10-103931City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: GROUP HEALTH
Project Address: 301 S 320TH ST
4Puilding - ComWerdal
Permit #: 10- 103931 -00 -CO
Inspection Request Line: (253) 835 -3050
Project Description: ALT - Installation of exterior fixed ladder with security cover
Parcel Number: 172104 9105
Owner
Aaolicant
Contractor
Lender
GROUP HEALTH
MING -SING TING
LYDIG CONSTRUCTION INC
GROUP HEALTH
12501 E MARGINAL WAY S UNIT,
BCRA
LYDIGC *264JC (9/11/11)
12501 E MARGINAL WAY S UNIT A
TUKWILA, WA 98168 -2560
2106 PACIFIC AVE SUITE 300
11001 E MONTGOMERY DR
TUKWILA, WA 98168 -2560
TACOMA WA 98402
SPOKANE VALLEY WA 99206
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Areas . ft.
0
0
0
0
of Stories .................
Permit for Building Shell Only ? ....... ..................No
New / Additional Sq. Feet - Total .......................... 0
Zoning Designation ................... .............................OP
PERMIT EXPIRES Sunday, October 2, 2011
Permit Issued on Tuesday, April 5, 2011
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the us will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
4 5/181/
f
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TO REMAIN ON -SITE
Construction I>ection Record
INSPECTION REQ TS: (253) 835 -3050
10- 103931 -00 -CO Address: 301 S 320TH ST
GROUP HEALTH FEDERAL WAY, WA 98003 -5200
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.
SWM Precon Site Mtg (4400)
Initial Erosion Control (4365)
Footings /Setback 4110)
Approved
To be done prior to breaking ground
Approved to place concrete
By Date
By Date
By ^ Date 111
Foundation Wall (4115)
Approved to place concrete
By Date
Drainage/Downspout (4040)
Approved to baekfill
By Date
E] Re -steel (4215)
Approved to place concrete or grout
By Date
E]
Slab /Concrete Floor (4255)
Gypsum Wallboard Nailing (4130)
Approved
Underfloor Framing (4285)
Date
E]
Floor Sheathing (4105)
❑
Approved to place concrete
By
Approved to insulate
Approved to sheath floor
Datr
Date
Approved to install flooring
By
Date
By
Date
Final - Fire Department (4060)
By
Date
Shear Walls (4245)
Approved to install siding
By Date
Interim Erosion Control (4370)
Approved
By Date
Roof Sheathing (4220)
Approved to install roofing
By Date
Prior to scheduling a Framing inspection;'
Electrical, Plumbing & Mechanical Rough -in and
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3 4
0 Final - Building (4050)
Approved
By Date
Fire/Draft Stops (4095)
Gypsum Wallboard Nailing (4130)
Approved
By
Date
Approved to install wallboard
Approved to install mud & tape
❑
Framing (4120)
By
Approved to insulate
By
Datr
0 Final - Building (4050)
Approved
By Date
Insulation (4150)
Gypsum Wallboard Nailing (4130)
E
Suspended Ceiling Grid (4265)
Approved to install wallboard
Approved to install mud & tape
By
Approved to drop tile
By
Date
By Date
By
Date
Date
E]
Final - Fire Department (4060)
Final - Planning
Final Erosion Control (4375)
Approved
Approved
Approved
By
Date
By Date
By
Date
0 Final - Building (4050)
Approved
By Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
Federal *PERMIT
ECEIVEAPPLICATION
f.OMMCJNITY DEVELOPMENT SERVICES
25:3 -835 2607 FeLr 253 -835 -2609
, SEP 15 Z014
n w, %At AV
i a - 0 3-"I
• MF 10ME PL DE EN FP
7-D.. /0/&//0
SITE ADDRESS CI
3 D 1 , '(OUT++ 320 Tr1�� TKNGT , Pr-;001w, W" , WA 01 W DD 3
SUITE /UNIT #
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
$ Z,DDD 1-
0f
1 -7 2 1 b _ 41 1 0 5
TYPE OF PERMIT
4 BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
C971* ��" fi Vel- - Wbry MCbIC*1- Gr_14reR-
PROJECT DESCRIPTION
NO AN �TG�jtlp�Z %IxG�p i- erDDGjL WI}�} Sf,C.+Ma -!7Y c.oV 1'b r}�
Detailed description of work to
�btl IN4
be included on this permit only
PROPERTY OWNER
NAME
(lam. kew bt1`i nEZ (,g M)
PRIMARY PHONE
C2,06) 999 - Z1$ Z
MAILING ADDRESS
17-5-Di. E. M*t6 W AL NA -Y g
E -MAIL
gE9WA pIC1, i. E C qc.. ORiq
CITY TULWILA
S TE
7 1 $ a
NAME -7
PHONE
MAILniO ADDRE -
E-MAIL
CONTRACTOR
CITY
FAX
WA STATE CONTRACTOR'S LICENSE #
DATE
FEDERAL WAY SUSDIESS LICENSE It
NAME MIN(, SING T?MG 8CA2* )
CZ520 (,21 - 4'3b'7
MAILING ADDRESS
2,I
E-MAIL
MrIN(a a KgffirDESlejQ,Co
APPLICANT
CITY
Tkc.oT/I
STATE
ZIP
FAX
(2153)
PROJECT CONTACT
(The individual to receive and
NAME
m 1 A1(. S I N a Tl N 6
PHONE
(2,5', ) (,Z, - W3 6-1
MAILING ADDRESS
Za D b PDT N (✓ Mr'4IV I✓ SU ITE ?j00
E -MAIL
respond to all correspondence
concerning this application)
CITY
TKDN► A
STATE
WA,
ZIP
IS402-
FAX
(u3) 621 - 4-:515
ALTERNATE CONTACT NAME:
PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER- FINANCED
Required value of $5, 000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
IRCW 7 9.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(h 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 farther 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 claimrar;ses out of thf reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as apart of this ap tication.
