05-104204 •
o
City of Federal Way Community Development Services Building - Commercial Permit #: 05 - 104204 - 00 - to
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: QUIZNO'S
Project Address: 27400 PACIFIC HWY S SuiteA Parcel Number:332204 9009
Project Description: TI-Tenant improvement for restaurant to be located in new suite of shell building,including
plumbing& mechanical.
Owner Applicant Contractor Lender
BALDRIDGE-FEDERAL WAY LLC MATHEWS CONSULTING KOLLER INC*GREG KOLLER* AMERICAN FINANCING GROUP
11825 MANCHESTER RD 2 AUBURN WAY N kollec*099DH(3/22/07) 15500 ROOSEVELT BLVD
SAINT LOUIS MO AUBURN WA 98002 N 27714 REGAL SUITE 104
63 1 3 1-4620 CHATTAROY WA 99003 CLEARWATER FL 33761
Includes:
Census category: 437-Comm L #1 #2 F #3 #4
O ccupancy Group i
---A
Construction Type_
1 Occupancy Load: 4
--------H-
LFloor Area(Sq Ft.):
1st Floor Proposed Sq.Feet 1340 Census Category 437-Commercial alt/add
Fire Sprinklers No Mechanical Yes
Number of Stories I Permit for Building Shell Only No
Plumbing Yes Will Certificate of Occupancy be Issued? Yes
Zoning Designation BC
Plumbing Fixtures
L Description pQuantity, Description 1IQuantityl j Description jquantity
Drains 11 3 Lavatories 4 1 Other Plumbing Fixtures 7 3
J — 1L -_J
Sinks 3 1, Water Closets 2
Mechanical Fixtures
Description 'Quantity,:-
Ducts Description Quantity'' Description j9uantitt
Fans 2 r Hoods jl 1
— — _ — 1 l 1— - J 1 _'
PERMIT EXPIRES April 17,2006.
Permit issued on October 19,2005
I hereby certify that the above inform iong correct and that the construction on the above described property and
the occupancy and the use wil e i dance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: / Date: / D —/ — S
Cityof Federal Way
Y �
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 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: QUIZNO'S Permit number: 05- 104204-00
Address: 27400 PACIFIC S SuiteA
#1 #2 #3 #4
Occupancy Group:
Construction Type: r
Occupancy Load:
Floor Area(Sq.Ft.):
Owner BALDRIDGE-FEDERAL WAY LLC
Name: 11825 MANCHESTER RD
Address: SAINT LOUIS MO
63 1 3 1-4620
mK• Ma. , c30
/ 2 . 2- of—c-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.
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• • THIS CARD IS TO''MAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104204-00-CO
Owner:
Address: 27400 PACIFIC HWY S Suite A
FEDERAL WAY, WA 98003
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.
❑ Footings/Setback(4110) 0 Foundation Wall (4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
•
❑ Re-steel (4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) ❑ Mechanical Rough-in (4165)
Approved to install roofing Approved Approved
1
By Date By *, Date `` o� By Date
%El Gas Piping(4125) El 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
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
la Framing (4120) e❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
y � Date B Date B Date /�/
B ; �!vi I z ns y y �� 7 lljr, � �)
❑ Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060) 0 Final-Planning (4070)
Approved to drop tile Approved Approved
By ,L12 , Date ii/z Z/O( By, 4 IL`I•J Date 11-3 0. es-- By Date
❑ Final-Public Works (4080) ❑ Final-Mechanical (4065) ❑ Final-Plumbing(4075)
Approved l Approved Approved
By Date By - W Date L'Z,•Z • O 5 By / Date 7/1:27Ar-
0 Final-Building(4050)
j Approved
By C. Date Z. 2 • p
RECEIVES 6a3�
D 4 4;4..12 11.4
"'"�F OCT 1 9 2005�� - �
Federal way PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 8T"AVENUE SOUTH•PO BOX 9718 �yQ��E D E R AL Vb.�Y
FEDERAL WAY.WA 98063-9718 APPLI CA 1 o�lo�ING DEFT. / / / OJ
253-835-2607•FAX 253-835-2609 9 J
w u,u+.ciwol faderatwatirom
The following is re•uired information-an incom.lete a lication will not be acce•ted. Please print le,ibly(in ink)or .•.
