06-105703 . �, :� . .�.r � 1
Ci of Federal Wa
Comr.:un�0ev�lopmentServices Bui�uing - Commercial Permi_ .�: 06-1057��-0(����
P.�.Box 9718 �
Federal W9y,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (153)835-3050
Project Name: KENTUCKY FRIED CHICKEN/LONG JOHN SILVERS �
Project Address: 34506 16TH AVE S Parcel Number: 212104 9036
Project Description: NEW-Construct a new,single-story,3605 sqft restaurant with attached drive-thru,
including plumbing and mechanical.
Owner Applicant Contractor Lender
JEFF OLIPHANT DAVID COOPER MASTER CONSTRUCTION CORP HARMAN MANAGEMENT
FEDWAY MARKETPLACE RI-II-DESIGN GROUP WC MASTEC*210MP 7-22-07 CORPORATION
INVESTORS c/o JLO 1550 140TH AVE NE SUITE 100 5307 4TH AVE 199 FIRST ST SU1TE 212
WASHINGTON ENTERPRISES, BELLEVLiE WA 98005 SEATTLE WA 98105 LOS ALTOS CA 94022 �
INC.
5743 Corsa Ave
WESTLAKE VILLAGE,CA
91362
Census Category: 327 - New Store and Customer Service Building
Ir�cludes: #1 #2 #3 #4
O�cci� aitcy Class: A-2
Cot�siruc�ion,T e: T pe V-�
Occu an� I�ad: 9U
Floc�r Ar � s .'€t. 3,�05 0 0 �
Additional Permit Information '
New/Additional Sq.Peet-1 st F1oor....................3605 Building Pre-con.Meeting Required?...................Yes
Existing Sprinkler System in Building`?.................No Mechanical to be Included?...................................`(es
� Number of Stories..................................................1 Permit for Building Shell Only?............................No
Piumbing to be Included?......................................Yes Special Inspection(s)Required?............................Yes
New/Additional Sq.Feet-Total.......................... 3605 Occupancy#1 -Use...............................................ReStaurant
Sensitive Areas?(Wetlands/Slopes,etc)................No Zoning Designation...............................................BC
Mechanical Fixtures
Air Handling Units......................... 5 Ducts.............................................. 12 Hoods............................................. 3
Refrigeration Systems.................... 5 Hot Water Tank............................. 1
Plumbing Fixtures
Drains............................................. 13 Lavatories....................................... 2 Sinks.............................................. 12
Urinals............................................ 1 Water Closets................................. 3
PERMIT EXPIRES Sunday, February 22, 2009
Permit Issued on Thursday, February 22, 2007
I hereby certify that the above information is correct and that the construction on the above described pro�erty an�
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: Date:
� . � �
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City of Federai Way
Certi�i�cate of Occupancy � ` � `
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: KENTUCKY FRIED CI3ICKEN/LONG JOHN SII Permit#: 06-105703-00-CO
Address: 34506 16TH AVE S
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction T e: Type V-B
Occu anc Load 90
Floar Area(s .ft.) 3,105 0 0 0
Owner Name: JEFF OLIPHANT
JEFF OLIPHANT
Owner Name: FEDWAY MARKETPLACE INVESTO:
Owner Address: 5743 Corsa Ave
WESTLAKE VILLAGE,CA
91362
, ,�,,�1._.. l,� .� �-�---�,.
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 severly 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.
i '� _ ,
` � • � THIS CARD IS T�MAIN ON-SITE � � �
ctnr o� ��1� , ommunity Development Inspectior� I���t�rc�
F�(����� �a� IVR INSPECTION REQUEST PHONE # (253) �3��3050
PERMIT#: 06-105703-00-CO
Owner: JEF� OLIPHANT
Address: 34506 16TH AVE S
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is iiot 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 aUout any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
� Footings/Setback(�110) ❑ Foundation Wall(4115) � Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By G Date � By G � Da4e?3 —
� Re-steel (4215) � Plumbing Ground�vork(4190) � Slab/Concrete Floor(4255)
Approved to place concrete or orout Approved to cover Approved to plac�concrete
By Date By Date By Date
❑ Underfloor Framing (425�) � Floor Sheathing(410�) � Shear Walls (�124�)
Approved to sheath floor Approved to install flooring Approved to install siding
By D�te By Date By �'� � Date�� /�� �'�
� Roof Sheathing(4220) ❑ Rough Plumbing(4230) [] blechanical Rou�h-in (4165)
Approved to install roofno Approved App�oved
B�� G Date � By � � Date$� ? � 07 By �� Date `��.�,���
--�--�..___--.�.._�.,.r..
