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02-104252 �� � ', 1 •- 1 ` , �,r,�Gf Fedcr-.!�WaY Building - Commercial Permit #:02 - 104252 - (�"� - C� Conununiry Development Services � 33�30 lst Way S Federal Way,WA 98003-6210 O Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.03�J.3�50 Project Name: PACIFIC CHINESE DELI Project Address: 33320 PACIFIC S Suite103A Parcel Number: 797820 0025 Project Description: T.I.-Remodel existing tenant space for new restaraunt. Includes plumbing and mechanical work inlcuding Type I kitchen hood w/make-up air,subject to field inspeciton. Owner Applicant ContractQr Lender 1v�,� Y�� PACIFIC CHINESE DELI Ick Jin&Suk Hui Kim INI.Nn��r'�^�i 28?17 l5'C[-i AVE S nu��-r�i�n n r rnwr�rD e_c-rnn � 33320 PACIFIC HWY S SUITE 103A FEDF,RAL WAY WA 98003-6100 � T FEDERAL WAY WA 98003 1�AT {i)AV�I)A l�ll� Includes: Census category: 437-Comm #1 #2 #3 #4� Occupancy Group: B Construction Type: Type V-N Occupancy Load: 25 :loor Area(Sq.Pt.): 1276 1 st Floor Propo�ed Sq.Feet.................................1276 Census Category.................................................437-Commercial alt/add Fire Sprinklers................................................ No Mechanical................................................. Yes Nu�nber of Stories................................................1 Permit for Building Shell On1y............................No Pennit for Foundation Only.................................No Plumbing................................................. Yes "�otal Proposed Sq.Feet.......................................1276 Will Certificate of Occupancy be Issued?............Yes 'Lcnin�llesignation.............................................BC Plumbing Fixtures ��^" Desc�iptir�rl ,, ��:: ; itar►fity ;� ;�,;, Descript►an'w^ Quanti ,F�escriptto� -. ';�w� .a Quantit Gas Pipe Outets 3 Sinks 4 11� ;N��.� _ : � � ��� � �Lc.�� wr.�...�;p�;"S Mechanical Fixtures r�__�_.. ._-__-_____.� , . F bescnption ,a; u.��,r. u�ntity �;.. :. ' Description".' ."' ' :; Quant� D�scriptrott �,; �Quantit �BI3Qs 1� Air Handling Units � 1� Ducts � LRanges� �� 1� Hoods � 1� CONDITIONS: 1.All new and refaced signs require a separate sign application and review.(FWCC,Sec.22-335(g)(6)). 2.This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposal. 3.Pursuant to FWCC,Sec.22-960,mechanical vents,penthouses or equipment that extends above the roofline(OR PARAPET)must be surrounded by a solid sight-obscuring screen that meets the following criteria: a)The screen must be integrated into the architecture of the building. b)The screen must obscure the view of the appurtenances from adjacent streets and properties. The screen must be installed PRIOR TO FINAL INSPECTION. I / . � ♦ ' «� PER�..�_�EXPIRES Apri16,2003,IF NO WORK I��TARTED. � ,, � ' ` Permit issued on October 8,2002 I hereby certify that the above informarion is correct and that the consh-uctian 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. % �j�� Owner or agent: ��-- � �� � '/�C�C C��i� 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. '�s certificate is valid ONLY when endorsed by City staff. Tenant Name: PACIFIC CHINESE DELI Permit number: 02- 104252 -00 Address: 33320 PACIFIC S Suite103A #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupa7cy L,oad: 25 Floor Area(Sq.Ft.): 1276 Owner Ick Jin&Suk Hui Kim Name: 2g317 15TH AVE S Address: FEDERAL WAY WA 98003-6100 �'►'�K• rit..h:�a, Ce30 3- �- 0 3 Gc,.