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12-102742 ", Building - Commert iah Cityof&FEcon alD Way Permit #: 12-102742-00-Ca Communitycon. ev.Services 33325 8th Ave S Federal Way,WA 98003 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: DIGESTIVE HEALTH SPECIALISTS Project Address: 33915 1ST WAY S Unit 200 Parcel Number: 926504 0150 Project Description: TI Tenant improvement work to include demo of partition walls,construct new partition walls&doors.Plumbing and electrical on separate permits. Owner Applicant Contractor Lender CUNA MUTUAL INVESTMENT ERIN G00DELL S D DEACON CORP OF DIGESTIVE HEALTH SERVICES 5910 MINERAL PT RD MARVIN STEIN&ASSOCIATES WASHINGTON 34503 9TH AVE UNIT 130 MADISION WI 53705 LLC SDDEACW 108NT(6/20/14) FEDERAL WAY WA 98003 2221 5TH AVE 2375 130TH NE SUITE 200 SEATTLE WA 98121 BELLEVUE WA 98009 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.) 4,785 0 0 0 Additional Permit information Existing Sprinkler System in Building? Yes Mechanical to be Included? No Number of Stories. 2 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1-Use Professional Zoning Designation. OP Services/Offices No Fixtures Associated With This Permit!l PERMIT EXPIRES Tuesday, February 12, 2013 Permit Issued on Thursday,August 16, 2012 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 accordance with the laws, rules and regulations of the State of Washington the City of Federal Way. Owner or agent: /71.,71Date: 6 " 2 1tti/ LWb 10 t$ ttr 01N�,riv ir 4 h s 0 • City of Federal Way a 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: DIGESTIVE HEALTH SPECIALISTS Permit#: 12-102742-00-CO Address: 33915 1ST WAY S Unit200 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type II-B Occupancy Load: Floor Area(sq.ft.) 4,785 0 0 0 Owner Name: CUNA MUTUAL INVESTMENT Owner Address: 5910 MINERAL PT RD MADISION WI 53705 A4,-A47/47 -__ /ly ` er L€cr •,B . l�'��/4 ci BffDate 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 seventy 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. t "; i ' t f *I 11i aim4 ; THIS CARD IS TO MAIN ON-SITE , ' . ` •carr of CITY OF l '¢JVa " Construction In ection Record FINSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-102742-00-CO Address: 33915 1ST WAY S Unit 200 Project: CUNA MUTUAL INVESTMENT 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. 0 Footings/Setback(4110) El Re-steel(4215) El Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete By Date By Date By Date El Underfloor Framing(4285) El Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date . Prior to scheduling a Framing inspection; Framing(4120) El Insulation(4150) Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed-off and / approved. IBC 109.3.4 BycS6 Date—Z.---/Z 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 Ci •• Date 9— 7.,/ By Date _,�_t i By Ha_ Date / V/7//_Z 0 Final-Planning 0 Final-Building(4050) Approved Approved By Date By fki Date /8-4-17.s ❑ Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date crcroF41111 RECEIVE "I 0 Z � Federal Way EPERMIT MF \ O ME PL DE EN FP , JI PPLICATION COMMUNITY DEVELOPMENT SERVICESS 253-835-2607•FAX 253-835-2609 L 3 4 7 www.calloffrdeml"ep,n,OF FEDERAL WAY CDS SITE ADDRESS SUITE/UNIT# 33915 1 i'-r 1......14, S c tTt4 , F'.E.©EIZh.L- v.-..1,4,.( , 10-14. 98CY D 3 z.:=C) PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ n_ 2 (a c) 4- - © 1 S.) TYPE OF PERMIT Es BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT (Tenant Name/Homeowner Last Name) T� .= -r IN/e_ ..1.4 ,4%.1_1-1.4 S1.e.c 1 1 TS. PROJECT DESCRIPTION A IMPS. 1 t- 'fid --1-14?