09-101298 • • Building - Coirnm ,cial
Citi!of Federal Way
Community DevelopmnntServices Permit #: 09-101298-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 P q
Project Name: PANDA STATION RETAIL CENTER
Project Address: 30315 PACIFIC HWY S Parcel Number: 042104 9237
Project Description: TI-Non-structural interior alterations to create(4) new accessible unisex restroom spaces.
Includes Plumbing and mechanical. No occupancy under this permit.
Owner Applicant Contractor Lender
VAN VUONG PRIME CONSTRUCTION& PRIME CONSTRUCTION& VC INVESTMENTS LLC
VC INVESTMENTS LLC DEVELOPMENT DEVELOPMENT 2101 SE 2ND PL
2101 SE 2ND PL 7728 228TH ST SW PRIMECD925RK(12/12/10) RENTON WA
RENTON WA 98056-8864 EDMONDS WA 98026 7728 228TH ST SW 98056-8864
EDMONDS WA 98026
Census Category: 437 - Commercial alt/ add/ conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
t+ I P r it`I nfo rmation
/�4ddi a 4 •
New/Additional Sq.Feet- 1st Floor 0 Existing Sprinkler System in Building? No
Mechanical to be Included? No Number of Stories I
Permit for Building Shell Only? No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0 Zoning Designation BC
Plumbing Fixtures
Sinks 4 Water Closets 4 Water Heaters 4
PERMIT EXPIRES Monday, October 12, 2009
Permit Issued on Wednesday, April 15, 2009
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 y.of Federal Way.
Owner or agent: l Date: `(---4-r
(N 1S !o
***okTHIS CARD IS TO *AIN ON-SITE
CITY OF Pommunity Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 09-101298-00-CO
Owner: VAN VUONG
Address: 30315 PACIFIC HWY S
FEDERAL WAY, WA 98003-4124
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.
` ,
ElFootings/Setback(4110) 0 Re-steel (4215) ❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By Date By v Date 5/� l�T
ElSlab/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
❑ Rough Plumbing(4230) El Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved Approved inspection;Electrical,Plumbing&Mechanical
a Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4
By Date ,5-7/ 0 i By Date
❑ Framing(4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By 0 Datenja a f/
By Date By Date
❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
'❑ Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved g t,(`1 I/14
i zA
By • � K'", Date , t ,.C1 oct, By /VV/ Date ‘//:‘
/� A'. 5/01
, NO ,an c j H �t/f q(
perm 1' , QWt%f-
Mt54 r10de ref'"?
fo dud-e be.iii.IL1Ins
pr,-of -10 �,h.t 1 , .
For inspector reference only 1
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
1 / /
oF •• _ / D
Federal Way L {f
an
COMMUNITY DEVELOPMENT SERVICES RECEI\ PERMIT SF MF 4 ME EL PL DE EN FP
33325 8TH AVENUE SOUTH•PO BOX 9718 fjnA P P L I C AT I O N
RAL WAY, 98063-9718 '\PR 0.7 TD / 2i / a?
253-835-2607FEDE •FAXWA 253-8352609
renitc.rilrfoffedemhuay.cofn
The following is required infoFAampiete application will not be accepted. Please print legibly(in ink)or type.
a
• PROPERTY INFORMATION
SITE ADDRESS "'S C'-3( S--- pa c41::i c /-1 i t c SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# ' )- L 4g / b L/ —.. LOT SIZE NO
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach s.Pamt ao9ela f y leg.,desoiptfon)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
PROJECT NAME(Name of Business or Owner Last Name) -P7t'ji v°C 1 7-7 cr n on./ RerfiL C E Tfj
• PEOPLE INFORMATION
PROPERTY NAME
'JrRIMARY PHONE
OWNER . r ve tel-t- ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME ....„, APPLICANT NAME OFFICE PHONE
;.L, s-tie-ti�- - . .,._ G..1--�i ) azo - 6S-,
MAILING ADDRESS CITY,STATE,ZIP / CELL PHONE
22S- ESS f S J �e7:4 o>~d 5 9C"6 .'7-- ( ) -
« ' • t`-•ERAL WAY BUSINLICENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATIONNUMBER EXPIRATIONADDRESS
7-RIA/f6- i> q . - e(c (Z/ DATE E-MAIL
(a/2,.- ,-,,d(4-2,- k.4
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING AD CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑ Tenant 0 Agent ❑ Other ( ) _
PROJECT NAME PRIMARY PHONE - E-MAIL ADDRESS
CONTACT 3-c!-" n` ( t c-
) CI-i?
LENDER NAME �J ���///
_, 4 = G��r ///�\ ;?/„ Per 19.27.095:
e' v/�-1_//Il Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /46', a"o h
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER . LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER .AKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING P OPOSED TOTAL
SQ.FT. /SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ausrmo n.PROPOSED TarTOTAL MISTING sr Toru PROPOSED sr TOTALS?
"NEW HOMES ONLY° NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocatgci as part of this project. Do not include existing fixtures to remain
MECHANICAL
Value of Mechanical Work$ V (A(CO FBID OR ESTIMA�MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(comer)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS Li-- WATER CLOSETS(roue)
ELECTRIC WATER HEATERS 1.J.- SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorized by the issuance of a permit I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
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, 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.
•
SIGNATURE: DATE / 7 /0 II
Property Owner and/or Authorized Agent
ri
w .
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN?
. ., .._...._..
❑YES a NO
ZONING DESIGNATION CHANGE OF USE?
❑YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMITREQUIRED.o ❑YES ❑NO
... ..... _ .. „».,-
Bulletin#100-January 1,2009 Page 2 of 4 k\Handouts\Permit Application