03-104316 . . .f' � � � 1 . � � T .`+. . ` r • c, .
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City of Federal Way �uilding - Commercial Permit #:03 - 104316 - oo - �Co
Community Development Services
33530]st Way S
Federal Way,WA 98003-6210
Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050
Project Name: CAN AM PIZZA
Project Address: 32510 PACIFIC HWY S SuiteQ3 Parcel Number:
Project Description: TI-Construction of partition walls(of various sizes) and installation of new kitchen sink,pizza oven&
Type 2 hood.
Owner Applicant Contractor Lender
Michele Pennington GURINDERTIT PUREWAL GURINDERJIT PUREWAL NONE
33664 7TH CT SW 23819 104TH AVE SE
FEDERAL WAY WA KENT WA 98031 23819 104TH AVE SE
98023-5006 KENT WA 98031 NONE
Includes:
#1 #2 #3 #4 �
Census category: 437-Comm �__ ��
Occupancy Group: B � � �
Construction Type: Type V-N � �
Occupancy Load �
� ��_ —�
�loor Area(Sq.Ft.): _ _ 1600 —��— ��-- -��� - _I
1 st Floor Proposed Sq.'Feet.................................1600 Census Category ......... ......... ..............437-Cornmercial albadd
Fire 5prinklers ......... ...:......................... IVa Mechanical.....'. ......... - Yes
Number of Stones......... ...............................,.1 Permit for Building Sfiell�Only....... ..............:No
Plumbing................................................. Yes Will Certificate ofOccupancy belssued?.....:.....�Yes
Zoning Designation.............................................BC
Plumbing Fixtures
Description �,Quanti�� Description Quantity `` Description .,!Quanti
�Gas Pipe Outlets J�I 1 � Sinks — �
� Mechanical Fixtures
� Description Quantity � Description Quanti Description_�[uanti
Ducts � Compressors I j Fans ���
i
Refrigeration System��l �, Hoods 1
�_I
CONDITIONS:
1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the
subject proposal.
PERMIT EXPIRES March 17,2004.
Pernut issued on September 19,2003
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 Way.
Owner or agent: L Date: �7 g �-�
.(i���l'N I'��'J�I/ � �r17"�h��l�-. �
• � ` i ' .. � , . e . f ` � » —'t . .
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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 ardinances of the City regulating building
construction or use. This certificate is valid ONLY when endarsed by Citv staff.
Tenant Name: CAN AM PIZZA Permit number: 03 - 104316-00
Address: 32510 PACIFIC S SuiteC
� #1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
�Occupancy Load:
( Floor Area(Sq.Ft.): 1600 r -�
Owner Michele Pennington
Name: 33664 7TH CT SW
Address: FEDERAL WAY WA
98023-5006
Building Official Date
The priority focus i�t the review and inspection made by the Ciry prror to issuance of this Certificate was on those matters which experience has shown most severe[y
aJject the health and snfety o,�the genera[public. Although the City has made as comp[ete a review and inspection as is reasnnably possible(within 6udgetary time
nnd personnel limrtations),the Ciry 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 ojthe City or the State of Washington affecting the construction ar use ojsaid rtructure or the land upon which it is
situated. Such eomplianee is the responsibility of the owner and/or occupant of the premises.
