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03-103393
4 City munitedevel Way !uildinp' - Commercial Permit #:03 - 103393 - 01 - CO Community Development Services b 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: RISSHO KOSEI-KAI OF SEATTLE Project Address: 28621 PACIFIC HWY S Parcel Number:332204 9124 Project Description: ALT-Remodel portion of 3rd floor,exterior alterations,and modify entrance for ADA compliance. Includes plumbing and mechanical. **REVISED 12/4/03 to revised floor,add mechanical and plumbing** Owner Applicant Contractor Lender Ed Tilton &Carolyn Tilton DALE BROTHERTON TAKUMI COMPANY RISSHO KOSEI-KAI OF SEATTLE* 371 GRANDVIEW AVE TAKUMI COMPANY TAKUMC*132RU 5/28/04 RISSHO KOSEI-KAI OF SEATTLE CAMANO ISLAND WA 12054 31ST AVE NE 12054 31ST NE 5511 MARTIN LUTHER KING JR W 98282-8636 SEATTLE WA 98125 SEATTLE WA 98125-5502 SEATTLE WA 98118 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: A-3 B ( S-3 Construction Type: Type V-One-HR Type V-One-HR L Type V-One-HR Occupancy Load: 143 Floor Area(Sq.Ft.): 998 .4.41 4,444 iiftt Building Pre-con.Meeting Required Yes Census Category 437 Commercial alt/add Fire Sprinklers Yes Mechanical Yes Number of Stories 3 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required No Will Certificate of Occupancy be Issued? Yes Zoning Designation BC Plumbing Fixtures Description 'Quantity Description !Quantity Description IQuantity Sinks 2 Mechanical Fixtures Description iQuantityj ` Description Quantity Description jIstuantity Air Handling Units EI-1 Ducts 12 Hoods 2 CONDITIONS: If applicant receives waiver of right to appeal from the two parties of record(Aaron Lynch and Laura Sundberg),he can pick up the permit at any time. Otherwise,the end of the appeal period is Nov.21st and he can't get the permit until then. JG 11/6/03 NOTE: Due to Lakehaven requirements,the trees shown on the approved landscape plan will not be planted because the north property line has a sewer main running under it.JG PERMIT EXPIRES June 9,2004. Permit issued on December 12,2003 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: /Z/f AI) City of Federal Way • r 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: RISSHO KOSEI-KAI OF SEATTLE Permit number: 03 - 103393 -01 Address: 28621 PACIFIC S #1 #2 #3 #4 Occupancy Group: A-3 B S-3 Construction Type: Type V-One-HR Type V-One-HR Type V-One-HR Occupancy Load: 143 Floor Area(Sq.Ft.): 998 .111.1.111.11 Owner Ed Tilton &Carolyn Tilton Name: 371 GRANDVIEW AVE Address: CAMANO ISLAND WA 98282-8636 "fig• n4A. .t, C130 • z 5,_ e 4/C 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. INSPECTION LOG DATE INSPECTOR OK CORR/REJ r. AREA AND TYPE OF INSPECTION /Z/ 4 ) Cg/ gni/ Sid �Y 1 o itc-s' e (9)1 d es . 1 , ►Iel' 1/20/01/ A I,4', „0 �, . koie -b- IQf 4 XY C-,T- 7LdO/L Y -Gove,) l z3 P 1� >e Frani i n I floor a 11 hu l all-ft./ Fraii„�, Y t 1 CO/ f l e 113b/of n-C x izy c , Ait o2,A Dai- f ©C- y pivoe- - 0(6api ,611.474-1Z 2. --t - o+1 cc,../ c q d� - ✓ i, Ps /i)$ i ,e ; 1 flufrn/ , v POS IS CARD ON THE FRONT OF BUILDI iii, CITY OF Federal Way BUI ING DIVISION INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 03-103393-01-CO OWNER'S NAME: Ed Tilton & Carolyn Tilton SITE ADDRESS: 28621 PACIFIC S () FOOTINGS/SETBACKS () FOUNDATION WALL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor () SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION () FRAMING/FIRESTOPPING 2 2 7 -c 4/ (_-e- ---) THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK ( ) WALLBOARD NAILING ( ) SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE () ELECTRICAL FINAL 3 - 3 O - ®L./�"'"5 ( ) PLANNING FINAL () PUBLIC WORKS FINAL ( ) FIRE FINAL it /s--. Q / bi'=5 THE ABOVE MUST BE APPROVED PRIO 0 BUILDING DEPARTMENT FINAL BUILDING FINAL - - ö Y ( > 423 DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED �® CONSTRUCN PERMIT APPLICATION AUG CITY OF �� ,G0 0, APPLICATION NUMBER:,&_.3 - /4, 3y3 - Dv ep Federal \/Jay CITvOFFEDE APPLICATION NUMBER: - - UILD/NG DEpTWAY 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. PROPERTY INFORMATION` SITE ADDRESS: 2--g'6Z4 PACIF/C U1oY_ S. ASSESSOR'S TAX/PARCEL #: '3 3,Z. O9- - 9 12 cj LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): SF-r -1iftTCC(-aEC7 , -:'•1::.