01-101088 • •
Cmmunitof ede el Way Building - Commercial Permit #:01 - 101088 - 00 - Co
Community Development Services
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: NORTHSHORE VILLAGE ESPRESSO RESTROOMS
Project Address: 2140 SW 356TH ST Parcel Number: 252103 9002
Project Description: TI-Modifiy restrooms in existing tenant space to be accessable. Restrooms to be available to
proposed espresso stand on property. No plumbing or mechanical work.
Owner Applicant Contractor Lender
ROYAL PLAZA ENTERPRISES I NONE NONE NONE
509 S 63RD ST
TACOMA WA
98408-6325 NONE NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group:
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.):
Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add
Fire Sprinklers No Mechanical No
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Special Inspection Required No
Will Certificate of Occupancy be Issued9 No Sensitive Areas? No
Zoning Designation BN
PERMIT EXPIRES October 13,2001,IF NO WORK IS STARTED.
Permit issued on April 16,2001
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use e in accordance w. the laws rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: /a/7-0G(
POS.HIS CARD ON THE FRONT OF BUILD).
crrIOF
EDEIZFIL BUILDING DIVISION
uV FM' INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERMIT #: 01-101088-00-CO
OWNER'S NAME: ROYAL PLAZA ENTERPRISES I
SITE ADDRESS: 2140 SW 356TH
() FOOTINGS/SETBACKS () 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
O 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
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
() FIRE FINAL _
THE ABOVE MUST BE APPROVED PRIO' TO BUILDINGDEPARTMENT FINAL
() BUILDING FINAL C9 /
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
• •
r � RECEIVED CONSTRUC I ION PERMIT APPLICATION
VV — APPLICATION NUMBER: Q L - La IOM -GQ_I
MAR 2 1 2001 APPLICATION NUMBER: -
APPLICATION NUMBER: -
C:!iY OF FEDERAL WAY
**The follBtNilolijl NGlfr .d information—Please print(in ink)or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application."
■ PROPERTY INFORMATION
1/{O 6W C3 S 252103-9002-02
SITE ADDRESS: st5W7`S�i ASSESSOR'S TAX/PARCEL #: _252103-9037-0-1 _
252103-9041-05
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
Included Attached
Y` - .■ PROJECT INFORMATION
TYPE OF PROJECT(This application): lN BUILDING Ki PLUMBING J MECHANICAL ❑ DEMOLITION
PI ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description): C` QQ:9 "FWrY. 1.1 CP-GQSiat1'i,JEJ.,
sT1A.u� i 1_46 L��� S
= `► r. ra . _ 1
PROJECT NAME: Northshore Village E5p-r
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Young Joe ( 253) 272-7221
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
509 63rd Ave Ct NE Tacoma WA 98422
CONTRACTOR: NAME: 01/444 X 12 DAYTIME PHONE:
( 253) 770-7221
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
( 253) 223-2576
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
'faa`.PeNati-ttilig• - - (253 ) 770-7268
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) TIEFECIO 4 4M 2 12 / 20 / 2001
APPLICANT: NAME: DAYTIME PHONE:
George W. Andrews (360 ) 748-3351
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
PO Box 480 Chehalis WA 98532 (360 ) 736-6842
RELATIONSHIP TO PROJECT: Const/Design FAX NUMBER:
❑ ARCHITECT ❑ TENANT 121 OTHER(DESCRIBE): Consultant (360 )748-6443
E-MAIL ADDRESS: •
georgeandrews@
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER .] APPLICANT ❑ CONTRACTOR localaccess.c
localaccess.com
■ DETAILED BUILDING INFORMATION •
EXISTING USE: ING BUILDING ASSESSED/APPRAISED VALUATION $ I ( £'C) V
4vbio°
PROPOSED USE: :191:233444g".-j ROPOSED VALUATION FOR IMPROVEMENTS: $
FO o
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ri NO
WATER SERVICE PROVIDER: L LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: CB 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
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
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) 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) ❑ 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 suc claim ise out o the reliance of the city, including its officers and employees, upon the accuracy
of the information sup - d to t city a rt of t s application.
NAME/TITLE: t DATE:
❑ PROPERTY OWNER APPLICANT Cl ONTRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE: LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION BASIC PLAN? El YES ❑ NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES ❑ NO CHANGE OF USE? ❑ YES ❑ NO
COMMI INITY F)FVFI.OPMFNT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY•WA 98063-9718•253-661-4000•FAX:253-661-4129