13-105244 RECEIVED
r-� PERMIT APPLICATION
CITY OF c-� �.. NOV 2 2 2013
Federal Way
CITY OF FEDERAL WAY
// CDS
PERMIT NUMBER / V�
- � � C � TARGET DATE /1(1) C-4 (3 /3
SITE ADDRESS ,( C SUITE/UNIT M
3 2? FeCk-fr
PROJECT VALUATION ZONING ASSESSOR'S�/PARCEL l
$ Lct 2- (P _5_ 1) 4 - 0 t'
TYPE OF PERMITBUILDING [I] PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
V
NAME OF PROJECT 1 I Med Fcdeira Zn Low �G�Z1 L�'� Q AL',
(1.e03 S ` 1 6 9) L 1 -k. a&2c e ne-.v
PROJECT DESCRIPTION
Detailed description of work to (e s t'A
be included on this permit only i••1:7C)M ifVe ! `a v ^e• 1 ( OA) ��._ p�\v\ a✓!"�
NATE r 4 PRIMARY PHONE /
PROPERTY OWNER �V trl i i\V L W/�t J &ft K cti t ` (Cote." •ZC`r�j ZZ -10 I
MAILIN DDRESS E-MAIL
1,1#D.2# zeari he" LAu,r4 ,5jley
CITY STATE ZIP
MPHONE
DNAE zn L�4e..4de) �e,rr►�; -�ua-ne 6AC,r 'loco
MAILING ADDRESS (� q�E-MAILL /� rn
CONTRACTOR FAX et>At
C{ �b� a eQO� i A �!1Y1 Le.. l'�`r�(�f1���]QkJ/RI O
CITY A S e/ e_ STT jE ZIP�� ®� 2e 42)2 li I l(40
WA STATE CONTRACTOR'S LICENSE# ( l 3 I,J EXPIRATION DATE( FEDERAL WAY BUSINESS LICENSE#
etc t
NAME PRIMARY PHONE
411 `Pact tC eat C'ck2oca G?ZI 4422.
APPLICANT MAILING ADDRESS z E-MAIL
1Z e i,�t �,Pra PQ(. eC)i°ga
CITY STAT ZIPc76 FAX
NAME PRIMARY PHONE
(0c(TPROJECT CONTACT ZYN t..�i Dees ItZ.j 1(0c-
(The
he individual to receive and MAILING ADDRESS G� E-MAIL i
respond to all correspondence 1C) S-40(>1/41-. 3 t'O� v' L. . ��✓11���(�t?'
concerning this application) CITY sT T P ,�2 FAX terI1h.
SeA.AkCe_ 1 .3A
610
NAME
PROJECT FINANCING 1 �ti�y �� 4vcc i c Kett`c cn4Aiv. xs.OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY STATE,ZIP C® I A`y[J1� ``1,(6`-� 1 (402-i PHONNE
IRCW]9.2 7.095) 1 2..o 1 2`s` e J V C v"Y'S 1{4 /loco W 2-i 142 C/
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 •nd defense of such claim), which may be made by any person, including the undersigned, and filed against the city,
but only wher",su • claim ari o •• the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied cit application
ter
SIGNATURE: / DATE
PRINT NAME: �W 1 L.��t i FFF 1-2, 1
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
I( -- . 1111
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ V
Indicate how many of each type of fixture to be installed or relocated as part_:, hisproject. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)_ meral)
BOILERS FURNACES HOT WATER TANKS)Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type off e to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNT• 'S SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS. SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
L-
-
$ A1/74-
EXISTING/PREVIOU�UKSELOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
n /A
n _,Q , �a ,) / Yes o No ❑Yes.. 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 D
OTHER(describe)
EXlaT1116 PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
TOTAL BUILDING >3tPar)+ L
TENANT AREA ONLY 3 0 3 0 t V!(il tci'1(�i C1_ ln_�"fi"
PROJECT AREA ONLY j le 1 51 G`i►1i4 l 1 e4 V 1
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
uilding - Commercial
City of Federal way
Community&Econ.Dev.Services Permit #: 13-105244-00-CO
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PAC MED 2ND FLOOR EDUCATION ROOM
Project Address: 33501 1ST WAY S Parcel Number. 926504 0010
Project Description: ALT-Construct 5'wall to create new closet space; add door to education room; upgrade
finishes. No plumbing or mechanical.
Owner Applicant Contractor Lender,
VIRGINIA MASON CLINIC FERRIS TURNEY GENERAL FERRIS TURNEY GENERAL OWNER IS LENDER
1100 9TH AVE S CONTRACTORS CONTRACTORS
SEATTLE WA 98101-2756 PO BOX 31109 FERRIGC037N1(5/28/15)
SEATTLE WA 98103 PO BOX 31109
SEATTLE WA 98103
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 3,030 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 Clinic-Outpatient
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Sunday, June 29, 2014
Permit Issued on Tuesday, December 31, 2013
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t use will be in accordance with •- laws, rules and regulations of the State of Washington
and the ederal Way.
Owner or agent: \i L .- Date: t��
1111/
FINALED
Pu/4-J 2— —/ s 1\3 cl C.�
411
r •
THIS CARD IS TO MAIN ON-SITE .
CITY OF ~`" III Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-105244-00-CO Address: 33501 1ST WAY S
Project: VIRGINIA MASON CLINIC FEDERAL WAY, WA 98003-6208
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.
El 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
- ♦ . ♦ 4 ,
El Foundation Wall(4115) El Drainage/Downspout(4040) El Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
O Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
Shear Walls(4245) El Roof Sheathing(4220) ElFire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
❑ Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Ei
Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed off and
By Date approved. IBC 109.3 4 i By cDate• ' — L`\-1,
El Insulation (4150) '0 Gypsum Wallboard Nailing(4130)' El Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By 6ti Date ^`� 1 By Date
0 Final-Fire Department(4060) .0
Final-Planning ' 0 Final Erosion Control(4375)
Approved Approved Approved
By Date By Date By Date
El Final-Building(4050)
Approved
../ Date _2Z—(
fl'
CI Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date