10-105201 1110 Building - Comn�iercial
City of Federal Way
Community Development ServicesF I I Permit #: 10-105201-00-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: BAEK CHIROPRATIC
Project Address: 1627 S 312TH ST Suite B Parcel Number: 092104 9162
Project Description: INITIAL TI-Construct demising wall to create(2)suites from existing space; tenant
improvements to Suite B including construction of partition walls to create offices,
treatment rooms and associated spaces. No plumbing or mechanical.
Owner Applicant Contractor Lender
ROBERT SHIN CHRISTIAN CHUNG PO BOX 169 STEVE BAEK D.C.,INC.
PO BOX 169 9701 S TACOMA WAY SUITE 106 SNOQUALMIE PASS,WA 98068-0 9701 S TACOMA WAY SUITE 106
SNOQUALMIE PASS,WA 98068-01 LAKEWOOD WA 98499 LAKEWOOD WA 98499
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V B
Occupancy Load:
Floor Area(sq.ft.) 1,600 0 0 0
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Existing.
Sprinkler System in Building' No 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 Professional Zoning Designation CC-F
Services/Offices
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PERMIT EXPIRES Monday, June 27, 2011
Permit Issued on Wednesday, December 29, 2010
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. .1 J
/ 0
Owner or agent: __�— _ Date: /.i� �!/
FlNAU. 4/11
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: BAEK CHIROPRATIC Permit#: 10-105201-00-CO
Address: 1627 S 312TH ST SuiteB
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 1,600 0 0 0
Owner Name: ROBERT SHIN
ROBERT SHIN
Owner Name:
Owner Address: PO BOX 169
SNOQUALMIE PASS,WA 98068-016
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.
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THIS CARD IS TO REMAIN ON-SITE
CITY OF A illConstruction Ins tion Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT #: 10-105201-00-CO Address: 1627 S 312TH ST Suite B
Project: ROBERT SHIN FEDERAL WAY, WA 98003-4915
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.
El 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
El Underfloor Framing(4285) El Floor Sheathing(4105) El Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) El Insulation(4150) '
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/Draft Stop inspections must be signed-off and
approved. IBC 109.3.4 By e..„4„.4 Date t ��I , By Date
❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
----
By ~ Date /////// By Date By Date ct c ._ ,
El Final-PlanningEl
Final-Building(4050)
Approved Approved
By Date By Date ,..,g/ `J
•
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
`
Federal ' Cot:C\I'°;)
PERMIT MF O E PL DE EN FP
CO_MNINITY OEVELOPMEN • ICES 'p 7 CATION
2,5:;-8.',.5-2607•,II 253-8.''Tr, 9 ' . ���1 ilM:
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SITE ADDRESS ` OF GO SUITE/UNIT#
/�� J 3/� tti s-74-see 14,/e .�� �, y� ��1 903 3
PROJECT VALUATION ZONING ASSEss�T /PARC # / ® -
d's,
1 ( (i 3—)
TYPE OF PERMIT CLIABTDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT /�
(Tenant Name/Homeowner Last Name) s le Ve z9 /l e K D11
PROJECT DESCRIPTION ,i)D.-1 ��?.✓iS( `�i J JYDOr s-e✓tt'dloh (r„rie . ol--J
Detailed description of work to A;-i4
.7 be included on this permit only /j
NAME PRIMARY P
PROPERTY OWNER /` c> d ei-f Sh/i 6 ..16 - 94 415
MAILING ADDRESS E-MAIL
.25-6u7 Mar?ri.. V rew £-eve s'. boh•sh7., 6,' (&/AAvv.
CITYSTATE ZIP/440 7-141. 9r / 9,A
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PHONE
,S eve /5A Qk Dc .Zic z..S3--sem-cP3 4'
MAILING ADDRESS E-MAIL
CONTRACTOR g r7O ( .S ?10 (N4y : D-t� cf,�?JC4v3deggma .6a•t
FAX
00,1e,r CITY e W DOC JA l Z q� 9 4 — s J -�/ 4-/
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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AME
PHONE
N �5-/&v-e 8 t DC , _z�( 3-53 �L/F- -,P 3 S10
APPLICANT MAILING ADDRESS - - E-MAIL
c476 / s• 721.(00/a 144 . 4 / C i eks -'CLiV/ 6/e 050147. (61,CIrY gw4 z�� 4-9 ? FAX
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PROJECT CONTACT NAME L3
`f�(S-/7i. A o� PHONE 9O - 6z11-07
(The individual to receive and T
respond to all cOrres ondence MAILING ADDRESS E-MAIL
concerning this application) �t> 3 / / r/ `� / J /%`lie
lV/ dC NJeh
.Z&?
CI�„"i/ STATE ZIPFAX
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ALTERNATE NAME:. PHONE E-MAIL
PROJECT FINANCING NAME OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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: ((/r-'--P\'‘' /� DATE /a/4V/1,
PRINT NAME:
Bulletin#100-April 14,2010 Page 1 of 3 k:\Handouts\Perrnit Application
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[ 'g VALVE'oF MECHANICAL tr
/VORIt $ "( 4. 'i (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS 'NS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIR.PLACE INSERTS OODS(commerc 1).
BOILERS FUR •CES HOT WATER TANKS(Gas)
COMPRESSORS GAS Lr G SETS REFRIGERATION SYST' •
DUCTING GAS PI• G WOODSTOVES
SISNIMINEF:iiiiiiiIREMION
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BATHTUBS(or Tub/Shower Combo) LAVS IH,. .I TOILETS WATER PIPING
DISHWASHERS RAIN, •TER SYSTEMS URINALS OTHER(Describe)
DRAINS •WERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(mark)
HOSE BI BS SUMPS WASHING MACHINES
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CRITICALAREASO PROPERTY? WATERP YOR SEWER P PURVEYOR
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EXISTING/PREVIO S USE LOT SIZE In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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COVERED ENTRY
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AreaArea Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Ty
S uare Feet a Stories
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ADDITION
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Area Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
in Square Feet Type Stories
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Bulletin#100—April 14,2010 Page 2 of 3 k:\Handouts\Permit Application