09-101825 oBuilding•- Commercial
City of Federal Way •
Community Development Services Permit #: 09-101825-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 iif Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609 p Q
Project Name: SHELL STATION AT FEDERAL WAY
Project Address: 31660 PACIFIC HWY S Parcel Number: 092104 9248
Project Description: TI-Remodel an existing convenience store to include ceiling,demising wall and restroom
alteration,including plumbing work. No mechanical or exterior work allowed under this
permit.
Owner Applicant Contractor Lender
CHONG S PAK KI Y.NAM K S CONSTRUCTION INC CHONG S PAK
6418 164TH PL SE ARCH/TEC KSCONI*005N5(8/27/09) 6418 164TH PL SE
BELLEVUE WA 98006 29605 MILITARY RD S 34414 38TH AVE S BELLEVUE WA 98006
FEDERAL WAY WA 98023 AUBURN WA 98001
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
94,truction Type: Type V- -B
ai *1`
k A l
Oc npa .cy Load: i,. , 56
fC A/ AOe• ,. ,j 0
Existing Sprinkler System in Bung? No Mechanical to be Included?
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included2 Yes Occupancy#1 -Use Market/Grocery
Zoning Designation CC-C
... .� .....
Plumbing Fixtured , R _
Lavatories 1 Other Plumbing Fixtures 2 Sinks 3
Water Closets 1
PERMIT EXPIRES Tuesday, December 22, 2009
Permit Issued on Thursday, June 25, 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 City of Federal Way.
Owner or agent: ' Date:
FIN IQf,30 0'3
•
-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: SHELL STATION AT FEDERAL WAY Permit#: 09-101825-00-CO
Address: 31660 PACIFIC HWY S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 56
Floor Area(sq.ft.) 2,450 0 0 0
Owner Name: CHONG S PAK
CHONG S PAK
Owner Name:
Owner Address: 6418 164TH PL SE
BELLEVUE WA 98006
/P13a D
B ilding Official / Dace
The priority focus in the review d 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. �/
. .
DATE INSPECTOR AREA AND TYPE OF i1SPECTION
. 7. 2n •o, r14. , Ltiy{ , r 3 .p. s,k e�La) s:441p
S -4 Pc f r oorN. .
THIS CARD IS TO MAIN ON-SITE ,
Construction In ection Record -
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 09-101825-00-CO Address: 31660 PACIFIC HWY S
Owner: CHONG S PAK FEDERAL WAY, WA 98003-5408
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.
a SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
•
Re-steel (4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(425,5)
Approved to place-concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
•
Underfloor Framing(4285) 0 Floor Sheathing(4105) Rough Plumbing(4230) 0,1
Approved to sheath floor Approved to install flooring Approved
By Date By Date Bye S Date 7- 3o--0
O Fire/Draft Stops(4095) ❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
BMC. Date o _0 ByDate Fire/Draft Stop inspectionsov & must be signed off and
S approved, IBC 109.3.4
O Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date 7_ 30 -p5 By cjj Date?.31- Vet, By G cA...) Date1g :.o al
O Suspended Ceiling Grid (4265) El Final-Fire Department(4060) ElFinal-Planning(4070)
/ l Approved to drop tile /� Approved Approved
C. S . Date 0—(G''."G' l By CZ" Date l0 ZfO 9. By . Date
O Final Erosion Control(4375) 0 Final-Plumbing(40 5) Final-Building(4050)
Approved Approved Approved
By Date 'By ��+ Date 1 --,Z$ ,t54, By Date/04-30,-01
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
- Approved Approved
By • Date By Date
_ ci,,A ECETA
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cit - /
Federal Way
RMIT
COAIMUNITYDEVELOPMENT SERVICES MAY,1 SF MF ME EL PL DE EN FP
333TSSwAVENUE AY.ODTH•POBOX9718 JPPLI
FEDERAL WAY,WA 5� Op ��� / ,P... / ( 1
253435-2607.AL FAX Z /�
www.dtuolfederolwau.coee v Req i
The following is required�n-an incomplete WAY application will not be accepted. Please print legibly(in ink)or type.