. , , � � POS'r'"'HIS CA1tD ON THE FRONT OF BUILDIPT^ . . • ' � ' � ` �
� CITY GF
Federal Wa BLI��ING DIVISION
� � INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050
PERivIIT #: 03-104316-00-CO
OWNER'S NAME: Michele Pennington
SITE ADDRESS: 32510 PACIFIC S SuiteC
( ) FCOTINGS/SETBACKS ( ) FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL THE ABO"�E.iS APPROVED
( ) DRAiPT��.GE: Line ( ) Connection
DO NOT POUR SLAB UNTIL THE ABOVE=IS APPROVED `
( ) Utii;�?:��LiC�FP.AMING
t / i?�T;���_ =!:UP,�IBIY�TG: DWV � �`� b' v � `ii::�erpipi:�� "/ ����� --
( � i.'.. ..'�_ _._:_��':;�.i•;Ir'AL----- r'us• ' 'i� — —
{ � �.=l�r�:...: _. .i 7'40of --- F10Q=_
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( i :_;::i:_•.. .;�_�.L.�.•� _
� . _,- �...:.- ;'�.i. "_�rJGH-IP? _ :�:t;::C���er • -- —
l , . . . .:i__ ._t'.. _ i J.�.i��.�.1, -- -
:�_i�:�T�-IE ABOVE MUST BE A.�'PRO i�ED FIc=O�_T�� +:tAMil"C.INc1�EGf.vY
t ; `-'�'- .�;:i�i�'i/r 11:s��TOPPING !�� O ( l/� --— —
�t'H��BOVE MUST BE P_PPROVED.RIOR TO IPTUUi�1:iINJ :;i'.S�iEi:';ROCKlri�:
� � I:�TrU;,A.T;•�N: Flaors Walls Attic
THE ABOVE MUST BE P OVED PRIOR TO`APPLYING SHEETROCK
( j Wr`.'.LBOAP�D NAII.ING /� ✓ D ( ) tiTJC�ENDED�EILII�TG /'rG� � ,2.'L,— O 3�
THE ABO�IE MUST BE APPROVED PRIOR TO TAPII�'G OR INSTALLING CEILING TILE
( ) ET ECTRICAL FINAL
( ) PLANNING FINAL
( ) PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE�Vfil�T BE APPROVED PRIOR T0 UILDING DEPARTMENT FINAL
_ T3( ) BUILDING FINAL �I
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APF�RO.'�.�`
i � I � � ' ` i r . •
INSPECTION LOG
, DA'�'E : INSPECTOR OK COR�t/REJ ' ' AREA AND TYPE OF IN�PECTION �"
f b �` x �/1��/ �/�v� . r
� /30 � ��i�ri✓ �� �l
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"' � �� � ��`���� CONSTRUCT � PERMIT A LICATION
�
CITY OF �� � r .�,����ON NUMBER: - . 1 - ��C�
Federal Way �`�-� � � ���r� PpLICATION NUMBER: _ _ - _ _ - �—
C4�s Y fl� �E�'����.,=�,�,. i,'�d�;'v PPLICATION NUMBER: _ - - -
EUl�GI��.-� ��� � - - - - - - - - - -
*�The following is required information—Please print(in ink)or type*"
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. 10��'l�
- • • � • �
� � � � �i
SITE ADDRESS: � �"�/� ��C ASSESSOR'S TAX/PARCEL #: ��S ��j� _
' ^ z,� .�- L�c 3 ,�c..��..�c �:�U� ��}�-�c.Q'
LEGAL DESCRIPTION OF SUBJECT PROP�TY(A ACH SEPARATE DESCRIPTION IF LENGTHY):
i /
• • • • �
f TYPE OF PROJECT(This application): �$�UILDING �PLUMBIPlG 'SMECHANICAL ❑ UEMOLITION
o ELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM
PRO7ECT DESC PTION(Provi e detailed e cription): ! c.'+�✓�^��''�` `'�c""�� � �����-+...��r
� r� ,� % ' ,.�
�,;f.J^�'l- � . � � C �� �
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, PRO7ECT NAME: ���'1� � � ! Z Z�
M`
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� , PROPERTI(OWNER: NAME: �..(i ���,,K � i DAYTI�DHONE=
� " � �z��� ,�C � 2� �
- MAIUNG ADDRE55(SfREET ADDRESS;CITY,STA Z1P): �, �. '
� � `�£ E, '� �7�' ti,� �,-�.�'' �-..� �✓�- ���Z"
f , CONTRACTOR: NaME: . � OAYTIME PHONc: �
� : � ,�"ILI ��<z ��f-r�� fi-��� �.. ; (�.��) Z G/ �;
i MAILING ADDRESS(STREET ADDRE55;CITY,STATE.ZIP): ' ' . EVENING PMONE• �
;�c/f�L %��� �T�� /'1,�. �l ��-=y��/;�✓�/�� w�� � ( ) - i
