05-102610 t«
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� City of Federal Way Building - Commercial Permit #: os - 102610 - 00 - CO
Community Development Services
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: CHIPOTLE MEXICAN GRii.I.
Project Address: 31827 PACIFIC HWY S �'� ti Parcel Number:082104 9126
Project Description: TI-New A/C units,hoods,mechanical units plus plumbing of new bathrooms.
Owner Applicant Contractor Lender
HARSCH INVESTMENT PROPERTI RMB ARCHITECTS*JIMMY COME R B I CONSTRUCTION NONE
HARSCH INVESTMENT PROPERTI 2277 WATT AVE FLOOR 2 RBICOI*13203(11/16/06)
509 OLIVE WAY SUITE 1062 SACRAMENTO CA 95825 1807 132ND NE
SEATTLE WA 98101 BELLEWE WA 98005 NONE
Includes:
Census category: 437-Comm #1 #2 #3 ��— #4 �
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Occupancy Group: �,���T A-2 �
Construction Type: ype V-B ���� `�
— -- __��.—___JL--- �I
Occupancy Load: 56
F1oor Area(Sc�.Ft.): ��� 2400' � ��
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Building Pre-co�.Mee#ing Required...................No` Census Category............... .......'.. .....:.......437-Commercial alUadd
Fire S�rieklers. ,......<:........a ................... ��Yes � Mecl�an�calr,..,.... ` ........ � Yes � ���
....�..Jr ......�.. .
Number of Star�es........: ,.. ...a........................1 Permit€�r&ititding Sheli(9nty......'. .......:.....No
Plumbing......... ......... .....:.:.r:....... 'Yes Special Ins�Gtion Required.. ....♦.. ........:....Yes c
Will CeRificate of Occupancy be Issued?...........:Yes Zoni�g,ipesi�nation .......::. .....:.. .....:....CC-F'
Plumbing Fixtures
Description ' i[uantity �_ Description —�Quanti , Description_� ---�Quantity
Drains j�� Lavatories 4 Other Plumbing Fixtures ���
—li -_-�_-
Sinks I�-3 —I�Urinals 1 ater Closets —��
J�_
Water Heaters -� 1
��_— �
Mechanical Fixtures
Description �Quantity Description ' Quantity ; Descnption Quantity
Air Handling Units � Hoods � 1�
CONDITIONS:
1)Mechanical vents,penthouses,or equipment that extend above the roofline must be surrounded by a solid
sight-obscuring screen that meets the following criteria: a)The screen must be integrated into the architecture of the
building.b)The screen must obscure the view of the appurtenances from adjacent streets and properties.(FWCC,Sec.
22-960).A final planning inspection must be scheduled and tinalled PRIOR to final building inspection.Please call David
Lee at(253)835-2622 to schedule an inspection.
This parcel is located within a Wellhead Protection Area(Capture Zone 10)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
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PERMIT EXPII2ES February 22,200_. �
Permit issued on August 26,2005
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� Date: �/� OS
City of Feder Wa
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 bv Citv staff.
Tenant Name: CHIPOTLE MEXICAN GRILL Permit number: OS - 102610-00
Address: 31827 PACIFIC S
� #1 — �I #2 #3 #4--- i
COonstruct on Toype - � Type V B_��_ _�j
Occupancy Load: 56 �1 _�
�Floor Area(Sq.Ft.): 2400 �� _ __ __ I
Owner HARSCH INVESTMENT PROPERTIES LLC
Name: g�,RSCH INVESTMENT PROPERTIES LLC
Address: 509 OLIVE WAY SUITE 1062
WA 98101
`J� yN�:� CaD �
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Building Official �Pjy � /���1/p,� Date
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The priority focus in the review and inspecNon made by the City prior ro rssuance ojthis Certificate was on those matters which experience has shown most severely
nJJ'ect the health and sajety of the general public. Although the City has made ns complete a review and inspection as is reasona6[y possible(within budgetary time
and personnel limitations),the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certiftcate evidences strict compliance
with each and every ordinance or regulallon of the Cily or the State ojWashington affecting the construcrion or use ofsaid structure or the land upon which it is
situated. Such compliance is the responsibility ofthe owner and/or occupant ojthe premises.