-..;111 PROJECT INFORMATION��. - _ - TYPE OF PROJECT(This application): UILDING * iiMBING i5'MECHANICAL o DEMOLITION 0 ELECTRICAL 0 ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): ? r l P T' At n r-- --r=?e' %%_Tyr% r.--#; 71 -(r((( ;(+ r,. 4174, ,I .o f-r rr''! r. (7" (-(9r4� F 7)F _ //-.7-.4.4c____ .57'/cl/,?-C j=i'= C i? r> 11) 0/;)'Ey ``re:TA'' `;r /:L i ` -, '-/ii ✓f` ,t µ z ,t fv r_- r^ / ;!(t 1-7 /... 1/V lt4°0'1/v`1:w4 'PJCE 4' // = 1-N G OQLr" Ak: ,-1/1 737, PROJECT NAME: KI s 51l0 k"---05-51-(i:44` ; /15Y/',7 L- . -1'PEOPLE INFORMATION PROPERTY OWNER: NAME: ; DAYTIME PHONE' us ....31_40 ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 575-1 f AIA. -7(~/ Gt.i- I 2 /='.-vt-r, o- r ,_,' t- ''I ,1 -i( 2' CONTRACTOR: NAME: I DAYTIME PHONE: K-0141( CBm./IP4A(Y ; (z )622 - Z0 -- MAILING ADDRESS(STREET ADDRESS;CITY,STATE.ZIP): � EVENING PHONE: l I (2 o r` f-- '7_1_c-i- 4,/,.-7-. / J c 1:7---- i !T e-----1 ( ) CQ' i CITY OF FEDERAL WAY BUSINES UCENSE NUMBER : / / FAX NUMBER: -3\J °2- - J Os- 33 ' - g� ; (�) 6�-_- 2 -1 CONTRACTOR'S REGISTRATION NUMBER:/ // I EXPIRATION DATE: [ (copy of card required) 1 �- ��v ! C T L _I', 2 1 j JC— / -2:3--1-2:3--1l �1_ APPLICANT: ( NAME: DAYTIME PHONE: MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( RELATIONSHIP TO PROJECT: j FAX NUMBER: o ARCHITECT 0 TENANT 0 OTHER(DESCRIBE): (.- 11/W,:'- )17 ( ) - ! E-MAIL ADDRESS: � � I CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER PPLICANT 6'CONTRACTOR ."•U DETAILED BUILDING INFORMATION ., EXISTING USE: �7 _: -/ -'T EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ //2-Co 0'0 d PROPOSED USE: (:)`::-:--"Cir. C4i)i ( ( PROPOSED VALUATION FOR IMPROVEMENTS: $ 127/ 37 -- SPRINKLERED BUILDING? 0 YES FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ES 0 NO WATER SERVICE PROVIDER: ,i/LAKEHAVEN a HIGHLINE o TACOMA a PRIVATE(WELL) (/R-LUC SEWER SERVICE PROVIDER: &LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) Pa5No' -AA1 LL D P **NEW RESIDENTIAL CONSTRUCTION 0N1 * NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: I )1111 ,:; ■ PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST Z5 2OfI 7/ CY'/4/./:, SECOND THIRD ✓� - s, FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: 0,)0 1 0 I , ` ■ -FIXTURES Indicate number of each type of fixture MECHANICAL f 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) (�— DUCT(S) GAS PIPE OUTLET(S) HEAT SOUR.C.6443 ❑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) �_ — INKS) WATER CLOSETS) MISC.( ) INTERCEPTOR(S) SUMP(S) ® 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 daim),which may be made by any person,inducting the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the dty,including Its officers and employees,upon the accuracy of the information supplied to the dty as a part of this application. NAME/TITLE: \ ^ DATE: C o PROPERTY OWNER ❑APPLICANT aa-C15NTRACTOR -FOR.OFFICE USE ONLY:Pf i7 NEW [7 ADDITION _r4 ALTERATION =*k❑.REPAIR� ? ❑TENANT•IM.PROVEMENT .T.. CENSUS CODE 7'4rx-:,214';'`v.7-V61.41. ZONING DESIGNATION sBUILDING SHELL ONLY? OYES .