07-100392 City of
common D Federal
Buil mg - Commercial Permit : 07-100392-01-00
PO.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BLUE ISLAND ROLL& SUSHI RESTAURANT
Project Address: 35002 PACIFIC HWY S Suite A101 Parcel Number: 185295 0050
Project Description: INITIAL TI-Construct interior improvements for restaurant including partition walls &
acoustical ceiling system. NO plumbing or mechanical. **REVISION: to include all of
suite 101,instead of just the west side as originally submitted.**
Owner Applicant Contractor Lender
PAUL CHOI JAY SEO UNLIMITED CONSTRUCTION INC PAUL CHOI
BLUE ISLAND ROLL&SUSHI J S A UNLIMCI930B5(1/25/09) BLUE ISLAND ROLL&SUSHI
9019 NE 28TH ST 19910 50TH AVE W SUITE 203 13224 59TH AVE W 9019 NE 28TH ST
CLYDE HILL WA 98004 LYNNWOOD WA 98036 EDMONDS WA 98026 CLYDE HILL WA 98004
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction Type: Type V-B
Occupancy Load: 142
Floor Area(sq. ft.) 4,130 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Restaurant Zoning Designation BC
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Thursday, April 2, 2009
Permit Issued on Monday, April 2, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
a the City of Federal Way.
Owner or agent: - Date: 4-- 2 (-4-7
•
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: BLUE ISLAND ROLL & SUSHI RESTAURANT Permit #: 07-100392-01-CO
Address: 35002 PACIFIC HWY S SuiteA101
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction Type: Type V-B
Occupancy Load: 142
Floor Area(sq. ft.) 4,130 0 0 0
Owner Name: PAUL CHOI
PAUL CHOI
Owner Name: BLUE ISLAND ROLL&SUSHI
Owner Address: 9019 NE 28TH ST
CLYDE HILL WA 98004
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 Beverly 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.
- , 4111144%...., •
THIS CARD IS TEMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100392-01-CO
Owner: PAUL CHOI
Address: 35002 PACIFIC HWY S Suite A101
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) ❑ 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) ❑ 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 schedulinga Framing(4120) Insulation 4150
Framing(4120) ❑ ❑ ( )
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be 1
signed-off and approved. IBC 109.3.4/UBC 108.5.4,
By Date 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 Date By Date By Date
0 Final-Building(4050)
Approved
By Date
r
•
Comm nlity Deve of Federal
Way tServices Buff ing - Commercial Perml► #: 07-100392-01 -CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: BLUE ISLAND ROLL& SUSHI RESTAURANT
Project Address: 35002 PACIFIC HWY S Suite A101 Parcel Number: 185295 0050
Project Description: INITIAL TI-Construct interior improvements for restaurant including partition walls &
acoustical ceiling system. NO plumbing or mechanical. **REVISION: to include all of
suite 101,instead of just the west side as originally submitted.**
Owner Applicant Contractor Lender
PAUL CHOI JAY SEO UNLIMITED CONSTRUCTION INC PAUL CHOI
BLUE ISLAND ROLL&SUSHI J S A UNLIMCI930B5(1/25/09) BLUE ISLAND ROLL&SUSHI
9019 NE 28TH ST 19910 50TH AVE W SUITE 203 13224 59TH AVE W 9019 NE 28TH ST
CLYDE HILL WA 98004 LYNNWOOD WA 98036 EDMONDS WA 98026 CLYDE HILL WA 98004
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction Type: Type V-B
Occupancy Load: 142
Floor Area(sq. ft.) 4,130 0 0 0
Additional Permit Information
Existing Sprinkler System in Building'? Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Restaurant Zoning Designation BC
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Thursday, April 2, 2009
Permit Issued on Monday, April 2, 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 Fed1 Way.
agent: �
OP
or a
g � ,�afi 7'oLG —D i� = Date: � �®
City 1-'7"
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: BLUE ISLAND ROLL & SUSHI RESTAURANT Permit#: 07-100392-01-CO
Address: 35002 PACIFIC HWY S SuiteA101
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction Type: Type V-B
Occupancy Load: 142
Floor Area(sq. ft.) 4,130 0 0 0
Owner Name: PAUL CHOI
PAUL CHOI
Owner Name: BLUE ISLAND ROLL&SUSHI
Owner Address: 9019 NE 28TH ST
CLYDE HILL WA 98004
r%L `,% ' - - c5-?- /v- 0 7
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/or occupant of the premises.
