15-101299 Building- Commercial
Comm C &Econ�Way
Services Permit #: 15-101299-00-CO
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 q (25
FiLE
3)835-3050
Project Name: PACIFIC MEDICAL CENTER
Project Address: 31833 GATEWAY CTR BLVD S Parcel Number 092104 9137
Project Description: TI-Remodel for medical clinic,including replacement of(5)rooftop units. Includes
plumbing& mechanical.
Owner Applicant Contractor Lender
ANS LLC SCOTT RICE SWINERTON BUILDERS
PO BOX 1941 COLLINS WOERMAN SWINEB*992DR(12/28/16)
AUBURN WA 98071-1941 710 2ND AVE SUITE 1400 14432 SE EASTGATE WAY
SEATTLE WA 98104-1710 BELLEVUE WA 98007
Census Category: 435-Residential alt/add-decrease in number of units
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 6,405 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? No Mechanical to be Included'? Yes
Plumbing Work Valuation 109000 Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Professional
Services/Offices
Zoning Designation CC-C
Mechanical Fixtures
Air Handling Units. 3 Fans 2 Refrigeration Systems. 1
Roof Top Units 1
PERMIT EXPIRES Monday, October 26, 2015
Permit Issued on Wednesday, April 29, 2015
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
d the City of Federal Way.
Owner or agent: — f-- Date:
%Ikt
A�-
0 • 0. .--'' '-vi-iri'-4'N'N'
Ci of Federal Way
y
Certificate of Occupancy
This Certificate issued pursuant to the requirements of S 11 Y htnternational Building Code certifying that
at the time of issuance, this structure was in compliancemilkalleVanus ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
Tenant Name: PACIFIC MEDICAL CENTER Permit#: 15-101299-00-CO
Address: 31833 GATEWAY CTR BLVD S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 6,405 0 0 0
Owner Name: ANS LLC
Owner Address: PO BOX 1941
AUBURN WA 98071-1941
?il lid lc-
Building Official 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 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. l
J
w
DATE. INSPECTOR AREA AND TYPE C. INSPECTION
5— if— 1 S e
Pci, S e f-twl4 b. 14 8312 NOT -S
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5-114)I%s ? Faun,. NAM,– AM wwus rxcur1- X–R-e o►st.
a ! THIS CARD IS TOOMAIN ON-SITE . ,
CITY OF 4A Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 15-101299-00-CO Address: 31833 GATEWAY CTR BLVD S
Project: ANS LLC FEDERAL WAY, WA 98003-5420
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 SWM Precon Site Mtg(4400) 0 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) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
El Underfloor Framing(4285) [3 Floor Sheathing(4105) 0 Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
ID Mechanical Rough-in(4165) El Gas Piping(4125) [3 Fire/Draft Stops(4095) '
Approved Se,,(or,,GTia... Approved to release test Approved
41-
By fly_ Date(p 3o-15" 4o. By Date By Date
Prior to scheduling a Framing inspection;
O Interim Erosion Control(4370) Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 1093.4 ByQ Date fs_cZ,-,1�
❑ Insulation (4150) El Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By C > Date `e.2–.is By Date c t—l 1 S
\ Final-S K F&R(4060) '0 Final-Planning El Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
4 Final-Mechanical(4065) 0 Final-Plumbing • i jRI Final-Building(4050)
Approved •'roved Approved
By (/ Date 1 ('z., ( .4- By Date By I' Date
O Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
Y.
Y.
O` Nc° PERMIISAPPLICATION
CITY OF��?. .
Federal�Way MAR 1 7 2015
ei
CITY OF FEDERAL WAY 12
4°
PERMIT NUMBER 1 5_ / 0
�DS� 9j 9 _ c O _ / 5•'�
(f / TARGET DATE ((
I SITE ADDRESS SUITE/UNIT#
183- Gateway Center Blvd. Federal Way
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 850, 000 . 00 CC—C 0 9 2 1 0 4 _ 9 1 3 7
TYPE OF PERMIT [BUILDING N 'LUMBING 110 "ECHANICAL 0 DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Pacific Medical Center — Federal Way Clinic
6405 s . f . remodel of existing space to new medical
PROJECT DESCRIPTION outpatient clinic with imaging suite
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE 1
PROPERTY OWNER A.,45
MAILING ADDRESS E-MAIL
'2,1 . 3 = &F .WP'-( C,eu►t'Q. 'uJI). S•
CITY STATE ZIP
:" a4tMaA► _AJ W'P► al.500.5
NE
Nswinerton Builders P425 . 283 . 5290
Mq�LI,}'iS'r(11�.pRE Eastgate Way, Suite 230 nvovakes@swinerto . c
CONTRACTOR l/��} j
Orgellevue STATE
ZIP FAX
FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
Pacific Medical Center 206 . 621 . 4422
APPLICANT MAILING ADDRESS E-MAIL
1200-2nd Ave . S . ianf@pacmed. org
CITY STATE ZIP FAX
c -,4-* 1 r,,T C1 R 1 Ll
NAME PRIMARY PHONE
PROJECT CONTACT CollinsWoerman — Scott Rice 206 . 245 . 2071
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 710 2nd Ave . Ste . 1400 Srice@coilinSWOerrr.ar
concerning this application) CITY
e at t 1 e SAE ZIP FAX
98104
NAME
PROJECT FINANCING 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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.
SIGNATURE: --- - DATE d 3 •1'i•15
PRINT NAME: SCO t 1.C e
Bulletin#100-January 1,2013 i',;e 1 of 3 k:AHandow:.'i . ..it Application
•
V E OF MEC ICAL WORK
MECHANICAL PERMIT 010 0
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.
.3 AIR HANDLING UNITS 2 FANS GAS PIPE OUTLETS OTHER(Describe)
1 AIR CONDITIONER FIREPLACE INSERTS HOODS(commec(a()
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS 1 REFRIGERATION SYST
DUCTING 3 GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 10 b
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fatures to remain.
BATHTUBS(or Tub/Shower Combo) 10 LAVS(Rana sinks) f"( TOILETS WATER PIPING
I DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
1 DRINKING FOUNTAINS 1 SINKS(Kitchen/utility) 1 WATER HEATERS(Electr(c)
HOSE BIBBS SUMPS WASHING MACHINES 2.a TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
No $
EXISTING/PREVIOUS USE LOT SIZE IIn Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Vacant ❑ Yes CK No ❑ Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
k BASEMENT 5
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
f1THRR,T'rt r a 1F- :q:<':-'1:', i
EXISTING .::PROPOSED TOTAL
Area Totals **
*NEW HOMES ONLY
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet a Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
AreaConstructionGroup(s) Construction # of Additional Information
in Square FeetType Stories
TOTAL BUILDING 16,868 Varies unknown 1..
j TENANT AREA ONLY 6,405 B unknown 1
PROJECT AREA ONLY
Bulletin#100--January 1. 2013 Page 2 of 3 k:AHandouts\Permit Application