• PROPERTY INFORMATION
SITE ADDRESS L 1 4 00 PAr_ &L q l 4(6 u4 s 7 Z- ".X.,J�b4' sir A SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ' 2, C ei �j
'- 0 a 7 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 5,E. A746ftwo..‹, -
(Attach separate page for lengthy legal de--scriptvW
MI PROJECT INFORMATION
TYPE OF PERMIT BUILDING 7 "LUMBING t . CHANICAL
❑ MOLITION ❑ EL CTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Q L) trva,Cls rnit4 iii 1. 1l-((42eVE1,4Er� aiilLr' (Air NA-v./
Yiz4-r s/.4 pe-
PROJECT NAME(Name of Business or Owner Last Name) r V , L vi 0 S
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ---�► a P$. LDI�tteNT (ZS3)97z -044
ING ADDRESS CITY,STATE,ZIP
p 4-07-
1 COMA ti1444.)&vO t v4CDt"i.4 \A 114 e ,
CONTRACTOR COMPANY NAME ` APPLICANT NAME/(,- "�,( OFFICE PHONE ;�-�
T L � DIA kd kr 419 ette / 15 ) 9q I � 9;0V1 N
MAILING •
• 7ADD SS i{ ( �I�`/'�J' STA ,ZIP
(/�J,�/Jj CELL PHONE
QTY 0 FEt Li L WA BU SS ICE'SE NUM ER ei1t ,
RA / I a9 3 FAX NUM)ER
l01/ s /
CON RS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
L-bt, cgCp t2e1TD, a- 3 /,P./0q-
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
M ATt{EV 5 69s Suc rlilr Er VE s14-t`t4971 f-b- 5 (Z 3) e 4--0137
MAILING ADDRESS CITY,
Z Auev(2h(1!(,(h C t1/41 - 'Zo3 A a U2n.1i C?61z)2 ( )
RELATIONSHIP TO PROJECT FAX NUMBER _
❑ Architect 0 Tenant Agent ❑ Other(Describe) (Z5 )80 f - 0 Co 9
CONTACT NAME . PRIMARY PHONE E-MAIL ADDRESS
eariii gvz6evu 5 (Zg3)504 -0737
LENDER Per RCW 19.27.095: Lender information is NAME r
required if project value exceeds$5,000 t (/1(Q4�t n4, '1 e 7 161,1` ee70
MAILING ADD CITY,STA IP ��1 ttt PHONE,
/S5oJ easevelf Ri ad• /i c' aeiirtw .w. . , , (ea)) 5 - .�sY
DETAILED BUILDING INFORMATION
EXISTING USE yet( 4IL T rt &/ PROPOSED USE 5/4hlt)WIC Pie 5i400
EXISTING ASSESSED/APPRAISED VALUE $ ? VALUE OF PROPOSED WORK $ 4-7S� �
SPRINKLERED BUILDING? C YES A I NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES I NO
WATER SERVICE PROVIDER IILAKEHA LAKEHAVEN X HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ZioRIGHLINE ❑ PRIVATE(SEPTIC)
• •
r
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. sg.FT. SQ.FT.
BASEMENT
FIRST /� -2 l `f jF`3`0 /3i0
SECOND C
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
/
**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 include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ 7t2 0
AIR HANDLING UNITS EVAPORATIVE COOLERS y°� GAS LOGS REFRIG.SYSTEMS
BBQS FANS . "r— HOODS(Commeroiat) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or T ub/shower Combo( SHOWERS Z WATER CLOSE,•lb(Touet( MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST v�;A.5
WASHING MACHINES URINALS j HOSE BIBBS V
LAVS(Bathroom Sinks) VACUUM BREAKERS 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 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 �/� e.-- DATE I C�J
Ign lure) (Title)
RELATIONSHIP TO PROJECT ❑ Owner )(Agent ❑ Contractor ❑Architect 0 Other
FOR OFFICE USE ONLY
❑NEW c ADDITION ❑ALTERATION c REPAIR )6ENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES (O BASIC PLAN? ❑YES NO
ZONING DESIGNATION �Co• CHANGE OF USE? n YES O
NEW ADDRESS REQUIRED? o YES A r I UP/SEPA/SU? a YES O
PLATTED LOT? c YES 1 s I OL, DEMO PERMIT REQUIRED? c YES NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application