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02-104729rin33530 Way mnity Development Services 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Building - Commercial Permit #:02 -104729 0130 - cb Project Name: DRAGON CENTER FAMILY KARATE Project Address: 35417 21ST SW Inspection request line: 253.835.3050 Parcel Number: 252103 9002 Project Description: TI - Interior TI; Minor demo of non-bearing partitions, adapting 2 existing restrooms to ADA compliance, adding (1) new ADA restroom, new walls, adding office and (2) storage rooms. Plumbing and Mech included. Owner Applicant Contractor Lender YOUNG CHUL LEE REX BAGGETT II REX BAGGETT II NONE 725 E 25TH ST 506 4TH AVE SE APT C Number of Stories................................................ l TACOMA WA 98422 PACIFIC WA 98047 506 4TH AVE SE APT C No Plumbing ................................................. Yes PACIFIC WA 98047 NONE Includes Census category: 437 - Comm #1 #2 #3 #4 Occupancy Group: A-3 Census Category ................................................. 437 - Commercial alt/add Construction Type: Type V - N No Mechanical ................................................. Occupancy Load: 201 Number of Stories................................................ l Floor Area (Sq. Ft.): 4995 No Permit for Foundation Only ................................. 1 st Floor Proposed Sq. Feet ................................. 4995 Building Pre -con. Meeting Required................... No Census Category ................................................. 437 - Commercial alt/add Fire Sprinklers................................................. No Mechanical ................................................. Yes Number of Stories................................................ l Permit for Building Shell Only ............................ No Permit for Foundation Only ................................. No Plumbing ................................................. Yes Special Inspection Required ................................ No Total Proposed Sq. Feet.......................................4995 Will Certificate of Occupancy be Issued? ............ Yes Sensitive Areas? ................................................. No Zoning Designation ............................................. BN Plumbing Fixtures .~ `Pescrip ior►.. �Quanti;;Description , s Quant ty� Description, quantity Lavatories �� Water Closets _ I I Mechanical Fixtures 9 Descriptiiiri Quantit , Description -m YQuawit y " "Descri tion . Qtantit Ducts Fans 1 Ice] _01 1�19WFS 2A11 new and refaced signs require a separate sign application and review. (FWCC, Sec. 22-335(g)(6)) PERMIT EXPIRES May 4, 2003, IF NO WORK IS STARTED. Permit issued on November 5, 2002 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 FederaUAztm Owner or agent: Date: ill$/oZ a 1 saw®� of ��cfs . 1 4 t..-ty uf,,Federal Way Certificate sof 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: DRAGON CENTER FAMILY KARA'. Permit number: 02 - 104729 - 00 Address: 35417 21ST SW #1 #2 #3 #4 Occupancy Group: A-3 Construction Type: Type V - N Occupancy Load: 201 Floor Area (Sq. Ft.): 4995 Owner YOUNG CHUL LEE Name: 725 E 25TH ST Address: TACOMA WA 98422 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 ase ofsaid structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. POSWIS CARD ON THE FRONT OF BUILDI BUI ING DIVISION INSPECTION RECORD 19, A GoN C 7- R - PERMIT #: 02-104729-00—CO OWNER'S NAME: YOUNG CHUL LEE SITE ADDRESS: 35417 21ST SW ( ) FOOTINGS/SETBACKS ( ) DRAINAGE: Line ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV ( ) ROUGH MECHANICAL ( ) SHEATHING ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH -IN ( ) FIRE/DRAFTSTOPS ( ) FRAMING/FIRESTOPPING ( ) INSULATION: Floors ( ) WALLBOARD NAILING INSPECTION REQUEST PHONE #: 253-835-3050 ( ) FOUNDATION WALL ( ) Connection ' ;,Tor 6YOM NOR Water piping Gas piping Roof Floor. Ditch Cover Walls Attic .66 mla .. 