15-103180 - ` liBuilding - CO` tmercial
City of Federal Way Permit #: 15-103180-00-CO
Community&Econ.Dev.Services F ILE
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: DAVITA REDONDO HEIGHTS
Project Address: 27320 PACIFIC HWY S Parcel Number: 872992 0020
Project Description: TI- "Soft" demolition of interior non-structural walls,ceiling grid and finishes
preparatory to tenant improvements(by separate permit).
Owner Applicant Contractor Lender
DAVITA AXIOM NORTHWEST AXIOM NORTHWEST OWNER IS LENDER
32275 32ND AVE S CONSTRUCTION CONSTRUCTION
FEDERAL WAY WA 98003 14325 E LAKE GOODWIN RD AXIOMNC920LI(7/26/16)
FEDERAL WAY WA 98292 14325 E LAKE GOODWIN RD
FEDERAL WAY WA 98292
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: _
Construction Type:
Occupancy Load _
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Sunday, December 27, 2015
Permit Issued on Tuesday, June 30, 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
&&1L2LLe4L
and the City of Federal Way.
Owner or agent: Date: 6- 3o- Ic-
41/4
~ ~ 0 THIS CARD IS TO IN ON-SITE
CITY OF
Federal WayConstruction In ection Record 4
INSPECTION REQ TS: (253)835-3050
PERMIT#: 15-103180-00-CO Address: 27320 PACIFIC HWY S
Project: DAVITA 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 Final-Building(4050)
Approved
By c.` oto Date 4 --3 v.,,,I
0 Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
REOIED
CITY OF PERMIPAPPLICATION
Federal Way JUN 3 0 2015
CITY o FE
DDEERAL WAY
PERMIT NUMBER / _ C�j / E" O _
SSSL .L TARGET DATE
SITE ADDRESS SUITE/UNIT#
730 Pati Pc Huy S Federal W W/ '780
PROJECT VALUATION ZONING ASSESSO TAX/PARCEL#
$ '7QQQ,QQ
TYPE OF PERMIT 13 ILDING 0 PLUMBING ❑ MECHANICAL rDEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT au 1 F'ed ai W kodon dr)
PROJECT DESCRIPTION ]� I_ / • }}1, -�-ry- /)
Detailed description of work to beim �c i c -1>ig Space wh)1e to l LI Y(f� /-L- PO$1/
be included on this permit only J 1 J
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDS:71; 3024
U �
AS
_ E-MAIL
CITY F /IO STATE ZIP
NAME PHONE
X/hnAloe-Awes-6
o wes6 6bnJ atb c7`0
6 -9.5q- 4„a.-7MAILINGADDRESSR_ . E-MAIL
CONTRACTOR af iu 2,14es
� )Dll1 i'W,cCW1
CITY,, ST TE ZIP_ I O�� 17 70
verre-Et- _-
.9 Sao �
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE, FEDERAL WAY BUSINESS LICENSE#
AXIOM NL' ciao LT 7/626 //&
NAME PRIMARY PHONE
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
NAME �1 PRIMARY PHONE
PROJECT CONTACT 0QVn ES iUL V m
67o6 4.5./-
(The individual to receive and MAILING ADDRESS /,, 'l E-MAIL
respond to all correspondence 1µ3s E �^�� Ulla /�ame «ailout)am
concerning this application) CITY STA E ZIP FAX
O1a i Wcbd r A- 9&,- aob a/9 --600
PROJECT FINANCING NAME /V/n ($ 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.
t
SIGNATURE: /I I %qq/r / l F DATE 6-30-1T
PRINT NAME: 6245?rp EVIL F G(idy
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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.
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 /TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALU •F EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL — NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOT FOR OFFICE USE
-, ;� „ ' l r/ i✓�,/.,fir,,'
FIRST FLOOR(or Mobile Home)
� , iii• ,
! •ORi , l % /i '.74,74;%%,/,64/%4474%%4;'////i:' i u Kiri r
COVERED ENTRY
,,,/ ,�„ r•z,,,,; //F4/`//s"%✓/cr,J'",✓,%, /�_
GARAGE ❑ CARPORT ❑
Area TotalsEXISTING PROPOSED TOTAL
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area Construction #of
AREA DESCRIPTION in Square Feet Occupancy Group(s) Type Stories Additional Information
i7`/%4-4477;,-4,%;
✓ i ///i/ titin % 47%, Iirti 47 % ice. ii i/%f /^"//r/r;
ADDITION
COMMERCIAL—REMODEL/ 'ENANT IMPROVEMENTS
AREA DESCRIPTION
Ar r a Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
.�`"`�,%✓ /� `/,%f�i/// �,�'" !, r �✓.%�i
TOT1T3r$UILDING
TENANT AREA ONLY
F Ri03ECT AREA OI�tLTf , j
F ,
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application