[� Gas Piping(4125) � �+11'e/DPaft StOPS �4O9J� N01'E: Yrior to scheduling a Framing(41�0)
Appro��ed to release test Approved inspeclion;Electric�l,Plumbing&Meclranicnl
Rough-in and Fire/llr�ft Stop inspections must be
signed-uff and approved. IBC 109.3,4/UBC 108.5,4
ii,y � �� Date � B L Date
[] Framing (4120) � Insulation (4154) �G3�psum Wallboard Nailing(4130)
Approved tu insulate Appro�'ed to install wallboard Approved to install mud&tape
By ( Date Q—z .� By � Date 8�Z,Z. p By �'��� Dat � 3�+ V
❑ SusQended Ceiling Grid (4265) � Final-Fire Department(4060) � Final-Planning (4070)
Approved to drop tile Approved Approved
�—
By Date ��,o � By Date By Date
FinaZ-Public Works (4080) � Final -Mechanical (4065) � Final-Plumbing (4075}
Approved Approved �� � Appnroved �• y
d� Q'�.i...f�• l!.,i \
By�/������ Date /���'��U7 By , Date By �, I)ate ,p�, .—
� Final-Building(40�0)
Approvecl
By �'/� Date ,� ��
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; �,r�F RECEIVEL, (� _ � �..;;' D � �'��
, Fed�ral Way P E R M I T ��� SF MF iC0 ME EL PL DE EN FP
33�5 8T'xNA ENUE SOUTH�POSBOX 9�I�J Y 0 6 z ll �
FEDERAL WAY,WA 98063-9718 �p p L I C AT I O N D / /
253-835-2607•FAX 253-835-2609
u���,��,.�t�,o�e�.ai�.,��,.�m+ITY O�FEDER�iL WAY
The follou�tng�s reqrlli�i��4�►�c�dit-an incomplete applicatdon wili not be accepted. Please print iegibiy(in ink�or type.
•• � • - •
��� ..�, �I� �-,
3ITE ADDRE33 < 3UITE/UNIT#
A33E330R'3 TAX/PARCEL� Z� �- � ��- � � � _ LOT SIZE(s� �
LEGAI.DESCRIPTION (e.g.Acme Estates,Lot 1) y�G �����!/ �I�
/Attach separate page for lengthy legal descripNon/
'• • ' •
TYPE OF PERMIT �BUII.DING f�:PLUMBING �MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVEMTION 3Y3TEM
PROJECT DFSCRIPTION(Provide detailed descriprion of work included on this permit onlul
NEVY 3f 6D,r" S. � K�G/�JS REsr�c/n�r�vr Win! D2�vFTNltt/. S/TE 1��2K �3E'yon�o
nR/V� 7"Hi2u ��4NE �3Y SKoPPi�vy G��i�2 DEV�Go�� uN�En SEf'A�n��� f'E`1M�
PROJECT NAME(Name of Business or Owner Last Name) �ENTUGK y Fn l�E,� GN�GK�N - G ONG, JDyN S/�V�iz�
• • • - •
PROPERTY AME PRIMARY PHONE
OWNER �nM,��r MAI�,QG,�'�'4��C0/ZPIJlL4T/ON (6fo1 9y/ -�6 gl
MAILING ADDRESS CITY,STATE,ZIP
I q9 �/�5r sr 5 /Ti� Z/Z LOS AL�s Gfi 9�0 Z Z
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
�D s ",M � _
AILING ADDRESS CITY STATE,ZIP CELL P NE
�� � S � ��� S.Q,(k�C�t �1' �(�g ( '� '�
CITY OF FEDER4L WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
- - — — — — — B L � � ( 1
CONTRACTORS REGISTRATION NUMBER(copy of cerd seqnired with each applicatioa� EXPIRATION DATE
� � '� �7� � 0
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
� 2NL D�s/( ���DUP /NG dQY�a GOot�� �yZ,'� 7y - y�7�
�� ' MAILING ADDRESS CITY,STATE,ZIP CELL PHONE _
, \�� �Sso 1Y0� AuE nrG svir� �vo g�GEvd� wA BOo5 ( )
RELATIONSHIP TO PROJECT FAX NUMBER
� ¢C Architect ❑ Tenant ❑Agent o Other(Descnbe) � yz s�� �y 6 -6 3�
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
pAV/p COOPE NZS" 7�/6 - 6 36 D�oo/'E 2HcvEl/GN.GoM
LENDER per RCW 19.2Z095: Lander i�'orneatlon ts NAME
`rrquirsd{/proJect vaius exceeds�s,o�o ,
MAILING ADDRESS CITY ATE,ZI PHONE
1 �
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FXiSTING U3E 11,4�A�lT PROPOSED U3E 1��5rRU�[�N�
EXI3TING A33E3SED/APPRAI3ED VALUE $ VALUE OF PROP03ED WORK $ �I Z� D D D
3PRIMKLERED BUII.DING? ❑ YE3 �NO FIRE 3UPPRES3ION 3Y3TEM PROPOSED/REQUIRED? �YES ❑ MO
WATER 3ERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMEI ❑ PRIVATE(WELL)
3EWER 3ERVICE PROVIDER ❑ LAKEHAVEN ❑ ffiGHLINE ❑ PRIVATE(3EPTIC)
:. °
-• •• -
AREA DESCRIPTION EXI3TING PROP03ED TOTAL
3 .FT. 3 .F'P. S . FT.