� Building Official Date The priority jocus in the review nnd inspection made by the City prior to issuance ojthis Certificate was on those matters which experience has sHown most severely aJfect the he�lth m�d safety ojthe genera!public. Although the City has made as complete a review and inspection ns is rensonably possible(withrn budgetary time and personnel limitations),the City neither guarantees nor warranu to the owner/occupant or to any other person thnt this Certificate evidences strict compliance with each nnd every ordir.nnce or regulntion of the City or the State of Washington affeckng the constn�ction or use ofsaid struchere or the land upon which it is situnred. Such complrnnce is rhe responsibility of the owner and/or occupnnt of the premises. �j —��� `?�''�J . . ��;� `�� ' ,2476 � P.L.E. BACKFLOW TESTING ' Phone: 253 297-4387 www.backflowtester.com Fax: 253 631-0120 ' 29020194th Place SE * Kent,Washington 98042 Backflow Test Report Name: #��� [ i w '' Passed Failed Service Address: � 33� �L� �� �,J. S a �a- A� (,.� . Backflow Location: v� G .J-" Cross Connection Control for: ,��uL�•2,9-6t 1Yl�f,���/� 7�pe Assembly: P�� Manufacturer: � Model: ��1��Size: � `� Serial No: ��.CaL� Initial Test Result Test After Repairs RPBA . RPBA Line Pressure: � f/�S� Line Pressure: No. 1 Check Valve: psid No. 1 Check Valve: psid Relief Valve Opened: psid Relief Valve Opened: psid Buffer Amount: �r�D psid Buffer Amount: psid No. 1 Check: Closed Tight—�� Leaked No. 1 Check: Closed Tight Leaked No. 2 Check: Closed Tight x 7� Leaked No. 2 Check: Closed Tight Leaked Minimum Air Gap: Yes `�No Minimum Air Gap: Yes No Passed Test Yes No Passed Test Yes No DCVA DCVA Line Pressure: Line Pressure: No. 1 Check: Closed Tight Leaked No. 1 Check: Closed Tight Leaked No. 2 Check: Closed Tight Leaked No. 2 Check: Closed Tight Leaked Passed Test Yes No Passed Test Yes No PVB/SPVB PVB/SPVB Line Pressure: Line Pressure: Air Inlet: Opened psid Failed to open Air Inlet: Opened psid Failed to open Check Valve: psid Leaked Check Valve: psid Leaked Passed Test Yes No Passed Test Yes No AIR GAP: Minimum Separation ASSEMBLY STATUS: New Existing Yes No Pipe Gap PROPERLY INSTALLED Yes No Test Equipment: Make: I CERTIFY THI BE TRUE PRINT Model:��Serial#: l�lC���...�� Signature: Accuracy Verification Date:..����Q� Print Name: Micheal . Gi in s Phone: Ce11253 2 7- 7 Repairs/Remarks: Initial Test: Date:9�3--�.3 Cert# B 1423 Repairs: Date: Repaired Test: Date: Cert.# UBI 601 040 690 ORIGII�AL . , . �PaS"""HIS c:,ARD ON THE rRONT OF BUILDI"" � ��_ BIJI�.�ING DIVISIOI�T . . � uV AY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT#: 02-104252-00-CO OVVNER'S NAME; Ick.Tin & Suk Hui Kim SITE ADDRESS: 33320 PACIFIC S UNIT103A ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL ' ' ' ' b�"NOT POUR'GONCRETE IJNTIL THE ABOVE';IS'APPROVED ( ) DRAINAGE: Line ( ) Connection , e DO NO'�'PUU'Yt SI:AB Ul�'I'YY:'TH�ABOVE IS APPROVED '` ,, � ; �� �.' , ��_ � 3 � . ( ) UNDERFLOO n � ( ) ROUGH PLUMBING: DWV l"� ,� "' �3 �� Water piping -� + p ( ) ROUGH MECHANICAL Z. - ZS— C7 3 L_�J Gas piping �- 2. O — p ( ) SHEATHING Roof Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS _ ALL THE ABOVE Mi7ST BE';ApPROVED P�tIOR'TO FRAMING INSP,ECTION ( ) FRAMING/FIRESTOPPING� /_��d� G_C.� l ' THE ABOT�E MUST BE APPROyED PRIOR'fO iNSULATING OR';SHEETROCKIN� - ( ) INSULATION: Floors Walls Attic _ �.,, THE ABOVE MUST:;BE APPROVED PRIOR TQ APPLYTNG SHEETROCK '. � �.»., ,�. '� � O WALLBOARD NAILING I ' ?L�- U�j �c�J O SUSPENDED CEILING Z"'�5 �"C��C�''.J ": THE°ABtOVE MUST BE APPROVED PRIOR T�,TAPIN�OR;INSTAL`LING CEILING TILE O ELECTRICAL FINAL Z - 2 7 - O� ,�'/:J ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL 3 � y- � 3�7'""�!