17-105235 Building - Commercial
ty Permit #:17-105235-00-COCoie, ,
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: DAVITA
Project Address: 32275 32ND AVE S Parcel Number:215465 0080
Project Description: TI-Construction of(1)wall to separate break room.
Owner Applicant Contractor Lender
DAVITA JINA HAUGAARDROOSTER ROOSTER HOMES LLC OWNER IS LENDER
32275 32ND AVE S HOMES LLC PMB 308
FEDERAL WAY WA 98003 3377 BETHEL RD SE SUITE 107 3377 BETHEL RD SUITE 107
PORT ORCHARD WA 98366-5608 PORT ORCHARD WA 98366
Census Category:437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.)
Additional Permit Information
Mechanical to be Included? No Number of Stories 2
Is this an Online or O.T.C.application? Yes Permit for Building Shell Only? No
Plumbing to be Included? No
Total Valuation:4,300.00
a
r
PERMIT EXPIRES Monday,30 April,2018
Permit Issued on Wednesday,November 1,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy -nd the use will be in accordance with the laws, rules and regulations of the State of
-s ing •• and th City of Federal Way.
Owner or agent: —. Date: I ( (lao
• THIS CARD IS TO REMAIN OfinSITE
`r'vo Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 105235 00 Address: 32275 32ND AVE S
Project: DAVITA FEDERAL WAY WA 98003
Scheduled inspections may be failed if this card is not on-site. IX)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.
PInitial Erosion Control(4365) al Footings/Setback(4110) 3❑ Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date ^By Date
® Slab/Concrete Floor(4255) jElUnderfloor 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 By Date off and approved. IBC 1093.4
® Framing(4120) ! 90 Insulation(4150) ' El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
` — Date ` S I By Date Date L` `"l
•�2 Suspended Ceiling Grid(4265) ,.0 Final-S K F&R(4060) ;.® Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
El Final Erosion Control(4375) El Final-Building(4050)
Approved Approved
By Date �By 1,40 Date t 151/Y
•
(l Rough Electrical E Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
_,
..
OTc
CITY Of .: ..,:... r PERMIT APPLICATION
PERMIT CENTER+33325 80,Avenue South+Federal Way,WA 98003-6325
FederalVVay 253-835-2607+FAX 253-835-2609+pelitcenter@citvoffederalwav.cam
''j'4A e S Iv 3 I
PERMIT NOMSER `/ - /0 5 07 35 - coT DATE Ip1a7-1 7-Por?
SITE ADDRESS SUITE/urn it
3 Sal S 3ci. fi-ves Fes\ tvc. 1100
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL*
�ucD . 0 0 a 11 S `E 6 c o c o
TYPE OF PERMIT { BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT VA\ irge 14(11
PROJECT DESCRIPTION 6.11.1 t V's2 t\ le of eniC,. &t'e fC 1
Detailed description of work to
be included on this permit only
k
NAME PRIMARY PHONE
PROPERTY OWNER MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PRONE
R000-el' c, L-1--C- '353 311 1 1
CONTRACTOR xwI_ eeADDRESS , �R4"- flk STATE
ZIP
`t Orc k_ to _ q r5‘,16 AS
WA EWE CONTRA S LI EXPIRATION DATE. FEDERAL WAY BUSINESS LICENSE 5
't tic-SG / /
NAME --c; PRIMARY PHONE �.
-3tnk 1Arn.tA 13/
APPLICANT MAILING ADDRESS EMAIL
CITY STATE ZIP FAX _.
NAME
PRIMARY PRONE
PROJECT CONTACT
(The individual to receive and RAIWWGADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more
(RCW 19 27,095) MAILING ADDRESS,CI _ ,. PHONE
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.
!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,
but only where such c •' arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied,• city•-a..art plication.
iii
iI2 /zoi i 0SIGNATURE• + ar^' DATE ! 7 7
PRINT NAME: s
Bulletin#100—January 29.2016 Page 1 of 2 k:\Handouts'i'ermitApplication
a .
VALUE OF MECHANICAL WORK 1
MECHANICAL PERMIT
e Indicate ttow�tmfany of each .-of fixture to be installed or reloca - as part of this project.Do not include existing fixtures to remain.
IIANDLIIPG ANTIS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSI.• HOODS
BOILERS ti RNACES HOT WATER TANKS posy
COMPRESSORS GAS ` ",S REFRIGERATION SYST
DUCTING GA: • •N WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each tape of fixture to be installed or relocated as part of this project.Do not include-extsting fectures to remain.
BATHTUBS(or Tub/ShoaerCombq LAYS Eland Saks! WATER PIPING
DISHWASHERS NWATER SYSTEMS / URINALS OTHER(Describe)
DRAINS SHO".• VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Oradea WATER HEATERS(D .:.t
HOSE BIBBBS SUMI. WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPLR.IY? WATER POrevdYOR SEWER PURVEYOR. VALUE OF EXISTING IMPROV PS.
EXISTING/PREVIOUS �. ,, LOT SIZE au Square Fast) XIIISlN1G FIRE�R SYSTEM!? PROPOSED FIRE SUPPRESSION EYSTIDE?
6 'tt I Yes n No ci Yes No
RESIDENTIAL NEW OR ADDITION
AREA DESCRIPTION{in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home) ;1 -Tee 112(V°
SECOND FLOOR ‘\,),,5'.0() L� Sit
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe);, TOTAL :
Area Totals S i� a5 a-i-)
....HOMES OJJL!
ESTIMATED SELLING PRICE$ It OF BEDROOMS
COMMERCIAL —NEW/ADDITION
AREA',DESCRIPTION Area in Occupancy Group(s) Construction l of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCI.AL—REMODELJTENANT IMVIPROVEMENTS
Area inConstruction f of
AREA DESCRIPTION Occupancy Cron O
Additional Information3gnare Feet Type Stories
‘felk 51A41 BUILDING RQ ( r ,kf.
TENANT AREA ONLY (1 ( y,
PRt>;IECT AREA ONLY �b0 s �fi C M °Y 1 h ci i i \
Bulletin#100—January 29,2016 Page 2 of 2 k:lJiandouts\Permit Application