SIGNATURE: DATE q l ' 15 ,
PRINT NAME: M 1N S I N U TI N et
Bulletin #100 -April 14, 2010 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK (a copy of bid or estimate must be provided)
Indicate how many of each type of fixture 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 (Commerci4
BOILERS FURNACES HOT WATER TANKS
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
. ... ...............
0
B1,21
x
-1 ftl
Indicate how many of each type of fixture to be installed or relocated as part of this project pd.'.-, include existing fuctures to remain,
BATHTUBS (or Tub /shower Combo) LAVS (Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINAL OTHER (Describe)
DRAINS SHOWERS VAC BREAKERS
DRINKING FOUNTAINS SINKS (Kitchen /utility) W ER HEATERS (mcbmic)
... ........... . . . . . . . . . . . . . . . . . . . . . . . .
HOSE BIBBS SUMPS SHING MACHINES > < "``r`-.'`
.
Ew i "m P
mg
W/
..........
CRITICAL AREAS ON PROPERTY?
WATERFURVEYOR
SE PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
PROPOSED
TOTAL
FOR OFFICE USE
$
EX MTMG/PRMOUS USE
LOT SIZE (In Sqmm F t)
EXISTING Fnim SPRINKLER SYSTEM?
PROPOSED FINE SUPPRESSION SYSTEM?
Construction
X-1 'I'll, .. ..... * ..........
❑ Yes ❑ No
❑ Yes ❑ No
.
Ew i "m P
mg
W/
01011111 WIS.
.
WE &--1 . . . . . . . . . . . . . . .
/
F-3ATING
PROPOSED
TOTAL
FOR OFFICE USE
AREA DESCRIPTION fin square feet)
... ...
F
Are
'M%
Construction
X-1 'I'll, .. ..... * ..........
ON
AREA DESCR ION
Occupancy Group(s)
......................
Additional Information
Sstare:a Feet
ware
ge
FIRST FLOOR (or Mobile Home)
. -
.... .... .. ?.
X.
§
..... x:::::::: .. tf
sn ...
.........
ADVTION
COVERED ENTRY
0
I - — -------- V ............
1
0,111 rN
Area
. . . . . . . . . . . . . ... .
.... . ............
........ — . ....... ... .........
AREA#6CRIPTION
Occupancy Groups)
Additional Information
FF
Tye
p
. . I . . . . . . . . . . . .
"OpOl"
TOTAL
Area Totals
...... .....
.. . .... ... .. . ......... . . . . . ...
............ I ............. . ..................
ESTIMATED SELLING JICE $ # OF BEDROOMS
TENANT AREA ONLY
x
W/
..........
E -ggw.
F
Are
Construction
# of
ON
AREA DESCR ION
Occupancy Group(s)
Additional Information
Sstare:a Feet
ware
ge
Stories
. -
.... .... .. ?.
X.
. . ...
..... x:::::::: .. tf
ADVTION
0
I - — -------- V ............
1
0,111 rN
Area
. . . . . . . . . . . . . ... .
.... . ............
........ — . ....... ... .........
AREA#6CRIPTION
Occupancy Groups)
Additional Information
in Square Feet
Tye
p
TENANT AREA ONLY
M—w
Bulletin #100 - April 14, 2010 Page 2 of 3 k:\Handouts\PerrWt Application