1C RUT -0 WLL ( ) SUSPENDED CEILING yyYO 9y/// POSWIS CARD ON THE FRONT OF BUILDI BUTAING DIVISION INSPECTION RECORD PERMIT #: 02 -104729 -00 -CO OWNER'S NAME: YOUNG CHUL LEE SITE ADDRESS: 35417 21ST SW ( ) FOOTINGS/SETBACKS ( ) DRAINAGE: Line ( ) UNDERFLOOR FRAMING INSPECTION REQUEST PHONE #: 253-835-3050 ( ) FOUNDATION WALL �... E 0 °lu;m ft ( ) Connection o�,( I, ! si�m _a ( ) ROUGH PLUMBING: DWV ( ) ROUGH MECHANICAL ( ) SHEATHING ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH -IN ( ) FIRE/DRAFTSTOPS ( ) FRAMING/FIRESTOPPING Water pipi Gas pipin; Roof Ditch Cover Floor , . PNXIO&I ( ) INSULATION: Floors Walls, Attic O WALLBOARD NAILING O SUSPENDED CEILINGLT/D 2- Z� . „$Q'��3 OR TO��' PINQOR S m. � • �I�E�....: - ( ) ELECTRICAL FINAL ( ) PLANNINGFINAL. ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL ( ) BUILDING FINAL. JM" 11E(AVEC � L OCT 2 4 2002 CONSTRAON PERMIT APPLICATION APPLICATION NUMBER: 7Z- 1 09-725- _on APPLICATION NUMBER: - - OgY OF FEDERAL D DEPTNAY APPLICATION NUMBER: OLD, ** a following is required information - Please print (in ink) or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. PROPERTY INFORMATION SITE ADDRESS: 3j57Z 2[ G,Ic ASSESSOR'S TAX/PARCEL #: 2 Q 3 - p p LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): �_ AtfLawl -M ' PROJECT INFORMATION` .. _7-1 TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description): rtfMt&'' 1 e*%a-{ (�f OitGL Gt�- atr �yµQ��{Ia1 eC ne:A-L+.^ar[K4. 11-IMNg, Qe{a 1uae. Z extSfi<na resrroo:M� f. ADA eo.y►m� �,ca adalu;�� 1 h w ADA mii,or,,--', 6addlua rtial1-kearua I�IirftU.% t�kl(s neo Pica.-H� Damf�.a goal r pa," aolo(� avI orTIG� e.-a� Z sf�,e rem +tis PROJECT NAME: PROPERTY OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: YeLti�rl Gtud Fez CkLaw-t j ot Ro U5-3 ) -27;2- - za,z.i MAILING ADD (STREET ADDRESS; CITY, STATE, ZIP): _ 72, Fust ZS'`` 5r laeo•sAaL WA 11,1412.2- NAME: 17412.2 NAME: DAYTIME PHONE: MAILING A DRESS (STREET ADDRESS; CITY, STATE, ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTORS REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) NAME: (.7-06) 431 - MAILING ADDRESS (STREET AQbjtSS; CITY, STATE, ZIP): 0EVENING PHONE: -5-06P� � Oto ' t. G i 0(:- 'iW G A 57oq7 US`3 ) 35-1 - `t 0 1 < RELATIONSHIP TO PRO)ECT: IFAX NUMBER: ❑ ARCHITECT TENANT ❑ OTHER ( DESCRIBE): E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ElPROPERTY OWNER APPLICANT 11CONTRACTOR I t-+6 1g,) -&9e u'tW,Kk- EXISTING USE: &�!±C I I EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: %niUi`� tct( AItS sc%ce C PROPOSED VALUATION FOR IMPROVEMENTS: $ is DOQ SPRINKLERED BUILDING? ❑ YES 9 NO FIRE SUPPRESSION SYSTEM PROPOSED/ REQUIRED: ❑ YES NO WATER SERVICE PROVIDER: 0. LAKEHAVEN ❑ -HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER:LAKEHAVEN ❑ HIGHLINE 13 PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTIO Y** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ PROTECT FLOOR AREAS FLOOR EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL BASEMENT FIRST 44 1 Ct t l l J SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: AIR HANDLING UNIT(S) BBQ(S) BOILERS) COMPRESSOR(S) DUCT(S) BATHTUB(S) DISHWASHERS) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) Indicate number of each type of fixture MECHANICAL EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) 4 FAN(S) HOOD(S) WOODSTOVE(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ) FURNACE(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING —4— LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINKS) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) '%TSCLATMER%STGNOTURE RLC WATER HEATER(S) ❑ ELECTRIC ❑ GAS 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 