05-106459 e
community f Federal
Way
Services Building - Commercial Permit #: 05-106459-00-CO
P.O.Box 9718 j,
Federal Way,WA 98063-9718 `
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: JOHN L SCOTT
Project Address: 31620 23RD AVE S Suite 120 Parcel Number: 092104 9051
Project Description: TI- Construction of new interior walls,demo of floor finishes and new floor finishes,minor
lighting changes,no plumbing or mechanical work.
Owner Applicant Contractor Lender
SOUNG HONG CYNTHIA JOHNSTON VELOTTA CONSTRUCTION CO. LEE R MASON
PUGET SOUND COMMERCIAL JPC ARCHITECTS INC JOHN L SCOTT INC.
918 S 348TH ST SUITE C 601 108TH AVE NE VELOTCC053N8 05/14/06 31620 23RD AVE S SUITE 101
FEDERAL WAY WA BELLEVUE WA 98004 100 290TH AVE SE FEDERAL WAY WA 98003
FALL CITY WA
Census Category: 437 - Commercial alt/add/ conversion
Includes: #1 #2 #3 +#4
Occupancy Class: M , t.'413 - t ,; helk
Cons, ction Type: Type V-B
{ ® cy Load:
!sq. ft.) 1,720 �' 0 0 = 0
Additional Permit Inffo i at n
Existing Sprinkler System in Building? No• Mechanical to be Included No
Number of Stories 1 Permit for Building Shell.Only No
Plumbing to be Included No Occupancy#I -Use Professional
Services/Offices
Zoning Designation .: , CC F r,.
No Fixtures Associated With This Permit !!
CONDITIONS:
PERMIT EXPIRES Sunday, January 20, 2008
Permit Issued on Friday, January 20, 2006
i ttereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t will be in accordance with the laws, rules and regulations of the State of Washington
pnd he City of Federal Way.
Owner or agent: aee, Age., Date: I " `) 7 '
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 by City staff.
Tenant Name: JOHN L SCOTT Permit#: 05-106459-00-CO
Address: 31620 23RD AVE S Suitel20
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,720 0 0 0
Owner Name: CYNTHIA JOHNSTON
CYNTHIA JOHNSTON
Owner Name: VELOTTA CONSTRUCTION CO.INC
rOwner Address: 100 29TH AVE SE
Lt ITY WA
3- &- O<oGc�
Building Official Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matterswhich
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 occypant of the premises.
r
/V A. _....• THIS CARD IS TO MAIN ON-SITE f
-
CITY OF ItommunitY DevelopDevelopnWnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
`
PERMIT #: 05-106459-00-CO
Owner: SOUNG HONG
Address: 31620 23RD AVE S Suite 120
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.
0 Footings/Setback(4110) 0 Re-steel(4215) 0 Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) 0 Floor Sheathing(4105) 0 Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling Framing(4120) ❑ Framing(4120) ""., • 0 ,: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 i By Date ! � By Date ."
1❑Gypsum Wallboard Nailing(4130) ,❑ 'Suspended Ceiling Grid(4265). f ❑' -Final---Fire Department(4:060)
Approved to install mud&tape Approved to drop tile Approved
! s ,
By �i a Date 2'/6". � 'By GDate 2- t f•042 V— ,?, By Date '.� 'O ,
0 Final-Planning(4070) ❑ Final-Building(4050)
Approved Approved
By Date By Date 3 -bio_64
A RECEIVE� \7' z-_ ,may C
Y OF cif L r—
-decal Way PERMIT
COMMUNITY DEVELOPMENT SER S 2 1 2005
SF MFfii
EL PL DE EN FP
333258Th AVENUE SOUTH DERALWA ,WA9•63BOX 9718 AppLICATION '°
EDERAL WWA 953-835-26AX25ERAAYwa�.�uaeralWDEThe ollowin, is >, ired ormation-an incom,lete a,,lication will not be acce•ted. Pe•',I_ (i k)or , .
