07-100546Community 'Devel pmentservices BA ding - Commercial Perm #: 07- 100546 -00 -GO
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -30550
�i
Project Name: THE WELLNESS STORE
Project Address: 1640 S 318TH PL Suite D el`s _:.> Parcel Number: 092104 9208
Project Description: TI - Construction work to include framing & new walls. Mechanical & Plumbing on
separate permit
Owner
Applicant
Contractor
Lender
SEATAC VILLAGE LLC;KURTZM
BYEONG -SU HYUN
31260 PACIFIC HWY S #9
BYEONG -SU HYUN
31260 PACIFIC HWY S #9
FEDERAL WAY, WA
31260 PACIFIC HWY S #9
FEDERAL WAY, WA
98003
FEDERAL WAY, WA
98003
98003
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V - B
ancy Load
s /,.Yl rArea (sq. ft.) 1,316 0 0 0
Zoning Designation ..................... ...........................CC -C
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, March 30, 2009 t1
Permit Issued on Friday, March 30, 2007
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: Date:
v
FINALED
-��v I
Existing Sprin der $yarn in'Buildine ........ No
Number of Stories ................... .............................A,
Plumbing to be Included? ......... .............................No
Zoning Designation ..................... ...........................CC -C
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Monday, March 30, 2009 t1
Permit Issued on Friday, March 30, 2007
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: Date:
v
FINALED
-��v I
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 fhe 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: THE WELLNESS STORE
Address: 1640 S 318TH PL SuiteD
Permit #: 07- 100546 -00 -CO
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type V - B
Occupancy Load-
Floor Area (sq. ft.)
1,316
0
0
1 0
Owner Name: SEATAC VILLAGE LLC;KURTZM
Owner Address:
Bu
%ll
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 seventy 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.
THIS CARD IS T
O MAIN ON -SITJ�
p Inspection r ,
CITY OF Community Develop nt Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100546 -00 -CO
Owner: SEATAC VILLAGE LLC;KURTZM
Address: 1640 S 318TH PL Suite D
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)
❑
Slab /Concrete Floor (4255)
Approved to place concrete
Approved
Approved to place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
❑
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
By
Date
❑
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Insulation (4150)
inspection; Electrical, Plumbing & Mechanical
Approved to insulate
Approved to install wallboard
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
G Date -- „ 1-7
By
Date
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
❑
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By c.
j DateS,W--02
By
Date
By
Date
❑
Final - Planning (4070)
❑
Final - Building (4050)
Approved
Approved
By
%
Date
By
f Date ?—,//- d7
CITY OF 0 -7 —
CITY Way
07 —
Z� PERMIT
COMMUN /TV DEVELOPMENT SERVICJAN SF MF@ ME EL PL DE EN FP
33325 8m AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063 -9718 F F EQFR ?� L I C A T I O N TD d
253-835-2607- www. tuo FAX 253 -ti.com D T 13U'Lp1NQ D
www.dtuoffedera?wati.com com � .
The following is required information -an incomplete application will not be accepted. Please print legibly (iri inlq or type.
ASSESSOR'S TAX /PARCEL # 19 T 2 a, 4_4 -
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
TYPE OF PERMIT
PROJECT DESCRIPTIOA fProvide
NAME (Name of Business or Owner
PROPERTY.
OWNER
i�
CO Y t.-d Hired
with Z11h r pplleatiun
APPLICANT .
PROJECT
CONTACT
LENDER
EXISTING USE
(Attach separate page for lengthy legaMescription) V
PROJECT • /
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
O DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
iption of work ingluded on
1�.7dti��1
COMPANY NAME
APPLICANT NAME y
J / �
CITY, STATE, ZIP
JeWfia- ��
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MAILING DDRE
CI STA ,//
i
CELL PHONE
f i[ +LL!�i�L/�!I/:J�►�!'�����%l��rf
'� ��4�'�i�i�L�L
COMPANY NAME
APPLICANT NAME y
OFFICE PHONE
CITY, STATE, ZIP
JeWfia- ��
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MAILING DDRE
CI STA ,//
CITY, STATE ZIP
CELL PHONE
FAX NUM13ER
❑ Architect KTenant ❑ Agent o Other
( -
CITY.OFFEDERALI WAY BU$tNESS LICENSE N ER
EXPIRATI N DATE
FAX NUMBER
CONTRACTO 5 REGISTRATION NUMBER
EXPIRATION DATE
-M IL ADDRESS
COMPANY NAME
A
/54/ ICAIJOT NAME
OFFICE PHjyJE
CITY, STATE, ZIP
JeWfia- ��
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MAILINO DDRESS
s �.
CI STA ,//
CELL PHONE
3
RELAT ONSHIP O PROJECT.
FAX NUM13ER
❑ Architect KTenant ❑ Agent o Other
( -
NAME ` PRIMARY PHONE E -MAIL ADDRESS
NAME
Per RCW 19.27.095.
Lender tAformation is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
(;I cc f
EXISTING ASSESSED /APPRAISED VALUE $_a' 9 6 VALUE OF PROPOSED WORK $ C
SPRINKLERED'BUILDING? ❑ YES VNO FIRE.SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑•YES
WATER SERVICE PROVIDER fe' LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER VLAKEHAVEN . ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
,46
A&
PROJECT OO• AREAS
AREA DESCRIPTION EXISTING
S . FT.
❑ ALTERATION
a REPAIR o TENANT I MPROVEMENT
PRO POSED
S . FT.
TOTAL
S . FT.
BASEMENT
BASIC PLAN?
o YES
FIRST .;
ZONING DESIGNATION
CHANGE OF USE?
SECOND
o NO
NEW ADDRESS REQUIRED?
o YES o NO
THIRD
UP /SEPA /SU?
o YES
o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES o NO
DEMO PERMIT REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED ?)
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROP08E11
TOTAL
TOTAL I -T157 oar
TOTAL PROPOSED ST
TOTAL Sr
* *NEW HOMES ONLY'`* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS (or Tub /shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Bathroom sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS WOODSTOVES
GAS WATER HEATERS MISC (Describe)
HOODS (commercial)
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS (roiiet)
WASHING MACHINES
MISC (Describe)
I certify under penalty of perjury that the Wormation 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 lincluding 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 oft , i ding its officers and employees, upon the accuracy of the In ormation supplied to the city as a part of
this application.
NAME /TITLE DATE 2 r-p %
gnR ire) (Title)
RELATIONSHIP TO PROJECT }Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Othet
o NEW o ADDITION
❑ ALTERATION
a REPAIR o TENANT I MPROVEMENT
BUILDING SHELL ONLY?
❑ YES o NO
BASIC PLAN?
o YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP /SEPA /SU?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
a YES
o NO
Bulletin #100 —January I, 2006 Page 2 of 4 klHandoutslPermit Application