/ • PROPERTY INFORMATION
SITE ADDRESS-__ f b‘0 /me. h/L s. �Qi10 ypf G. f. SUITE/UNIT I
ASSESSOR'S TAX/PARCEL I 0 9 2I_ 0 - l 2— Y- fj LOT SIZE(s.0 2---- .2..5-0
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) W/7i-01N 2- FTC Z44GC5FSW V -Le—CS j.J -F Lea S2-'f T O�
HII 1
1 i-Er.. .r-i.1.4-e,� Rid' -•g - s P UV' P47eJ�a r-i— .7GG d — —e Ce s, . —
II PROJECT INFORMATION
TYPE OF PERMIT BUILDING J PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
0t6 de. R rt 7sEA- C'-�s/s-re- y vcI.��.. ,Chi , 0,4-1;3(,_. 1„,„14.
PROJECT NAME(Name of Business or Owner Last Name) s LI iii. a4- l O
® PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 12/1-K Colo✓1a .C. (2,od ) 235-- —4
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
t4-/8 /btf--w► pi— sE & ieuve- i„,A 9g'°6
CONTRACTOR COMPANY
NAMF f _� APPLICANT NAME OFFICE PHONE -
ADD(l/REESSS v�v'►J CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) _
CONTRACTOR'S REGISTRATION NUMBER DATION DATE SMALL ADDRESS
.I.
it
•0 i C-i' COMPANY NAME APPLICANT NAME OFFICE PHONE
Mali"red'? /<i N/-04 ( 2 ) 2 9 -4`j --
MAILING DRESS CITY,STATE,ZIP CELL PHONE
Qi ' 6 Iu L +a{- 12,1 s. L cvc (4-?130,3 ( ) 2-{9 - 3
I RELATIONSHIP TO PROJECT FAX NUMBER
Architect 0 Tenant a Agent 0 Other (243 ) Q -yid'
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT k( /v 41 (M-3 ) 9-1 - Y-3 gtwLUn ARaii4-P.4 pii,o.c ffY
LENDER NAME � Per RCW 19.27.095:
A
f C.i o vil C Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
/2i-i i Ott-ai-I pt._ 5- lellevu kA- el g,..6 ( 2-06)-2-3 - 5
• DETAILED BUILDING INFORMATION
EXISTING USE 6-- 1I)Yt�- "1 aet,S .0-4.44-0-14 PROPOSED USE M0/i e- ce-
EIIISTING ASSESSED/APPRAISED VALUE$ 51Y0,600 VALUE OF PROPOSED WORK $ 35 c-
SPR NKLERED BUILDING? a YES $NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES "(NO
WATER SERVICE PROVIDER 111(LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER '(LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
it PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BFl ._
'N. SQ.FT. SQ.FT. SQ.FT.
r " s..>s
FIRST
SECOND �t� o 2-1 (F S 0
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS PROPOS= TOTAL rem=Tnwar 7orALPROPOSED al Tont SI
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 5-O Ca,00 O
N FLYTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing futures to remain.
MECITAMCAL
•
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITHAPPLICATION) '
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commmhoq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(o.Tubtsnewsrcombq f LAVS(Bathroom Sinks) URINALS 2— MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERSF.ps,Y draf5
DRINKING FOUNTAINS SHOWERS _„�_ WATER CLOSETS crams
ELECTRIC WATER HEATERS , SINKS 3 coWASHING MACHINES
HOSE BIBBS SUMPS int",WdBi
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised by the issuance of a permit.I understmed that the issuance of this permit
does not remove the owner's responsibility for compliance with loom,state,or federal laws regulating construction or environmental law&
I farther agree to hold harmless the City of Federal Wag 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 51///0/
a Owner and/or Authorized Agent
a NEW o ADDITION o ALTERATION o REPAIR TENANT IMPROVEMEMT
BUILDING SHELL ONLY? a YES o NO AJJ/k BASIC PLAN?
oYE3 O.NO kia-
ZONING DESIGNATION e c .-e-, CHANGE OF USE? ,.•.4.3." CL NO ill.C)
NEW ADDRESS REQUIRED? o YES oleo UP/SEPA/SU? � . ,r•
1
PLATTED LOT? a YES 0 DEMO PERMIT .
REQUIRED? o YES iivritii
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application