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02-100145
• • • City on FederalWay Community Building - Commercial Permit #:02 - 100145 - 00 - CO ty DDevelel opment Services t7 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: PACIFIC DENTURE CLINIC Project Address: 33505 PACIFIC S Parcel Number: 926503 0010 Project Description: COMM TI-Convert existing commercial space into a dental/denture clinic w/4 operatories& a lab area for dentures.New rest.recpt.area being added.no structural mods.Plumbing&Mech only. Owner Applicant Contractor Lender DU SIK JUNG JO CONSTRUCTION&ANN JUNG JO CONSTRUCTION NONE 1402 U CT NW JO CONSTRUCTION JOCON**99408 AUBURN WA 98001 2408 S 272ND ST JO CONSTRUCTION KENT WA 98032 2408 S 272ND ST NONE Includes: Census category: 437-Comm #1 #2 #3 #4 FOccupancy Group: B Construction Type: Type V-N Occupancy Load: 15 Floor Area(Sq.Ft.): 1473 - 1st Floor Proposed Sq.Feet 1473 Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical 1., ...,.. Yer04 Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Total Proposed Sq.Feet 1473 Will Certificate of Occupancy be Issued9 Yes Sensitive Areas No Zoning Designation BC Plumbing Fixtures Description Quantity Description Quantity L Description Quantity Lavatories 1 Gas Pipe Outlets 2 Sinks 5 Water Heaters 1 Water Closets 1 Mechanical Fixtures Description 'LQuantity Description Quantity Description Quantity Air Handling Units 11 Compressors 2 Fans 3 Ducts CONDITIONS: 1.All new and refaced signs require a separate sign application and review. 2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES November 6,2002,IF NO WORK IS STARTED. Permit issued on March 8,2002 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 Federal Way. Owner or agent: Date: 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: PACIFIC DENTURE CLINIC Permit number: 02- 100145 -00 Address: 33505 PACIFIC S #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 15 I J Floor Area(Sq.Ft.): 1473 1 Owner DU SIK JUNG Name: 1402 U CT NW Address: AUBURN WA 98001 FMK. rit.1 en• C60 S— /3 — o 2- Building 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. • . � City of Federal Way Community Development Services Building - Commercial Permit #:02 - 100145 - 00 - C O 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: PACIFIC DENTURE CLINIC Project Address: 33505 PACIFIC HWY S Parcel Number: 926503 0010 Project Description: COMM TI-Convert existing commercial space into a dental/denture clinic w/4 operatories & a lab area for dentures.New rest. recpt. area being added.no structural mods.Plumbing&Mech only. Owner Applicant Contractor Lender DU SIK JUNG JO CONSTRUCTION&ANN JUNG JO CONSTRUCTION NONE 1402 U CT NW JO CONSTRUCTION JOCON**99408 AUBURN WA 98001 2408 S 272ND ST JO CONSTRUCTION KENT WA 98032 2408 S 272ND ST NONE Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: II Construction Type: Type V-N Occupancy Load: 15 Floor Area(Sq.Ft.): 1473 1st Floor Proposed Sq.Feet 1473 Census Category 437-Commercial alt/add Fire Sprinklers No Mechanical Yes Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes • Total Proposed Sq.Feet 1473 Will Certificate of Occupancy be Issued? No Sensitive Areas? No Zoning Designation BC Plumbing Fixtures Descriptio ':..: 2ia Iltit 1�e c ;�€on Quant t3 Desert tion Y ;: P �uantit Lavatories 1 Gas Pipe Outlets 2 Sinks 5 Water Heaters 1 Water Closets 1 Mechanical Fixtures ae Compressors 2 Ducts 1 Fans 3 CONDITIONS: 1.All new and refaced signs require a separate sign application and review. 2. This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. PERMIT EXPIRES September 4,2002,IF NO WORK IS STARTED. Permit issued on March 8,2002 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the u - .11 be in accordance with the laws,rules and regulations of the State of Washington and • the City of Federal ay. ?/��Owner or agent: Date: t I •,• POS {IS CARD ON THE FRONT OF BUILD* • ELBUILDING DIVISION ERR W FIV INSPECTION RECORD • INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 02-100145-00-CO OWNER'S NAME: DU SIK JUNG SITE ADDRESS: 33505 PACIFIC S () FOOTINGS/SETBACKS () FOUNDATION WALL •-. DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection �' ,-;,',Ir: ,M,,,,_,..ch, DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING �L n ( ) ROUGH PLUMBING: DWV 4/1//1,1- ii> /�Water piping `7 4/ 03 () ROUGH MECHANICAL Gas piping fl" g/2 55 ( ) SHEATHING Roof Floor ( ) SHEAR WALLS lipELECTRICAL ROUGH-IN Ditch Cover FIRE/DRAFTSTOPS 'X-' ''' -.E. .. . ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAM N INSPECTION" ;t A, M .3 s ( ) FRAMING/FIRESTOPPING If—/ Z Q 2 G C.,L.) ,:iiirrtl e THE:ABOVE:MUST BE APPROVEDkPRIORTO INSULATING OR SHEETROCKING __,..L ,�, ,,-Ati ( ) INSULATION: Floors Walls Attic r THE°ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK z ( ) WALLBOARD NAILING ( ) SUSPENDED CEILING ,,,,,,'„,,,,.„t;)!' !.:(76,„' .:ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE ( ) ELECTRICAL FINAL j/7 ,s--- /D - e,2_. ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL –e_.... ..s--,/0 - 0 -Z, . - THEABOVE MUST BE APPROVED PRI R TO BUILDING,DEPARTMENT FINAL () BUILDING FINAL ..-S--- /3– p 7_, O NOT OCCUPY HIS BUILDING UNTIL BUILDING FINAL IS APPROVED ,, • • • INSPECTION LOG DATE INSPECTOR OK CORR/REJ AREA AND TYPE OF INSPECTION +/16/9 Z 6 RL 67414) 4'4- ,/ C)ec``Af '4 T-6,Q, kir! //3c ,.? / o- a i lei -g,`,"c, 1 Sets pip LZZI • fir.. CE1VED BY OOMMUN EVELOPMENTDEPARTMENT CONS I RU ON PERMIT APPLICATION UVFry JAN APPLICATION NUMBER: �J �� L1 ' 1 1 2002 APPLICATION NUMBER: - _ _ APPLICATION NUMBER: - **The following is required information—Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. /C74/SV =:PROPERTY:INFORMATION >'.. f l• `>0 pd!/I SITE ADDRESS: 5 3 ') C.it/C NW/ 5C ASSESSOR'S TAX/PARCEL #: 1Z 4 10 -3_ - .Oa L 12 LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): C 07 /, IN 65/ CA//POS. 0/-W/Ce- ,D,'( d!V/S/CA [ G' D 0 - _ F-•' N ' ' �` 1: PROJECT INFORMATION TYPE OF PROJECT(This application): BUILDING PLUMBING iS MECHANICAL CI DEMOLITION lAt EL - ENGINEERING FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): TtNA41 i /,1 ,G'i/ /f "/c '1 - C,o ye-g T AN l'AlST/Awe; CO/s'1MCRC _ L •. • / __ / e)// A 6/4B AZ64 Fa/Z. AfAA/A/y 77/4/ /yew hCLe 5s/6c6 E57'�G'O� RGLp--T/OA /c z64 8&/A/C/ AQJ2El2 i A1C' 37.4L'C7&2A1 IOD/f'/c %/ '-6 PROJECT NAME: MC/F/C DENT46/!76A TG)/LE Cc/n=JC. a PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: Psi 5(k T� ( 3) 1'-6- iq/2 MAILING ADDRESS(STREET ADDRESS;CITY,SIM<ZIP): CT , ,. 1Jbor-)-7 tit/. /4- 9JV®/ CONTRACTOR: NAME: DAYTIM TONE:. d C�.c tc€ ( -06 3 - !po - MAILING ADDRESS STREET ADDRESS;CITY,STATE,ZIP): EVENINPHONE: *-4-0 s „� ka,4 - 1$ 03 (� ��) 3 I 16 q CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ( )831 -'7 6 a, CONTRACTOR'S REGISTRATION NUMBER: 9 ( R EXPIRATION DATE: T ( (copy of card required) J 0 0 * g 1 `t APPLICANT: NAME: DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: /4© 2— k) /249-,y) i/%'./4- ) d - 06Plo RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT 14 OTHER(DESCRIBE): ( -y, - 0 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT ❑ CONTRACTOR 1 ,DETAILED BUILDING INFORMATION w .. r EXISTING USE: iflPfl V EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ Sl 1((.$77 ) 490 PROPOSED USE: W PROPOSED VALUATION FOR IMPROVEMENTS: $ 662/ ©OD SPRINKLERED BUILDING? ❑ YES CI NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO WATER SERVICE PROVIDER: ILAKEHAVEN ❑ HIGHLINE ❑ TACOMA LI PRIVATE(WELL) SEWER SERVICE PROVIDER: yr-LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • **NEW RESIDENTIAL CONSTRUCTION Ol * • NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ . . :■ PROTECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: . ... ,. . -: ,., .... . . -. 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) F DUCT(S) - GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS PLUMBING BATHTUB(S) / LAVATORY(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) ,5 SINK(S) / WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) r=• %: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 daim(induding 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 daim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. t� NAME/TITLE: (. !'1 1 L� 1 \(l 01A-11 -� DATE: / A/J /`� ❑ PROPERTY OWNER LI APPLICANT CONTRACTOR FOR OFFICE USE ONLY:A ❑ NEW -- ❑ ADDITION ❑ ALTERATION ❑'REPAIRTENANT IMPROVEMENT CENSUS CODE: ? LOT SIZE: ZONING DESIGNATION ;,.R BUILDING SHELL ONLY? ❑-YES 14 NO 41 COMP PLAN DESIGNATION VyL BASIC PLAN? ❑ YES 'MVO �• -SECTION tilitJ tITOVVNSHIP L RANGE NEW ADDRESS REQUIRED? ❑ YES NI NO 'PLATTED LOT?, ' I YES ❑ NO CHANGE OF USE? ❑YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH-PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129