17-102092 Building - Commercial
CommunityyfDeveloopmeent t. Permit #:17-102092-00-CO
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: FEDELTA HOME CARE
Project Address: 505 S 336TH ST Parcel Number:926480 0270
Project Description: TI-Tenant improvement to include non-structural demolition and construction of finishes to
non-structural partition walls. No Plumbing or Mechanical.
Owner Applicant Contractor Lender
RH FOUNTAIN PLAZA ASSOC LLC KAYLA VERBITSKYFREIHEIT& DAVIS SCHUELLER INC
PO BOX 5003 HO ARCHITECTS 01 CHENAULT BEACH RD SUITE 2
BELLEVUE WA 98009 AKE WASHINGTON BLVD NE UN MUKILTEO WA 98275
KIRKLAND WA 98033
Census Category:437-Commercial alt/add/conversion
Includes: J #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Plumbing Work Valuation 0
Mechanical Work Valuation 0 Number of Stories 1
Is this an Online or O.T.C.application Yes Permit for Building Shell Only? No
Plumbing to be Included? No
Total Valuation:29,000.00
PERMIT EXPIRES Sunday,5 November,2017
Permit Issued on Tuesday,May 9,2017
I hereby certify that the above inform 'on is correct and that the construction on the above described property
and the occupanc and t - se •e in accordance w' the laws, rules and regulations of the State of
in. i n and , e Cie • Federal Way. /
Owner or agent: Date: 5 q i
1)ATF, INSPECTOR kREA. ANI) TYPE Off' I' SPEC T ION
4/5/1 )414 Ok -to - s►,a,� Gw� plu4.34) � wail/ tum qtr ..
(7-7 Qe l SLS ,ca
r Y
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Construction Inspection Record
Federal Way INSPECTION REQUESTS :(253)835-3050
PERMIT#: 17 102092 00 Address: 505 S 336TH ST Unit 100
Project: RH FOUNTAIN PLAZA ASSOC LLC FEDERAL WAY WA 98003
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.
® Initial Erosion Control(4365) 0 Footings/Setback(4110) ® Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete S Avowed to place concrete or grout
By Date i.By Date .,r4y -� Date/..,_ S—("2 ,
® Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) ® Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
® Fire/Draft Stops(4095) ® Interim Erosion Control(4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
`By Date .f.BY Date off and approved IBC 1093.4
•
El Framing(4120) El Insulation(4150) 11 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By y4,k) Date (IJS//7 By Date By Ad Date 62-'-7))7
•
0 Suspended Ceiling Grid(4265) 1 ® Final-SKF&R(4060) 'l4 Final-Planning
Approved to drop tile Approved Approved
By Date 4 25 1 I By Date By Date
El Final Erosion Control(4375) ID Final-Building(4050)
Approved Approved
By Date By ear, Date 'Ill .
.
0 Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
t
CITY OF A. RECEIVED PERMIT APPLICATION
Federal Way A, p PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
41 2017 253-835-2607+ FAX 253-835-2609+permitcenter(u!cityoffederalway.com
CITY r r`E:DERAL WAY
MMU~ ' ,_'EVELOPMENT
PERMIT NUMBER _/ o CO _` , /
� � � r a\ _ v TARGET DATE OTC._� l
SITE ADDRESS SUITE/UNIT#
505 S 336TH STREET, FEDERAL WAY, WA 98003 SUITE 100
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 29,000 OP 926480 - 0270 _
TYPE OF PERMIT )DI BUILDING ❑ PLUMBING El MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT FEDELTA HOME CARE T.I. SUITE 100 / FOUNTAIN PLAZA BUILDING I
TENANT IMPROVEMENT TO SUITE 100 ON LEVEL 01 (1078 SF) AT FOUTAIN PLAZA I
PROJECT DESCRIPTION BUILDING. INTERIOR REMODEL OF EXISTING SPACE TO INCLUDE •
Detailed description of work to NON-STRUCTURAL DEMOLITION AND CONSTRUCTION OF FINISHES TO NON •
be included on this permit only STRUCTURAL PARTITION WALLS. PATCH AND REPAIR CEILING AS REQUIRED TO
BRING TO GOOD CONDITION.
NAME PRIMARY PHONE
ROSEN PROPERTIES 425-289-2230
PROPERTY OWNER MAILING ADDRESS E-MAIL
1800 12TH AVE. NE, SUITE 312-E DARYLR@ROSENPROPERTIES.COM
CITY STATE ZIP
BELLEVUE WA 98004
NAME PHONE
JIM STOCKBURGER 425-289-2230
MAILING ADDRESS E-MAIL
CONTRACTOR 4601 CHENNAULT BEACH RD. SUITE 200 DARYLR@ROSENPROPERTIES.COM
CITY STATE ZIP FAX
MUKILTEO WA 98275
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
DAVISS1105PN JULY 2018 20-00-104577-00-BL
NAME PRIMARY PHONE
FREIHEIT & HO ARCHITECTS 425-827-2100
MAILING APPLICANT 5209 LAKE WASHINGTON BLVD NE, SUITE 200 KSS E-MAILBITSKY@FHOARCH.COM
CITY STATE ZIP FAX
KIRKLAND WA 98033 4258286899
NAME PRIMARY PHONE
PROJECT CONTACT KAYLA VERBITSKY 425-827-2100
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 5209 LAKE WASHINGTON BLVD NE. SUITE 200 KVERBITSKY@FHOARCH.COM
concerning this application) CITY STATE ZIP FAX
KIRKLAND WA 98033 4258286899
NAME
PROJECT FINANCING ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of 'ederal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation an• • fence •f such • aim), ich may be made by any person,including the undersigned,and filed against the city,
but only where suc claim • 'ses ou of t reliance o c[uding i fficers and employees, upon the accuracy of the
information supplier to the as a p' of is ap
SIGNATURE: ( .-•--" 515/ l
DATE Z/(
PRINT NAME: _ _ ♦ . mew g• lv
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 0
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 0
Indicate how many of each type offixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A SEE COVER SHEET N/A SEE COVER SHEET N/A SEE COVER SHEET $ 29,000
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
N/A SEE COVER SHEET N/A SEE COVER SHEET Yes ❑ No ❑ Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
====m-t=• ,.
COVERED ENTRY I
GARAGE ❑ CARPORT ❑
, 21pz .' .�
oTH
EXISTING PROPOSED TOTAL
Area Totals
** ; su
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet1,y a Stories
'z
rt Ay
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area in Construction #of
AREA DESCRIPTION Occupancy Group(s) Additional Information
Square Feet Type Stories
TOTAL BU�r 658 (OF ICE} YP ' IIB 6 :.
TENANT AREA ONLY 2,597SQ.FT. B (OFFICE) TYPE - II B 6
P[OJEC AREA ONLY 2,597 SQ.FT. B (OF IC TYPE 71#13,,,;„ r;
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application