05-105873 Commun •
ety of Developmenay t Burin - Commercial Permit`#: 05-105873-00-CO
Community g
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: TERIYAKI BISTRO
Project Address: 27400 PACIFIC HWY S Suite B Parcel Number: 332204 9009
Project Description: TI-Initial tenant improvement work for teriyaki restaurant,including plumbing,
mechanical and some lighting changes. 1/12/06-Revised permit to add gas piping to permit
Owner Applicant Contractor Lender
BALDRIDGE-FEDERAL WAY LLC YOUNG KIM OMS CONSTRUCTION CHANG-HWAN CHOE
11825 MANCHESTER RD NW ARCHITECTURE OMSCOI4991J2 4/15/07 2624 116TH AVE NE
ST LOUIS MO 63131-4620 11101 NE 8TH ST 6225 20TH ST E BELLEVUE WA 98004
SUITE 221 FIFE WA 98424
BELLEVUE WA 98004
Census Category: 437 - Commercial alt/add
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 1,200 0 0 0
Additional Permit Information
New/Additional Sq.Feet- 1st Floor 1200 Existing Sprinkler System in Building" No
Mechanical to be Included? Yes Number of Stories 1
Permit for Building Shell Only" No Plumbing to be Included? Yes
Will Certificate of Occupancy be-Issued" ,.Yes .,_. , Zoning Designation BC
Mechanical Fixtures
Ranges 2 Refrigeration Systems 2 Gas Piping 40
Plumbing Fixtures
Drains 1 Sinks 4 Water Heaters
CONDITIONS: iN ALE1)
PERMIT EXPIRES Tuesday, May 30, 2006
Permit Issued on Tuesday, November 15, 2005
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: t/r� �— Date: / - d
f City of Federal Way ! a •-
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: TERIYAKI BISTRO Permit#: 05-105873-00-CO
Address: 27400 PACIFIC HWY S SuiteB
Includes: #1 #2 #3 #4
Occupancy Class: A-2
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq. ft.) 1,200 0 0 0
Owner Name: YOUNG KIM
CHANG-HWAN CHOE
Owner Name: OMS CONSTRUCTION
Owner Address: 6225 20TH ST E
FIFE WA 98424
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 severly affect the health and safety of the general public. Although the City has made as complete a
L„,
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 cf said structure or the land upon
which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. �/
_/
r i ,
r ; . •
City of Federal Way Building - Commercial Permit #: 05 - 105873 - 00 - CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: TERIYAKI BISTRO
Project Address: 27400 PACIFIC HWY S SuiteB Parcel Number:332204 9009
Project Description: TI-Initial tenant improvement work for teriyaki restaurant,including plumbing,mechanical and
some lighting changes.
Owner 1 Applicant Contractor Lender
BALDRIDGE-FEDERAL WAY LLC NW ARCHITECTURE*YOUNG KIN OMS CONSTRUCTION CHANG-HWAN CHOE
11825 MANCHESTER RD 11101 NE 8TH ST OMSCO14991J2 4/15/07 2624 116TH AVE NE
ST LOUIS MO 63 1 3 1-4620 SUITE 221 6225 20TH ST E BELLEVUE WA 98004
BELLEVUE WA 98004 FIFE WA 98424
Includes:
Census category: 437-Comm #1 #2 #3 #4
+--- .
Occupancy Group: A-2
Construction Type: Type V-B J
[—OccupancyLoad.
Floor Area(Sq.Ft.): 4- 1200 r----- - J_ t
__- _______
1st Floor Proposed Sq.Feet 1200 Census Category 1`w - , WA NK 437-Commercial alt/add
Fire Sprinklers No Mechanical Yes
Number of Stories 1 Permit for Building Shell Only No
Plumbing Yes Will Certificate of Occupancy be Issued Yes
Zoning Designation BC
Plumbing Fixtures ,*„
Description Quantity Description Quantity'1 Description :Quantity
Drains 1 Sinks 4 Water Heaters 11 1
Mechanical Fixtures
Description Quantity Description Quantity Description Quantityi
r Ranges r 2 Refrigeration Systems 11 2
1 11
PERMIT EXPIRES May 14,2006.
Permit issued on November 15,2005
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 o 6gent 1 (,/1{ 7 ,% Date: // — / C. 0
•
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 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: TERIYAKI BISTRO Permit number: 05 - 105873 -00
Address: 27400 PACIFIC S SuiteB
#t #2 #3 #4
I L
Occupancy Group: A-2
Construction Type: Type V-B
Occupancy Load: �e
T'
Floor Area(Sq.Ft.): 1200 1 -
Owner BALDRIDGE-FEDERAL WAY LLC
Name: 11825 MANCHESTER RD
Address: ST LOUIS MO 63131-4620
".
pgito,oert, Cd0
Z
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.
' ., THIS CARD IS TO . 'MAIN ON-SITE '
CITY OF *" ‘„ommunity Develo m it Inspection Record
P P
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-105873-00-CO
Owner:
Address: 27400 PACIFIC HWY S Suite B
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ Footings/Setback(4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040)
Approved to place concrete Approved to place concrete Approved to backfill
By Date By Date By Date
,
El Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout � Approved to cover Approved to place concrete
By Date By �" e4� Date 12--/—61.r By Date
•❑ Underfloor Framing(4285) ❑ Floor Sheathing (4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
❑ Roof Sheathing(4220) ❑ Rough Plumbing(4230) ❑ Mechanical Rough-in (4165)
Approved to install roofing �j Approved Approved
By Date By , `�� Date /Z•-%•-01 By ���'"/ Date Z/9/6
❑ Gas Piping (4125) ( El Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing(4120)
Approved to release test 0 1 Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By f v[ Date 02/66 By Date signed-off and approved. IBC 109.3.4/UBC 108.5 4
'❑ Framing (4120) ❑ Insulation (4150) 1 2 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
1
` By ire/c. Date /Z/8 ar ) By Date 13f, Vii Date `7 j 04
,❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning (4070)
Approved to drop tile Approved Approved
By Date By l_vt./. Date By Date
❑ Final-Public Works (4080) •
❑ Final-Mechanical(4065) ElFinal-Plumbing (4075)
Approved Approved Approved
By Date By Date By -` , Date 2 f o1
❑ Final-Building(4050)
Approved
By��� Date 7----( 7 "S% .
