14-103740 •
Building - Commercial
Community&Econ.Deof FederalvV Services ° ` Permit #: 14-103740-OO-CO
r° Q
33325 8th Ave S
Federal Way,WA 98003 F°
Ph:(253)835-2607 Fax:(253)835-2609 c; _ Inspection Request Line: (253)835-3050
Project Name: SEATTLE CHILDREN'S SOUTH SOUND CLINIC
Project Address: 34920 ENCHANTED PKWY S Parcel Number: 219260 0570
Project Description: ALT-Interior"soft demolition of partitions and finishes preparatory to tenant
improvements;demolition of facade canopy.
Owner Applicant Contractor Lender
SANDRA MILLER JONATHAN FAST ALDRICH&ASSOCIATES
SEATTLE CHILDREN'S HOSPITAL ALDRICH&ASSOCIATES ALDRIA*202RU(2/9/15)
4800 SAND POINT WAY NE 810 240TH ST SE 810 240TH ST SE
SEATTLE WA 98145 BOTHELL WA 98021-9357 BOTHELL WA 98021-9357
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. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, January 21, 2015
Permit Issued on Friday, July 25, 2014
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 t ity of Federal Way.
Owner oragent: Date: -7/?5/?e,
• - DATE INSPECTOR AREA AND TYPE OF INSPECTION
6 l �r3 eAt•.a ti c i e e-ti- y N L DC7 t::_I e S , G=
/.4elfi &, , 6-r. r -c#
6-e-olcy
.4%.*, _ THIS CARD IS TO REMAIN ON-SITE ,
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 14-103740-00-CO Address: 34920 ENCHANTED PKWY S
Project: SANDRA MILLER 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 SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) -0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
. .
El Foundation Wall(4115) .0 Drainage/Downspout(4040) 0 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) '❑ 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
El Shear Walls(4245) El Roof Sheathing(4220) .El Fire/Draft Stops(4095) '
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
•
Prior to scheduling a Framing inspection;• Interim Erosion Control(4370) 0 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 By Date
E Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
o Final-Fire Department(4060) 0 Final Erosion Control(4375) El Final-Building(4050)
Approved Approved \ f Approved
By Date By Date By Date'_,,s...7
i
/i
•
❑ Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date i By Date By Date
R
CITY PERMITTPPLICATION
Federal Way JUL 2 5 2014
CITY OF FEDERAL WAY
I
PERMIT NUMBER / yI _ C ' yV�0) 0
/ / `/0- _ TARGET DATE
SITE ADDRESS SUITE/UNIT#
3 99 2.0 Ekc.L.kd( Potekw5
PROJECT VALUATION ZONING ASSESSOR'S TAR/P CEL#
$Cgy} 6)q k)- ( I - 0 . 057a
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING 0 MECHANICAL W EMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT SoLr11 5 - iAgGl ivn 4 f e/I N f C
PROJECT DESCRIPTION .- l / A •
Detailed description of work to Of W(v - U K 4 jet 5 f`1 T 1A ?ere 04. LAI et"1 Cell tre /S.
be included on this permit only d
Float:f,', t 14te�..c.t l i p/u 0.14.vii i 1 f(M t t c on/119 .4 t5
NAME ) /� �j��� PRIMARY PHONE
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PROPERTY OWNER SPKl/,C 2AIldleKS 1-7'0'511 k ( 2(�(I !9I D -23 Z()
MAILING ADDRESS E-MAIL
•
I.• •A a 611030 OW P -r
_ .. CITY eN t� W STATE r Z?O1 o 1) O
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NAME
A tobLi k ` As5eCta its PHONE ti 3-/ 3,3
MAILING ADDRESS F E-MAIL
CONTRACTOR /d Z �6 St. SE J SQ L^u "@ A UM 1•Ct i)
CITY STATE ZIP FAX
6.6' _ � 1( W la 49r! 2 l ii2s- �iNo -In /g day
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AL b/CZ4 • 20 242-1) DZ i o q i Z 0' 12 ->05s 0-00-41--
...
NAME - I . r PRIMARY PHONE
Aldttich ` 145Sac-tot i•eS 4?5.-Y$3-13 f 3
APPLICANT MAILING ADDRESS E-MAIL
/d 2 yo S-f Si_ .
S t ku 1%�a dkt.ck -A•SS►c,(cm
CITY STATE ZIP FAX
Bei- ,..1lwa. '18.021 _.
NAME .. t PRIMARY PHONE
PROJECT CONTACT T' )06.1 CAI rQ 5 Set t torte S 425-•'f 3 -13 i 3
(The individual to receive and MAILING ADDRESS 1 E-MAIL
respond to all correspondence S/0 Zyo''' Si 5 L'- ,) SC.I.J 404.14 tr ch'00'4"
concerning this application) CITY STATE ZIP FAX •CO ark
Qa'I-w.11 Wr► `L Bot (_ 'i /46-1018
NAME
PROJECT FINANCING OWNER-FINANCED
Required value of$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 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: d/-17- __)
DATE 7 2 Cl 1 1/
PRINT NAME: ✓ C V r' l C 4
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application