09-100990 •
- 0 OBuilding - Commercial
8City of Federal Way .{{.{{
Community Development Services Permit tt. 09- 00990-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718 Insection Re uest Line: (253) 835-3050
Ph:(253)835-2607 Fax(253)835-2609 p Q
Project Name: NATURAL HEALTH CENTER
Project Address: 33650 6TH AVE S SUITE 100 Parcel Number: 926480 0210
Project Description: TI-Interior remodel of an existing space,minor soft demo,new restrooms and
ducts/diffuser work.Plumbing and Mechanical included.
Owner Applicant Contractor Lender
SUNLIFE ASSURANCE CO OF MIKE HOVLAND SAFFLE COMPANY SUNLIFE ASSURANCE CO OF
CANADA MIKE HOVLAND ARCHITECT SAFFLC*001P1(10/21/2010) CANADA
121 SW MORRISON ST SUITE 200 900 MERIDIAN AVE E UNIT 408 7350 CIRQUE DR 121 SW MORRISON ST SUITE 200
PORTLAND OR 98101 MILTON WA 98354 TACOMA WA 98457 PORTLAND OR 98101
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 63
Floor Area(sq.ft.) 6,326 0 0 0
New/Additional Sq.Feet- 1st Floor... 0 New/Additional Sq.Feet-2nd Floor 0
Existing Sprinkler System in Building? Yes New/Additional Sq.Feet-Garage 0
Mechanical to be Included9 Yes Number of Stories 2
Permit for Building Shell Only9 No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional
Services/Offices
Zoning Designation OP
al echanl t res ,/ " `�` yu -* �,
,_,.. , .„ ..�.�., ...„,:,-k,-,',,-,;r.,. 3 ,,.i ..,.� i'''''.'''',144,.--.-,-:?> R...x .rte\ k .>%m.' n.., a sd,3 s. a., r .. �o k„�x.. k.r3�, s.., ..�. �t.. r.,r, x... ..,s
S
Ducting 1 Fans 5
�,,...."'.71.V";/, i* .aa�r,a, Ah ,�e ��i °t`.. ,rti,., t.�`�` �:t�wy�. .... ,�'` .� �":�L.�. .. � „. .. .�,�.,'. ^..y ., .. .,��.
Laundry Washer Outlets 3 Lavatories 6 Sinks 1
Water Closets 2
PERMIT EXPIRES Tuesday, September 29, 2009 .
Permit Issued on Thursday, April 2, 2009
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
2 c---- and th pity of Federal Way.
Owner or agent: //' Date: --'� 1' C'' 0 1
r
FINALEDp co—(2--01 aks
CU /� -,.-6 AliNwr eI
C of 0 s• ; D474-4._) . II 4cU.E 0/1Z/Off -
City of Federal Way' ' S . •
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: NATURAL HEALTH CENTER Permit#: 09-100990-00-CO
Address: 33650 6TH AVE S SUITE100
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 63
Floor Area(sq.ft.) 6,326 0 0 0
Owner Name: SUNLIFE ASSURANCE CO OF CANA
Owner Address: 121 SW MORRISON ST SUITE 200
PORTLAND OR 98101
'D..12 L-
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 severly 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.
Ix
DATE INSPECTOR AREA AND TYPE OF INSPECTION
W-C,14,) )P (
_ If&'-IJ Itol'y
THIS CARD IS T( OEMAIN ON-SITE
CITY OF ommunity Development Inspection Rec•ord
FederaIWay IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100990-00-CO
Owner: SUNLIFE ASSURANCE CO OF CANADA
Address: 33650 6TH AVE S SUITE 100
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.
ElFootings/Setback(4110) ElRe-steel (4215) •❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to.place concrete or grout Approved to cover
By Date By Date By Date
- 0 Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
•
❑ Rough Plumbing(4230) ❑ Mechanical Rough-in (4165) El Gas Piping(4125)
Approved Approved Approved to release test
By (, ..) Dat f.t_pq G S Date 5--5=c ) By Date .
El Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) El Framing(4120)
Approved inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be ':
By Date signed off and approved. IBC 109.3.4/UBC 108.5.4 5 Date
❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
ByDate . ByDate By '17
Date . �5 g9� � ��g-� 5/ /
❑ Final-Fire Department(4060) ❑ • Final-Planning(4070) ❑ Final-Mechanical(4065)
Approved Approved Approved
By Date By Date 113, 1"--6S Date b- 7,-C 1
❑ Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved
B'5 Date k Z,-61 BC( ' Date ko-(7
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For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By C.41/4).... Date 1a S—8,
, , ':, :n„ RECEIVED 0 . 1 ci 0
Federal way PERMIT
C IMUNI1YDEVELOPMENTSERVICES MAR 1 6 2009 SF MF ME EL PL DE EN FP
33325 8,8FEDERAL
WA ,WA 9•PO BO971 9718 �P , ATI O N
FELIERAL WAY,WA 980&3-9718 1� / 30 /0?09
253.835-2607•FAX 253,✓T3$ -y�,.�
wwwcif ofiederalu °i � (�, ��'^
The following is required L1ioi itiIijt-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION d
SITE ADDRESS '3 3C.. c. 6,-1-L, t. so. Ste' I'S 1 .: SUITE/UNIT# 1 tp D
ASSESSOR'S TAX/PARCEL# ` 2' D - O Z VLOT SIZE(sj) 8 �i I c-
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page.for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT 12(BUILD4NG X'PLUMBING MECHANICAL
ll3 DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onluj
TI<1-0,..-NT Il`rtm.r'J1Ej.AkNT TD -)NCc iiOf /it fru oa-a6m0(.cm0A.)f /4E4 c s-r2. ar)
Bi Ste"(to-N.- of-T.-Lc LS 'Tr-,....c. Tams}}-l"I`Ace-It-55c AL VC 1 s {12-*f t fr( of C C-4• - i L f. ,
p
t-f•-• NC-ref/40 p't1E wr o1 A?Vs i'C1 (-i 4.0-1- r i v iv/ S 1 f 7 c,6 A»C. BF r-(Y-& At./ , Pw4)
etil%3O1 /I,(,e,0.9 0!'' fl4(s7'C, fiR-i - QPp,JK4t(c. Sic511'c ,
PROJECT NAME(Name of Business or Owner Last Name) ielsi 441 l 1"( • rat- NI L At...- - opar*,R-1 1.(..,G.
• PEOPLE INFORMATION
hot 04(41 ' Siva k) r
PROPERTY NAME PRIMARY PHONE
OWNER 5u 4 L-I Fly •A x i2 Alin-rt C. •,,-f- C✓),N( ' (14g•) ( 2`4. ) 5$l - 1:',¢0 PNP.
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 614g
J 21 SW rtogfI5a,u S-114er ("a ) 62°A ('101 OIL vl°l-A÷‘)
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
SH E C.owYPA (253) 5`5-04 Si
NG ADDRESS p CITY,STATE,ZIP CELL PHONE
3 G 17`Cci''t i)�/ll� w (.:1n) Jam?I &4( �' ( PINE
OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIliATION DATE FAX NUMBER
bk,- / 0 3 7 Sla -r)® ( L ( 1 o t (2 53) 5(..i. - 152f
014'
MOWS REGISTRATION NUMBER TION DATE E-MAIL ADDRESS
��✓ SArfrl. c * 0° 1 (1 i ( 21 /l
r
APPLI -- COMPANY NAME APPLICANT NAME OFFICE PHONE
A4%Ctildtce 'Iovc.y/,a0 / Agctirlicrr (253 ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(-4 53)-137 - w'15
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT PRIMARY REQ
CONTACT
NAMEMi Ci-j1?(1 (-- (-4a Jc-A& (53)xo?3 7- 8 775- IrIcssi kV'G1.,t Q c s-wc k5 i. et 4
LENDER NAME Per RCW 19.27.095:
rlN/tN P KIP`f bwhst Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
in DE-'AILED BUILDING INFORMATION
EXISTING USE v?-f -E-- PROPOSED USE "f"tL'E•,
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 3 oo, a 0 6
SPRINKLERED BUILDING? X YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES Xl NO
WATER SERVICE PROVIDER seLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER y'LAKEHAVEN ❑HIGHLINE ❑ PRIVATE(SEPTIC)
•
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT 3 UCz'v NO C./IAA/Gee 3 C.
FIRST
�t w -r ,) arm( `� &5 2C. 4.324
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
1/A
DECK(❑COVERED OR ❑UNCOVERED?) N/A
GARAGE 0 CARPORT 0 I<//A
NUMBER OF FLOORS PROPOSED TOTAL �ws oar rorw�nswSF Y� TOTAL SF 4
is/0 c r6AE 3
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II FIXTURES
Indicate number of each type offixture fixture to be installed or relocated as part of this project. Do not incli'dp existing fixtures to remain.
MECHANICAL
Valle of Mechanical Work$ g 0 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS > 4 FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
I DUCIb GAS LOG SElb REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) 6, LAVS(BathmomSinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS 2. WATER CLOSElb trolley
ELECTRIC WATER HEATERS I SINKS S WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 re of the city,incl ng its officers and employees,upon the accuracy of the information supplied to
the city as a part oft plica •
SIGNATURE: —x- DATE
o3•1c #
Property Owner and/or Authorized Agent
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2009 Page 2 of 4 k Handouts\Pennit Application