❑ NO COMP PLAN DESIGNATION . eBASIC PLANT '❑YES;' ,❑.NO. SECTION'•= TOWNSHIP *' RANGE ? "NW NEW ADDRESS REQUIRED? Ailz-7-13❑YES ❑ NO ''PLATTED LOT? =_a YES o-NO , 41`N,' #:- /CHANGE' USE? :ti YES 'bNO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalway.com Constion Permit Fee Calculation Set -*******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)$30.00 (2)$501.00 to$2,000.00 (2)$30.00 for the first$500.00 plus;4.00 for each additional$100.00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$90.00 for the first$2,000.00 plus;18,00 for each additional S1.000.00or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$504.00 for the first$25,000.00 plus$13.00 for each additional 51.00000 or fraction thereof,to and Including$50,000.00 (5)$50,001.00 to$100,000.00 (5)$829.00 for the first$50,000.00 plus;9.07 for each additional S1.000.00or fraction thereof,to and Including$100,000.00 (6)$100,001.00 to$500,000.00 (6)$1,279.00 for the first$100,000.00 plus 57.00 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)$4,079.00 for the fist$500,000.00 plus$6.00 for each additional S1.000.00or fraction thereof,to and Including$1,000,000.00 (8)$1,000,001.00 and up (8)$7,079.00 for the first$1,000,000.00 plus$4.50 for each additional 51.0017.0?or fraction thereof. Bold number Is the base fee for the specified Increment jtalldzed,i nderffned number Is the fee per additlonalsoedrfed Increment 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 Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Coundl,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** ■ BUILDING - PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) ■ MECHANICAL: ...• PROPOSED VALUATION: 4 ti—8-(Jre,t7 FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) , ■ FIRE PREVENTION SYSTEM - . . , PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) ■ PLUMBING Base Fee Number of Fixtures $26.00+{ X$9.00/fixture)= (8)Estimated Permit Fee Estimated Permit 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) . ■ ELECTRICAL TABLE B , NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $57.00 4 of Thermostats(First-$43.00;add'n-S I 3.00ca) (First 1300 ft1-585.50;Each add'n 500 ft -$27.50) _Service and feeder $93.00 4 of Low voltage fire or burglar alarms Square Feet. First 2500 ft-$50.00:Each add'n 2500 ft`-513.00 _Each outbuilding or garage $35.50 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _4 of service or feeders ' Pcr WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $57.00 (First service/feeder-557.00;Add'n service/ _4 of Signs(First sign-$43.00;add'n sign (Inspected separately) feeder-$37 each) - $20.00 each) Swimming pool,hot tub,spa $85.50 Yard Pole meter loops $57.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n f 0 to 200 i 93.0U tJp to 200 amp S 93.00 5 27.50 Feeder 201 -600 216.50 201 -400 amp 115.50 57.00 0 to 100 5 93.00 1 57.00 601 - 1000 126.50 -401 -600 amp 158.50 78.50 =101 -200 115.50 72.50 =over 1000 363.00 601-800 amp 202.50 108.50 201 -400 216.50 85.50 4 of circuits _Over 800 amp 289.50 216.50 _401 -600 252.50 101.00 (1-5 circuits-$72.50;Add'n circuits,56 ear ALTERED SINGLE/MULTI FAMILY _601 -800 326.50 138.00 (When inspected separately from the services.) _801-1000 399.00 166.50 TEMPORARY SERVICE Service or Feeder _Over 1000 434.50 232.00 Residential/Multi-Family/Commerciai/Industrial = 0 to 200 amp 5 71.50 _Over 600 volts surcharge 72.50 _0- 100 $ 57.00 201 -600 amp 115.50 _Mast or meter repair 78.50 _101 -200 72.50 _over 600 amp 174.00 201 -400 85.50 _Mast or meter repair 43.00 _401 -600 115.50 -a of circuits l over 600 125.00 (1-4 circuits-$.57.00.Add'n circuits$6 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$72.50.Add'I plan review for other submissions is$85.50/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B)- NUMBER OF UNITS(C) TOTAL(D) 1 f , "TOTAL COLUMN(D): . Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50+( X.35) = (13) . ■ DEMOLITION .•:.. Estimated Permit Fee: (14) Bond Amount:(15) :_, :I ENGINEERING Estimated Permit Fee:(16) Bond Amount: (17) U OTHERfEES Mitigation Fee: (18) (20) (22) SBCC Surcharge: (19) (21) (23) Total (Pages One&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24) Bulletin#100-December 23, 2002