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01-103698 . 1 • • • i City of Federal Way Building - Commercial:Permit #:01 - 103698 - 00 - CO'` Community Development Services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:25 1.661.4129 Inspection request line: 253.835.3050 Project Name: VIRGINIA MASON Project Address: 33501 1ST S Parcel Number: 926504 0010 Project Description: COMM ADDITION-Construct one-story addition(1,620)sf to the 1st floor for MRI scan room, camera room and supporting offices/rooms. Includes plumbing and mechanical. Owner Applicant Contractor Lender VIRGINIA MASON MED CTR TAYLOR-GREGORY ARCHITECTI COMPTON CONSTRUCTION VIRGINIA MASON MED CTR 1100 NINTH AVENUE 654 5TH AVE S SUITE 300 COMPTC*016CC 2/7/02 1100 NINTH AVENUE PO OX 900,MS G3-FM EDMONDS WA 98020 1370 STEWART ST PO OX 900,MS G3-FM SEATTLE WA 98111 SEATTLE WA 98109 SEATTLE WA 98111 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 17 Floor Area(Sq.Ft.): 1620 1st Floor Proposed Sq.Feet 1620 Building Pre-con.Meeting Required No Census Category 437-Commercial alt/add Fire Sprinklers Yes Mechanical Yes Number of Stories 1 Permit for Building Shell Only No Permit for Foundation Only No Plumbing Yes Special Inspection Required Yes Total Proposed Sq.Feet 1620 Will Certificate of Occupancy be Issued? Yes Sensitive Areas No Zoning Designation OP Plumbing Fixtures `Description ]Quantity' Description , w, Quantity gtOirDescripticakt°°aQuantity Lavatories 1 Other Plumbing Fixtures 4 Water Closets 1 Sinks 3 4 Mechanical Fixtures Description Quantity - Description- 4 1(4atft haVDescr ptla N", , �;;'* Quantity Compressors 1 Air Handling Units 1 Ducts 2 I Fans 1 Evaporative Coolers 1 CONDITIONS: (1)Landscape inspection required before occupancy permitted.Contact Deb Barker at-253-661-4103.(2)Plant quantities shall match drawing,not plant legend. ' . PERMIT EXPIRES May 13,2002,IF NO WORK IS STARTED. Permit issued on November 14,2001 I hereby certify that the abov 'e formation is correct and that the construction on the above described property and the occupancy and the us ill be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal Why. Owner or agent: Date: �� s � City• • of Federal Way • Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 109 of the Uniform 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: VIRGINIA MASON Permit number: 01 - 103698-00 Address: 33501 1ST S #1 #2 #3 #4 Occupancy Group: B Construction Type: Type V-N Occupancy Load: 17 -_ Floor Area(Sq.Ft.): 1620 Owner VIRGINIA MASON MED CTR Name: 1100 NINTH AVENUE Address: PO OX 900,MS G3-FM SEATTLE WA 98111 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 severely 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. • . INSPECTION LOG • 4� DATE INSPECTOR ; OK CORR/REJ AREA AND TYPE OF INSPECTION 11- Z1 - o �� / v&i' 6.-ft.I e �.1 j ., /2 /e( . 1--e., f • (- 9- O i G. 1 G.X4. - w. :►,._ c. j e,4akrs:7-f d 74 3 - G O Z G c,..r / C') 0. I C p a vi me,/ 7"d .L ci# ,, I i ... POS IS CARD ON THE FRONT OF BUILDIA T ED�ZF7L_ BUILtIlNG DIVISION VV FN INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-83S-3050 PERMIT #: 01-103698-00-CO OWNER'S NAME: VIRGINIA MASON MED CTR SITE ADDRESS: 33501 1ST S ( ) FOOTINGS/SETBACKS //+Z Si• 0 / G ( ) FOUNDATION WALL / 2 - 5"• c, / G W ; "r , " r -"1DO NOT POUR CONCRETE UNTIL THE ABOIS) RO.vED.