16-103141 '
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Building - Comnie'cial
City of Federal Way
Community&Econ.Dev.Services
333258th Ave S Permit #: 16-103141-00-CO
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Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: FEDERAL WAY ENDOSCOPY CENTER
Project Address: 34503 9TH AVE S Unit 300 Parcel Number: 750451 0050
Project Description: TI-Interior improvements to existing tenant space to create endoscopy clinic,including
new partition walls,acoustic ceiling system and additional restrooms. Includes plumbing&
mechanical.
/ Owner Applicant Contractor Lender
CHI-FRANCISCAN HEALTH BUFFALO DESIGN ALDRICH&ASSOCIATES OWNER IS LENDER
SYSTEM 1520 4TH AVE SUITE 400 ALDRIA*202RU(2/9/17)
1623 MARTIN LUTHER KING WAY SEATTLE WA 98101 810 240TH ST SE
TACOMA WA 98405 BOTHELL WA 98021-9357
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-A
Occupancy Load
Floor Area(sq.ft.) 5,006 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes
Mechanical to be Included? Yes Plumbing Work Valuation? 155100
Mechanical Work Valuation? 114281 Number of Stories. 3
Permit for Building Sli l-Only? No Plumbing to be Included9 Yes
Proposed Structure Valuation 1059500 Special Inspection(s)Required? Yes
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional
Services/Offices
Mechanical Fixtures
Air Handling Units. 6 Ducting 1 Fans 4
Plumbing Fixtures
Lavatories 9 Sinks 2 Water Closets 2
PERMIT EXPIRES Tuesday, March 21, 2017
Permit Issued on Thursday, September 22, 2016
I hereby certify that the ab•ve information is correct and that the construction on the above described property and
the occupancy and the e will be in accordance with the lave —nr1 regulations of the State of Washington
,,, = dthe City ofFE
Owner or agent: W Jr/ Al / . 4ZZ
DATE E\.PI:CTO12
AREA AND TYPE OF 1\<F1 f:"'[ IO\
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. THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-103141-00-CO Address: 34503 9TH AVE S Unit 300
Project: CHI - FRANCISCAN HEALTH SYST 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.
O Initial Erosion Control(4365) 0 Footings/Setback(4110) Re-steel(4215)
To be done prior to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to cover Approved to place concrete Approved to sheath floor
By Date By Date By Date
I
Floor Sheathing(4105) 0 Rough Plumbing(4230)N 0 Mechanical Rough-in(4165)
Approved to install flooring Approved Approved
By Date By A„� Date 1111 I i 7 B - . Date z—Z'4—
Gas Piping(4125) El Fire/Draft Stops(4095) 0 Interim Erosion Control(4370)
Approved to release test Approved Approved
By h s-ti Date 5_1._ 1.-? By 0_44w Date L 11-,1 ,, By Date
•
Prior to scheduling a Framing inspection; 0 Framing(4120) iv Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in and Approved to insulate Approved to install wallboard
Fire/I)raft Stop inspections must be signed-off and
approved. IBC 109.3.4 By Q <wt...., w Date t —, i I�n By Date
• Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265) 0 Final-SKF&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By j Date 11 i 7 I)-, By �C Date , _ I_ 1(1 By Date
Final-Planning 0 Final Erosion Control(4375) 0 Final-Mechanical(4065)
Approved Approved Approved
By Date By Date By e Date 3 „i "-I
0 Final-Plumbing(4075) Final-Building(4050)
Approved i ,ozfilApproved 1
By Ati Date 3 11-7(pi By , Date 3/17/17
O Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
411 III
RECEIVED
CITY OF
:x PERMIT APPLICATION
Federal Way J U N 2 8 2016 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter(ucityoffederalway.com
CITY OF FEDERAL WAY
14:2_
CDS /�PERMIT NUMBER _ / / 3 l I - �-��':✓ F/ - I iI`�[,)
SL TARGET DATE
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SITE ADDRESS SUITE/UNIT#
34503 9th Ave. S. Federal Way, WA 98003 30 6
PROD'CT VALUATION ZONING ASSESSOR'S TAX/PARCEL S
4.—±7-59-1-7-5"e"&*, OP 7 5 0 4 5 1 -
'Sr0 0 5 0
1,os9 ,SbQ — — — —
TYPE OF PERMIT El BUILDING *PLUMBING DI MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Federal Way Endoscopy Center
Tenant improvement of existing shell space including,
PROJECTDESCRIPTION
orkt but not limited to new walls, fixtures, lighting,
Detailed description of work to
be included on this permit only plumbing and furniture.
NAME PRIMARY PHONE
CHI Franciscan Health (Darrell Turner) (253) 274-7686
PROPERTY OWNER MAILING ADDRESS E-MAILdarrellturner@
1623 MLK Jr Way chifranciscan.org
CITY STATE ZIP
Tacoma WA 98405
NAME PHONE
Aldrich +Associates (George Ward) (425) 483-1313
MAILING ADDRESS E-MAIL 9wa rd®
CONTRACTOR 810 240th St. SE aldrich-assoc.com
CITY STATE ZIP FAX
Bothell WA 98021 425-485-1018
WA STATE CONTRACTOR'S LICENSE/ EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
/
NAME PRIMARY PHONE
Buffalo Design (206) 467-6306
APPLICANT 1520G�Fourth Avenue, Suite 400 b E-MAILDRESS falodesign.com
CITY STATE ZIP FAX
Seattle WA 98101 (206) 624-1494
NAME PRIMARY PHONE
PROJECT CONTACT Chris Carlson (206) 467-6306
(The individual to receive andMAILING ADD E-MAILC hr 1 S Q
respond to all correspondence 1520 Fourth Avenue, Suite 400 buffalodesign.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98101 (206) 624-1494
NAME
PROJECT FINANCING ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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,expensesand attorneys'fees incurred in
the investigation and defense of such claim),which may be made by any person,including the undersigned,and flied 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 tot ty as a part of this application. /
SIGNATURE: DATE ;1 /Zel 1 f
PRINT NAME: CAIS F� C-75 1d NI -
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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