22-105245City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: CARBON HEALTH
Project Address: 1750 S 320TH ST
FILE
Building - Commercial
Permit #:22-105245-00-CO
Inspection Request Line: (253) 835-3050
Parcel Number: 762240 0015
Project Description: BLUEBEAM - The project program includes the following: Customer Reception, (2) Urgent
Care Rooms, (3) Primary Care Rooms, X-Ray/Phlebotomy, Lab, Staff Lounge and (2)
Restrooms. The scope of work includes new non -bearing interior partitions, ceiling, FFE,
Millwork. Includes plumbing and mechanical.
Owner
Applicant
Contractor
Lender
MGP XI COMMONS FW LLC
SARAH HELLMAN
I C E BUILDERS
TENANT IS LENDER
425 CALIFORNIA ST
8370 WILSHIRE BLVD SUITE 330
421 E CERRITOS AVE
SAN FRANCISCO CA 94104
BEVERLY HILLS CA 90211
ANAHEIM CA 92805
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type II - B
Occupancy Load:
Floor Area (sq. ft.)
2,516.00
Additional Permit Information
Occupancy #1 - Area (Sq. Feet) ..............................
2516
Mechanical to be Included? .....................................
Yes
Mechanical Work Valuation? ..................................
76013
Is this an Online o ,kO.T.C. application? ..................
No
Plumbing to be Included? ........................................
Yes
Occupancy #1 -Use ................................................
Professional
Services/Offices
Zoning Designation .................................................
CC-C
Total Valuation: 673,500.00
Occupancy #1 - Construction Type ......................... Type II - B
Plumbing Work Valuation? ..................................... 62408
Number of Stories ...................... :............................ 2
Permit for Building Shell Only?. ............................. No
Will Certificate of Occupancy be Issued? ............... Yes
Comprehensive Plan Designation ........................... City Center Core
Ducting 1 Fans 1
Dishwashers 1 Lavatories T 10 Other Plumbing Fixtures 1
Sinks 1 Water Closets 2 Water Heaters 1
CONDITIONS:
Separate electrical permit required.
Fire conditions:
A separate permit is required for the modification of the fire sprinkler and fire alarm system.
PERMIT EXPIRES Wednesday, 20 September, 2023
Permit Issued op Friday. March 24, 2023
•- - r
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:
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: CARBON HEALTH
Address: 1750 S 320TH ST Unit M-24
Includes:
# 1 #2
Occupancy Class:
B
Construction Type:
Type II - B
Occupancy Load:
0.00
Floor Area (sq. ft.)
2,516.00
Owner Name: MGP XI COMMONS FW LLC
Owner Address: 425 CALIFORNIA ST
SAN FRANCISCO CA 94104
0
Buildi� Official
Permit # 22-105245-00-CO
#3 #4
(6 4'� "
Date
T_V priority focus in the ieview 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.
d THIS CARD IS TO REMAIN ON -SITE
"TM or Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 105245 00 Address: 1750 S 320TH ST Unit M-24
Project: MERLONE GEIER PARTNERS 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.
l Footings/Setback (4110)
0 Re -steel (4215)
0 Plumbing Groundwork (4190)
Approved to place concrete
Approved to place concrete or grout
Approved to cover
By Date
By Date
By Cj Date —Tirsh-13
®
Slab/Concrete Floor (4255)
Q
Underfloor Framing (4285)
®
Floor Sheathing (4105)
Approved to place concrete
Approved to sheath floor
Approved to install flooring
By
Date
By
Date
By
Date
El
Rough Plumbing (4230)
®
Mechanical Rough -in (4165)
Q
Gas Piping (4125)
Approved
Approved
Approved to release test
By
Date ( Z
By
Date i L
By
Date
'10 Fire/Draft Stops (4095) EElectric�al,
heduling a Framing inspection; LI Framing (4120)
Approved lumbing & Mechanical Rough-inApproved to insulate
ft Stop inspections must be signed -
By Date nd approved. IBC 109.3.4 BY ~0 Date
Q Insulation (4150)
3 Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid J42 65)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile �l
By Date
G `�?�
I
By Date %
By Date (g
i5 Final - S K F & R (4060)
t5 Final - Planning
E7 Final - Mechanical (4065)
Approved
Approved
Approved
By Date
By Date'
By `6 Date ( Q (1 12,3
$
Final - Plumbing (4075)
19
Final - Building (4050)
Approved
Approved
By
,�/ Date
By
Date 1 Q A
1/7-1 — VW — 6'r; A — Pot OK t'iLe'e" hA l( klly
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
.2-
mp CITY OF Building Divbion
Way
33325 Eighth AvenueSwth
Federal Federal Way, Fax
98835-2609
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: _ (f�_i 6 e,, PERMIT#: )� — A) 6c� 15
0
IF YOU HAVE QUESTIONS CALL _ c (253) 835- 2-639
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
9g :�
TE INSPECTOR
DO NOT REMOVE THIS NOTICE
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