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06-104910
Way community f Fe eral t Services Building - Commercial Permit #: 06-104910'-00-CO P.O.Box 9718 Federal Way,WA 98063-9718 Ph (253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050 Project Name: FEDERAL WAY PEDIATRIC CLINIC Project Address: 32124 1ST AVE S Suite 300 Parcel Number: 926450 0060 Project Description: TI-Non-structural interior alterations'for new office space. Includes plumbing and mechanical. Owner Applicant Contractor Lender GAIL ALLEN PROPERTIES LLC THEODORE BRIDGE T . T CONSTRUCTION FEDERAL WAY PEDIATRIC CLINIC 13707 16TH AVE SW 1014 S 320TH ST SUITE C CO**972DM(10/12/07) 1014 S 320TH ST SUITE C SEATTLE WA 98166 FEDERAL WAY WA 98003 1110 SW 16. H FEDERAL WAY WA 98003 SEATTLE WA )816 Cen Cat:14 i : 4 o mercial I I, s Includes: #1 #2 #3 #4 Occupancy Class: / Clanstruction Type: Type V 0 ,,,,, •ancy Load: C « 16 o ea(sq. ft.) 1,no,59 0 0 0 '. .r� I Permit Information ` � int „, �,a� New/Addition Feet-Int Floor.... 1590 Mechanical to be Included?........ lis Number of Stories Ni Permit for Building She `Only? No r' Permit for Foundation Only o Plumbing to be Included? Yes Special Inspection(s)Required? No New/Additional Sq.Feet-Total 1590 Will Certificate of Occupancy be Issued? Yes Occupancy#1 -Use Professional Services/Offices Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation PO Building Pre-con.Meeting Required No Existing Sprinkler System in Building? No Mechanical Fixtures Air Handling Units 7 Ducts 7 Plumbing Fixtures Water Closets 3 Lavatories 3 Sinks 6 PERMIT EXPIRES Monday, December 1, 2008 Permit Issued on Friday, December 1, 2006 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: ��- ZT>�� a r� �Z Date: I Z- i IO G • • 'City of Federal 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: FEDERAL WAY PEDIATRIC CLINIC Permit#: 06-104910-00-CO Address: 32124 1ST AVE S Suite300 Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-N Occupancy Load: 16 _ Floor Area(sq. ft.) 4,590 0 0 0 Owner Name:' GAIL ALLEN PROPERTIES LLC Owner Address: 13707 16TH"AVE SW SEATTLE'°WA 98166 Building Official • Date The priority focus in the review and inspection made by the City prior to issuance of this Certifitate was on those matters which experience has shown most.evenly 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 limitatif ns), 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. • • 4 THIS CARD IS TO REMAIN ON-SITE ' ' , ' , CITY OF Community Development inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-104910-00-CO Owner: GAIL ALLEN PROPERTIES LLC Address: 32124 1ST AVE S Suite 300 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. • 0 Footings/Setback(4110) ❑ Re-steel (4215) ❑ Plumbing Groundwork(4190) Approved to place concrete Approved to place concrete or grout �,� Approved to cover By Date By Date By `o/ Date r &,J7 0 Slab/Concrete Floor(4255) 0 Underfloor Framing (4285) ❑ Floor Sheathing(4105) Approved to place concrete Approved to sheath floor Approved to install flooring By Date By Date By Date c s ilX. Rough Plumbing(4230) Mechanical Rough-in (4165) ❑ Gas Piping(4125) Approved Approved r Approved to release test ByGK� Date 2. � o7 By igDate o/#07/a , By Date • ❑ Fire/Draft Stops (4095) NOT 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 signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date . 