BASEMENT 1i1 /�
l�U�
FIRST O 3 /0� � /O�
D 0
SECOND � /�
l
THIRD
� �
FOURTH A//�1
�v /T
ADDITIONAL FLOORS(DESCRIBE) N/�
DECK(COVERED?) �/�
�
GARAGE ❑ CARPORT❑ N/
�
NUMBER OF FLOORS ��° raoeoesu r� �mem.r�soes zorex,taart�esoes. °ror,u,�
""NEWHOMES ONLY"` NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ N�A'
Indicate number of each type of fvcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
11�EC,EiAHICtIL
Value of Mechanical Work $
3 AIR HANDLING UNITS � X EVAPORATIVE COOLERS _� GAS LOGS J REFRIG.SYSTEMS
� BBQS _� FANS � HOODS(Commer�iai) WOODSTOVES
� BOILERS � FIREPLACE INSERI'S _� RANGES MISC(Descn e
COMPRESSORS � FURNACES � GAS WATER HEATERS /��R/�'� U/� A'/R C�NIr
�_ DUCTS ��GAS PIPE OUTLETS —
PL NG
t3 'l. ��',-:.z,.�-- ,
BATHTUBS�orTut/showercombo) SHOWERS _� WATER CLOSETS(roilet) _� MISC(Describe)
_� DISHWASHERS � SINKS�'}.�(� �_ DRINKING FOUNTAINS M�`��"
r�+--�—.�
_� GAS PIPE OUTLETS SUMPS __� RAINWATER SYST
_�_ WASHING MACHINES � URINALS HOSE BIBBS ��t �``N �����
� LAVS(Bathroom sinka� VACUUM BREAKERS _�c ELECTRIC WATER HEATERS �nk
� •
I certlfy urtder penalty oj perJury that the{nformat{ort furntshed by me is true and correct to the best of my knowledge,and further, that I
am authoriaed 6y the owner of the above premisea to perform the work for which the permit appiicallon is made. I further agree to hold
harmlesa the Ctty of Federal Way as to any clatm(including costs, expenses, and attorneys'fses tncurred in the investigation and defense of
such clatrry,whtch may be made 6y any perso tncluding the undersigned,and filed agatnst ths C{ty of Federal Way,but only where such ctaim
artaes out of the rel{an f the city, incl n its offlcers and emptoyses,upon the accuracy of the tr4formatton supplied to the city as a part of
this application.
NAME/TITLE DATE // � ��
(Signature) (Title)
RELATION3H O PROJECT ❑ Owner ❑ Agent ❑ Contractor �Architect ❑ Other
t: � �� �.„
� � ,�-
°�,-< c;�:
❑NEW ❑ADDITIOA n ALTERATION ❑RLPAIR ❑TEAAN'P I�RQVEMENT>
BUII�DI�ILi'$�' I..ON7aI'�i 'b YES ❑'N� Bl�l$�C.PlrAN^i' 4 YE8 O NQ r
ZOPIN(3r DE8Iti1'�ATIOR CHAI((iE OF II8E4 ❑YES ❑NO
NEW AD�RE$9 REQIIII2ED4 ❑YE8 ❑Iq0 UP/$EPA/$II? ❑YE$ ❑NO
PLAT1'ED L017 o YE8 a NO DEMO PERffiIT REQUIREDP ❑YES ❑NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts�Permit Application