06-106118�1a�0
City of Federal Way
Community Development Services Butting - Co cial Perm #: 06- 106118 -00 -CO
P.O. Box 9718 a
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 + e Inspection Request Line: (253) 835 -3050
Project Name: AUBURN REGIONAL MEDICAL CENTER
Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090
Project Description: INITIAL TI - Interior improvements for tenant space including partition walls to create
office, exam and other spaces. NO plumbing or mechanical.
Census Category: 437 - Commercial alt / add / conversion
Includes: I # 1 I #2 I #3 I #4
Occunancv Class: I B
0 1 0
No Fixtures Associated With This Permit H
PERMIT EXPIRES Monday, December 1, 2008
Permit Issued on Friday, December 1, 2006
I 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 accord cff the laws, rules and regulations of the State of Washington
an th of Federal Way.
Owner or ag - Date:
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 2(
202 N DIVISION
SEATTLE WA 98103
DES MOINES WA 98198
AUBURN WA 98003
Census Category: 437 - Commercial alt / add / conversion
Includes: I # 1 I #2 I #3 I #4
Occunancv Class: I B
0 1 0
No Fixtures Associated With This Permit H
PERMIT EXPIRES Monday, December 1, 2008
Permit Issued on Friday, December 1, 2006
I 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 accord cff the laws, rules and regulations of the State of Washington
an th of Federal Way.
Owner or ag - Date:
City of Federal Way
'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 #: 06- 106118 -00 -CO
Address: 1413 S 348TH ST SuiteL104
Includes:
#1
#2
#3
94
Occupancy Class:
B
Construction Type:
Type III - B
Occupancy Load:
Floor Area (sq. ft.)
3,829
0
0
0
Owner Name: OPUS NORTHWEST LLC
Owner Address: OPUS NORTHWEST LLC
915 118TH AVE SE SUITE 300
BELLEVUE WA 98005
Date
The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which
experience has shown most sevedy 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.
THIS CART} IS TO MAIN ON -SITE
CITY OF fommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 106118 -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)
❑
Re -steel (4215)
❑
Slab /Concrete Floor (4255)
Approved to place concrete
Approved to place concrete or grout
Approved to place concrete
By Date
By
Date
By
Date
❑
❑ Underfloor Framing (4285)
❑
Floor Sheathing (4105)
Fire/Draft Stops (4095)
Approved to sheath floor
Approved to install flooring
Approved
By Date
By
Date
By
Date
❑
NOTE: Prior to scheduling a Framing (4120)
❑
Framing (4120)
Insulation (4150)
inspection; Electrical, Plumbing & Mechanical
Approved te, insulate
Ap},oved to insiull wallbo:,rd
Rough -in and Fire/Draft Stop inspections must be
signed -off and approved. IBC 109.3.4/UBC 108.5.4
By
4;- Date 3—!J-07,
By
Date
❑ Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
❑
Final - Fire Department (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By C- Date 3.1 Z. 07
By
c ,.% Date
By
Date ,
❑ Final - Planning (4070)
❑
Final - Building (4050)
Approved
Approved
By Date
By
Cl_ Li Date 3?.
CITY OF
Fedelal Way BECE114ED PERMIT
COMMUNITY DEVELOPMENT SERVICES
33325 FAX 253-835-2609 7DEC o 1 AP P LI CATI O N
FEDERAL WAY, WA 98063 -9718
toula'xituoffk1eralvau. mm
The followinq is
SF Q
will not be accepted. Please
-0 60 -41-1—f
EL PL DE EN FP
or
SITE ADDRESS ' S 'I -t 4T• ,
� A SUITE /UNIT # _
ASSESSOR'S TAX /PARCEL # J- 5-- - D l D LOT SIZE (sfJ
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal description)
PROJECT INFORMATION
TYPE OF PERMIT [FtUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
J'P,14 AM (MP" JAc MA5 hM 61L, 7 6 2 9 SF R R—
PROJECT NAME (Name of Business or Owner Last Name) ftkkPq KC-Wbol A: L. OM IC*L LF'AL of g.
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
PEOPLE INFORMATION
NAME PRIMARY PHONE
Tlu+Af l�- -FAD L, Wtd etbssrrlts a + Fimh- fEe- wry (92s � q67 'L l5
MAILING ADDRESS t� CITY, STATE, ZIP
OP�,S - %'5I 0 GF e'�t 7& rE" k3 6 u
FNAME PRIMARY PONE E-MAIL
jL-fAjq {`• "� D CS (Lot.) Hr4S_ 9 l Da i Ia iIDRESS �lrt
PAO%7 u�
Per I R9W 19. 7.095< nder {►}f rmvii on is
required if, value exceeds $5,000
NAME
Am>LLW ;�f ktb r4 A" L.
MAILING ADDRESS
CITY, STATE, ZIP
64PfA
PHONE
I ( u- 33 7 - 2s
v I S 1 e
I
EXISTING USE DFFkUG PROPOSED USE OF'KtE
EXISTING ASSESSED /APPRAISED VALUE $ N IN VALUE OF PROPOSED WORK $ �1�O 0000
SPRINKLERED BUILDING? AYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER )( LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER VLAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
� t
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
-
FIRST
EVAPORATIVE COOLERS
GAS LOG
a
SECOND
FANS
GODS (commerelall
WOODSTOVES
THIRD
FIREPLACE INSE
RANGES
MISC (Describe)
FOURTH
GAS WATER HEATERS
ADDITIONAL FLOORS (DESCRIBE)
S PIPE OUTL S--
DECK (COVERED ?)
GARAGE ❑ CARPORT ❑
SHOWERS
WATER CLOSE'T'S mica)
MISC (Describe)
NUMBER OF FLOORS
EMSMG
PROPOSED
TOTAL
'
TOTAL IE -i=G W
TOTAL PROPOSED SF,
TOTAL SF -.
* *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
$EpMiRk<<
Value of Mechanical Work $
-
AIR HANDL G UNITS
EVAPORATIVE COOLERS
GAS LOG
REFRIG. SYSTEMS
BBQS
FANS
GODS (commerelall
WOODSTOVES
BOILERS
FIREPLACE INSE
RANGES
MISC (Describe)
COMPRESSORS
GAS WATER HEATERS
DUCTS
S PIPE OUTL S--
PLUMBING
BATHTUBS (or T4b /s r combo)
SHOWERS
WATER CLOSE'T'S mica)
MISC (Describe)
DISHWASHE
SINKS
DRINKING FOUNTAINS
GAS PIP ETS
SUMPS
RAINWATER SYST
W NG MACHINES
URINALS
HOSE BIBBS
VS (Bathroom Sirdosl
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I certify under penalty of perjury that the irtformation 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 claim), 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.
NAME /TITLE DATE
ignature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner Agent ❑ Contractor ❑ Architect ❑ Other
Bulletin #100 - January 1, 2006 Page 2 of 4 k\Handouts\Permit Application