- /JD FL L i Ne-W,/6 rv✓ Detailed description of work to GO( 5t,/ if(1 U. /A'1, IVA t1/47t 4i - Ar P' S 1 yodlet. 3(4-_. wolf lA be included on this permit only tI , Nr-1-1 Wei p ) S , p t. r,�3, C V W } .Ft N`g MR% NAME PRIMARY PHONE PROPERTY OWNER Lj..t -V R-i-D E,STF_Pi4E.el C. 2E.Y ' Amoc YJ. IC,so. MAILING ADDRESS E-MAIL ZCn 33 E4sTi,&a<.E &ve. , SuITE C LY 4'i-12_616 Scm.a..ccM CITY STATE ZIPI( Sss.w�.. . 1 1.& 9esl D2 2e3(4,. 32S. 1 c 251 NAME PHONE TEZ MAILING ADDRESS / • E-MAIL CONTRACTOR r CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PHONE ►c✓ G L,44-1. I44 t APPLICANT MAILING ADDRESS E-MAIL 2221 Fir-n-4-4 AvE. CITY STATE ZIP FAX SF- s.Tiz—E V-.1•4. q8t zl 2,c)(.0.444. 4-3c.° 1 PROJECT CONTACT NAME PHONE (The individual to receive and 97-I1"-1_ (--:)(:::C)" 3-1-, t- .2vn•t.. STEI*4-AS x-. ?.=0to.441. 1449 respond to all correspondence MAILING ADDRESS E-MAIL concerning this application) 2.22-1 Ft-i)-4 4.v'e.. E6,000JE L 1''t4.R-Y'tstSTIc►1.1 CITY STATE ZIP FAX 2N SF/t'irt-.. 1,1.4s._ 981 Z 1 2,csto.444 •4-3c12 l ALTERNATE CONTACT NAME: PHONE E-MAIL GK LVT4 VlooYsi•V ti (7.10 I. (41'1 G.IIa1-07/4 ilitli _At.171Cl iv,;Gv`^ PROJECT FINANCING NAME b 1 G 1 T Wei L 144 (1-154 SI (� ) 2 OWNER-FINANCED Required value of$5,000 or more v�s (RCW 19.27.095) MAILING ADDRESS,CITY,STATE.ZIP ° PHONE )i'S03 crri. A'X S SSV i3o Fo. 1)7/ /A 1Qac3 25-3 • $37• tg34 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 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. 6 SIGNATURE: Cam DATE DATE • I s , 11-- PRINT 1PRINT NAME: N Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Permit Application • 0 A. *fy� 'l . .-mak/ w. 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 rt of this project. Do not include existing futures to remain. AIR HANDLING UNITS FANS �/GAS PIPE OUTLI:IS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOO► (Commercial) BOILERS FURNACES HG TANKS(Cas) COMPRESSORS GAS LOG SETS �( S RIGERATION SYST DUCTING GAS PIPING , \ O DSTOVES 7, Indicate how many of each type of future to s- installed or =".!r'i�..' as part of this project. Do not include existing fixtures to remain. BATHTUBS or Tub/Shower Combo) _— LAVS(Hand Sinks) TOILETS WATER PIPING - DRAINS SHOWERS DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) VACUUM BREAKERS DRINKING FOUNTAINS i' _ SINKS(Kitchen/utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES TI ,` Illegalli d CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS N ° w> L(;' (2 . $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? 13 p g Yes ❑ No ❑Yes X No AREA DESCRIPTION(in square feet) EXISTING PROPOSEiltv,.4, TOTAL......- 'OR OFFICE USEd i i ifi%,^�r t •;.:, ''K z ;a /,W wy.-.- . —10:440116M, ri .,.,, ..>, ,Om F•• .�x r.. :.�$ FIRST FLOOR(or Mobile Home) % „(/':;;,'::':';''':::4,.;':'::':' g� ,E14140114111111111„„Ly/ / / �� ✓/� COVERED ENTRY S1. ar $$$,,3$,$$$$$$3A,,,,„:,3„,::„.„;..„,„,„///' ' \ ,. GARAGE ❑ CARPORT ❑ EXISTINGliAillfiii":44,f, fitil'Obridazi ., T1 '''10:iii A:44111,4,4 PROPOSED TOTAL Area Totals M --lititrmFrei:71111NEEr,' ammomptET- ESTIMATED SELLING PRICE$ #OF BEDROOMS % i" '. ./ •'' 1_4./ �$ '" �iii,. �, a =V AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information in Squ a Fee Type Stories ADDITION ee AREA DESCRIPTION `mea Occupancy Group(s) Construction #of Additional Information In Square Feet Type ;�` s` ®� � � � � is � // Sto es� s TENANT AREA ONLY 4)17�- fr- % rf / '�• _ v v LTi --�✓/o' /�i /'� rao r iii -%! , . ,., ...,...-:: ,:. �,, or i:..:? ,.•, '. ,.,�i ..� i ✓,� ..:.�,% % �%"i- ,'. 3 �/i„ .fit -..� �, Bulletin#100—January 1,2011 Page 2 of 3 k:\Handouts\Permit Application