05-106549lam— City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax. (253) 835-2609
Building - Commercial Permit #: 05-106549-00-CO
Project Name: LA BELLA CAFE
Project Address: 1805 S 316TH ST Suite A101
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9304
Project Description: TI - Tenant improvement project to include construction of interior walls to create 2
restrooms, storage room, a kitchen and counters for a new coffee shop. Plumbing to be
included, NO mechanical work included.
Owner
Applicant
Contractor
Lender
WESTERN PALISADES INC
ESTHER FOERDERER
MAN-REE CONSTRUCTION INC.
WESTERN PALISADES INC
5515 AIRPORT WAY S
MAN-REE CONSTRUCTION INC.
MANRECI988NS 3/21/06
5515 AIRPORT WAY S
SEATTLE WA
1227 NE 198TH ST
1227 NE 198TH ST
SEATTLE WA
98108-2202
SHORLINE WA 98155
SHORLINE WA 98155
98108-2202
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
ff3 ,
r'
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load:
34
Floor Area (sq. ft.)
1,302
0
0
0
Additional Permit Information I
Building Pre -con. Meeting Required' ................... No Existing Sprinkler System in Building? ................. Yes
Mechanical to be Included? ....... :.................... .......No Number of Stories.................,............................... 1
Permit for Building Sl;�ll Only? .....:.....................No Plumbing to be Included? ............... :....................... Yes
Special Inspection(s) Required. ............._.............. No Occupancy #1 - Use ........ .... ............ ....-............... Restaurant
Zoning Designation .............................................. CC-C
Plumbing Fixtures
Lavatories.... .....:.:.....................:..:.. 2 Other Plumbing Fixtures................ 1 Sinks.... ... .....--_-.................... .......... 9
CONDITIONS:
PERMIT EXPIRES Thursday, February 14, 2008
Permit Issued on Tuesday, February 14, 2006
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
,andthe ity of Federal Way,
Date:
Owner or agent: 1
�y
0
City of Federal Way
Certificate 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 City staff.
Tenant Name: LA BELLA CAFE
Address: 1805 S 316TH ST SuiteA101
Permit #: 05-106549-00-CO
Includes:
#1
#2
#3
44
Occupancy Class:
B
Construction Tv e:
Type V - B
Occupancy Load:
34
Floor Area (sq. ft.)
1,302
0
1 0
0
Owner Name: ESTHER FOERDERER
ESTHER FOERDERER
Owner Name: MAN-REE CONSTRUCTION INC.
,+ rAddress: 1227E 198Tfi ST
w% 98155
Building Official jDate
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 generatpublic. 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
whirh it is situated. Such compliance is the responsibility of the outner and / or occupant of the premises.
t
THIS CARD IS TO FT MAIN ON -SITE
CITY OF Community Developmelit Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-106549-00-CO
Owner:
Address: 1805 S 316TH ST Suite A101
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)
❑
Re -steel (4215)
❑ Plumbing Groundwork (4190)
Approved to place concrete
Approved to place concrete or grout
Approved to cover
By
Date
By
Date
By G W Date 3-
❑
Slab/Concrete Floor (4255)
❑
Underfloor Framing (4285)
❑ Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By Date
lab
Rough Plumbing (4230)
❑
Fire/Draft Stops (4095)
NOTE: Prior to scheduling a Framing (4120)
Approved
Approved
inspection; Electrical, Plumbing & Mechanical
Rough -in ar.d Fire/Draft Stop inspections must be
4,L
gned-off and approved. IBC 10933XUBC 108.5.4B
Date
By
Date
Framing (4120)
Approved to insulate
By Date 11
❑ Suspended Ceiling Grid (4265)
Approved to drop tile
By Date
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130)
Approved to install wallboard Approved to install mud & tape
By Date ByG (j Date 4-1, V
❑ Final - Fire Department (4060) ❑ Final - Planning (4070)
Approved Approved
By Date By Date
[] Final - Plumbing (4075) ❑ Final - Building (4050)
Approved Approved
By >" L! Date By Date f
��� C off'
RFCF-`\l
nTv of
Federal Way 2005 PERMIT
cc)umvNrrY DEPBIQPMENrsERVIcE5 u �., �� �+
:i.77ibir AVENUE BOX H _ �RPLICATION
FEDERAL WAY, WA 9H063-9718
2S3-H3S-2607• FAX 75,3 &75. `y OF FED Y
uyPu, uorrcdculieveu.�m BUILDING, DEFT,
The Tollowina is reauir+ed information - an incomplete application will not be
SITE ADDRESS s���`
ASSESSOR'S TAX/PARCEL M ` L U�
n i
I-7-7OiA
SF MF (C:—O) M.E EL PL DE,&N FP,
SUITE/UNIT # A
LOT SIZE (sj)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
L1U-h-Pmale P49 f-rkTVdUl IILW
TYPE. OF PERMIT BUILDING XPLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide dett-2
e rrlpt it of work included on
s Qgj VAd'1--Cy '& t i ry' D
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
CONTACT
LENDER
NAMr PRIMARY PHONE
LC11
AIIJK0 ADDRESS I CrrY. STATE. ZIP
l for -wil4l _ D
COMPANY NAME
APPWCANr NAME I
OFFICE PHONE
MIU4SNC ADDRESS
�+
CITY. STATE. ZIP q/
`
CELL PHONE
( ) -
U l
.fit,
CITY OF ER}A[L�WAY BUSIINESS LICENSE NUMBER EXP RA770N DATE
l.'J__%S__1 it }_ _ _ _—-
FAX NUMBER
CONTRACTOR'S RFGT57RAT[ON NUMBER ica" � rid With *It o"gamtkul
EXPIRATION DATE
0 / /
M E
c.