2s-:,s12_, By C. Date 7,2s-,.d .❑ Insulation (4150) �❑Gypsum Wallboard Nailing(41 0 0 Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By `�/f Date �7 , By Date ❑ Final-Fire Department (4060) ❑ Final-Planning (4070) ❑ Final -Mechanical (4065) Approved Approved Approved By Date By Date By Date '❑ ' Final-Plumbing (4075) , ❑ Final-Building (4050) Approved Approved By Date By Date Byilciing Division 41/4, CITY OFoi. , 1,, 33325 Eighth Avenue South Federal VIay Federal Way,WA 98063-9718 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 3Z/Z4/ /-f-int/e, S, PERMIT#: 46-104/r/.0 GO Ca p1�1>i//ie.... hiPat:i..c.... 696,1)wrJa7 ,,✓ eh*,4e. 1 frt.3 uP s ar 1C/ /Com. %.' 1,oc.0 ,7' I'a2 ed i e.i <H- #0.7‘& Z 0 tfa , Gt. .4.4i eF i,e)(/02 /arm 6514,A. ol) c (1 // s 1 1Q,* /14 -s/ C 74is &Akem_ Q lw i.) ._._ 74C-- AaS 4.4r-.e...4.- d wow IF YOU HAVE ANY QUESTIONS CALL 0.,..Ia q'k Jc►.' "e.r . (253) 835- 2 40 2 I WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS. D—Z 2 - 8 4 G CEJ / DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of f f Building Division ' 41/4, CITY OF • 33325 Eighth Avenue South Federal WayPh Box9718 Federal Way,WA 98063-9718 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 32124 / /�Iv-� S PERMIT#: Oka - 10 4c) to -GO ;Z. Zii'd e., /h. 14h1 ' L- .s�sp ci De; c e_,•/,Lr� /Jv 1.--e_. /Z / 1 .1.Ari.- A• 01 -crrr- -Q---e_ ✓'a.e 45.eVh6 <</• 1 361.,21/4 a ("4'111 rCV -eq— r)�t5/ec - e.l�ec �• - ( .t r'wt•1- !�-dGA, //O1 k L ,ce it., ...<71- < Oli-c tel( pl./0 LS,��S r t/e.[ - C-e• 7, Int Q,r 0 an; s 4.vGdLt/'i ( e,--1 .tr IF YOU HAVE ANY QUESTIONS CA os ePG.Sz .1/ (253) 835- 7.6 2-g WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. A - 4--t.t Q DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page I of Buildii Division -i -CITY OF 33325 Eighth Avebue South ' ,Federal Way • PO Box 9718Federal Way 98063-9718 Phone 253-835-2607 Fax 253-835-2609 INSPECTION NOTICE ADDRESS: 321 Zii 1° Aida. 4 �Oc7 #: 0 ` - ,O S/9lo - DO- c_ d ,%i-6 ,,,,,,..,,,,e__ ,,, o7 . „..„ 5z, .....°_ ,..,.. 3 P-t‘tr _.... 4,0 --/ p fez4_ AP e.14.42. teket A.1,VLS tod lik-GWP P 'P (3 1.2.4e_c.A.,f ( -Po v- , rawm t A d- we. c. -1--op ( I .._ .I f1,..S IF YOU HAVE ANY Q ' STIONS CALL. I al/k la ! . 5 (253) 835- 2 6 2.4 \ Call for reinspection •efore cover WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD FOR DETAILS. l DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page ) of I--_ r r .,i , 1' • • • rfrraf Federal Wy PERMITa B C P T COMM�UNI DE VBEWWPMrENFSERVICES 2 '� .006 SF MFME EL PL DE EN FP 33325 BTM AVENUESOU7tf•PODOX9718 SES ��'�ICATION ft oireir FEDERAL WAY,WA 98063-97/8 TD / 253-835-2607•FAX253.835-2609 uwm.dfuo ederalruayoam �[ ( � �E ®EPT. \LOING The ollowi • is re• fired in ormation-an inco •lets • ••lication will not be acce•ted. Please •rUnt le•ibI n i or �(( ^ 1111 PROPERTY INFORMATION SITE ADDRESS 2 2-12 4 1 5+- A • s. 3 O a SUITE/UNIT# ©® ASSESSOR'S TAX/PARCEL# q 2- (7 'I- rj C2 - C G _I� 0 LOT SIZE(sj) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) to l 2©-2) , 40v1 f lAS (T )V C 0 VIS( i I U Uv? (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT BUILDING 13.PLUMBING ,MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed Zdescription of work included on this permit only)l.a lr r` Qi. 