� THE ABOYE MUST BE APPROVED PRIOR TO BUILDII�IG DEPARTMENT FINAL I . __ _ _ _ _ O BUILDING FINAL � - �- O 3 G� DO NOT OCCIIP.Y THIS BITILDING UNTIL;BUILDING FINAL IS APPRO�ED : INSPECTION LOG � � " DATE INSPECTOR 4K 'CQRR/REJ ' AREA AND TYPE OF�NSPECTION , ^ ,-D �- CR7� G RECEIVED CONSTFtU�► ION PERMIT APPLICATION • PPLICATION NUMBER: _�- cJ ycj�, -� uV ��L � ��r O 1 2002 PPLICATION NUMBER: - - - - - - - - - - - - PPLICATION NUMBER: - - CITY OF FED ** **The fo��r��r�.��lYormation-Piease print(in ink)or type Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • . • . • . SITE ADDRESS: 1,��(D — I �J�f'i / l h�l(�. ��y�ASSESSOR'S TAX/PARCEL#:�� � ��v O� � � � LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): I ;� • • • • • i � TYPE OF PROJECT(This application): �BUILDING �MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM �I / i � �PROJECT DESCRIPTION (Provide detailed description): � ` � � � � �v r ' �,� � L � � � � a � �— - � , e � ; � PRO)ECT NAME: � � � j �..�-� ��. � • � • • • PROPERTY OWNER: NAME: �A� J/� „ / <�� � , l� �qYTIME PNONE: � <-« �T J � 1 ��� MAILING ADDRE55(SiREET ADDRE55;QTY,STA7E,IIP): ' �J���(�G�� Z - '� .� SD• �pdj . y� - n- _ � CONTFL�� NAME: DAYTIME PHONE: �� - �. (�'.������; a �zS � - 7 , MAILING ADORESS(SIREET ADDRESS;.C1lY,STATE,ZIP): EVENING PHONE: �S� �. ' � � � � (?�� )�q� - CITY OF FEDERAL WAY BU NESS LICENSE NUMBER: FAX NUMBER: — — � � ' - COrfTRACTOR'S REGIS7RATION NUMBER: IXPIRATION DATE: ���PY o(mr4 required) ��� ��!ti��1 G�YJ � � APPLICANT: N/�E� ') DAYTIME PHONE: � � ' � �Ze�' ��'� r � (2� ) 7 - �373 MAIUNG ADDRE55(SfF2EET ADDR ;QTY,STATE,ZIP: EVENING PHONE:/ 3�S� �• � "/'Y1�t. � , �� , I'��' '�9� �r ���'� �(O�f - �:��� RELATIONSHIP TO PR JECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT � OTHER(DESCRIBE): � � - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER � APPLICANT ❑ CONTRACTOR . . . • • . EXISTING USE: EXISTING BUILDING ASSESSEp/APPRAISED VALUATION.$ PROPOSED USE: ��P� ,/,» PROPOSED VALUATION FOR IMPROVEMENTS: � �,�C-�C->• �`� SPRINKLERED BUILDING? � YES .�O FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:�YES ❑ NO WATER SERVICE PROVIDER: .�LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRNATE(WELL) SEWER SERVICE PROVIDER: �lAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) . � **NEW RESIDENTIAL CONSTRUCTIO LY** NUME3ER OF E3EDROOMS: ESTIMATED SELLING PRICE: $ • • • • • FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL BASEMENT FIRST � � SECON D THIRD FOURTN OTNER FLOORS(DESCRIBE) ' DECK GARAGE HOW MANY FLOORS? , TOTAL: - � Indicate number of each type of fixture \ MECHANICAL � / �' � �In(�C� �� a i AJ ' ` AI HAND NG U(VIT(S) _ _ EVAPORATNE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) � BBQ(S) _ _ FAN(S) __��( HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) 1 RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) T � DUCT(S) _� _ GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRZC ❑ GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINIQNG FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLEf GAS PIPE OUTLET(5) � SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) SUMP(S) . • I certify under penaity of perjury that the information fumished by me is true and correct to the best of my knowledge,and furthe�,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 attomeys'fees incurred in the investigation and defense of such daim),which may be made by any person,induding the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the reliance of the city,including its officers and employees,upon the accuracy of tfie information pplied to the city as a part of this application. NAME/TITLE: ��LL�C.