16-104745 Building - Commercial'
City of Federal Way " P• Permit #: 16-104745-00-C O
Community 8 Econ.Dev.Services
33325 8th Ave S .y
Federal Way,WA 98003 ' �`v.' s Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p Q
Project Name: ANGEL PHARMACY
Project Address: 31217 PACIFIC HWY S Unit A-101 Parcel Number: 082104 9186
Project Description: TI-Interior tenant improvement work to include construction of new walls and counter.
No plumbing or mechanical.
Owner Applicant Contractor Lender
PAVILION CENTER ASSOCIATES KI NAM EXO DESIGN USA INC.
C/O KIMCO REALTY CORPORATI( KI NAM ARCHITECT EXODEDU904LT(7/5/18)
3535 FACTORIA BLVD SE SUITE 5: 29605 MILITARY RD S 34450 8TH AVE S
BELLEVUE WA 98006 FEDERAL WAY WA 98003 FEDERAL WAY WA 98023
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: M
Construction Type: Type III-B
Occupancy Load 10
Floor Area(sq.ft.) 992 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required? No 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
Proposed Structure Valuation 15000.00 Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Drug Store
No Fixtures Associated With This Permit ii
PERMIT EXPIRES Wednesday, March 22, 2017
Permit Issued on Friday, September 23, 2016
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:
5 P,L tn— 4— lam
FIA
IA
THIS CARD IS TO REMAIN ON-SITE
crrr of�Mw�� � _
Federal Way Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104745-00-CO Address: 31217 PACIFIC HWY S Unit A-101
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. p0 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.
Ei Initial Erosion Control(4365) 0Footings/Setback(4110) Re-steel(4215)
To be done prior to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
El 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
0 Fire/Draft Stops(4095) El Interim Erosion Control(4370)
Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
By Date By Date Fire/Draft Stop inspections must be signed-off and
approved. IBC 1093.4
Framing(4120) 0 Insulation(4150) CI Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
' •LI .
El Suspended Ceiling Grid(4265) Final-SKF&R(4060) Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
0 Final Erosion Control(4375) Final-Building(4050)
Approved Approved
By Date By Date
p L, go',Ilk 'TY\ f \ P L,.,,,..Jb;n;
0 Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
1
• 1.,
THIS CARD IS TO REMAIN ON-SITE
CITY OP
Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 16 104745 00 Address: 31217 PACIFIC HWY S Unit A-101
Project: PAVILION CENTER ASSOCIATES FEDERAL WAY WA 98003
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.
® Initial Erosion.Control(4365) El Footings/Setback(4110) El Re-steel(4215)
Initial Erosion Control(4365) Footings/Setback(4110) Re-steel(4215)
By Date By Date By Date
,® Slab/Concrete Floor(4255) „® Underfloor Framing(4285) .•1=1 Floor Sheathing(4105) ,
Slab/Concrete Floor(4255) Underfloor Framing(4285) Floor Sheathing(4105)
By Date By Date By Date
., .
® Rough Plumbing(4230) ® Fire/Draft Stops(4095) El nterim Erosion Control(4370
Rough Plumbing(4230) Fire/Draft Stops(4095) Interim Erosion Control(4370)
.By ( .J Date •
1( $0 ••By Date ••Date Date
Prior to scheduling a Framing inspection; E[
Framing(4120) �� Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Framing(4120) Insulation(4150)
and Fire/Draft Stop inspections must be signed-
off and approved. IBC 1093.4 By ` Date ‘.4:5„ a By Date
• `• '
12 ipsum Wallboard Nailing(412 E3 suspended Ceiling Grid(4265 l4 Final-SKF&R(4060)
Gypsum Wallboard Nailing(4130) Suspended Ceiling Grid(4265) Final-SKF&R(4060)
By t\ Date 1 b..(.4,, ) .� Q 1,.By - Date itt. _li.„1ko '.By Date
•
sPlanning •
❑ Final- is ElFinal Erosion Control(4375) „ Final-Plumbing(4075)
Final-Planning Final Erosion Control(4375) Final-Plumbing(4075)
By Date By Date .libr Date ( p_ 14—.I,
to Final-Building(4050) �`�
Final-Building(4050)
Date j 0— l�t4'
FILE
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved _ Approved_ Approved
By Date By Date `By Date
`► • PERMIT PPLICATION
CITY OF C}��/►�ederal Way P1 \ �►lY�►lY�.�i� q#34
( 04 . t--5- Cx3 SEP 23:Z016
ivi
PERMIT NUMBER l `4OC '2. i
- - - - -
- - - -CITY OF IFEDERAk\ =
CD
Ait
A
SITE ADDRESS pet �� /, /j r /�-/UNI 711.
ibi
PROJECT VALUATION . ZONING ASSESSOR'S TAX PARCEL#
$ / �- 02— / 0K- _ 9 / 9l<
TYPE OF PERMIT ry'$UILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT , B /JJiJ A,kn Ave
13
PROJECT DESCRIPTION u I `' /' 141 73,1 c s r c 4/ (-,.A---).1-6-4.---
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
'
PROPERTY OWNER MAILING ADDRESS // E-MAIL
31 l'&1' Z /� -- S,
CITY tG ST.ATE ZIP
7%003
NAME PHONE
oe9
MAILING3 ESSS—e, (�''Y I —CIOE-MAIL
CONTRACTOR live
CITY o STATE ZIP FAX
eetnee
WA STATE CONTRACTOR LICENSE# EXPIRATIONDATE FEDERAL WAY BUSINESS LICENSE A
oQTp Li `'o L-- -7- / .- '/12, f5-- r® 6 7--662
NAME _ OLIO
PRIMARY PHONE
APPLICANT MAILING ADDRESS-- ` 1C- 1 E-MAILki-AirP"A j9 r G
CITY C . `� STATEt4,4ZIP
- y q 0 o_s
FAX
NAME PRIMARY PHONE
PROJECT CONTACT MAILING ADDRESS E-MAIL individual to receive and
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
_ NAME ..
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 laws.
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: Z DATE ?/-71 /4
PRINT NAME: �r ^i l'
Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application
• VALUE OF MECHANICAL WORK
MECHANICAL PE IT
Indicate how many of each typ fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS URNACES HOT WATER TANKS(Gas)
COMPRESSORS GA, LOG SETS REFRIGERATION SYST
DUCTING GAS • 'ING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type of fixture to be installed or rel...ted as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING IR PRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
es ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**1VEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING'
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of
Square Feet Type Stories Additional Information
TOTAL BUILDING A
�^� l >/ /1
TENANT AREA ONLY Z D (_ •Y /
PROJECT AREA ONLY 7
Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application