01-104006City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
Ph:253.661.4000 Fax:253.661,4129
Building - Commercial Permit #:01-104006 - 00 - CO
Project Name: PSYCHIC SPECTRUM
Inspection request line: 253.835.3050
Project Address: 1620 S 312TH ST SuiteC Parcel Number: 785360 0187
Project Description: TI - Construct new Barrier -Free restroom in tenant space.
Owner
Applicant
Contractor
Lender
IN YOUNG CHANG
O M S CONSTRUCTION *DAVID O
O M S CONSTRUCTION *DAVID O
NONE
39t9 SW 324TH STREET
32210 1ST LN SW SUITE 1-203
OMSCO**991JZ (4/9/02)
FEDERAL WAY, WA
FEDERAL WAY WA 98023
32210 1ST LN SW SUITE I-203
98023
FEDERAL WAY WA 98023
NONE
Includes:
Census category: 437 - Comm
#1
#2 #3 #4
Occupancy Group:
Construction Type:
Type V - N
Occupancy Load:
Floor Area (Sq. Ft.):
Building Pre -con. Meeting Required ................... No
Fire Sprinklers ............ :.... ...... 4........................ No
Number of Stories................................................I
Plumbing ................................................. Yes
Will Certificate of Occupancy be Issued? ............. Ntr
Zoning Designation........................................... BC
Census Category ..... ,................................. ........_. 437 - Commercial alt/add
Mechanical................................................. No
Permit for Building Shell Only ............................ No
Special Inspection Required .......... ............... ....... No
Sensitive Areas? ................................................. No
Plumbing Fixtures
Description
lQuentity
I
Description
Quarltit
Description Quarlti
Lavatories 1
Water Closets
1
PERMIT EXPIRES April 15, 2002, IF NO WORK IS STARTED.
Permit issued on October 17, 2001
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: , "I" � < .
to
Date:
1
POST ;, HIS CARD ON THE FRONT OF BUILDING
BUIL.)ING DIVISION
INSPECTION RECORD
INSPECTION REQUEST PHONE #: 253-835-3050
PERMIT #: 01-104006-00-CO
OWNER'S NAME: NONE —(Oro yCN 1C. LOnIAAC4 "ri c"
SITE ADDRESS: 1620 S 312TH SuiteC
( ) FOOTINGS/SETBACKS
( ) FOUNDATION WALL
I; DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED
O DRAINAGE: Line O Connection _
DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED
()UNDERFLOOR FRAMING -
O ROUGH PLUMBING: DWV G Water piping �G
( ) ROUGH MECHANICAL Gas pipi
( ) SHEATHING
( ) SHEAR WALLS
( ) ELECTRICAL ROUGH -IN
( ) FIRE/DRAFTSTOPS
Roof
Ditch Cover
Floor
ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION
() FRAMING/FIRESTOPPING
THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING
( ) INSULATION: Floors _
Walls
Attic
THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK
(1 WALLBOARD NAILING / / — S — Q (] SUSPENDED CEILING
THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TILE
O ELECTRICAL FINAL
( ) PLANNING FINAL
O PUBLIC WORKS FINAL — —
O FIRE FINAL �— Z.
THE ABOVE MUST BE APPROVED PRIO TO BUILDING DEPARTMENT FINAL
O BUILDING FINAL — Z / - d / G— —
DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED
CONSTRUC i ION PERMIT APPLICATION
RECEIVED
PPLICA-nON NUMBER: y 4 D — L
PPLICA-aO d NUMBER:
OCT M��
APPLICATION NUMBER: — —
**The fallow!'ng is required information — Please print (in ink) or type**
Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application.
PROPERTYINFORMATION
y - -
SITE ADDRESS: L. � -�v l�.0 ASSESSOR'S TAX/PARCEL #: ` — — ` — — - — — — —
LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY):
PROJECT INFORMATION
TYPE OF PROJECT (This application): `,BUILDING %PLUMBING ❑ MECHANICAL ❑ DEMOLITION
❑ ELECTRICAL LJ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed
PROJECT NAME:
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
6
NAME: q DAYTIME PHONE:
�& S v T C !r: C;07 ) C'7 — f'
MAILING ADDRESS ( ADDRESS; CITY, STATE, ZIP): j r
NAME: C k.4 {
C:f
DAYTIME PHONE:
MAILING ADDRESS (STREET ADDRESS; CITY, STATE, ZIP):
)
EVENING PHONE:
f
CITY OF FEDERAL AY BUSINESS LICENSE NUMBER:
FAX NUMBER:
CD 'RACr0R'S REGISTRATION NUMBER:
H �f � 1
EXPIRATI/ON DATE:
o/� / o
l J
(ropy of card required)
,�
NAME: 1 I DAYTIME PHONE:
�,� le"I.- ,; & ) 3TY�l
MAILING ADDRESS (STREET ADDRESS; C[TY, STATE, ZIP): EVENING PHONE:
RELATIONSHIP TO ❑ ARCHITECT PROJECT:
❑ TENANT OTHER ( DESCRIBE): &/1 j� '(�� FAX NUMBER: - 0
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
��1(f'� L. / PROPOSED VALUATION FOR IMPROVEMENTS: $
PROPOSED USE: (
SPRINKLERED BUILDING? ❑ YES l -ft FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS:
ESTIMATED SELLING PRICE: $
■ PROJECT FLOOR AREAS
FLOOR
EXISTING S . FT.
PROPOSED S . FT.
TOTAL
MENT
r—.F
T
r>
r r
SECOND
THIRD
FOURTH
OTHER FLOORS (DESCRIBE)
DECK
GARAGE
HOW MANY FLOORS?
TOTAL:
/ )J
■ FIiCiL1RES
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 INSERTS)
RANGE(S)
MISC. }
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
BATHTUB(S)
PLUMBING
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
— 6
DISHWASHERS)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
Wit
DRINKING FOUNTAIN(S)
GAS PIPE OUTLET(S)
SHOWER(S)
SINK(S) `
WASH MACHINE OUTLET
WATER CLOSET(S)
MISC. [ )
'►i
INTERCEPTOR(S)
SUMP(S)
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: _ L�
❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR
FOR OFFICE USE ONLY:
DATE: 1y 116 I -o J
❑ NEW . L ❑ ADDITION ❑ ALTERATION ❑ REPAIR NANT IMPROVEMENT
CENSUS CODE:
LOT SIZE:
ZONING DESIGNATION:
BUILDING SHELL ONLY? ❑ YES QSNO
COMP PLAN DESIGNATION
BASIC PLAN? ❑ YES O
SECTION .. ; TOWNSHIP RANGE
NEW ADDRESS REQUIRED? . ❑ Y SPSNO
PLATTED LOT? ❑ YES ❑ NO
CHANGE OF -USE? ❑ YES O
COMMUNITY DEVELOPMENT SERVICES - 33530 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253-661-4000 - FAX: 253-661-4129