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07-101658 City of Federal way Build — Commercial Permit S07-101658-02-CO • Jommunity Development Services 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: PACIFIC MEDICAL CENTERS PRIMARY CARE CENTER Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: TI-Improvement of a 2928sqft office space.**NO plumbing or mechanical** **REVISION-Tenant moved to different space, size changed to 3031sgft.** **REVISION#2-Addition of a 724sqft,lighted access corridor to new tenant space.** Owner Applicant Contractor Lender VIRGINIA MASON MEDICAL ROSALIE RODRIGUEZ ADVANCED TECHNOLOGY PACIFIC MEDICAL CENTER (PAC CENTER COLLINS WOERMAN CONSTRUCTION MED) 1100 9TH AVE 710 SECOND AVE SUITE 1400 ADVANTC99OBZ 10/14/07 PO BOX 4356 SEATTLE WA 98101-2756 SEATTLE WA 98104-1710 1150 RAYMOND AVE SW FEDERAL WAY WA 98003 RENTON WA 98055 Census Category: 437 - Commercial alt/add/ conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-A Occupancy Load: Floor Area(sq. ft.) 3,031 0 0 0 Additional'!Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? No Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Zoning Designation OP Services/Offices No Fixtures Associated With This Permit !! PERMIT EXPIRES Sunday, August 30, 2009 Permit Issued on Thursday, August 30, 2007 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 -ccordance with the laws, rules and regulations of the State of Washington rjand the City of Federal Way. 0 -7Owner or agent: I Date: - " Cit Federal Way Y • r • 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: PACIFIC MEDICAL CENTERS PRIMARY CART Permit #: 07-101658-02-CO Address: 33501 1ST WAY S Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-A Occupancy Load: Floor Area(sq. ft.) 3,031 0 0 0 Owner Name: VIRGINIA MASON MEDICAL CENTE Owner Address: 1100 9TH AVE SEATTLE WA 98101-2756 _—� . / `6 - �'- 07 Bui ding 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. a �� THIS CARD IS TO PEMAIN ON—SITE , c CITY OF 1ommunitY p Inspection m nt Ins ection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-101658-02—CO Owner: VIRGINIA MASON MEDICAL CENTER Address: 33501 1ST WAY S FEDERAL WAY, WA 98003-6208 s 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) 0 Re-steel(4215) ❑ Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete By Date By Date By Date • ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops (4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date NOTE: Prior to scheduling a Framing(4120) , 0 Framing(4120) ❑ Insulation (4150) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 , ' ` , By Dat- (v .7 By Date • • ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved 7 ` By /0.—Z...---- v Date ‘0 i/ By Date By Date , • • • ❑ Final-Building (4050) Approved By G,- C.�.J Date/0, S"_ 67 • i i For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date City of Federal Way B Perm#: 07-101658-01 -CO Community Development Services ulluln — Commercial 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: PACIFIC MEDICAL CENTERS PRIMARY CARE CENTER Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: TI-Improvement of a 2928 sqft office space.**NO plumbing or mechanical** **REVISION to be performed in a different space in the building and sqft to be changed to 3031.