� �'� /'/�����-'��L DATE: /(%�( �>� ❑ PROPERTYOWNER ❑ APPLICANT eI�CONTRACTO - :if-OR,OFEICE USE ONLY;:_ _.__ ..__.__..._ -�--�,�,� -_ _ _ _ ; � N��--�._� _�ADDITION,} ,�`pLTERATION _� ��REPAIR;� �.�-�.:;❑TENANTIMPROVEMENTz��:3: r_ _ _ s . . � -CENSUS�CODE � �`.�`�,� ,���-- {- } �� i =_,��.' �4�:�-�.��+:� ��'����#�=�� ..-=x�.,�.-:: , ��� €�����.m.��_;��,�,��=� LOT�SIZE��- �:F_,,;. >.' _ : �Oh�YNG�ESIGIVAT�ON ������ � �::,£ �� �gUIWING HELL ONLY?��YES�.�,C� NO"�,�_;� ��;:�' � � �. �COMP��A D� `" ,;;� � ��-� s ; � �.. � '� � �`;`� ,��: . �-�-.,�.,..t;-�.,�.-� ,� _ N ESIGNA7tION��'`�;, �.���.���' BAS�C�PLAN?,,.';c'�,�fES .�;;t�U_�`��:�,��,;-.s�� -,� �SECTION��'���' `'�"� � '�- �N/1DDRESSREQUERED?�''=u�.��1fES��'�``OO ,NO��" ,,��_� _ TOWNSHIP ��,�„RANGE �� • � ,,� �; ��...:_�`.. �� . _ >>�: . aPLATTED LOT? ❑YES,� .�,NO � ". a ��CHANGE�OF USE,? , ;;' OFYES _CI.NO y�= ,a-�:;��.^ QOMMUNITY pE1lE�pppqENT SE(�yi�.33530 FIRST WAY SOUTti•PO BOX 9718•FEDERl�L WAY,WA 98063�9718•253-661-4000•FAX:253-b61-4129 wvnv.dtvoffede2lway.com Co�ruction Permit Fee Calc _ � eet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR T:. �CCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!' ***** Building,mechanicaf,and fire prevention system fees are based on the following schedule TABLE A TOTAL VALUATION FEE FACTOR (i);i.00 co;soo.00 �i�;z6.00 (2)s501.00 to$2,000.00 (Z)$26.00 for the first$500.00 plus 53.50 for each additionalSIGYI.A7or fracUon thereof,to and induding ;2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus SIS.SOlor each additana/SI,OOO.GI�or fractan thereof,to and induding$25,000.00 (4)$25,001.00 to;50,000.00 (4)y135.00 for ifie first�25,000.00 plus SII.00lor each additana/SI,Gl�OOOor fraction thereof,to and induding$50,000.00. (5)$50,001.00 to$100,000.00 (S)$710.00 for the first$50,000.00 plus 5600�or each additiona/SI,000 0�or f2ction thereof,to and including$100,000.0�. (6>;ioo,00i.00 co gsoo,000.00 (6)$1,110.00 for the first$100,000.00 pius$6.P0 foreach addi[iona/SI OCX)Opor fraction thereof,[o and irxiuding$500,000.00 (7)$500,001.00 to;1,000,000.00 (7)j3,510.00 for the fist;500,000.00 plus SS.SOfoieach adddana/SI.00�OOOor fractio�thereof,to and induding 51,000,000.00. (8);1,000,001.00 and up (8)$6,260.00 for the first;1,000,000.00 plus f4.00loreach addiliona/SI OOO.00or fraction thereof. Boid number is the base fee for the spedfied increment Tta/icized,under/ined number Is tfie tee ver additiona/svecified incremenf PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mecha�ical plan review fee. Add 15 perc�ent of the base building pQrthit fee for Fre District#39 surcharge,commerdal only. ' Add$4.50 for WA State Building Cocie Coundl,plus$2.00 per unit for duplex&above. **Electrical,piumbing,and mechanical fees are plculated separately x* 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) (COMMERQAL ONII� PROPOSED VALUATION: ��i ��� �— � FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Inaement Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) 6ase Fee Nurtiber a Foctues �22.50+{ X$8.00/fixture}_ (8)Estimated Permit Fee Estlma6ee Pe�Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fxture Charge:(10) Sub Total<r�e a,e�: line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)_ (11) '� TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/iEMP SERVICES Single Family _Servicc or feedcr only.........................