COMPANY NAME AlI"IIIAN'r NAMI OFFTC£ PHONE
MAILINO ADDRESS Cr[Y. STATE. ZIP - CELL PH Ne
_fr
tC
RE[ATIOI HIP TO PR0.IECT FAX NUMBER
❑ Architect ❑ Tenant rent ❑ Other (Describe) 1 (2,6
NAMF PMMARY.PHONE MILADROM
5� � ytZinn �— Co�� A : airy
Per RCW 19.27.006: Lender inOMMUon is
NAME -
required (f project value exceeds $5.000
V f
MAILING ADDRESS
CrIY. STATE, ZIP
PHONE
EXISTING USE �' i S L 4 PROPOSED USE i
EXISTING ASSESSED/APPRAISED VALUE $ VAL[]G OF PROPOSED WORK $ - U�
SPRINKLERED BUILDING? RYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES p�NO
WATER SERVICE PROVIDER �FHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER HAVEN ❑ HIGIDdNE ❑ PRIVATE (SEPT'LC)
Indicate number oj'each type of f Aure to be installed or relocated as part of this proJec-. Do not hrclude existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAi-QtiATIVE C OI.L[
GAS LOGS REFRIG. SYSTEMS
M BBQS
BOILERS
FANS
l I1tS:I E INS iTl;
I IlS1[ n�m m! a( WOODSTOVES
RANGES M1SC (Describe)
�_ COMPI
FUI C r
(3A9 WATER HEATERS
r CrS
GAS PIPE OU [ LL
BATHTUBS (o Tub/Sho rC..W SHOWERS �"" WATER CLOSETS 0101vil MISC SDescrlbe)
DISHWASHERS SINKS' t / DRINKING [+DUNCAINS A> Sf O"I
GAS PIPE OUTLETS SUMPS
WASHING MACHINES URINALS oo r r7j�l k�
LAVS uwffinwm5 nlul VACUUM BREAKERS ELECTRIC WATER HEATERS�:i__
r
I oermt tinder penalty Qf perjury that the ir0brmat(on furnished by me is true and correct to the best gj my knowledge, and firrther. that I
am authorized by the owner gf the above premises to perform the murk for which the permit application is made. I further agree to hold
harmless the City gf Plederal 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 W undersigned. and filed against the City gf,Pederal Way, but only where such claim
arises out of the rellanee iifthe city. includin Rl7�d employees. upon the accuracy 4f the igNrmatIon supplied tothe city as apart of
this application.
NAME/TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor
FOR OFFICE USE ONLY
DATE 12
inilrl
❑ Architect ❑ Other
❑ NEW ❑ ADDITION
:j ALTERATION
❑ REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? Aa
YES YNO
BASIC ? ❑ YES
NO
ZONING DESIGNATION
i
CHANGE OF USE? ❑ YES
O
NEW ADDRESS REQUIRED?
❑ YE5 O
UP/SEPA/SU? ❑ YES
no
PLATTED LOT?
❑ YES V.N0
DEMO PERMIT REQUIRED? ❑ YES
NO
Bulletin #100 -January 7, 2005 Page 2 of 4 k\Handouts\Permit Application