12-100230 Building - Commercial
City of Federal Way • `
Community&Econ.Dev.Services , + Permit #: 12-100230-00-CO
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line. (253)835-3050
Project Name: WASHINGTON PARK- SUITE 209/211
Project Address: 33801 1ST WAY S Parcel Number: 926504 0160
Project Description: TI-Interior remodel including construction of a partition wall and adding sink. No
mechanical.
Owner Applicant Contractor Lender
WASHINGTON PARK SUPERIOR BUILDERS INC SUPERIOR BUILDERS INC WASHINGTON PARK
33801 1ST AVE S PO BOX 1849 SUPERBII 12D2(3/4/12) 33801 1ST AVE S
FEDERAL WAY WA 98023 MILTON WA 98354-1849 PO BOX 1849 FEDERAL WAY WA 98023
MILTON WA 98354-1849
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 647 0 0 0
Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0
Zoning Designation OP
u'i\ L ff, ,s/'` yk�\ q 1,
Sinks 1
PERMIT EXPIRES Sunday, July 15, 2012
Permit Issued on Tuesday, January 17, 2012
I hereby certify that the abo e information is •rrect . d that the construction on the above described property and
the occupancy and th- u'' will be in accor•=nce h the laws, rules and regulations of the State of Washington
d th: Ci = Fe.- - — .
Owner or agent: , r " �/�' Date: / /7 o/2
/1 /
0 16)(ctA FINfriLei> Z/X/12.
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DATE INSPECTOR AREA AND TYPE 0 NSPECTION
THIS CARD IS TO EMAIN ON-SITE
CITY OF - "*""'.6 f Construction I ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT #: 12-100230-00-CO Address: 33801 1ST WAY S
Project: WASHINGTON PARK FEDERAL WAY, WA 98003-4546-
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.
El SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) El Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
El Re-steel (4215) 0 Plumbing Groundwork(4190) El Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
O Underfloor Framing(4285) 0 Floor Sheathing(4105) EJ Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By F6.1 Date j-c, --62.
Id 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-off and
By Date By Date approved. IBC 109.3.4
i
O Framing(4120) Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard. Approved to install mud&tape
By `r�C Date /-'09,0 ,/2_, By ' Date By j�?0 Date /- -/
l
O Suspended Ceiling Grid(4265) 0 Fina —Fire Department(4060) 0 / Final-Planning
Approved to drop tile Approved Approved
By Date By le Date Z/i 7/j By Date
0 Final Erosion Control (4375) El Final-Plumbing(4075) El Final-Building(4050)
Approved Approved Appre red
By Date By p‘...,fr"
Date G 2- (a By fji Date 2-Z -- /2,
v
Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
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COMMUNITYDEVEIAPMENT SERVICE�� OLI CATI O N g
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253-835-2607•FAX 253-835-2609 041111.
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wwwcituoffederalwau.com
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SITE ADDRESS Cj� SUITE/UNIT#
33801 1st Way S., Federal Way, WA 98003 Suite #211
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$8,200.55 2 _2_ _6_ -5_ Q _4_ - Q _L ±
TYPE OF PERMIT N BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT
(Tenant Name/Homeowner Last Name) Pacific Nephrology Associates P.S.
Add sink and build in wall to recreate (2) separate suites.
PROJECT DESCRIPTION
Detailed description of work to
be indnrind on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER John E. Niemeyer (253) 779-2414
MAILING ADDRESS E-MAIL
15 82nd Dr., #210 hb or oksAneilwalter.com
CITY STATE ZIP
Gladstone OR 97027
Superior Builders, Inc. PHONE25 ) 573-1698
MAILING ADDRESS
E-MAIL
P.O. Box 1849 jms@superiorbuilders.org
CITY STATE ZIP FAX
Milton WA 98354 (253) 573-1797
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SUPERBI112D2 3 / 4 2013 20-00-101346-00-BL
S
NAME
Builders, Inc. PHONE53 ) 573-1698
APPLICANT MAILING ADDRESS E-MAIL
P.O. Box 1849 ,jms(a),superiorbuilders.org_
CITY STATE ZIP FAX
Milton WA 98354 (253) 573-1797
PROJECT CONTACT NAME PHONE
(The individual to receive and John Schweitzer (253) 224-4384
respond to all correspondence MAILING ADDRESS E-MAIL
concerning this application) P.O. Box 1849 ims@superiorbuilders.org
CITY ZIP FAX
Milton STATEWA98354 (253) 573-1797
ALTERNATE CONTACT NAME: PHONE E-MAIL
Jeff Schweitzer (253)222-0713 ieffs(&,superiorbuilders.org
PROJECT FINANCING NAME
M/a OWNER-FINANCED
Required value of$5,000 or more 17/
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP 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.
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,
but only where such clai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied t city as a part of this a ilcation.
SIGNATURE: ST L ! DATE
0 7/310/?—
PRINT NAME: Se i r Sc 4,44 I i--�yP i
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application
' • •
VALUE OF MECHANICAL WORK $ 0.00 (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(Commercial)
BOILERS FURNACES HOT WATER TANKS(Cas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
\fie ,, \y� - \� / ,' \ ��\;;;y \''�a���� ° .. \\ /-
Indicate how many of each type offudure to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 1 TOTAL FIXTURES
`„' E`RARMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
NO Lakehaven Lakehaven $ 19,005,300.00
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Office 110,207 SF Yes 0 No ❑Yes X No
,,,;;;;Al_.
, ENTIAL A OR ADDIT
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
i
BAS \
FIRST FLOOR(or Mobile Home)
iO OR
COVERED ENTRY
22
DECi{ a?`
GARAGE ❑ CARPORT ❑
OTHER(desk
EXISTING PROPOSED TOTAL
Area Totals
**NE ►HOMES ONLI"'•
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
e`NsW BUILDING ‘k
ADDITION
CE?M[MRCIAL"" �t)DL `E1PA " , ,> ,
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
TOTAL Burustfis,= ,, \\\c`\\c\\
TENANT AREA ONLY
ONLY , 64 q\ ,„ i" N
Bulletin#100-January 1,2011 Page 2 of 3 k:\Handouts\Permit Application