** Owner Applicant Contractor Lender VIRGINIA MASON MEDICAL PACIFIC MEDICAL CENTER (PAC ADVANCED TECHNOLOGY PACIFIC MEDICAL CENTER (PAC CENTER MED) CONSTRUCTION MED) 1100 9TH AVE PO BOX 4356 ADVANTC99OBZ 10/14/07 PO BOX 4356 SEATTLE WA 98101-2756 FEDERAL WAY WA 98003 1150 RAYMOND AVE SW FEDERAL WAY WA 98003 RENTON WA 98055 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-A Occupancy Load: Floor Area(sq. ft.) 2,928 0 0 1 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included, No Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Zoning Designation OP Services/Offices No Fixtures Associated With This Permit !! PERMIT EXPIRES Thursday, June 25, 2009 Permit Issued on Monday, June 25, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy a • he use will be in accordance with the laws, rules and regulations of the State of Washington ' of Federal Way. Owner or agent: ; +aandtY n�-u,(ADate: (P 7 • 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: PACIFIC MEDICAL CENTERS PRIMARY CART Permit#: 07-101658-01-CO Address: 33501 1ST WAY S Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-A Occupancy Load: Floor Area(sq. ft.) 2,928 0 0 0 Owner Name: VIRGINIA MASON MEDICAL CENTF Owner Address: 1100 9TH AVE SEATTLE WA 98101-2756 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. 1 * . CommZ of eve Federal ralWpmentServices Milting - Commercial Permi'�#: 07-101658-00�-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: PACIFIC MEDICAL CENTERS PRIMARY.cARE CENTER Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: TI-Improvement of a 2928Sq/ft office space.**NO plumbing or mechanical** Owner Applicant Contractor Lender VIRGINIA MASON MEDICAL PACIFIC MEDICAL CENTER (PAC ADVANCED TECHNOLOGY PACIFIC MEDICAL CENTER (PAC CENTER MED) CONSTRUCTION MED) 1100 9TH AVE PO BOX 4356 ADVANTC99OBZ 10/14/07 PO BOX 4356 SEATTLE WA 98101-2756 FEDERAL WAY WA 98003 1150 RAYMOND AVE SW FEDERAL WAY WA 98003 RENTON WA 98055 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-A Occupancy Load: Floor Area(sq. ft.) 2,928 0 0 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? No Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Zoning Designation OP Services/Offices No Fixtures Associated With This Permit l! PERMIT EXPIRES Sunday, April 26, 2009 Permit Issued on Thursday, April 26, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy a • : use will be in accordance with the laws, rules and regulations of the State of Washington and the Cit of Federal Way. Owner or agent: , a . np,,, Date: 4 /2"0 /01 ifCity of Federal Way • • ' INTI C rtificate of Occupancy Thi Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at t e time of issuance, this structure was in compliance with the various ordinances of the City regulating building con truction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: PACIFIC MEDICAL CENTERS PRIMARY CART Permit#: 07-101658-00-CO Address: 33501 1ST WAY S Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-A Occupancy Load: Floor Area(sq. ft.) 2,928 0 0 0 Owner Name: VIRGINIA MASON MEDICAL CENTE Owner Address: 1100 9TH AVE SEATTLE WA 98101-2756 Building Official Date The riority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which exp rience 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. • THIS CARD IS TO EMVIAIN OON-SITE CI OFa.'ommunity Develop �,nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-101658-CO Owner: VIRGINIA MASON MEDICAL CENTER Address: 33501 1ST WAY S FEDERAL WAY, WA 98003-6208 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. O Footings/Setback(4110) ❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete 4 By Date By Date By Date ❑ Underfloor Framing (4285) ❑ Floor Sheathing(4105) , 0 Fire/Draft Stops (4095) Approved to sheath floor Approved to install flooring Approved By Date By Date 13 -----2-5 Date e-/S-67 Framing4120 Insulation 4150 NOTE: Prior to scheduling a Framing(4120) ❑ ( ) ❑ ( ) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 Bye e 5 Date g_.r S=67 By Date ElGypsum Wallboard Nailing(4130) ElSuspended Ceiling Grid (4265) .❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile .-}-/ Approved By < Dates ` v 07 By C_ (A3 Dat -?A-. 