08-104343 a M
i *Building - Commercial
City of Federal Way Permit #: 08-104343-00-CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 s'. L.. - -
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: VIRGINIA MASON MEDICAL CENTER-AMBULATORY SURGERY
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: TI-Remove and replace existing ceiling from rooms,L123,L125,L126,L132 and L155.
Installing new hard ceiling to meet and comply with DOH and code requirements.
Plumbing to be included.No mechanical on this permit.
Owner Applicant Contractor Lender
VIRGINIA MASON CLINIC COLLINS WOERMAN G L Y CONSTRUCTION INC VIRGINIA MASON CLINIC
1100 9TH AVE 710 SECOND AVE SUITE 1400 GLYCOI*01809 (9/30/10) 1100 9TH AVE
SEATTLE WA 98101-2756 SEATTLE WA 98104-1710 PO BOX 6728 SEATTLE WA 98101-2756
BELLEVUE WA 98008-0728
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: 1-2
Construction Type: Type V-A
Occupancy Load:
Floor Area(sq.ft.) 1,518 0 0 0
New/Additional Sq.Feet- 1st Floor 0 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 Hospital
Zoning Designation OP
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PERMIT EXPIRES Monday, April 6, 2009
Permit Issued on Wednesday, October 8, 2008
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 accorda with the laws, rules and regulations of the State of Washington
` ,� an th City of Fed,ral Way.
Owner or agent_____)( ( -,- r'1 -=-),_ie.,--sr'-' Date: i /,e�, e,">/
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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THIS CARD IS TO WAIN ON—SITE a
CITY OF
tommunity p pDevelo me t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-104343-00-CO
Owner: VIRGINIA MASON CLINIC
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. PO 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) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
- 0 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) ❑ Framing(4120) 0 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 L�...J . Date to...43.-060 By Date
❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By . (Ai Date/0 VA, 6) By Date By Date
❑ Final.-Planning(4070) ❑ Final-Building(4050)
Approved Approved
By Date By C ( ) Date if-S: dg,
•
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
III
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- - Federal Way PERMIT
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2M5MUNIATYDEEVESLOOUrPMENTPOSEBROVS
FEDERAL WAY,WA 98063-9778P 1 2008
APPLICATION
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253-835-260=3,6622itiFED E
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The following is requir�g[)rmation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
MI PROPERTY INFORMATION
SITE ADDRESS_ 33501 First Way South, Federal Way, WA 98003 SUITE/UNIT#_
ASSESSOR'S TAX/PARCEL# '77 Sp 0 q /
- ® t / n LOT SIZE(sJ)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ®BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
Remove and replace existing ceiling from rooms: L123,L125, L126, L132, & L155. Installing new hard ceilings to meet
and comply with DOH and Code requirements.
PROJECT NAME(Name of Business or Owner Last Name) .t /)hi 4-_ kbh-IK..4174y y .. 4- i Z..l,'e?
a R
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
- BASEMENT
FIRST
SECOND Urban Healthcare: surgery room&accociated spaces 1518
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF AL SF
NUMBER OF FLOORS 1 1 518
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II 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 EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS ` FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS ,' FURNACES RANGES
DU P� GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tib/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSEIS(-roset)
ELECTRIC WATER HEATERS SINKS 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 reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of this a 1plicration.
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SIGNATURE: L, - "' DATE / / � �✓
Prop- Owner and/or Authorized Agent
FOR OFFICE USE ONLY
❑NEW ❑ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application