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07-106296
Os _-City of*edenit Builc ig — Commercial Permit 07-106296-00-CO Community Development Services F.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: NORTHSHORE QUALITY PRODUCE Project Address: 35522 21ST AVE SW Suite A Parcel Number: 252103 9050 Project Description: TI -Initial tenant improvement. Construct partition walls plumbing and mechanical for new produce space. Owner Applicant Contractor Lender TAE HYUN SHIN DAVID OM OMS CONSTRUCTION DAVID OM TWIN SHIN INCORPORATED OMS CONSTRUCTION OMSCOCI930J4 (4/24/09) OMS CONSTRUCTION 32842 19TH AVE SW 6225 20TH ST E 6225 20TH ST E 6225 20TH Sr E FEDERAL WAY WA 98023-6430 TACOMA WA 98424 TACOMA WA 98424 TACOMA WA 98424 i J Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 _ — Occupancy Class: M Construction Type: Type V-B Occupancy Load: 75 Floor Area(sq. ft.) 2,270 0 0 0 Additional Permit Information Existing Sprinkler System in Building? No Mechanical to be Included? Yes Number of Stories 1 Permit for Building Shell Only?............ ........ ....No Plumbing to be Included? Yes Occupancy#1 -Use Market/Grocery Zoning Designation BN Mechanical Fixtures Fans 1 Plumbing Fixtures Lavatories 1 Sinks 4 Water Closets. 1 Water Heaters 1 PERMIT EXPIRES Friday, January 15, 2010 Permit Issued on Tuesday, January 15, 2008 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: `tel�/ /Q t.ity 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: NORTHSHORE QUALITY PRODUCE Permit #: 07-106296-00-CO Address: 35522 21ST AVE SW SuiteA Includes: #1 #2 #3 #4 Occupancy Class: M Construction Type: Type V- B Occupancy Load: 75 Floor Area(sq. ft.) 2,270 0 0 0 Owner Name: TAE HYUN SHIN TAE HYUN SHIN Owner Name: TWIN SHIN INCORPORATED Owner Address: 32842 19TH AVE SW FEDERAL WAY WA 98023-6430 / v T Building Official 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 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 i or occupant of the premises. D TEINSPECTOR AREA MVO TYPE 01 iNSPECTION 1--28-oer olL ice] s,-/e t •- ��/• 3 .7 -o es tre-_ • rm.#4 e-,a 4c.es74 es,/ly. v .4, . ,. THIS CARD IS TO MAIN ON-SITE ` . CITY OF " .. ommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-106296-00-CO Owner: TAE HYUN SHIN Address: 35522 21ST AVE SW Suite A FEDERAL WAY, WA 98023 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. O Footings/Setback(4110) ❑ Re-steel(4215) 0 Plumbing Groundwork(4190) Approved to place concrete Approved to place concrete or grout Approved to cover By Date By Date By ., C-j Date /, ,c,„E3 - ❑ 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 ❑ Rough Plumbing(4230) ❑ Mechanical Rough-in (4165) ❑ Gas Piping(4125) Approved Approved Approved to release test By G c,, Date C_ 26., Ves By G Date? /p Va By Date ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120) 0 Framing(4120) Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.41 By c.1/4.3 Date ? 40 -d By 4, Ld,i Date 3 `/O- p ❑ Insulation (4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date i<�--j Date ....-`,g..-0U By Date El Final-Fire Department(4060) ❑ / Final-Planning(4070) ❑ Final-Mechanical(406 5) Approved Approved Approved By J, Date7/267,0a By Date By C;, (...)..JlDate 7--A).c3 ❑ Final-Plumbing(4075) ❑ Final-Building(4050) Approved Approved By 7VDate 41 By .