MI PROPERTY INFORMATION
SITE ADDRESS ..."R4(-Z C) .J AA Aar.- , Fr 1 f I??/ ItA t , `i!J '�7.':., SUITE/UNIT# Pa _'
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) PHI( l,/kl.)C„ f"-Kr f,L/11 ilii dr(rE --
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT XBUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT��! DESCRIPTION/� ��} , (Provide detailed descriptionr� of work included on this permit on1u) ` '(� { r
I ni�'c,V I I f 1f rre--OV 6✓'4 ' ) : F- 1 541(�L,; c'2 '1✓E,s' `?,,,,,, !e, t t V O i.'r�.1 tl,;c.Lk '1,.:.
E g (, . Ni 0 C.AXA rJ L 0 = 13€X.... . 0 !) lr U PV1 I rJ ISE ' . -r
t( S
'
41. .ld I i ,A f.5 Y-'vie !�',' ,7 r __
sc
PROJECT NAME(Name of Business or Owner Last Name) (.10P'13 If « (;610.0
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 1" t1c-r- ?a u P t7,0 IAr 4.1. (2 5 3) g. 7- a Q 0
MAILING ADDRESS L ` CITY,STATE,ZIP l
I/O S �1
� (—('r pri;� k' Z k/Ali// 000693
CONTRACTOR COMPANY NAMELL
NT NAME OFFICE PHONE
�L
/eCo. s4 Co . ` Ye(` (us) a.1); -9131/
1/
MAILING ADDRESS CITY,STATE ZIP CELL PHONE
Cd,, a.4o�/¢fie S F// 62i 1414 Nets) 76/-I/4/90
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ON DATE FAX NUMBER
ao - 06 -L do 1 o zoo-B L /ol- / 3 / /06 (yJs18.7.01.a=-11933
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
vEL reeoc3N8
5 //`f /a.
APPLICANTPHONEAPPLICANT COMP � Alum ,,e4.....5 xp ,A "JDiN/' U) OFFICE 4(
-/700
MAILING ADDRESS .,,,,_ CITY,STATE,ZIP CELL PHONE
& l i C' tJE- 131✓Lirt/0 , Wk'1 004- ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
Architect D Tenant ❑Agent ❑ Other(Describe) (4? fri 7-0
-0 )-0 c)
CONTACT PCO "' E-MAIL ADDRESS
NAME. Ct HilAR." ,rh 6/ c Z e, 341 goo
LENDER Per BM'I9.27.095 ar irtnr nation(# ' NAME )
required trvahrc exceeds d0.000 i�[7I L (�
MAILING ADDRESS ,
C(C 2V 7327 4lC,.
5Iy/O CI'.l". v`i t(GO1 3 `HONE
(
) -
• DETAILED BUILDING INFORMATION
EXISTING USE 5 UCy/K E.,33i PROPOSED USE r,(.P'"/Avl'( <'-, to-IAA-,
EXISTING ASSESSED/APPRAISED VALUE \$ VALUE OF PROPOSED WORK $ 1' l0 61 Cly` '--'
SPRINKLERED BUILDING? ❑YES ¢i NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 1ffi/NO
HA
WATER SERVICE PROVIDER / VEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) ✓✓✓ '
SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
11r- •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 7 VV�y
SECOND !r//
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL ffi®TING SF TOTAL PROPOSEDsr TOTAL OF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS
HO. (commemlaq WOODSTOVES
BOILERS FIREPLACE IN '• GES MISC(Describe)
COMPRESSORS FURNACES WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) - RS WATER CLOSET,Foilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(sating.• .n. ) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the Information 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(including 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 of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE %l!1► /_ /! Gil,.-/A ,IL DATE /Z • Z 1 • Ds'
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor Architect 0 Other
Yintormit-- 19,111j '7:
❑NEW a ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
BUILDING filILr.ONLY? o YES o NO BASIC PLAN? a YES a NO
ZONIIhiG DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO
PLATTED LGT? ❑TES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application