lied to the s a part of this application. NAME/TITLE: DATE: D ❑ PROPERTY OWLR K ALICA ❑ CONTRACTOR COMMUNITY DEVELOPMENT SERVICES • 33530 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL. WAY, WA 980639718 •253-661-4000 • FAX: 253-661-4129 www-dtvofrederalway.com I `� Cooruction Permit Fee Calculatio eet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building, mechanical, and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1) $1.00 to $500.00 (1) $26.00 (2) $501.00 to $2,000.00 (2) $26.00 for the first $500.00 plus S3.50 for each additional $10000 or fraction thereof, to and including $2,000.00 (3) $2,001.00 to $25,000.00 (3) $78.50 for the first $2,000.00 plus 515.50 for each additional $1,000. or fraction thereof, to and including $25,000.00 (4) $25,001.00 to $50,000.00 (4) $435.00 for the first $25,000.00 plus $11.00 for each addlional SI.000.00or fraction thereof, to and including $50,000.00. (5) $50,001.00 to $100,000.00 (5) $710.00 for the first $50,000.00 plus $8.00 for each additional51.000.00or fraction thereof, to and including $100,000.00. (6) $100,001.00 to $500,000.00 (6) $1,110.00 for the first $100,000.00 plus 56.00 for each additional 51.000.00 or fraction thereof, to and including $500,000.00 (7) $500,001.00 to $1,000,000.00 (7) $3,510.00 for the fist $500,000.00 plus $5.50 for each additional $1,000.00 or fraction thereof, to and including $1,000,000.00. (8) $1,000,001.00 and up (8) $6,260.00 for the first $1,000,000.00 plus $4.00 for each addtional51.000.00 or fraction thereof. Bold number Is the base fee for the specified Increment Itafidzed underlined number Is the fee Per additional specified incxement PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fre District #39 surcharge, commercial only. Add $4.50 for WA State Building Code Council, plus $2.00 per unit for duplex & above. ** Electrical, plumbing, and mechanical fees are calculated separately ** PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: Estimated Permit Fee: Estimated Plan Review Fee: (2) Estimated FW Fre Department Surcharge: (3) (COMMERCIAL ONLY) ■ BUILDING' . (a) Base Fee: (b) Additional Increment Fee: 0 MECHANICAL PROPOSED VALUATION:�3- FEE FACTOR FROM TABLE A: Number: (a) Base Fee: (b) Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number. Estimated Permit Fee: Estimated Plan Review Fee: (7) ■ FIRE PREVENTION SYSTEM (a) Base Fee: (b) Additional Increment Fee: N PLUMBING ease Fee Number of Focbxrs $22.50 + ( : X #8.00/fixture).= (8) Estimated Permit Fee Estimated Perndt Fee X .65 = (9) Estimated Plan Review Fee Miscellaneous Fixture Charge: (10) Sub Total (Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10) = (11) October 15, 2002 City of Federal Way 33530 1st Way South PO Box 9718 Federal Way, WA 98063-9718 Dear Sir / Madam, W NORTHSHORE PLAZA INC. ENTERPRISES 35417-35509 21ST Ave SW Federal Way, WA 98023-3050 Phone: 253-272-7221 Fax: 253-272-7235 Email: ChamiCchamidesign.com This letter is to inform you that I have spoken with Mr. Baggett regarding proposed tenant improvement work at the Northshore Plaza, tenant space 35417. He has proposed to be responsible and provide the majority of the construction labor through himself and associates. He will use licensed professionals for the electrical and plumbing work, as required. These sub -contractors will provide copies of the appropriate licenses, drawings and diagrams, to be submitted with the permit application. The electrical contractor will secure a separate permit for the electrical work. All work will meet or exceed Federal Way requirements, and be subject to city inspection and approval as required. As the property manager/owner I have approved and agreed to allow Mr. Baggett to perform the non specific labor for this project. Sincerely, !J General Manager