61 By 'l !T l2 Date /b/a/ a ❑ Final-Planning (4070) ❑ Final-Building(4050) TT Approved Approved By Date By C...._. c,jDate /040-/47 For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date • RECE,.11_1111. I CITY OF Way �,,/�nR PERMIT 204' comFedeMUNITY r�alP�aMENT ERYTOEs"1AR 3 0 7Ci°7 SF MF4 ME EL PL DE EN FP 33325 3-8 AVENUE SOUTH•PO BOX 9718 LI C AT I O N FEDERAL WAY.WA 98063-9718�r 253-8352607•FAX 253-835-2t j7 1 Y OF F E D E FAEP www.cituoffederalwau.COm BUILDING DEPT The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION .312 SITE ADDRESS _/50 I I STq Wk S • SUITE/UNIT# ASSESSOR'S TAX/PARCEL# l Z.( 04 0010 - LOT SIZE(sJ) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 015 11 Z 1314 51!o 7- t J t ST GA'(,PU5 (WNW PAR( D I V I S(O N Me. 6. ACt Dt►sti To1i4 ithrr , attre%:•,- jai`00 Vo(.. II& 0P ntoe 5 P .60Z IN KIN Cio Y• PROJECT INFORMATION TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) t'Ottt•t 2-(4641, 1't.1•34INT tt'lPIZAAW 'ltW1 Of 01 Z$f rtatGAl, cf1t5PA-OE• AID Pt 6-7 14 PROJECT NAME(Name of Business or Owner Last Name) PA am tit-NC-AG C iI1257 6(��4•t1 c)) PR1t14124C'A MM.. MI PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER VlRtttl3IA. MSaSoN MtO(GAL ( AILI 4q0� (n•3 Fri CITY,STATE,ZIP E-MAIL ADDRESS tloo ail+ Aver P4 BOX goo SEATTLE 1W? 18111 (CONTRACTO COMPANY NAME �- /� PLICANT NAME FFjC�PHONE�� - � MAILING ADDRESS ,STATE,ZIP CELL PHONECITY OF FEDERAL WAY BUSINESS LICENSE NUMBEREXPIRATIO DATE FAX NUMBER b3 - ( C9 51 v � .9'1 � ( )CONTRACTORS REGISTRATION NUMBER EXPIRATI N DATE E-MAIL ADDRESS of card required with eac catio APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE PAID nep RGrlZr oer1513Y (263)Si? - 6155 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE Pa i3ox' 4354, rtvezr t htl4Y/ IJAY fRO3 ( Zo('o ) q7Z - 5577 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ZrAgent 0 Other '23) $Z/1 -575a, PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT l -+- ( ) - LENDER N E ♦ V\ /A�/♦X�"'� � l Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRES ,-�-� CITY,STA IP PHONE Imo S. 1'Z l�(1'2, !cal itilL `/814/{ l�� (2 ot; ) G 21 - 414 tq orrice DETAILED BUILDING INFORMATION (r1Pc4 EXISTING USE /r�f�4L orice ¢ C- PROPOSED USE SAM� c- Once) EXISTING ASSESSED/APPRAISED VALUE $� ��r(/IR4 VALUE OF PROPOSED WORK $ UP,K SPRINKLERED BUILDING? ;YES n NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? KYES ❑ NO WATER SERVICE PROVIDER ISZ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER NLAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC) , U PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ,. ADDITIONAL FLOORS(DESCRIBE) 9//i DECK(❑ COVERED OR ❑UNCOVERED?) GARAGE 0 CARPORT' 0 � er EXISTING P POSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS i "NEW HOMES ONLY" NUMBER OF BEDR6.OMS 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 $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS iv'ORATIVE COOLERS >--GAS PIPE OUTLETS WOODSTOVES BBQS FAN"\ GAS WATER HEATERS MISC(Describe) BOILERS FIREP CE INSERTS HOODS(commo-dal) COMPRESSORS FURNAC RANGES DUCTS GAS LOG S REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAVS)Bathroom sulks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS ---,,,,,,, WATER CLOSETS(rodeo ELECTRIC WATER HEATERS _ SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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 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 of Federal Way,but only where such claim arises out of the rel' e of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. / I NAME/TITLE .n, DATE ,� / 4 7 (Signature) (Title) /// RELATIONSHIP TO PROJECT ❑ Owner X Age OD Contractor 0 Architect 0 Other FOR OFFICE USE ONLY o NEW o ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application