� THIS CARD IS TO �'�:MAIN ON-�ITE � �
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��n oF �;ommunity Development �nspection Record
Federal Wa� IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102610-00-CO
Owner: HARSCH INVESTMENT PROPERTIES L
Address: 31827 PACIFIC HWY S
FLDERAL WAY, WA 98003-5409
This card is part of your required inspecrion 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) ❑ 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) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By G � Datc�'y �—Q,$ By Date
❑ Underfloor Framing(4285) ❑ 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) � Rough Plumbing(4230) (� Mechanical Rough-in (4165)
Approved to install roo£ng Approved � Approved �/u�
By Date By Date� a\ �js" By Dat
Gas Piping(4125) ❑ Fire/Draft Stops(4095) rroT�E�.�Prior to sc6eduling a Framing(4120)
Approved to release test Approved inspection;Electrical,Plumbing&Mechanical
Roug6-in and Fire/Draft Stop inspections must be
By ' Date � � By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By � � Dat ' .. , By Date �S DateP�— zGi—
❑ Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By � Date `� ZG O1� By G.� Date ���� oJ� By Date
❑ Final-Public Works(4080) ❑ Final-Mechanical(4065) ❑ Final-Plumbing(4075)
Approved Approved Approved
By Date B � Date�M� � �U By�G S Date �V�l �
❑ Final-Building(4050)
Approved
By r� Date �1 (�
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PED&RAL WAY,WA 98063-9718
253-dJ5-S607•fAX Z53-Q35-�609
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The oilowi is re ired in ormatlon-an inco iete Z{cattort wiiZ not be acce ted. Please rint le ibi in{n or
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SITE ADDRESS � � C.,� , � SUITE/iJNIT�
� ASSESSOR'S TAX/PARCEL�k ,� g o� I � �- � � _ � LOT SIZE(s�
LEGAI.DFSCRIPTION(e.g.Acme Esfates,Lot 1 J
(eaad�seperafe paqe Jor brpehy+qpl desair��^l
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TYPE OF PERMIT /[�UII,DING �Li711�ING �jC�
❑ DEMOLITION ❑ ELECTRICAL ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DFSCRIPTION(Provide det ' description of work inctuded on this permit onlul �'
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PROJECT NAME(Name of Business or Oruner Last Name) � � � �'
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PROPERTY NAM
' PRIMARY PHONE
OWNER Ilr S ! (/�. �S ��,(�/� � I _
MA1 INO ADDRESS �►+ STATE,ZIP
�'CJC,
CONTRACTOR COMPANY NAME APPI.ICANT NAME ORFICE PHONE
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MAIUNO ADDRESS " C1TY,STATE,ZIP CELL PHONE
; . .. . . �:; , � _.
� . GTY OF FEDERAL WAY HVSINESS LICENSE NUMBER &XPIRAT[ON DATE - FAX Nt1MBBR
- - - - 'B �, / / ( ) -
CONTRACTORS REQISTRATION NUMBER(copy o[cud reqaired wlth each appiiatioa F.Xp�RA7'[pN DATE
_ _ � �
APPLICANT COMPANY NAME � APPUCANT NAME OFF[CE PHONE
� � � ' � (9/G ) ���' -�SS�
MA1 NG ADD C[TY,STATE,ZI
� � � �� )� - CELL PHONE - ��_�� a J
�/�� ��
TIONSH[P TO PRW ECT FAX NUMBER
chitect O Tenant ❑Agent ❑ Other(DescribeJ � � _
CONTACT AME PRIMARY pHONE UMAIL ADDRFSS
LENDER
MAILlNO ADDRFSS , A ,ZIP
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EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALIIE i$ VALUE OF PROPOSED WORK �
SPRINKLERED BLTILDIN.GP ❑YFS p NO FIRE SUPPRESSION SYSTEM PROPOSED/RF,QUIRED? ❑ YES ❑ NO
WATER SERVICE PRUVIDER ❑ LAKEHAVEN ❑ ffiGHLINE ❑TACOMA p pRI{/ATE(WELL)
SEWER SERVICE PROVIDER O i.AKFHA�N o HIGHI.INE o PRIVATE(SEPTIC)
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� AREA DESCRIPTION EXISTIN(� PROPOSED TOTAL
S .FT. S .FT. S .FT.
BASEMENT . �
FIRST -
SECOND
THIRD
FOURTH ' .
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ADDITIONAL FIAORS(DESCRIBE)
, �
DECK(COVERED?)
GARAGE ❑ CARPORT❑ �
N[7MBER OF FLOORS c�asror �aorosco ror,u .. ..-e....._.........� _.._..-;� . � �
•`NEWHOMES ONGY" NUMBE OF BEDROOMS ESTIMATED SELLING PRICE $
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Ind&xite number of each type of fixture to be instal[ed or relocated as part of this project. Do not include existing fizt�res to remain.
b�'CIiAHICAL
Va(ue of Mechanica(Work $ � 0
�_ A[R HANDLIN4 UNITS EVAPORATIVE COOLER$ (iAS LOQS REFRIQ.SYSTEiv1S
BBQS FANS � HOOD3�ce�,d,q WOODSTOVES
BOILERS FIREPI.NCE INSERTS FtANQES MISC(Descn'be)
,,
COMPRE3SORS FURNACES QAS WiATER HEATER3 �
DUCT3 UAS PIPE OUTLET3 .
PLUb�ING /�, ����
BATHTUBS(er7tib/showercombo� SHOWERS _� WATER CLOSETS Ren�q ✓ MISC(Deacribe)
D[SHWASHERS _� SINKS r 3���� DRINKIN(}FOUNTAINS
dAS PIPE OUTLE'fS SUMPS RAINWATER SYST
WASHINC}MACHINES = URINAL3 HOSE BIBBS
LAV3(eut„oom sta� VACUUM BREAKERS � ELECTRIC WATER HEATERS
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I cart�i'y ander pena(ty oj perfury tha!the G4/ormaHon furntshed by me is true and correct to the best oj my knowledge,and further,that I
cm a�!lwrised 6y the owner of the above premlass to perjorm the work jor which the pernti!appiication is made. I further acgree to hoid
harrnless the C1ty oj Federni Way as to any clalm(tnciuding costs, expenses, and attorneys'jees incurred in the irtvesttgatton and dejertse oj
such clai�,which mag 6e made by any peraon,including the undersigned,a d ji(ed agatnst the City ojFedera[Way,but oniy where such ciaim
ar{ses out ojthe reitance of ty,{ncluding its"ojficers employees, the a the iqjormatton supplted to the city as a part oj
this appltcation.
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NAME/TITLE D _����4
signature� � �
RELATIONSHIP TO PROJECT er ❑Agent ❑ ontractor ❑ ' c
. t3uUettn�100—January 7,2005 . Page 2 of 4 k�Elandouts�Pumit Application