CITY OF PEDERAL WAY BUSiNESS LICENSE NUMBER: y i PN(NUMBER: �
_ - I ( ) - i
CONTRACTORS REGISTRATION NUMBER:
� IXPIRATION DATE:
(�oPY o(ord reGuirEd) I � �
APPLICANT: NAME: P' DAYTIME OHONE:
�U lr t -'Y' ` l�' ��,'`--y�' I l�-r71�) ���/ - !J'`�_�i
.. � MAI���RE�(STFtEET ADq�G�m.S7A ZI�. .�� ! � , >� 1 _ I
; EVENING PHONE�
�� ( � �� �\ v �� �
I REIATIONSHIP TO PRO)EC7: � Ftil(NUMBER:
l ❑ ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): � � � - '
I �
j E-MAI�ADDRESS: I
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CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR �
r � � • • •
EXISTING USE: E STING 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: o LAKEHAVEN o HIGHLINE o TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE G PRIVATE(SEPTIC)
**NEW RESIOENTIAL CONSTRUCTION O.'',LY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
� �
• • • • •
FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL
BASEMENT
FIRST I �l� �
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: �
Indicate number of each type of fixture
MECHANICAI Value of Mechanical Work: $���',�
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) 1/' MISC.( �i,C� ) i
COMPRESSOR(S) FURNACE(S)
✓' DUCT(S) �� GAS PIAE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS �
I
PLUNiBYfdG !,
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) I,
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS
DRINFQNG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) �./� SINK(S) WATER CLOSET(S) MISC.( )
INTERCEPTOR(S) SUMP(S)
. •
I certify under penalty of pe�jury th t the information furnished by me is true and correct to tfie best of my knowledge,and
fu�ther,tfiat I am authorized by the owner of the above premises to perfonn the woric for which the permit application is made. I
furthe�ag�ee to hold harmless tfie City of Federel Way as to any ciaim(inciuding costs,expenses,and attomeys'fees incurced in the
investigadon and defense of such claim),which may be made by any person,including the u�dersigned,and filed against the City of
Federal Way,but only where such ciaim arises out of the reliance of the city,i�duding its o�cers and employees,upon the accuracy
of the information supplied to the city as a part of this ap 'cation.
,;+ � � /y/
NAME/TITLE: � U f� I/�v T� ��-� I � V�\�'�GV'��J t---� DATE: �� � I � �� �
❑ PROPERTY OWNER l.�APPLICANT ❑ CONTRACTOR
-.FOROFFICE.USE;ONLY :;'.
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`t�;;NEW���'p�ADOITION.�;�ap AL'TERATION��,_.�n.REPAIR,���"�n„TENANT.IMPROVEMENT��''�;'�M,. .. '
='.�ENSUSCODE�,�.¢�.�,�,a?�.a����n�'�;�e��"��.��"'r�. �-e���" �LOTSIZE =�.'��'��,��"�„�,��` � .:; Y'��.
'ZONING�DESIGNATION, ;�„����t �_��,� ����"�� :BUILDING.SHELL''�UNLI(7�o YES��.o NO �`
�COMP PLAN DESIGNATION � -� � .,�t'� , .-,�,_ =6ASIC PLAN?��,a YES �`o NO:.Y
;SECTION����s �;�TOWNSNIP ���, RAN6E �:"*�#� .NEW/1DDRESS RE UIRED7, ,. �`>."a YES .-a NO� �
�PLATTEU LOT7 .,�o YES�: �'o NO ,•'��'�"�'����`~;�.} C't1ANGE OF USE?.=-� -�'a YES'��=a'NO -
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUT}i•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253�61�000�FAX:253-661-4129
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