[ITY Of A 22
Federal Way RRCE1� . - J
PERMIT SF MF
COMMUNITY DEVELOPMENT SERVICES ME EL PL DE EN FP
33325 -83 A2607EFAX 253�°�8„-T 1 S `-APPLICATION0
FEDERAL WAY,WA 9 8 063-9 718 )V 1 o /
09
www.cituoffederalwau.mm DERAL WAti D /
Y
The ollowi . is re?.ut*OFFE1e t !•A.on'—an incorn•lete a..lication will not be acce•ted. Please Print le•ibi (in in or .e.
■ PROPERTY INFORMATION .
SITE ADDRESS 21 ' ° P,4c.t P)L H i/U I S. VgDe AL 1,04y uA 61000; SUITE/UNIT# e'
ASSESSOR'S TAX/PARCEL# O -3 ( 0 4 q - 1 O C) LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) T)i4T PeRTioi CF TttE. KF are,- °F rtte N_i aT2 .°F lei
(Anode separate P page for lengthy legal description)
.
_,. ..' •■ PROJECT INFORMATION
TYPE OF PERMIT gif BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
I C. &1 ANr (Nit)P-0Vai`°1Gri'T) W0C-K Foi_ TER-1 ih K t R STr-t..42A -14'(1
r i/
PROJECT NAME(Name of Business or Owner Last Name) I i'i l4/�( IIl S
MI PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER Mr_ Qqn Darr ( ) -
MAILING ADDRESS CITY,STATE,ZIP
b'-C.. 771.c&M/i- MILL hi VD TR c:cN1A j A- 981-o
1 ]
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
UM 3 CLtv6112.1dC11014 Mr. Dokvla Ulv‘ ( ) ��- q9 q3
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
U ZZ Zv rt151".. e. tr+cDMA , wA- 1Bz4 ( 2c6 ) -�51 - 9 `i f 3
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATEFAX NUMBER
5 -
p CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Nbv AR-Call t ti- Yo4NIG Ku./ . (/et.-) '365- 96E6
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
MO( NC EYr~i 34(rE 22A [3e4- yuE t.UA at£iOaf ( " ) % - .i
RELATIONSHIP TO PROJECT FAX NUMBER
Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME ! PRIMARY PHONE
YOu4 I� E-MAIL ADDRESS
LENDER "- : �t), W� ! Crf i et i r 4,r Pic I r)Wrir%Pia. C
idtfr � %�
�- r Ir•,I,C' 4' ai t , Xd:� t; ��.•XSi t; BIDS �r'1T�
l 6
MAILING ADDRESS CITY,STATE,ZIP
262./-- li6 1 AvE Nl= ?'-LL-EUuc. , 1/Q/4- 9Y30.01,
• • . ■ DETAILED BUILDING INFORMATION
EXISTING USE VA Cq N•r PROPOSED USE kr4- +n(LA-ki•]`
EXISTING ASSESSED/APPRAISED VALUE $ i,5 P'FI L VALUE OF PROPOSED WORK $ i U,O C G
SPRINKLERED BUILDING? ❑ YES Ik.NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES (NO
WATER SERVICE PROVIDER takIAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER I,LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
s."°� • PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 5 (�7-.)0 S c2 D 2.
SECOND G�
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
•
DECK(COVERED?)
GARAGE ❑ CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTDr6 SF $ "" SOT AL PROPOSED SF''' ;C $ OTAJ:.DT,"r'r �''
NUMBER OF FLOORS I I �� _ ;_ / w � .
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES. '
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ i 4- .- - L
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial( WOODSTOVES
BOILERS FIREPLACE INSERTS `.. RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orTuh/snovrcombo) SHOWERS WATER CLOS l5 troBetl MISC(Describe)
°' $DISHWASHERS I 3 SINKS DRINKING FOUNTAINS i
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks( VACUUM BREAKERS I ELECTRIC WATER HEATERS
' 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 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 supplied to the city as a part of
this application.
NAME/TITLE ( g ('4 ('��� DATE I f
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner D Agent ❑ Contractor Architect ❑ Other
.„,as '�'r -e, '' a
FOR a FIsE S •
, '"74f, *c • '" vumvP° 2-# srn-�ms "„� ".� a �°'""q"'r r t ""..
® W, �' ADDITION T RA'I`O y 1' -� �• e N �"�•ffr `. r ,
uu .ter--- — ass. - �wx xa�sxva +�'' '�'� _
to i ` w 7.41"O NIX? ® ® Q® a, , b#` 31 x MTh fi ag tea. mr°« .O`. '
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.!„®ES GI�AT OPI 'ea -• " 4)y ')sew: � � `i s NOr
� t e� 9+ 0�7IRI;D � f� f' L,� ���""p �.�t � '� ��f a�x s' y. ® e ;•�:
�"" ` I
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application