02-102193 • Z-"/z — CO 01 Lc t •
City of Federal Way Building - Commercial Permit #:02 - 102193 - 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: BANGKOK GARDEN RESTAURANT
Project Address: 31509 PACIFIC S Parcel Number: 082104 9174
Project Description: TI-New restaurant in existing tenant space. No plumbing or mechanical.
Owner Applicant Contractor Lender
ALEXANDER IIAAGEN OPERATIN GARY D'AMORA,AIA BROOLING COMPANY,THE KIMCO REALTY COPORATION
2010 25TH AVE E BROOL**002OR 9/15/02 5238 MANZANITA AVE
SEATTLE WA 98112 4602 NE 105TH ST CARMICHAEL CA 95608
SEATTLE WA 98125
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: ] A-3 _
Construction Type: Type V-N
Occupancy Load: 52
r Floor Ai ea(Sq.Ft.): 1600
1st Floor Proposed Sq.Feet 1600 Census Category 437-Commercial alt/add
Fire Sprinklers Yes Mechanical AttAkabtatt
0044
Number of Stories 1 Permit for Building Shell Only No
Plumbing No Total Proposed Sq.Feet . 1600
Will Certificate cf Occupancy be Issued? Yes Zoning Designation CC-F
410
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
PERMIT EXPIRES December 2,2002,IF NO WORK IS STARTED.
Permit issued on June 5,2002
I hereby certify that the above ' .rmation is correct and that the construction on the above described property and
the occupancy and the use wil be accordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Airtf Date:
.10
•
S
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: BANGKOK GARDEN RESTAURAN' Permit number: 02- 102193 -00
Address: 31509 PACIFIC S
#1 #2 #3 #4
p:
OccupancyGroup: I A-3 i
Construction Type: Type V-N
Occupancy Load: 52
Floor Area(Sq.Ft.): 1600
Owner ALEXANDER HAAGEN OPERATIN
Name:
Address:
• Co°
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 responsibility of the owner and/or occupant of the premises.
•
• 0
INSPECTION LOG
OATE ISPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION
Sh
•
POSIS CARD ON THE FRONT OF BUILDIl`
Uri �FIZFiL BUILDING DIVISION
VV
FM' INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-835-3050 •
PERMIT #: 02-102193-00-CO
OWNER'S NAME: ALEXANDER HAAGEN OPERATIN
SITE ADDRESS: 31509 PACIFIC S
O FOOTINGS/SETBACKS () FOUNDATION WALL
4 " r' DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVE'
( ) DRAINAGE: Line ( ) Connection
" .. . . ,DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVEDh rc -- - � .
(.UNDERFLOOR ' e_o "13 O 2–
) ROUGH PLUMBING: DWV '7 -z– by Water piping – z –6
() ROUGH MECHANICAL Gas piping M L G-- z'7 –O _
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
(ELECTRICAL ROUGH-IN G – _ -,• Ditch Cover
() FIRE/DRAFTSTOPS •
' FALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION1410
(/),,FRAMING/FIRESTOPPING 7 - 3-oz-
k THE-.ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUST'BEAPPROVED PRIOR TOS APPLYING SHEETROCK
() WALLBOARD NAILING 7/71.,7, O SUSPENDED CEILING
THE!ABOVE MUST BE APPROVED PRIOR TO,TAPING OR INSTALLING CEILING,TILE
( ) ELECTRICAL FINAL a - - o 2. 8
( ) PLANNING FINAL
O PUBLIC WORKS FINAL
( ) FIRE FINAL c__ Cj C) �
. THE ABOVE MUST BE,APPROVED PRIOR TO BUILDING DEPARTMENT FINAL—
( )
INAL( ) BUILDING FINAL 8.
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED •
. F • •%.c),%v �` �( `i�
of CONSTRUCTION PERMIT APPLICATION
aye RECEIVED APPLICATION NUMBER: - _ - Lb 9 L 22 - /n
APPLICATION NUMBER: -
F a^`/ inn') APPLICATION NUMBER: - -
**The following is required information-Please print(in ink)or type**
Please note: Electrical,FitOPIAVORtjtmgitstems and Engineering permits mayrequireseparate a se arate a pplication.