J
- THIS CARD IS TO u MAIN ON-SITE •
CITY OP - community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-100392-01-CO
Owner: PAUL CHOI
Address: 35002 PACIFIC HWY S Suite A101
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 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&— 44.07 By Date
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile l Approved
By G. Date to — eo •07 By C t�,J Date 7. 2.tn.. o7 By Date 6-
Final
Final- Building (4050)
Approved
By G ew_) Date 6_f ...
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVED 0
4111/
� � ` 'cm,OF 4A N 2 4 2007 0 0-1 /L '
Federal Way PERMIT FEDERAL WAY SF MF CO ME EL PL DE EN FP
t COMMUNITY DEVELOPMENT SERVICES r
333258ERALAVENUEAY,WAIH•POBOX9718 APPLICATION "`�'
FEDERAL WAY,WA 98063-9718 / / V /
253-835-2607•FAX 253-835-2609
www.cituoffedera1way.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
y • PROPERTY INFORMATION A
SITE ADDRESS 3 J DOL PA(1 f(L- HI(i.ei �I\Y / - A lc( SUITE/UNIT# 1(_' 1
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) t_v'r c Cr .549 -c4- - ID 2-cell .--,..)1,-)
(Attach separate po9e1 lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT I)BUILDING 0 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)
1-l MAlti7 "Me g-t.'1Er' -HT E.0e.. Sk'ArM l plat-1,T,Wi-rrio►-+ Naw ISeit_ol1J i ,
SCuPE c ilco4. iisiCLi»k 3 13.:11,D coT or Ana L/Ak ( NtJ — L-,-,/NP grata [-i )/
C a-l L-1 136 ( 1:L.CC:1e- F IIS/LSF4 C-�i VI TG H L TIE'S, D r - t�C-1 A
PROJECT NAME(Name of Business or Owner Last Name) (3 LU F= ( tA 1s-1() IZOLL '4 S UlM I
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER '‘
I 1214L .i44' L2.l%.%i c-i S ( ) -
G AD RESS ." CITY,STATE,ZIP E-MAIL ADDRESS
I ?'1 o') s 7410Ef-�ea -X ) '-roe_c4zLIN
CONTRACTOR aMP _ NA1 11 (� , d W4s c APPLICANT NAME PHO-77 -3zL
L AjYn =ll Jam'„11`V/l rvl�l��, )
1 1 i`t DI 51.�L. f 1IYl STATE.ZIP CELL PHONE -
CITY OF FEDERAL WAY BUSINESSILICENSE NUMBER p�/1�1 EXPIRATION DATE FAX NUMBER
( ) -
CONTRACTORS REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of card required
with each application
APPLICANT Cg NAME APPLICANT NAME OFFICE PHONE
� L,-4_4, -A-Iv—e/ice OLt --A, ?AO--�.- C 1'io i ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
yo i`1 i e 2- 111 ST CL-0 `1-i1L1-) OA to (.).:•t_ ) -i°)2 - s 2•I
RELATIONSHIP PROJECT FAX NUMBER
0 Architect 'Tenant o Agent cYOther -- . ( ) -
PROJECT NAMEC PRIMARY PHONE E-MAIL ADDRESS
CONTACT SASY -o Li:.-t: )J,/). - f .5.2 . SFa't S. 3-SA 6 cloptii.,t i E
LENDER NAME Per RCW 19.27.095:
CAHfj Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE f�'�/ PROPOSED USE P m ut_±
EXISTING ASSESSED/APPRAISED VALUE $ --"*.- VALUE OF PROPOSED WORK $ I 50 i 049C
SPRINKLERED BUILDING? /YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/FtS__ ,EQUIRED? 0 YENO•-
WATER SERVICE PROVIDER C AHAVEN o HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 6V KEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
6 ite35
a
T • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
30 , 3
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT' ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED Sr TOTAL SF
**NEW HOMES ONLY'' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL ---Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICAI'TON)
AIR HANDLINGEVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(comm.-do))
COMPRESSORS FURNACES RANGES
DUCTS ti REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or7ub/Shower Combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS frouet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE aii3Eis SUMPS
SIGNATURE
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 Feder• Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim),which in•- by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reit.. e city, including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. /
NAME/TITLE ist//,ir1� i/ <;r c ,_114....0 4!(-f I t.' I DATE i fLif0 i]
_ (Far e) (ntic)
RELATIONSHIP TO PR' 'CT Sri Owner 0 Agent ❑ Contractor t'Architect ❑ Other
P
a-, 0 +, r
o NEW ❑ADDITION o ALTERATION c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? c YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application
J