$50.00 _#of Thermostats(Firsl-537.50;add'n-Sl I.SOea) (First 1300 ft�-$75.00;Each add'n 500 R2-$24.00) _Servicc and fecdcr...............................$81.00 _#of Low voltage fire or burglar aiamis Square Feet: First 2500 ft2-$43.50;Each add'n 2500 ft�-$1 L50 Each outbuildingor garage...........................$31.00 MOBILE HOME/RV PARK Square Fcet: (Inspected with service) #ofscrvice or feeders 'Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage...........................$50.00 (First service/feeder-$50.00;Add'n service/ _#of Signs(Firs[sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) Swimming pool,hot tub,spa...............$75.00 _Yard Pole meter loops.........................$50.00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three unitt or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200..............................................$ 81.00 _Up to 200 amp..............$ 81.00................$ 24.00 Feeder _201-600..............................................189.00 _201-400 amp................ 101.00....................50.00 _0 to 100.........................$ 81.00.......$ 50.00 _601-!000............................................284.50 _40l-600 amp................138.00....................68.50 _101-200........................ 101.00...........63.50 _over]000.--•-.---....................................317.00 601-800 amp................176.50......------.--.....94.50 201-400........................ 189.00...........75.00 _#of circuits _Over 800 amp.................252.50..................189.00 _401-600.................__.....220.50...........88.50 (1-5 circuits-$63.50;Add'n circuiis,$S ea) ALTERED SINGLE/MULTI FAMILY _60l-800........................284.50.........120.50 (When inspected sepazately from the services.) _80l-1000......................348.00.........145.50 TEMPORARY SERVICE Service or Feeder _Over 1000......................379.00.........202.�0 Residential/Multi-Family/Commercial/Industrial 0 to 200 amp..-•---•..................................•----$ 68.50 _Over 600 volts surcharge.-.---.........------.63.50 _0-100...........-•-----.--.........._................$ 50.00 ... 101.00 Mast or meter re air..............................68.�0 _101-200.......................-----........-_-._......63.�0 201-600 amp........................................... — p ovcr600 amp............................... ............... I 51.50 201-400...........--�-�--..........-----...............75.00 _Mast or meter repair.......................................37.�0 _401-600........................._..............---...101.00 _#of circuits _over 600...............................................109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a ne�v or altered commercial service is 200 amps or greater,or a ne�v or altered residential service is greater than 400 amps,a plan review is required.Fee is 3�%of permit fee+$63.50.Add'1 plan review for other submissions is$75.00/hr. FIXTURE'DESCRIPTION A FIXTURE-FEE FROM TABLEB B NUMBER OF UNITS C 'TOTAL D TOTAL'COLUMN D :: Total Column(D) Estimated Permit Fee: (12) Estimaced Permic Fee from line lz Estimated Plan Review Fee: $63.50+( X.35)_ (13) . . . Estimated Permit Fee: (14) Bond Amount:(15) Estimated Permit Fee:(16) Bond Amount: (ll) � . hrnyaeon Fee:�is� , (20) (2z� SBCC Surcharge:(19) _ (21) (23) f0�� ��o„e&Two�: �ne(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)_ (24) Bulletin#!00—February 19,2002