12-101658r
r
B'1 '
City of Federal Way
& Econ. Dev. Services'"'
1
Contractor
U ding - Commercial
Permit #: 12
Community
BEARING CONSTRUCTION LLC
CHON LI
-101658 -00 -CO
33325 8th Ave S
1300 S 320TH ST
SEATTLE WA 98136
7114 CALIFORNIA AVE SW SUITE
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
FEDERAL WAY WA 98003
Inspection Request Line: 253 83
P Q � ) 5-3050
Project Name: US HEALTHWORKS
Project Address: 1300 S 320TH ST
Parcel Number: 082104 9241
Project Description: TI - Construction of partition walls to create space for new piece of digital equipment. No
plumbing or mechanical.
A
Owner
AR lin cant
Contractor
CHUN H PAK
BEARING CONSTRUCTION LLC
BEARING CONSTRUCTION LLC
CHON LI
7114 CALIFORNIA AVE SW SUITE
BEARICL909NP (8/17/12)
1300 S 320TH ST
SEATTLE WA 98136
7114 CALIFORNIA AVE SW SUITE
FEDERAL WAY WA 98003
SEATTLE WA 98136 .
Census Category: 437 - Commercial alt / add /
Includes: #1 #2 #4
Occupancy Class: Ilk
Construction Type:
Occupancy Load-
Floor
oadFloor Area (sa. ft.) 0 �0 _ 0
Adtli ' n
Existing Sprinkler System in Buildino.................No
Number of Stories.................................................1 ,
Plumbing to be Included? ...................................... o
Zoning Designation..................................... ....0
No FACs
�s
lo
RES WE
Issued on
Mechani o ncluded?...................................No
PermitI
fiding Shell Only?............................No
New /AlMnal Sq. Feet - Total .......................... 0
nit 11
lay, October 10, 2012
, April 13, 2012
I hereby certify that Vwbove in ation is correctdhd that the construction on the above described property and
the occupancy and a will in accordance i the laws, rules and regulations of the State of Washington
Mhd t lity of Federal Way. J
Owne a t� Date:! 3 1�
�g�
C�
'0& Y
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
12 -101658 -00 -CO Address: 1300 S 320TH ST
CHUN H PAK FEDERAL WAY, WA 98003-5340
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.
0 Re -steel (4215)
Approved to place concrete or grout
By Date
Slab/Concrete Floor (4255)
Approved to place concrete
By Date
Underfloor Framing (4285)
Approved to sheath floor
By Date
Floor Sheathing (4105)
SWM Precon Site Mtg (4400)
Fire/Draft Stops (4095)Interim
Initial Erosion Control (4365)Footings/Setback
Erosion Control (4370)
(4110)
1:1Approved
Approved
By
To be done prior to breaking ground
By Date
Approved to place concrete
By
Date
By
Date
By
Date
0 Re -steel (4215)
Approved to place concrete or grout
By Date
Slab/Concrete Floor (4255)
Approved to place concrete
By Date
Underfloor Framing (4285)
Approved to sheath floor
By Date
Floor Sheathing (4105)
Rough Electrical
Approved
Fire/Draft Stops (4095)Interim
1:1Approved
Erosion Control (4370)
Approved to install flooring
1:1Approved
Approved
By
Approved
By Date
By
Date
By
Date
Date
0
Framing (4120)
or to scheduling a Framing inspection;
Insulation (4150)
eccal, Plumbing & Mechanical Rough -in and
[FireffiiDraft
Approved to insulate
Approved to install wallboard
S:
Stop inspections must be signed -off and
IBC 109.3.4
iJ,�
By /� vl Date
By
Date
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265)
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By C� Date ` a _
By
Date
By
Date
E] Final - Planning
0
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By Date
By
Date
By
Date
Rough Electrical
Approved
1:1Approved
Final Electrical
1:1Approved
Right of Way
By
Date
By
Date
By
Date
Federal, PERMIT
COMMUNITY DEVELOPMENTES``
253-835-2607• FAX 253-835-2609 �,, A, � p�qATI O N
www.ciluoffederalwaiixom C G �� I
-/-9— _ o/�5-P
SF MF CO E PL DE EN FP
oTc
SITE ADDRESSSUITE/UNIT
130 0 s, X G
#
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
TYPE OF PERMIT
g BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(71mantName/Homeowner Last Name)
/� '�I
� 4VAl,-[A0 VM`- X -tOq �(3VPM✓ IV_.
PROJECT DESCRIPTION
Detailed description of work to
-
A w ow �
,r I,,v�
, , (J MO 0 � µ I�.&A - SPWC-7i% c(�
-rt2l�� MSTZvcrt7 12_'t"tTl
be included on this permit only
#-f 6NS p; ( fid
PROPERTY OWNER
NAME
W
PRIMARY PHONE
14014 ` 6'1-� 0
MAILING ADDRE S
I 'T ->12b GT es7m we)
E-MAIL
W
CITY A L �1 fir- STATE
ZIP
j
N ✓' l - - / "E -t G°� L— L
C_ C
PHO c
-5
MAILING ADDRES
C
(�' 5 -
E -MAD.
CONTRACTOR
CITY
STATE
ZIP
gl3
FAX
-9-cx,- - I c-7.
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
/
FEDERAL WAY BUSINESS LICENSE #
co -
NAME
PHONE
APPLICANT
_
MAILING ADDRESS
E-MAIL
CITY
STATE
ZIP
FAX
PROJECT CONTACT
(The individual to receive and
NAM �-
PHONE
MAILING ADDRESS
E-MAIL
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
5c-( ✓v" G C -S
r _ 1�
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
Required value of $5,000 or more
(RCW 19.27.095)
NAME
OWNER -FINANCED
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 irtformation 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:._ - DATE
PRINT NAME:y
Bulletin #100 - January 1, 2011
V"
Page 1 of 3
k:UIandouts\Permit Application
414 ecw
L
VALUE OF MECHANICAL WORK } (a copy of bid or estimate must be provided)
Indicate how many of each type offixture 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 lCommerclal)
BOILERS FURNACES HOT WATER TANKS (Gaal
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
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.
BATHTUBS (or74b/Shower Combo)
LAVS (Handsknka)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kltch—/Utffityl
WATER HEATERS (Ei-trirl
HOSE BIBBS
SUMPS
WASHING MACHINES GFS TOTAL FIXTURES
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
Occupancy Group(s)
SEWER PURVEYOR
VALUE OF EXISTING1 IMPROVEMENTS
N4
WAI1V)e-VKMLC.'7
'PUIE'.CLI LL
$ 75 2.,'7 v D - u o
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
Stories
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
M�«L U��1 L�
32 13c►�i
❑ Yes No
❑Yes �No
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
in Square Feet
Type
Stories
NEW BUII.I?A(iQ
ADDITION
CO"ERCIAL' RMOD
►i a��r
EMO
r
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
# of
Additional Information
In Square Feet
a
Stories
TOTAL BUII.Ii'IN4f',)
(3 _
T'"
'!
t
..TENANT AREA ONLY
L� �J? S
V„ J
.,k�
CJA
PROJECT AREA ONLY
?1
AG
t
Bulletin #100 —January 1, 2011 Page 2 of 3 k:\Handouts\Perntit Application