'I" >�s�-d ca 1 vL c u f i 1 w 1NI o i -E- C\, cti — 4- rit i i A 6. Il— v-P� o PROJECT NAME(Name of Business or Owner Last Name) He-d- Q.AV Gt W C� F 't od r C 1 ‘I V i C PEOPLE INFORMATION PROPERTY NAME i PRIMARY PHON OWNER G Q t >4<< Q,,-, . Pro� (7-53 )q ( - 007.? MAILING ADDRESS CITY,STATE,ZIP (cf 4l Ave. Sw rk wA` 'I'Lra. QS16 ( 1 CONTRA�T COMPANY NAME /T APPLICANT NAME OFFICE PHONE ---- -.�-6 Coy yv 4r-0..c+a,.� 'r,.� FQ,,A r54-54-Q iv (� )x+33 -3c' T j3T7 MAILING ADDRESS ATE,QIP CELL PHONE //// <5_,1.0... l (°� , G am:.: ..: ti)/C, 7, ) [TY O FEDEAAY BUSIN LICENSE NUMBER EXPIRATION DATE FAX NUMBER -B L b 714 ) - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Fc c ex-al Wad Pe.a GI,i f3r� �� 00 ( 453 )q'4I -067.3 MAILING ADDRESS 3 �� CITY,STATE,„ ZIP , I ""-----4-00-) ,CEELLL PHONE l GTI S Fed. Qi r RW( FAX NUMBER - RELATIONSHIP TO PROJECT ❑ Architect Tenant 0 Agent 0 Other(Describe) ( Z j,) R4) - g )Oct CONTACT NAME PRIMARY PHONE T mol �Bv-i �$�_ ( 253) of4{4 - 6673 E-MAIL.Te Sea_a0l•cc)0.7 LENDER ? F'r �� eY y 4➢i7r itis” NAME Tt.% t!X �Xk k3 �i�t ai MAILING ADDRESS CITY,STATE,ZIP (� • DETAILED BUILDING INFORMATION C) EXISTING USE t" PROPOSED USE AA Q cct( I C� EXISTING ASSESSED/APPRAISED VALUE $ 1 C(I,Go G VALUE OF PROPOSED WORK $ G 5r CO() SPRINKLERED BUILDING? 0 YES *NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES Xl NO WATER SERVICE PROVIDER (LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER >z_LAKEHAVEN 0 HIGHLINE . 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. art -jiltSEMENT SECOND THIRD • FOURTH • ADDITIONAL FLOORS(DESCRIBE) • DECK(COVERED?) GARAGE 0 CARPORT 0 zxis o PROPOSED mra s ant/ baa 1 c R br, , ,r NUMBER OF FLOORS ) **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ • AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS (commerd*Q WOODSTOVES FANS HOODS BOILERS FIREPLACE INSERTS RANGES 7 MISC(Describe) GAS PIPE OUTLETS • COMPRESSORS' FURNACES �i/i%?. Q DUCTS ()AS WATEE2 HEATERS d i� i,< 2�r5 PLUMBING (1/a Luc.: *75(9—> BATHTUBS(octan/shown combo► SHOWERS .2 WATER CLOSETS crone) MISC(Describe) DISHWASHERS cq SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(suuoom sal VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold harmless the City of Federacl Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim),which maty be made by any person,including the undersigned,and filed against the City of Federal Way,but;on nly 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. J NAME/TITLE (---- -(2--4;6 /`L�1�2 /ct�J. DATE .2q(Zr/C3G, (Signature) C� (Title) RELATIONSHIP TO PROJECT ;Owner a Agent 0 Contractor aArchitect aOther ` .- ,id ��y0.t iVi lzost?,",.1 iF l� ! 01.0()� i 0 vx�/t_!0_,),3,+‘ � - ( j11 � v >+y ;(®i .) 9 vn*} ,r,,-(0. t/3 V.1 �Ii,§)ra� 4sea � e`if5y6q yy [4,0', 1 . ?7o �� +..•-• ` r i r t3e t)!.._r1 C*l -t�©k 7 ® r ifp- Tt Bulletin#100—January 7,2005 Page 2 of 4 k\lIandouts\Permit Application