00-102913 City of Federal Way
Community Development Services Building - Commercial Permit#:00 - 102913 - 00 - Co
eder 1st Way S
Way,WA 98003-6210 Inspection request line: 253.661.4140
Federal
Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections)
Project Name: COSMETIC&FAMILY DENTISTRY
Project Address: 34400 PACIFIC HWY S Parcel Number: 889700 0020
Project Description: RE-ROOF-Replace wood shakes with composition shingles of existing building
Owner Applicant Contractor Lender
Chan K Bae COSMETIC&FAMILY DENTISTR\ OWNER IS THE CONTRACTOR NONE
1021 E MACLYN ST 34400 PACIFIC HWY S
KENT WA FEDERAL WAY WA 98003
98031-6038 NONE
Includes:
Census category: #1 #2 #3 #4
Occupancy Group:
Construction Type:
Occupancy Load:
Floor Area(Sq.Ft.):
Mechanical No Number of Stories 1
Permit for Building Shell Only No Plumbing No
Will Certificate of Occupancy be Issued'? No Zoning Designation BC
PERMIT EXPIRES November 13,2000,IF NO WORK IS STARTED.
Permit issued on May 17,2000
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use wil be • ccordance with the laws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agent: Date: 41
•
POS111EIIS CARD ON THE FRONT OF BUILD•
BUILIDNG DIVISION
Vel RV INSPECTION RECORD
INSPECTION REQUEST PHONE#: 253-661-4140
Request must be received by 3:30 PM for next day inspection
PERMIT#: 00-102913-00-CO
OWNER'S NAME: Chan K Bae
SITE ADDRESS: 34400 PACIFIC S
( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL
D NOT,POUR CONCRETE UNTIL THE ABOVE IS-APPROVED"
( ) DRAINAGE: Line ( ) Connection
DONOT POUR SLAB UNTIL THE ABOVE IS APPROVED
( ) UNDERFLOOR FRAMING
( ) ROUGH PLUMBING: DWV Water piping
( ) ROUGH MECHANICAL Gas pipiiun �f l �
( ) SHEATHING Roof (Q y1 I"��'" �� Floo� r et
��
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH-IN Ditch Cover
( ) FIRE/DRAFTSTOPS
ALL THE ABOVE -MUST BE APPROVED-PRIOR TO F"1UMING INSPECTION
( ) FRAMING/FIRESTOPPING
THE"ABOVE"MUSTBE APPROVED PRIOR TO INSULATING'OR SHEETROCKING
( ) INSULATION: Floors Walls Attic
THE ABOVE MUSTBEAPPROVED PRIOR TO APPLYING SHEETROCK
() WALLBOARD NAILING () SUSPENDED CEILING
THE ABOVE MUST BE'APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
() ELECTRICAL FINAL
( ) PLANNING FINAL
() PUBLIC WORKS FINAL
( ) FIRE FINAL
THE ABOVE MUST BE APP' •VED 'RIOR TO BUILDIN 'EP" 'TMENT FINAL= -
( ) BUILDING FINAL i A 1 /
,DO,NOT OCCUPY- S BUILDING_UN'TIL BUILDING. ALIS APPROVED
BUILDING DIVISION
A RECEIVED
• 33530 First Way South
Federal Way,WA 98003
f iY (253)661-4000
MN 1 7 20Ei) Fax(253)661-4129
G17WAY
BUILDING OEPT
APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION # (X9 - ) 0 2 6 i3 d 0 r 40
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Site address
Tenant name C gas,_ ihp �S��Ic• Lot* Ass
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Building Owner's Name AddresscAncovk 130-9--- 3 Ltqa.)
City k--cap-ccA t/..74er( State (A.2e..50.-. Zip ci I0C) Phone
Description of Work RL FGcc 1 '4CLir UJGoi„a J./4xb.:..5- 4 /7 4.)/14/,4J//76,) 5/0,1i/
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Name(F,M,L� • „ 1 V_ ` P _
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City 7-eA , State 1-441 Zip Clip _.
Contact Personit^ Day Phone( O /31...— cEi`n Other Phone Fax
FederalWay Business License #
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Company Name
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Address
City State - Zip
Contact Person Phone Fax
Contractor's#(card must be presented) Expiration Date Verified 0 Yes 0 No
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Name
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LEGAL DESCRIPTION
Please Complete Reverse Side
si. rizn>`s: :;t•::>::t••;:•:;.::;.:.:;•>:•:••_:::�:;;�:;-:,«:•::•>. fisting Useiroposed Use
Permit includes: € Building 0 Plumbing 0 Mechanical 0 Other
Type of Work: 0 Residential 0 New 0 Remodel 0 #of bedrooms 0 Deck
p Commercial 0 Addition ,' Repair 0 Garage 0 Shed
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks sq ft Garage sq ft _Proposed Total Area sq ft
Water Availability 0 Sewer Availability 0 On-Site Septic System Availability 0 Project Valuation _$ 7( S206
Zoning I Lot Size Existing Bldg Valuation S
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fit ::::::ii:ii:::;:::: i•::;:ff•:t->:r:•>:;:�::i::;:;<:;;::iii•:>:::: •>:• For new residential onl - Proposed se ling cost: $
Name Address
City State I Zip
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Contractor Name Address
City State Zip
Contact Phone Fax
License # Expiration Date -rifled 0 Yes 0 No
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City Stat- Zip
Contact - one Fax
License # Expiration Date Verified 0 Yes 0 No
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G iiirae UNT>-r>«r k>:w;
Water Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Electric Water H: ers Sumps _
Lavatories Washing M: me Drains tail i*tttt4CQtittt':' ,<;:sz•--..:-
. ±: :'t•{:.{1 imt . ^'. +. ..'+ ` MECHANICAL EVALUATION ONLY $
Fuel Type(gas/electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons TO:iB(Utdt-Cottnt
DISCLAIMER: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 permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,and
attorneys'fees incurred in 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 supplied to the city as a part ofthis application.
)4Owner/Agent: / Date: MI t
lEvnED 5116195