- CA.) Date 7.2.61-0c53 For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date REcEI _ Lo ay T A PERIVI�T COMMUNITY DEVELOP 'NT SERVICES NOV 2 0 2007 7- SF MF4 ME EL PL DE EN FP 33325 8Te AVENUE SOUTH•PO BOX 9778 ��,�,L I CATION FEDERAL WAY,WA 987335192761089 063-9718 TO )x 1 1 /04, 4, 253-8352607 FAx 253-835.2609 t V F�E DE 0 wwwcihtofederahoau.con1 3UILDING DEPT. The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. Y.- -2 2 ■ PROPERTY INFORMATION SITE ADDRESS �g5 ! / s-4• /4V C 7C."4-ti--C..../ —C+-y SUITEE/UNIT#k- , ASSESSOR'S TAX/PARCEL# 2. 3 2- / t: ' - c f 3 LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION • TYPE OF PERMIT El BUILDING O.PLUMBING fel MECHANICAL " 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) A,-,...,...„+_--, .< /n r/if Pko1,1'bin vr-- Alec.i `r ' ?,5fictal• til-proc)u. am c . . . PROJECT NAME( ame of Business or Owner Last Name) Al Pr sit:�, bible, Jt 4-y. : "C€_— U PEOPLE INFORMATION j ,..._ PROPERTY NAME //��'` � -. PRIMARY PHONE OWNER Ct� V � 0 0 (2-Ci ) s ," " - 7Y) � MAILING ADD `, a" •, E ,' Y 7 E-MAIL ADDRESS c-, ,r, CONTRACTOR COMPANY NAME 1 APPLICANT NAME OFFICE PHONE L7 4 (curs 7 v 1,L-c..-1-,c5,-,, ....z ,,,,), c;,,, ()V ) - =9cd) MAILING ADDRESS CITY ATE,ZIP �. CELL PHONE • - /,",( - S - ',A l'. /fr. - )- ' ( .> ) ')7? — %,f 7 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE / FAX NUMBER ( 3 ) -et 7 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE • E-MAIL ADDRESS v---/.2_5z A,:,... , 4,-/y5--e,-,.,4-.)yd,,.„, et.-"i-tt APPLICANT COMPANY NAME - APPLI NT NAME OFFICE PHONE %/'-S <<- fiti tIL.t eL ©e � *4-- ( 14 ) )7,17 '1 MMAA,IL1NO ADDRESS 1 CITY,STATE,ZIP 1 CELL PHQ1/NE ', .)/c .1j '.7:1€'4.-' ‘.I. !` )Iy FAX NUMBER ,5? - RELATIONSHIP TO PROJECT /' 0 Architect 0 Tenant ❑Agent 0 Other LL7L1 ;/y4ti- L"� ( ) )LZ- (6 j } 1 PROJECT NAME��/�J PRIMARY PHONE /� �. E-MAIL ADDRESS ( ( /I CONTACT Ka is ( (i r,,.�-,--� ( ') ;f:r7 - 2)S�� !�t) C 4/1',> /d)[i i(4..,,,t..._ LENDER NAME. 1 0"..-/.4"..... Per RCW 19.27.095: ( �� Lender informationAfr is required if project value exceeds$5,000 MAI 0 ADDRESS • ITY, .6,-7;�-s� /-',>C3,1-61- Crile ZIP `4iG t `i 2 - • PHONE ) - • DETAILED BUILDING INFORMATION - EXISTING.USE PROPOSED USE J�C c C'tC.e '1,A.;- s. EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /c4. r C: �' SPRINKLERED BUILDING? 0 YES /fNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER d LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER Cr LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS • AREA DES ION EXISTI PROPOSED SQ.FT. SQ.FT. BASEMENT FIRST SECOND' .2 THIRD • ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL SAsrnw SP TOTAL rsorosED SP TOTAL SP "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • II 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. MECHANICALi! Value of Mechanical Work$ gtO • COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) "WIPP. AIR HANDLING UNIT'/ EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS `� FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS)commerdan COM ' SSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS • PLUMBING" t BATHTUBS)or Tub/Shower Combo) I LAVS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS ` DRINKING FOUNTAINS SHOWERS / WATER CLOSETS nano / ELECTRIC WATER HEATERS 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 Iaws. 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 // /2 c t, Property Owner and/or Authorized Agent a NEW ❑ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO Bulletin#100-August 16,2007 Page 2 of 4 k\Handouts\Permit Application