01-103692City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129
0 0
Building - Commercial Permit #:01 - 103692 - 00 - CO
Inspection request line: 253.835.3050
Project Name: INTERNATIONAL TERIYAKI HOUSE
Project Address: 1620 S 312TH ST UNITA Parcel Number: 785360 0187
Project Description: DEMO - Interior demolition ONLY preparatory to tenant improvements.
Owner
Applicant
Contractor
Lender
IN YOUNG CHANG
SONG KUNZ
SONG KUNZ
NONE
3919 SW 324TH STREET
30808 PACIFIC HWY S
FEDERAL WAY, WA
FEDERAL WAY WA 98003
30808 PACIFIC HWY S
98023
FEDERAL WAY WA 98003
NONE
Includes:
Census category: 437 - Comm I #1 1 #2 1 #3 I #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area (Sq. Ft.):
Census Category ................................................. 437 - Commercial alt/add Mechanical................................................. No
Number of Stories................................................1 Permit for Building Shell Only ............................ No
Plumbing................................................. No
PERMIT EXPIRES March 20, 2002, IF NO WORK IS STARTED.
Permit issued on September 21, 2001
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: 2 -- } / C)
D Q--g,.n �� `3 ( G.
W
vo�CONSTRU(SON PERMIT APPLICATION
APPLICATION NUMBER: t Q 3-6-IZ - C10
17
— — — — —
APPLICATION NUMBER: — - — — — -
APPLICAIJON NUMBER:
"The followi. is it on — Please print (in ink) or type**
Please not lec
�2D trical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTY INFORNATION
R 6
SITE ADDRESS:kQ—I(�
�!'2ni- SO'S TAX/PARCEL #: —
--- —--
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATEDIERISPTION IF LENGTHY):
TYPE OF PROJECT (This application): BUILDING r, PLUMBING t MECHANICAL DEMOLITION`?
#ZkEu �C ❑ ENGINEERINGV.-.. —��
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
CONTACT PERSON
NAME:DAYTIME
Sn 1�
(1/1k a- 4
DAYTIME PHONE:
PHONE:
) � -Av
MAILING ADDRESS (STREjtT
ADDRESS;"� I
CITY, E 21P) -;r
33+ffi y r -
-
EVENING PHONE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ C
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: El YES 0 NO
0 HIGHLINE El TACOMA 0 PRIVATE (WELL)
0 HIGHLINE U PRIVATE (SEPTIC)
SPRINKLERED BUILDING? YES D NO
WATER SERVICE PROVIDER: LAKEHAVEN
SEWER SERVICE PROVIDER: LAKEHAVEN
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE,
EVENING PHONE:
CITY Of FEDERAL WAY BUSINESS LICENSE NUODEK-.7
FAX NUMBER
CONTRACTOR'S REGISTRA NUMBER:
EXPIRATION DATE:
/
copy of card tred) ---
— — — — — — — — — —
i . — .
NAME:
am) ?
utl� —
DAYTIME PHONE:
- I 4D
V
MAILING ADDRESS*EET AO KESS; 'IP)-
EV NI G PHONE:
1
2 5
RELATIONSHIP TO PROD CT:
(j DVVS
FAX NUM13tR:
4242- 1
11 ARCHITECT j El TENANT 0 THER ( DESCRIBE):
3 031
E-MAIL ADDRESS: f I
FOR THIS PROJECT: El PROPERTY OWNER
CC APPLICANT 11 CONTRACTOR
I
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ C
PROPOSED VALUATION FOR IMPROVEMENTS:
FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: El YES 0 NO
0 HIGHLINE El TACOMA 0 PRIVATE (WELL)
0 HIGHLINE U PRIVATE (SEPTIC)
SPRINKLERED BUILDING? YES D NO
WATER SERVICE PROVIDER: LAKEHAVEN
SEWER SERVICE PROVIDER: LAKEHAVEN
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSE D,S . FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? []YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 11 NO
CHANGE OF USE? ❑ YES 11 NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOOW.
TOTAL:
AIR HANDLING UN
BBQ(S)
BOILER(S)
��
COMPRESSOR(S)
DUCT(S)
BA
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER S GAS LOG(S)
AN(S) I HOODS)
FI C ERT(S) RANGE(S)
FU E
PIPE
PLUMBING
LAVATORY(S)
RAIN WATER SYS.
DRINKING FOUNTAINS) SHOWER(S)
GAS PIPE OUTLET(S) SINKS)
INTERCEPTORS) SUMP(S)
REFRIG. SYSTEM (S)
WOODSTOVE(S)
MISC. ( )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINALS) WATER HEATER(S)
VACUUM BREAKER(S) LECTRIC 11 AS
WASH MACHINE OUTLET
WATER CLOSET(S) MI
'TCr1 ATMPR ICMNAT1109 FU C
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 s p ' d to the city as a part of this application. C
NAME/TITLE: DATE: G 0I
it
❑ PROPERTY OWNER APPLICANIt CONTRACTOR /
FOR OFFICE USE ONLY:
11 NEW ' ❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? []YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? ❑ YES 11 NO
CHANGE OF USE? ❑ YES 11 NO
r
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
0
ESTIMATED SELLING PRICE:
FLOOR
EXISTING SQ. FT.
PROPOSED,S .. FT.
TOTAL
BASEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
FIRST
S �)(�
PLATTED LOT? 11 YES 11 NO
CHANGE OF USE? 0 YES ❑ NO
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOOW.
TOTAL:
AIR HANDLING UNIT
BBQ(S)
BOILERS)
COMPRESSOR(S)
DUCT(S)
Indicate number of each type of fixture
MECHANICAL
EVAPORATIVE COOLER S GAS LOG(S)
AN(S) ( HOOD(S)
FI C ERT(S) V RANGE(S)
PIPE
PLUMBING
BATHTUrAk* LAVATORY(S)
V DI$HWASHER(S) RAIN WATER SYS.
��—KINKING FOUNTAIN(S) SHOWER(S)
GAS PIPE OUTLET(S) 4) L--, SINK(S)
INTERCEPTORS) SUMP(S)
Ir
i,"- REFRIG. SYSTEMS)
WOODSTOVE(S)
MISC. ( T )
HEAT SOURCE: ❑ ELECTRIC ❑ GAS
URINAL(S) WATER HEATER(S)
VACUUM BREAKER(S) LECTRIC ❑ GAS
WASH MACHINE OUTLET
WATER CLOSET(S) MI
]TCrI ATMFR ICTPNATIIRF RI C
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 attomeys' 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 informations p " dto the city as a part of this application.
NAME/TITLE: DATE: ti
❑ PROPERTY OWNER APPLICAN ❑ CONTRACTOR /
FOR OFFICE USE ONLY:
11 NEW ' .❑ ADDITION ❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES ❑ NO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES ❑ NO
SECTION TOWNSHIP RANGE
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
PLATTED LOT? 11 YES 11 NO
CHANGE OF USE? 0 YES ❑ NO