15-103837 •
r ` ' wilding - Commercial
City of Federal Way
Community&Econ.Dev.Services Permit #: 15-103837-00-CO
33325 8th Ave SFILE
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PROMINENCE HEALTH PLAN SERVICES
Project Address: 33820 WEYERHAEUSER WAY S Parcel Number: 215466 0040
Project Description: TI-Full 2nd floor tenant improvements including construction of partition walls,new
casework& finishes. Includes plumbing,mechanical by separate permit.
Owner Applicant Contractor Lender
M J R DEVELOPMENT LINDA DUCEY NORTHWAY CONSTRUCTION
6725 116TH AVE NE MARVIN STEIN&ASSOCIATES INC
KIRKLAND WA 98033 LLC NORTHCI905CQ(2/18/16)
1500 WESTLAKE AVE N 1433 VALENTINE AVE SE SUITE 1
SEATTLE WA 98109 PACIFIC WA 98047
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 2
Permit for Building Shell Only? No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0 Zoning Designation. OP-1
Plumbing Fixtures
Dishwashers. 1 Sinks 1 Water Heaters 1
PERMIT EXPIRES Tuesday, March 15, 2016
Permit Issued on Thursday, September 17, 2015
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.•
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Owner or agent: )IC ^ Date: 1 v/5 RF-
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*Building - Commercial
`'
City of Federal Way " •
Community&Econ.Dev.Services Permit el.mit #: 15-103837-00-Cb
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)8352607 fax:(253)835-2609 t Inspection Request Line: (253)835-3050
Project Name: PROMINENCE HEALTH PLAN SERVICES
Project Address: 33820 WEYERHAEUSER WAY S Parcel Number: 215466 0040
Project Description: TI-Full 2nd floor tenant improvements including construction of partition walls,new
casework& finishes. Includes plumbing,mechanical by separate permit.
Owner Applicant Contractor Lender
M J R DEVELOPMENT LINDA DUCEY NORTHWAY CONSTRUCTION
6725 116TH AVE NE MARVIN STEIN&ASSOCIATES INC
KIRKLAND WA 98033 LLC NORTHCI905CQ(2/18/16)
1500 WESTLAKE AVE N 1433 VALENTINE AVE SE SUl1h 1
SEATTLE WA 98109 PACIFIC WA 98047
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories 2
Permit for Building Shell Only No Plumbing to be Included? Yes
New/Additional Sq.Feet-Total 0 Zoning Designation OP-1
Plumbing Fixtures
Dishwashers. 1 Sinks 1
PERMIT EXPIRES Tuesday, March 15, 2016
Permit Issued on Thursday, September 17, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the ill be in c dance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. `�
Owner or agent: Date: Civr 7- /s
CI1ok2€,i AA ac cc)
L.
THIS CARD IS $ tion
IN ON-SITE
C TM OF 6 Construction Record
Federal Way INSPECTION RE : (253)835-3050
PERMIT#: 15-103837-00-CO Address: 33820 WEYERHAEUSER WAY S
Project: M J R DEVELOPMENT FEDERAL WAY, WA 98003
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.
® SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) ElFootings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
• •
® Re-steel(4215) Plumbing Groundwork(4190) Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
•
0 Underfloor Framing(4285) 0 Floor Sheathing(4105) ® Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
[By Date By Date By etrt,- Date i o l -l Si
0 Fire/Draft Stops(4095) 0 interim Erosion Control(4370} Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date I By Date approved. IBC 109.3.4
Framing(4120) 0 Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
El
tia Date 10113115— By Date By V14 Date I-0 t,11i (ltd
`
0 Suspended Ceiling Grid (4265) El Final-S KF&R(4060) ® Final-Planning
Approved to drop tile Approved Approved
B Date 11 1.97/ By Date By Date
'® Final Erosion Control(4375) ❑ Final-Plumbing(4075) Final-Building(4050)
Approved Approved Approved
By Date �c, Date I I//yir By lit4 Date 12.I1 1+ (c'
- Rough Electrical El Final Electrical ® Right of Way
Approved Approved Approved
By Date By Date By Date
,. ' „ • RECEIVED
I CI OF APERMIT4IPPL
Federal Way AUG 0 3 2015 KATION
CITY OF FEDERAL WAY 4-
/ I
CDS
PERMIT NUMBER /5 _ / 0 3 Q 37 - c TAR.DATE t7 /
,\---
SITE ADDRESS / Gd t J
I SUITE/UNIT#
33820 Weyerhauser Way South 2nd floor
PROJECT VALUATION ZONINGASSESSOR'S TAX/PARCEL#
350,000.00 OP-1 I 2 5 -
TYPE OF PERMIT [BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Prominence Health Plan Services
PROJECT DESCRIPTION Full floor interior tenant improvements of an existing office suite,
Detailed description of work to 25,576 sq ft jar office use. demolition. new construction of walls & doors,
be included on this permit only
minor relocation of lighting fixtures, new casework and finishes.
