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02-101453 City of Federal Way= Building - Commercial Permit #:02 - 101453 - 00 - CO Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.835.3050 Project Name: BELLAS ARTESS BAKERY Project Address: 29314 PACIFIC S Suite101A Parcel Number: 304020 0070 Project Description: TI-Permit to establish occupancy as a retail bakery. Includes plumbing and mechanical work. Owner Applicant Contractor Lender Jae Y&Nichole H Kim Jae Y&Nichole H Kim Jae Y&Nichole H Kim NONE 3417 SAINT ANDREWS CT NE 3417 SAINT ANDREWS CT NE TACOMA WA TACOMA WA 3417 SAINT ANDREWS CT NE 98422-2232 98422-2232 TACOMA WA NONE Includes: Census category: 437-Comm #1 #2 #3 1 #4 Occupancy Group: 1 M j Construction Type: I Type V-N Occupancy Load: 36 1 Floor Area(Sq.Ft.): I 1080 Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical es Number of Stories 1 Permit for Building S t"@11%nly' ' '-6 4.4 o Permit for Foundation Only No Plumbing Yes Special Inspection Required No Will Certificate of Occupancy be Issued? Yes Sensitive Areas? No Plumbing Fixtures Description (Quantity Description Quantity Description Quantity Gas Pipe Outlets 1 2 Sinks 1 Mechanical Fixtures Description [Quantity 1 Description Quantity Description [Quantity] Ducts 2 CONDITIONS: All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)) PERMIT EXPIRES October 15,2002,IF NO WORK IS STARTED. Permit issued on April 18,2002 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: ✓ p‘...) _So&e. LE\.-_‘f 4,N 1 E S Date: Lifigi 02. • r City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: BELLAS ARTESS BAKERY Permit number: 02 - 101453 -00 Address: 29314 PACIFIC S Suite101A #1 #2 #3 #4 Occupancy Group: M Construction Type: Type V-N Occupancy Load: 36 LKloor Area(Sq.Ft.): 1080 Owner Jae Y&Nichole H Kim Name: 3417 SAINT ANDREWS CT NE Address: TACOMA WA 98422-2232 MA. n4400144. coaC� 3 - v z cc.J 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 severely 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 respon.:ibility of the owner and/or occupant of the premises. PO HIS CARD ON THE FRONT OF BUILD'T , OTTFFG BUILDING DIVISION \\>V F INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 02-101453-00-CO OWNER'S NAME: Jae Y & Nichole H Kim SITE ADDRESS: 29314 PACIFIC S Suite101A O FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED'! ( ) DRAINAGE: Line_ ( ) Connection NOT POUR SLAB UNTIL THE ABOVE IS APPROVED () UNDERFLOOR FRAMING () ROUGH PLUMBING: DWV Water piping () ROUGH MECHANICAL 5.—"/3 O Z. Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS () ELECTRICAL ROUGH-IN _ " 3 ^© ?. Ditch Cover ( ) FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK--`: () WALLBOARD NAILING O SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE" ( ) ELECTRICAL FINAL (p ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL Z THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL O BUILDING FINAL (j DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED " -,----_-7--- .1zi=rt_ Fes - RECEIVED CONSTRUCTION PERMIT APPLICATION VV E 'PPLICATION NUMBER: .C?) , - Q *ES -CO APR 0 8 2002 'PPLICATION NUMBER: - PPLICATION NUMBER: - _ ** IDe r \��� TR � ormatioTi—Please print(ih ink)or type** 4 Please note: Electrical,Fire`PreveentionDS stems and Engineering Y 9� g permits may require a separate application. ., 1!:PROPERTY INFORMATION ,:•>:; SITE ADDRESS: 2'J3/ct I `4-jc Hi.())/ /S, /o// ASSESSOR'S TAX/PARCEL #: _ _ _ _ _ _ - _ _ — — LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): :1.,,_ 4:7-2-.2..;;-:.-.:;. .-2-V: .. -i. i.1 PRONCTINFORMATION _ :a TYPE OF PROJECT(This application): UILDING PLUMBING A MECHANICAL ❑ DEMOLITION ❑ EL RICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): 1-� PROJECT NAME: 53 E LLA aS A Q Ts 134 rcp \J ` `' --- 1°_:.PEOPLE INFORMATION PROPERTY OWNER: NAME: JAE \/ KDAYTIME PHONE: MAILING ADDRESS(rEET ADD ESS;CITY,STATE,ZIP): 3 �� / O/ z j3/,f y:L�c w S. /bo A CONTRACTOR: NAME: 1E- v K I t • DAYTIME PHONE: - /L-IF F\ l'�' ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: / T ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: _ ( ) - CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / APPLICANT: NAME: ,-2--,4,„-- 1 - K(,4 DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PH ONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT:,PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ^ ..ii 'DETAILED BUILDING INFORMATION EXISTING USE. '71 Vao141,{- EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: OLL e' PROPOSED VALUATION FOR IMPROVEMENTS. $ 'If CC/ SPRINKLERED BUILDING? ❑WS p NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES A NO WATER SERVICE PROVIDER: fX1 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA Cl PRIVATE(WELL) SEWER SERVICE PROVIDER: PI LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC) ***NEW RESIDENTIAL CONSTRUCTION 00** • a NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • . . - ■ PROTECT FLOOR AREAS . FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST ) d j U j ch._r�J SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture - MECHANICAL4 I AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILERS) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) . -' GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) U ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) • 4 ■-.bISCLAIMER/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 arty claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim 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.' /, l NAME/TITLE: 77/4 c Y• k. 119 I o w N e K/ DATE: -3 /2 cP / 0 0 PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR FOR OFFICE USE ONLY: 1 1tit ??°15-01) Q NEW ❑ ) r ® ON 111 ALTERATION ❑REP . .... TENANT IMPROVEMESIT f)CENSUS CODE: P LOT SIZE ZONING DESIGNA ON . BUILDING SHELL NLY? ❑ YES II NO .0... . COMP PLAN DESIGNATIOOink N BASIC PLAN? ❑ YES ❑ NO -SECTiQN_: .... TOWNSHIP RANGE NEW ADDRESS REQUIRED? Li YES ❑ NO'. PLATTED-LOT?, ❑ YES CI NO CHANGE OF USE? ❑YES ❑NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.atvoffedera I wa Y-Com Coreuction Permit Fee Calculatiorieet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. • TABLE A • TOTAL VALUATION FEE FACTOR • (1)$1.00 to$500.00 (1)$26.00 (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1,000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1,000.00 or fraction thereof,to and including$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus$8.00 for each additional$1,000.00 or fraction thereof,to and including$100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,110.00 for the first$100,000.00 plus$6.00 for each additional$1,000.00 or fraction therepf,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional$1,000.00 or fraction thereof,to and including$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** ■ BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) ■ MECHANICAL . PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) ■;FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) ■-PLUMBING ' Base Fee Number of Fixtures $22.50 +{ X$8.00/fixture}= (8)Estimated Permit Fee Estimated Permit Fee X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total (page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11)