• PROPERTY INFORMATION
SITE ADDRESS: S c")04i1''641 L.\ h� G5 ASSESSOR'S TAX/PARCEL#: (.72. 2. -k UA - '1‘_1 Q 1.
LEGAL DE CRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
�U1 L1s G,c.t `.Vtc —
I PROJECT INFORMATION
TYPE OF PROJECT(This application): ,UILDING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION
o ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 3 Vls.kanA01 ley-.ti/Fg Titit'l, 1
PROJECT NAME: (>'r3C3 V.. 6 It.,v, 47.11,a �
• PEOPLE INFORMATION
PROPERTY OWNER: NAME: ,tA Cjg fJ�`' \ v DAY IMEPHONE: 9
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): ` � ) n l)s 4 • _1 A%
i c 23 SS M TA 11,71 )v c7 - G L IAA L' .Itvet_ 1 Lo. 9 C La ocs
CONTRACTOR: NAME:
J Y'>0./007...1
' OL1 �. .A � mDgAyY/,R�)ME PHONE:
-MAIL LING ADDRESS(STREET`` /ADDRESSS^S ,,�,SS.TA\\TE,ZIP): �V/� 9 Ch fI c EVENING PHONE:
-99%"‘.�+
ANU�OF FEDERAL WAlvG 10 ..1-Y BUSINESS LICENSE 1 ��..,�U-fs-ft. '7 7 two bI /-gA�Ll
CONTRACTORS REGISTRATION NUMBER: (�ON n5 _951ER: 3
�1
EXPIRATIONDATE: /�
(copy of card required) etIOC, L gc b b L 0 ' 9- l 1� 'GJ 2
APPLICANT: NAME: DAYTIME PHONE:
G-+ s:1,(2..- b .*1--152117.y . fs\A (Lob)ni- - 2 tZS
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
_ICS t 0.:7' Z S K\ r_ ANN,. . -14C�p."�TLY , _9gs 1YL._tCo lips ZYl-Z 1 ZS
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ARCHITECT o TENANT 0 OTHER(DESCRIBE): IA)
„I 3i)1/4. �,(/2,901 _
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER tsrPLICANT ❑CONTRACTOR G,,wsovp% S0246%.0\%Gvy,..
■ DETAILED BUILDIING INFORMATION
EXISTING USE: L L(�6261h-" `L) EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: L•_ "'Cyial_jJ"� PROPOSED VALUATION FOR IMPROVEMENTS: $ 34! i i'VZj'
SPRINKLERED BUILDING? "(YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑)S o NO
WATER SERVICE PROVIDER: LAKEHAVEN o HIGHLINE n TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER: WAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
• PROJECT FLOOR AREAS
FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND I
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE — - _
HOW MANY FLOORS?
TOTAL:
• FIXTURES
Indicate number of each type of fixture
MECHANICAL
AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) _ REFRIG.SYSTEM(S)
— BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S)
BOILER(S) 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) ❑ ELECTRIC o GAS
DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET
GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( )
_ INTERCEPTOR(S) SUMP(S)
• DISCLAIMER/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 any daim(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,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.
NAME:/TITLE: (ji NS 11,le/\ /P1°.. DATE: 5(27-7 )-v.—
❑ PROPERTY OWNER LPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY: L IMA(v -Vat
❑NEW o A ITkON o ALTERATION o REPAIR
CENSUS CODE: 1- LOT SIZE: � TENA PR
ZONING DESIGNA ON: (ft.-f BUILDING SHEL7.ONLY? 0 YES 'NO
COMP PLAN DESIGNATION (A "N
BASIC PLAN? o YES O
SECTION TOWNSHIP RAN• NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? o YES o NO CHANGE OF USE? o YES VINO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffederalway.com