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07-104393City of Federal Way Buil'liin - Commercial Perm #: 07- 104393 -00 -CO Community Development Services b Q P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: AUBURN REGIONAL MEDICAL CENTER Project Address: 1413 S 348TH ST Suite L104 Project Description: Add GWB ceiling in (3) areas per plan. Parcel Number: 185295 0090 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 Owner Applicant Contractor Lender OPUS NORTHWEST LLC RYAN RHODES TW VANCE CO. AUBURN REGIONAL MEDICAL 915 118TH AVE SE SUITE 300 SORTUN VOS ARCHITECTS TWVANC *2230M (11/14/06) CENTER INC BELLEVUE WA 98005 1105 N 38TH ST ?513 MARINE VIEW DR S SUITE A 202 N DIVISION Floor Areas . ft. SEATTLE WA 98103 DES MOINES WA 98198 AUBURN WA 98003 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 Existing Sprinkler System in Building? .................Yes Mechanical to be Included? ....r.,..,,... No Number of Stories, ........ ........................................ 1 Permit for Building Shell Only?........ ........ rj,...... No Plumbing to be Included ? ................. .................No New / Additional Sq Feet - Total.......................... 0 No Fixtures Associated With This Permit 11 PERMIT EXPIRES Saturday, August 8, 2009 Permit Issued on Wednesday, August 8, 2007 1 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 aild the City of Federal Way. Owner or agen : Date:_ 11 g O % City of Federal Way 0 Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code 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: AUBURN REGIONAL MEDICAL CENTER Permit #: 07- 104393 -00 -CO Address: 1413 S 348TH ST SuiteL104 Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load Floor Area (s q. ft.) 0 0 1 0 1 0 Name: OPUS A0RTHWEST LLC : 915 A 8TH AVE SE SUITE 300 WA 98005 Bu Date The priority foc s in the review and i sp ction made by the City prior to issuance f is Certificate was on th se matters which experienclinpection shown most severiy ff ct the health and safety of the general p ic. Although the City has ade as complete a review and as is reasons possible (within budgetary time and pe nnel limitations), the City ne her guarantees nor warrants towner/ occupant or t any other person that this Certificate a ences strict complian with ch and every ordinance gulation of the City o he State of Washington affecting the construction or use of said s ctu or the land upon which it is ted. Such complian is the responsibility of the owner and / or occupant of the premises. THIS CARD IS TO &MAIN ON-SITE X Cl _.ommunity Developm nt In Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-104393-00-CO Owner: OPUS NORTHWEST LLC Address: 1413 S 348TH ST Suite L104 FEDERAL WAY, WA 98003 This card is part of your required inspection documents. 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. ❑ Footings/Setback (4110) ❑ Foundation Wall (4115) ❑ Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date ❑ Re-steel (4215) ❑ Slab/Concrete Floor (4255) ❑ Underfloor Framing (4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date ❑ Floor Sheathing (4105) ❑ Shear Walls (4245) ❑ Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date ❑ Fire/Draft Stops (4095) NOTE: Prior to scheduling a Framing (4120) ❑ Framing (4120) Approved inspection; Electrical, Plumbing & Mechanical Approved to insulate Rough-in and Fire/Draft Stop inspections must be signed -off and approved. IBC 109.3.4[UBC 108.5.4 By Date By U-4i Datel o of 8-07 ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape Approved to drop tile By Date Byr Date By Date ❑ Final - Fire Department (4060) ❑ Final - Planning (4070) ❑ Final - Building (4050) Approved Approved Approved By d{j Date /D�l 