NAMEY PHONE
PROPERTY OWNER MJR Development PR
4225-5-8222-2-
4466
MAILING ADDRESS E-MAIL
6725 116th Ave, NE christian(a�mjrdevelopment.cor
CITYirkland STATE ZIP
WA I 98033
NAME
PHONE
TBD
MAILING ADDRESS
E-MAIL
CONTRACTOR
CITY I STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME
Marvin Stein Associates PRIMARY PHONE
MAILING ADDRESS E-MAILPLICANT 1500 Westlake -1449
Ave.. N., suite one -MAIL
I.duceyAmarvinstein.com
CITY STATE ZIP FAX
Seattle I WA I 98109 N/A
NAME
PROJECT CONTACT Linda Ducey 206-Y PHONE
206-441-1449
MAILING ADDRESS EMAIL
(The individual to receive and
respond to all correspondence 1500 Westlake Ave. N. suite one I.duceyAmarvinstein.co ii
concerning this application) CITY STATE ZIP FAX
Seattle WA 98109 N/A
PROJECT FINANCING NAME
Cit OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP
(RCW 19.27.095) PHONE
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 application.
SIGNATURE:
i ,/;104 afeey-- DATE July 31, 2015
PRINT NAME: Linda M. Ducey
Bulletin#100—January 1,2013 Page 1 of 3
k:\I-Iandouts\Pernut Application
••
MECHANICAL PERMIT (To be submitted under separate submittal) VALUE OF MECHANICAL WORK
*
$
Indicate how many of each type of future to be installed or relocated as parto this
AIR HANDLING UNITS FANS {, f project. Do not include existing fixtures to remain.
GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INS :...: HOODS(commereiab)
BOILERS FURN: _- HOT WATER TANKS(Gas)
COMPRESSORS AS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
r
PLUMBING PERMIT VALUE OF PLUMBING WORK
$ 9,120.00
Indicate how many of each type of future 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
DISHWASHERS
'I WATER PIPING
RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 1 SINKS fiatchen/umity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES
2 TOTAL FIXTURES
GENERAL INFORMATION year built: 2001
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR
VALUE OF EXISTING IMPROVEME1NTg
no water district public
EXISTING/PREVIOUS USE LOT SIZE(In Square $ N/A
Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
present use /office 202,118 Wes❑ No ❑Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT _................._......._......_..
N/A
FIRST FLOOR(or Mobile Home) N/A
SECOND FLOOR —•
N/A
COVERED ENTRY ______
N/A
DECK _...................._.__._.....__..................__.
N/A
GARAGE0 CARPORT 0 _........... _.. _................................................_....__..._..............
N/A
OTHER(describe)
N/A
EXISTINGPROPOSED _..._....._... .....—_ _.._........_..._-......._...__.._.__......_.
Area Totals
**NEW HOMES ONLY** N/A
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Additional Information
Type Stories
NEW BUILDING N/A
ADDITION N/A
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area OccupancyConstruction #of
in Square Feet Gtoup(s)
Type Stories AdditionalInformation
TOTAL BUILDING 55,755 B- office 111-A
2 full sprinkler bldg.
TENANT AREA ONLY 25,576 B- office 2nd fl
PROJEOF AREA ONLY 25,576 . B-office 2nd fl
Bulletin#100—January 1,2013 Page 2 of 3
kAIIandouts\l'ermit Application