ( EXPIRATION DATE
/ /
APPLICANT CQ�PA`>��NAME � P I�"NT.NA E OFFICE PHONE
y1.�1.(64 ``��G[�'+ t Iry O LD5 1-55 Q22- 9637
MAILING ADDRESS_ � CITY' STATE,ZIP CELL PHONE
e e,2 1 T+ewa WA- gS4z4 ruxp) - °lam s
RELATIONSHIP TO PROJECT FAX NUMBER
,erArchitect ❑ Tenant 0 Agent 0 Other (Describe) (25.. ) S3) -422_7 44411
CONTACT NAME 1 4 e ,,o5 P2R,..Y Ho
(
E-MAIL ADDRESS
42A 90 ' _ / a ry '^
LENDER PerRCW19:27.095 Lender`informatian isNA p l t /
os/E
required if project value exceeds$5,000 i Y (
MAILING ADDRESS CITY,STATE,ZI'�',
DETAILED BUILDING INFORMATION
EXISTING USE _ ,c PROPOSED USE �j I I,/
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES "NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES 0 NO
WATER SERVICE PROVIDER LAKEHAVEN ,eHIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ^u LAKEHAVEN /HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT ,
HOW MANY FLOORS? sacncauannra ror,,urno"sm
**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 inchide existing fixtures to remain.
MECFIAIVIC 4L ��fly
Value of Mechanical Work $ 3D/ j "
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS
BBQS r FANS HOODS WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(toile) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS / HOSE BIBBS
LAVS(Bathroom sinks) VACUUM BREAKERS 1 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 as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim) which may be m•• by any person, including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the relian of ci F/, incl •ing its ,fficers and employees, upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE rt� / DATE
2/ 4ov! 04--
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor Architect 0 Other
❑'NEW; ❑"ADDITION 4;AI:TERATION a REPAII2. :""s a TENANT IMPROVEMENT ;.
a YES;a NO -#;33ASIC7PLAN? a YES q1143
ZONING:sDESIGNATION .� a YES a NO
',;NEWS" DDRESSrREQUIRED?„ a=YES i:r,NO , JSEPA/SUS ` a.YES ri NA
gu
PLATTED LOTS a'XES ".a:NO- DEMO"-PERMIT ""
REQUIRED. ,...;."❑-"YES dNO
Bulletin#100—March 30,2004 Page 2 of 4 k\Handouts—Revised\Permit Application
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P A C I F I C H I G H W A Y S 0 U T H
- — — — — — — — — — -----------
PROJECT PROPERTY LINE — - --- __- _ _
•
� 4
■
41 y Ali y
�•�
RETAIL V (N.I.C.)
= y 9,600 SO. FT.
1]
1 pg
SITE PLAN _
SCALE: 1"=20'-0"
GCF� SP-01.DWG
A I B I C I D I E I F I G I H
J
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GENERAL NOTES
1. PROJECT SITE DEVELOPMENT NOT IN
CONTRACT (N.I.C.). REFER TO SEPARATE
FEDERAL WAY RETAIL PROJECT, PERMIT NO
04-102435-000-00-CO.
IL
CITY OF FEDERAL WAY
DEPT. OF COMMUNITY DEVELOPMENT
;04-104862-00-CO
A 27400PACIVICIIWYS
NEW DRIVE'TIIRII W/ PLUMB & MECff
f FOX HOLLOW COFFEE
12/02/04
DATE SUBMITTED DATE APPROVEDa-1-7
APPROVED BY
APPROVED
FEDERAL WAY FIRE DEPT.
�) NORTH 5' 20'
V mw!w �
0 10' 40'
K
6934 F
RED
ARCMECT
ffECT
LOWELL CATS
STATE OF WASHINGTON
I3�lz�
architecture, p_s_
6021 12th street east
suite 201
6 tacoma, wa. 98424
tel: 253.922.9037
fax: 253.922.6499
FOX HOLLOW
COFFEE
7 PAD Al
FEDERAL WAY, WA
SITE
8 RE L,&�L
DEC 0 2 M4
CITY OF FEDERAL WAY
BUILDING nEgT.
revision date
9
date job no.
11.22.04 A04-088
PERMIT Sf-
10
Z
A00
0
drawing no.
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