110 % By Date By 4 -Z—'- 4-1 Date I 21 to 01 For insp ❑ Rough Electrical Approved By Date ctor reference only ❑ FINAL - Electrical Approved By (�2� Date /.,> - q/' �7_ ED cm of FIECF — 1 lJ 4� T Federal way PERMIT commuNrTYDEvELoPmENTSERV1cAUG ® 8. NO SF MF C ME EL PL DE EN FP 33325 BTM AVENUE , WA 9 • PO X9718 LI CATI O N FEDERAL WAY, WA 98063 -9718 253 - 835 -2607• FAX253 -83 OF FEDER BUILDING DEPT. The following is required iT}formation - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY INFORMATION SITE ADDRESS MS S �� ") � ZG+e -- L104- SUITE /UNIT # � U� ASSESSOR'S TAX /PARCEL # 5 q ` - D Q _q_ 0 LOT SIZE (ff) (ss LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) ` gwss (^1 lx it m (Attach separate page for lengthy legal description) TYPE OF PERMIT .-dAUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit oniu) ADD 105W$ Ckni I+milG 1N �3) AREAS P� —P-& PROJECT NAME (Name of Business or Oumer Last Name? IfD1/lM 1�'�► `' PEOPLE •• • PROPERTY OWNER CONTRACTOR COPY of card required with each appllcadon APPLICANT PROJECT CONTACT LENDER N A#A&(A le— NEED IC re-zi -r ( s Y) PHONE 3 - MAILING ADDRESS 202 D CITY, STATE, ZIP qg0� 1 E -MAIL ADDRESS COMPANY NAME TW vwcG APPLICANT NAME q6K UANC, OFFICE PHONE ( (o) 824 -7(7,6 MAILING ADDRESS 5 3 aG V� u ITY, STATE, ZIP fA60*5t, '191'18 CELL PHONE ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER % /06 501 Z3fd? CONTRACTORS REGISTRATION NUMBER - EXPIRATION ATE E -MAIL ADDRESS { 1 w Y 2 It 11410121 -!�«+� vat u• c COMPANY "40-S / + : APPLICANT j� l�'KobeS ( -K.) sfs: - 1100 MAILING ADDRESS �1 � ^ � / \1J CITY. STATE, ZIP � � (ELL PHONE 8 - RELATIONSHIP TO PROJECT Architect ❑ Tenant ,p Agent ❑ Other FAX NUMB/ ER d [j ( ?(vp ) S4S NAME PRIMARY PHONE E -MAIL ADDRESS - DVA Vr� NAME 6w Per RCW 19.27.095: -vor 15 Lender irtforination is required 4f project value exceeds $5,000` • MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE R &MCA" PROPOSED USE r> O FM LE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 0 B 0 SPRINKLERED BUILDING? /LY YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER eLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 1 S LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) t A& A PROJECT ••• AREA DESCRD'TION AREAS EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT MISC (Describe) FIREPLAC SERTS DS' come�ap +A'` FIRST Yvli 4- +4 L FURNACES Ar SECOND REFRIG. SYSTEMS ❑ YES LAVS (Bathmo ) THIRD MISC (Describe) RAINW SYST VAC BREAKERS ADDITIONAL FLOORS (DESCRIBE) S ERS WATER C ETS �rm)et) ❑ YES ❑ NO DECK (❑ COVERED OR ❑ UNCOVERED ?) WASHING MAC NES ❑ YES ❑ NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EAIS'I'Ifi[i P110- TOTAL TOTAL E131MIl SF TOTAL PI 18"EV SF TOTAL SP "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $_ AIR HANDLING UNITS BBQS BOILERS COMPRESSORS DUCTS BATHTUBS )or Tub /Shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) EV RATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES FANS GAS W HEATERS MISC (Describe) FIREPLAC SERTS DS' come�ap ❑ YES FURNACES GES GAS LOG SETS REFRIG. SYSTEMS ❑ YES LAVS (Bathmo ) RINALS MISC (Describe) RAINW SYST VAC BREAKERS ❑ YES S ERS WATER C ETS �rm)et) ❑ YES ❑ NO SINKS WASHING MAC NES ❑ YES SUMPS I certVy 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 clainy, 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. _ DATE NAME/ 81 / RELATIONSHIP TO PROJECT ❑ Owner Agent El Contractor ❑ Architect `O " u . n{ ❑ NEW ❑ ADDITION o ALTERATION ❑ REPAIR ❑ TENANT IIOIPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? ❑ YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? ❑ YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 — April 2, 2007 Page 2 of 4 k\Handouts\Permit Application