03-100294 • •
Comof Federal Way
munity Development Services Building - Commercial Permit #:03 - 100294 - 00 -. CO
Community
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: PSYCHIC WELLNESS CENTER
Project Address: 1620 S 312TH SuiteC Parcel Number: 785360 0187
Project Description: TI-Construction of new walls for new offices. No plumbing or mechanical
Owner Applicant Contractor Lender
IN CHANG PSYCHIC SPECTRUM,THE Skip Leingang NONE
2317 12TH CT SW 1620 S 312TH ST SUITE C
AUBURN WA 98001 FEDERAL WAY WA 98003 1620 S 312TH SUITE C
FEDERAL WAY WA NONE
Includes:
Census category: 437-Comm #1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 816
1st Floor Proposed Sq.Feet 816 Census Category 437-Commercial alt/add
Fire Sprinklers No Mechanical No
se ,
Number of Stories 1 Permit for Building Shell Only •''L
Plumbing No Will Certificate of Occupancy be Issued? Yes
Zoning Designation BC
CONDITIONS:
All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6))
ADA restroom is located in Movies&More tenant space(ste E).
PERMIT EXPIRES July 21,2003,IF NO WORK IS STARTED.
Permit issued on January 22,2003
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: '0'i ✓ Date/-a:1'—4
i
•
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: PSYCHIC WELLNESS CENTER Permit number: 03 - 100294-00
Address: 1620 S 312TH SuiteC
#1 #2 #3 #4
Occupancy Group: B
Construction Type: Type V-N
Occupancy Load:
Floor Area(Sq.Ft.): 816
Owner IN CHANG
Name: 2317 12TH CT SW
Address: AUBURN WA 98001
mn• fli i Ai, Cao z - Z7-03
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.
PO.HIS CARD ON THE FRONT OF BUILD.
E F1<ti_ BUILDING DIVISION
Nn FRY INSPECTION RECORD
INSPECdTION REQUEST PHONE#: 253-835-3050
PERMIT #: 03-100294-00-CO
OWNER'S NAME: IN CHANG
SITE ADDRESS: 1620 S 312TH SuiteC
() FOOTINGS/SETBACKS () FOUNDATION WALL
DO NOT POUR CONCRETE UNTIL TIIE ABWS
( ) DRAINAGE: Line ( ) Connection
o i ` : ® SAB'UNTIL TO:`'x:70 1:79105c*
( ) UNDERFLOOR FRAMING
O ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas piping
( ) SHEATHING Roof Floor
( ) SHEAR WALLS
() ELECTRICAL ROUGH-IN _ Ditch Cover
() FIRE/DRAFTSTOPS
'` S B PROVED RIOR TOF2AN GIIVSPEC Q t r ,
( ) FRAMING/FIRESTOPPING �,(1— 0 3 4_,
( ) INSULATION: Floors Walls Attic
osADROVED PRYORJTO AIPL —Kw;
•� TSG.. .
( ) WALLBOARD NAILING / 2 —ea ( ) SUSPENDED CEILING
• e,UW, : � r 'Iti OR TO lAkINGOR3N
O ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
;O . ' 1 RIORTO$ 1141)1,k, 7B
O BUILDING FINAL 2— 2'3—(03
.., � ,,�, ,. .�... � TIIBUIL IG ' Kb Oa'
' '
® CEJVE� CONSTRUCT \i PERMIT APPLI TION
CITY OF
�� JAN 2 2 2003 APPLICATION NUMBER: ,i) 5-' CZ 01- _ - CO_
Federal Way APPLICATION NUMBER: -
CITY OF FEDERAL WAY APPLICATION NUMBER: - -
BUILDING DEPT.
*'The following is required information—Please print(in ink)or type** Q f
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. �� "�v
- ■ PROPERTY INFORMATION
SITE ADDRESS: ( ; 0-✓E.- sal r ASSESSOR'S TAX/PARCEL #: ( V c 1 cL 0 - 0 L U
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): XBUILDING d PLUMBING OMECHANICAL o DEMOLITION
❑ ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM
i.
PROJECT DESCRIPTION(Provide detailed description): 7-6 (y`7 fir'( ) 6d ]`- 5,.41,4 gd 6/f�J dj
e; •■ i *•4
PROJECT NAME: ��. Y� I/ o9,(1L 1 s d„„/ *
• PEOPLE INFORMATION.
PROPERTY OWNER: ' NAME: l DAYTIME PHONE:
EET
E SJR AST .MAI�- / JQ dj)1 (V)-- N. Lk)
Vb" A), W. IO /
NAME: • DAYTIME PHONE
CONTRACTOR: 5'/ j2 /L e t N6-?' ( ) -
MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): EVENING PHONE
l /. 2 -0 So,r31a 5� *-e ; ( ) -
fCITY OF FED L WAY BUSINESS LICENSE NUMBER: FAX NUMBER:
- -
( ) -
CONTRACTOR'S REGISTRATION NUMB R:
EXPIRATION DATE:
(copy of card required) �� R7C f I / /
APPLICANT: NAME: I DAYTIME PHONE: -
MAILING ADDRESS(TVETA DRESS;CITY,STATE,ZIP): i EVENING PHONE: -
1 J
RELATIONS IP TO PROJECT: I FAX NUMBER:
o ARCHITECT TENANT ❑ OTHER ( DESCRIBE): i ( ) -
jE-MAIL ADDRESS:
I �
CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER 0 APPLICANT o CONTRACTOR
`- - ` •■ DETAILED BUILDING INFORMATION
EXISTING USE: 0 FF/ (1_17, EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ uC
PROPOSED USE: 0 V�( -1 C�. PROPOSED VALUATION FOR IMPROVEMENTS: $ / I—T✓O ° L
SPRINKLERED BUILDING? o YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES o NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN n HIGHLINE ❑ TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION 0.
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR EXISTING SQ. FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
,5//i
1/i
SECOND
THIRD
FOURTH
OTHER FLOORS(DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS? /
TOTAL: tr
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:ki ELECTRIC ❑ GAS
�� , y�C1'��PL�.IMBING
(pi Nf LC)(' "
BATHTUB(S) ,- LA ATORY(S) URINAL(S) WATER HEATER(S)
DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ 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 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 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 supplie. to . • .'ty as a part of this a//pplication. R
NAME/TITLE: /t/////L4„,,%_ 6-- 11 -L-C/NF//n/ DATE: '� ----
❑ PROPERTY OWNER vAPPLICAMD❑ CONTRACTOR
FOR OFFICE USE ONLY: 7
•
Ij NEW . ❑"ADDIN a ALTERATION ❑ REPAIR' ENANT IMPROVEMENT
CENSUS CODE. Lt LOT SIZE:
ZONING DESIGNATION: -; '.I' , BUILDING SHELL ONLY? -o YES ❑ NO
COMP PLAN DESIGNATION i?Z; A_ {t , ; . `;i BASIC PLAN? ❑YES D NO
SECTION - TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑ YES 0 NO
PLATTED LOT? ❑YES ❑ NO Ii,,//''' CHANGE OF USE? ❑YES `1O NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
www.citvoffedera I wav,com