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15-103102 r' \ C.k, tç;1L � , �� ', ...-4A, }fit'. P , { , °` PERMIT APPLICATION Federal Way PERMIT NUMBER JaL_` j _ 7 0 a / a a c o TARGET DATE 7 l :L] 7 SITE ADDRESS SUITE/UNIT i 27320 Pacific Highway S. PROJECT VALUATION ZONING ASSESSOR'S TAX/PAL# $ 6 1 �o __ 7 � q 9 a - TYPE OF PERMIT IU BUILDING )(PLUMBING ECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT DaVita Redondo Heights Facility Tenant Improvements for a new 6,372 sq.ft.Dialysis Clinic in an existing shell bulding. PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER DaVita, Inc. -- Kristin Videto, Project Manager 253-606-6191 Tenant MAILING ADDRESS 32275 32nd Ave. S. E-MAILtin.videto@davita.com CI''YFederal Way WA §'3001 NAME TBD PHONE MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# / / NAME Randall Dover, Architect PHONE 615251 3388 APPLICANT MAILING ADDRESS 4121 Hillsboro Rd., Ste. 303 E-MAIL rd@rdover.net CITY Nashville sTIT ZIF 37215 FAX 615-777-3388 PROJECT CONTACT NAME Randall Dover PRtifs -3388 (The individual to receive and NG"DD S 4121 Hillsboro Rd., Ste. 303 E•MAI rd@rdover.net respond to all correspondence concerning this application) CITT Nashville TR zIP 37215 FAX 615-777-3388 NAME PROJECT FINANCING n OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP LJ PHONE (RCW 19.27.095) I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 Iaws. 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 c�� as a of this application.IMP /� `/� '�r ¢ /J/I SIGNATURE: / DATE PRINT NAME: Randall W.K. Dover Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application • • VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 88,000 Indicate how many of each type of'• be installed or relocated as part of this project. Do not include existing fixtures to remain. /5_ AIR HANDLING UNITS FANS _6_GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES _1_HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST 5 DUCTING PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ 106,500 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( 10 LAVS(Hand si„lis( 4 TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) 23 DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS 11 SINKS(Kitchen/ofiity) WATER HEATERS(merino HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS City City $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Retail/Business ❑Yes 0 No 0 Yes 0 No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) Area Totals EXISTING TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION Area Construction #of AREA DESCRIPTION Square Feet Occupancy Groups) .type Stories Additional Information NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS Area OccupancyConstruction #of AREA DESCRIPTIONAdditional Information in Square FeeGroup(s) Type Stories TOTAL BUILDING 6,372 TENANT AREA ONLY 6,372 B V-B 1 PROJECT AREA ONLY Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application r '°' *Building - Commercial un y of Federal way Permit #: 15 103102 -00 CO 411 F I L Community�Econ.Dev.Services 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-Tenant improvements to create dialysis clinic in existing 6,372 square foot shell building. Includes plumbing& mechanical. Owner Applicant Contractor Lender DAVITA AXIOM NORTHWEST AXIOM NORTHWEST OWNER IS LENDER 32275 32ND AVE S CONSTRUCTION CONSTRUCTION FEDERAL WAY WA 98003 2232 BROAbWAY SUITE 101 AXIOMNC920LI(7/26/16) EVERETT WA 98201 2232 BROADWAY SUITE 101 EVERETT WA 98201 Census Category: 437- Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B - Occupancy Load Floor Area(sq.ft.) 6,372 0 0 0 Additional Permit Information Mechanical to be Included? Yes 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. BC Mechanical Fixtures Air Handling Units. 5 Ducting 5 Gds Piping 1 Gas Pipe Outlets 6 Hot Water Tanks 1 Plumbing Fixtures Drains 23 Lavatories 10 Sinks 11 Water Closets 4 PERMIT EXPIRES Wednesday, March 2, 2016 Permit Issued on Friday, September 4, 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 and the City of Federal Way. Owner or agent: & Ø2&mLJ LL,r q Date: /`" 9- /c 411e 4/14' r ; tto.--�� °' :../ ', �„ rt...0 1u. - 1--��J-,) • • City &fed'eral Way 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: DAVITA REDONDO HEIGHTS Permit#: 15-103102-00-CO Address: 27320 PACIFIC HWY S Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: Floor Area(sq.ft.) 6,372 0 0 0 Owner Name: DAVITA Owner Address: 32275 32ND AVE S FEDERAL WAY WA 98003 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 sever!),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. 1 DATE INSPECTOR AREA AND TYPE Or VSPECTION 0A....,, i Ct Ne° BMAt to(13 J is wAs Pari-ta I AWK 4 116sa i-i bte► - OW ID 60v101.-VVZObM T440I~C0.4c4r- Awe 5A-g14-. THIS CARD IS TO MAIN ON-SITE k Construction In ec�ion Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 15-103102-00-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. ▪ SWM Precon Site Mtg(4400) 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 ❑ Re-steel(4215) p Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255)-1 Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Pprt Date R_8-1 g- By Date ❑ Underfloor Framing(4285) ® Floor Sheathing(4105) ❑ Rough Plumbing(4230) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date f b 13 I g"- 6 .�� ♦ -.-ter El Mechanical Rough-in(4165) ® Gas Piping(4125) 0 Fire/Draft Stops(4095) Approved Approved to release test Approved By p pt-,_ Date (E,_ 13 -I s- _By ________Date -i s By Date Interi n Erosion Control(4370) `` `� "'� g i Framing(4120) -* Prior to scheduling a Framing inspection; Ei Approved Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Fire/Draft Stop inspections must be signed-off and By ate approved IBC 109.3.4 By Date _a ``S .—... O Insulation(4150) Gypsum Wallboard Nailing(4130) ® Suspended Ceiling Grid (426+) ' Approved to install wallboard Approved to install mud&tape Approved to drop tile B} Date . � Date t U Zrt �- .E. " Date uzrL- ..z i5f .0 Final-S K F&R(4060) Final-Planning Final Erosion Control(43755 Approved Approved Approved By Date By Date . By Date ® Final-Mechanical(4065) ® Final-Plumbing(4075) ® Final-Bu' ding(4050) Approved Approved pproved 4.By _�- --Date 7 cam. , I s— B -6-- Date `2 3 � Date /^ ERough Electrical QI'inal Electrical ® Right of Way Approved ApprovedApproved By Date By Date By Date i