+ � ;- :'''''''r" .. a r 111 ..,,,,',,u,,,,::, „,,,,,- .� �., ( ) DRAINAGE: Line /Z--/ Q - 0 / C,,c,.%) ( ) Connection 7 Z. -• /D - O / G c.../ �' ! NI-ONOTiPO U ;SLABiNTIL .. ._:OYE iS APPROVEDI s `y, '';.- �f ( ) UNDERFLOOR. / 2 - / 3 Qs / G c.✓ () ROUGH PLUMBING: DWV /-" / 7.- 6 7_ c 4/ Water piping % - /9 a eii.. G 4,,,/ ( ) ROUGH MECHANICAL Gas piping 2. Z$- ow- Gam./ () SHEATHING Roof Floor () SHEAR WALLS () ELECTRICAL ROUGH-IN Ditch Cover () FIRE/DRAFTSTOPS .., IZ .3''.!.:-V. 'f.,. Da ' 01:43, EiAPPROVED,P/RIU' ..,.0 2AlYIINGINSPECTIUN ff, r� ( ) FRAMING/FIRESTOPPING / / 7 - p 2, c cam/ I `THE AB MUS ,BE APPRO VED,, RIOR TO - SING OR SHFETRUC $ G k O INSULATION: Floors /Z. /+I/i. /4.601/ Walls /�/7...c,-z_ c„,,,,,,,/ Attic Zd .. ! Z;l i.M t T BE4':PRO fD PRI0:` „0. " fNG S .a*_. I�, _ ...� � ° O WALLBOARD NAILING 2.-. (p-. to 2. c�.�J () SUSPENDED CEILING 3-/-• c ,- . T:I •,U",i ,, °kgO0Dr;tgr '0AT UR N$TALLING CEILING TILE- $ ' - O ELECTRICAL FINAL ( ) PLANNING FINAL x/1`6 2 p/Ly (//��� ) lc () PUBLIC WORKS FINAL f i�p� ( ) FIRE FINAL 5/JZ7(ai 'D/� HE AB(IVE UST.BE APPROVED PRIOR T4 BUILDING DEPARTMENT SINAL ( ) BUILDING FINAL 6 G OZ_ ( fa.i'(( 00a*-6 m. �ti���.� a�u�rrz�rm �� u�.7r� a� r �-r ^�A�� +� n��u�uF 7w� 17,1:',.',' i .D . O ' CC PY T S BU I L'tIP G'"`�JNT Uitb G F INAL I S APPROVED is= �. _ .k � -.�: ..�a,. -�.,.: .,,,��c, d e��Baa ...A.,.iaeu.�a�,wa..a»w.�a�,�.�...,.: ..- �«...... .. �,a .wu�uk:n.�ra: W.. • 0 «TYOF GCONSTRUCTION PERMIT APPLICATION • V �E1ZF1L ``F 2 1 7'1-1 APPLICATION NUMBER, d ��� '-co i..,4 a , c, k' ,,L WAY APPLI_A1'`I_l NIIMR_ „L g P,UIL✓a(V3:a DEPT. APPLICATION NUMBER: _ ' :.. _ .,._.,.. **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. • PROPERTY INFORMATION SITE ADDRESS: ',501 T1,y4 1 Way s 1t4 ASSESSOR'S TAX/PARCEL#: - 1 LEGAL DESCRIPTION OF SUBJECT PROP RTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): l.ckSAl/Int. '1 , U14.t ('aw..PKs 0• iii-. NAL— di,(LS a. 'S-' • PROJECT INFORMATION Q TYPE OF PROJECT(This application): BUILDING )<PLUMBING MECHANICAL o DEMOLITION ❑ ELECTRICAL `❑`ENGINEERING ❑n FIRE PREVENTION SYSTEM t' (�' PROJECT DESCRIPTION(Provide detailed description): • d 1 u2'b ca4. ( Z--1 I''C'UL ds) 4D —11AL I sr ?"e-.. I u>-LS 1- S ion,. . awe c LfV� �1 .�'1a-.. j Aut,c A* V1it iel c cap- va'ew► ca - Inr>z M. s w en4f 61•GQ.1 t'G tNv'1a,. PROJECT NAME: V Cy',i i VL Ilk, l M AYIll- S - mg-% / /L 1'pi,... • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: �(tvi \ 0- 11V�0.s v CP 0Gal-c-) (VA 9)34.1 -093'17 MAILING RESS(STREET ADDRESS;CITY,STATE,ZIP): J l l O o In,f1A-1-% Ay-e- • CytAa i s.6? Cv3-Fvvt) Se c. L 1,04 4 6111 CONTRACTOR: N E' DAYTIME PHONE: pl.v arv\ .� (2b tQ) —lc�,- 'i•192. 4346\ell MAILING ADDRESS(SIRE ADDRESS;CITY,STATE,ZIP): EVENING PHONE: Z*--co W ey4 sale-e_. AVC . A. c -VC 40 s h '1(6101 ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - (sots )-A4-17 - 624 ty CONTRACTOR'S REGISTRATION NUMBER: t EXPIRATION DATE: C O IM T L X. a i Le L C� / / APPLICANT: ME: DAYTIME PHONE: ul4c A�rtinov - 1- Ai bite G c,./ t L►•-}-rc� (425') 1�1L - 1,5=,a MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP)• C) l EVENING PHONE: La 4' Ave . s. * °D .d.w-otiet,s a t 62.,o ( ) - RELATIONSHIP TO PROJECT:KARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( 4-i. 7 —1i4— ig(4 E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER APPLICANT o CONTRACTOR iArLk1°ra6 • DETAILED BUILDING INFORMATION EXISTING USE:Ma • Otu ILkt EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: VAal• p*u 171,411014‘\) PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? /'YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:o YES ❑ NO r ` • WATER SERVICE PROVIDER: /LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: �KEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST tft Za s SECOND THIRD FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: U Z(7 Set— 11.111M1=111=11=PMES1111=111111 Indicate number of each type of fixture MECHANICAL t AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) l MISC.(CHIIIC" ) COMPRESSOR(S)� FURNACE(S) DUCT(S) e ' GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS PLUMBING BATHTUB(S) t LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) J� SINK(S) ( WATER CLOSET(S) I MISC. trlNdr INTERCEPTORS) SUMP(S) ( 6. GlO �. c, tku ' ■ 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 Federal Way as to any daim(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 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. NAME/TITLE: /k\reitAA•/- /ISt?GJr DATE: El• ZI ' 0 1 ❑ PROPERTY OWNER VAPPLICANT o CONTRACTOR , . • • CI,NEW Ct ADDI It�N i LTERA ON CI REPAIR; TENANT EI+!AN 'IMPROVEMENT CENSUS DpE , L©T SIDE: , ZONING DESIGNATION BUILDING;SHELLONLY� d YES 6' NO „Gamy PILANDESIGNTION BASI4 PLAN? DYES `Yl NC) SEC ION TOWNSHIP , .RANGE ,, NEW-ADDRESS REQUIRED? c ESQ;;. PLf1 NO , AT"ED.L Q E`w" f o N© f: �.: .,•4 CHANGE`oF USE? :YES r NO,. .. F ; ,,, COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$23.50 (2)$501.00 to$2,000.00 (2)$23.50 for the first$500.00 plus$3.05 for each additional$100.00 or fraction thereof,to and including$2,000.00 (3)$2,001.00 to$25,000.00 (3)$69.25 for the first$2,000.00 plus$14.00 for each additional$1,000.00 or fraction thereof,to and including $25,000.00 (4)$25,001.00 to$50,000.00 (4)$391.25 for the first$25,000.00 plus$10.10 for each additional$1.000.00 or fraction thereof,to and including $50,000.00. (5)$50,001.00 to$100,000.00 (5)$643.75 for the first$50,000.00 plus$7.00 for each additional$1,000.00 or fraction thereof,to and including $100,000.00. (6)$100,001.00 to$500,000.00 (6)$993.75 for the first$100,000.00 plus$5.60 for each additional$1,000.00 or fraction thereof,to and including $500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,233.75 for the fist$500,000.00 plus$4.75 for each additional$1,000.00 or fraction thereof,to and including $1,000,000.00. (8)$1,000,001.00 and up (8)$5,608.75 for the first$1,000,000.00 plus$3.65 for each additional$1,000,00 or fraction thereof. Bold number is the base fee for the specified increment Italicized,underlined number is the fee per additional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. ** Electrical,plumbing,and mechanical fees are calculated separately** ■ BUILDING . PROPOSED VALUATION: 00 t 00 C.) FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) PROPOSED VALUATION: ' 00 1 Q b FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) ■ FIRE PREVENTION SYSTEM