07-101646 City of Federal Way Commercial Bu b i inQ — Perm#: 07-101646-00-CO
Community Development Seryices
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(233)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: PUGET SOUND BLOOD CENTER
Project Address: 1414 S 324TH UNIT B101 � Parcel Number: 150050 0080
Project Description: TI-STFI-interior space converted to a blood collection center.3060 sq/ft **Includes
Plumbing,NO mechanical.**
Owner Applicant Contractor Lender
PUGET SOUND BLOOD CENTER JAMES STAPPER FERRIS TURNEY GENERAL PUGET SOUND BLOOD CENTER
921 TERRY AVE JAMES STAPPER ARCHITECT CONTRACTORS 921 TERRY AVE
SEATTLE WA 98104 4850 FOREST AVE SE FERRIGC037N1 (5/28/07) SEATTLE WA 98104
MERCER ISLAND WA 98040 PO BOX 31109
SEATTLE WA 98103
Census Category: 437- Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
-Occupancy Load:
floor-Area(sq. ft.) 3,060 0 0 0
"q1iAdditional PermitInformation
is
a
New/Additional Sq.Feet 1st Floor 0 New/Additional Sq.Feet-2nd Floor 0
New/Additional Sq.Feet-3rd Floor 0 New/Additional Sq.Feet-Basement 0
Building Pre-con.Meeting Required? No New/Additional Sq.Feet-Deck 0
Existing Sprinkler System in Building? Yes New/Additional Sq.Feet-Garage 0
Mechanical to be Included? No Number of Stories I
New/Additional Sq.Feet-Other 0 Permit for Building Shell Only' No
Plumbing to be Included? Yes Special Inspection(s)Required? No
New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional
Services/Offices
Sensitive Areas?(Wetlands/Slopes,etc) No Zoning Designation CC-F
Plumbing Fixtures
Lavatories 2 Sinks 4 Urinals 1
Water Closets 2
CONDITIONS:
SUBJECT TO FIELD INSPECTION
PERMIT EXPIRES Monday, March 30, 2009
Permit Issued on Friday, March 30, 2007
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.
Owner or agent: Date: J� 30 G 7
� 1
•
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International 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: PUGET SOUND BLOOD CENTER Permit#: 07-101646-00-CO
Address: 1414 S 324TH UNITB101
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 3,060 0 0 0
Owner Name: PUGET SOUND BLOOD CENTER
Owner Address: 921 TERRY AVE
• SEATTLE WA 98104
7;11" 1/39
Building Official D to
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 severly 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.
F THIS CARD IS TO MAIN ON-SITE ' -
� Developm nt Inspection Record
CITYOF ommunity p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101646-00-CO
Owner: PUGET SOUND BLOOD CENTER
Address: 1414 S 324TH UNIT B101
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
0 Footings/Setback(4110) ❑ Re-steel(4215) ❑ Plumbing Groundwork(4190)
Approved to place concrete Approved to place concrete or grout Approved to cover
By Date By/,4I, Date,5--49-d7 By 4i.-Date c 9 97
❑ Slab/Concrete Floor(4255) 0 Underfloor Framing (4285) ❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
0 Rough Plumbing(4230) 0 Fire/Draft Stops (4095) NOTE:
O : PEor to scheduling a Framing(4120)
ApprovedApproved
le c ng&Mechanical
lD
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108 5.4
By 44.-- Date(S,1„c. 4� By Date
❑ Framing(4120) `�� ❑ Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install muud—&tape
By ...•...• Date S-z.3,.0.7 By Date B3 ..� Date) Sc ?`Z .c
❑ Suspended Ceiling Grid(4265) Final-Fire Department(4060) ❑ Final-Planning (4070)
Approved to drop tile Approved Approved
l,�
By-V-5 Date_zs-r m- ; Byf tf. Date 7-3-0 7- By Date
❑ Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved
By- (5 Date _ 2 S--V 7 By Ai...-- Date 7/3/o'7 ,
Su eco 10 F..,e alert
or I •
F
ay OF
Federal Way RECEIVEDPERMIT
COMMUNITY DEVELOPMENT SERVICES SF MFC. ME EL PL DE EN FP
333258TMAVENUE SOUTH•PoBOX 9716MAR 2 9 'PLICATION m �,— G
FEDERAL WAY.FAX
53-898063-9718-260 / /
253-835-2607•FAX 253-835-2609 �p
www.cituo((ederalwau.com{� i}�'u(' FEDERAL WAY
The following is requir i Y�dfrran incomplete application will not be accepted. Please print legibly(in ink)or type.
d C • PROPERTY INFORMATION
SITE ADDRESS 14 44. 5 324- Stem- scr 551(51 Flap u30, iY
SUITE/UNIT# Z)VO
ASSESSOR'S TAX/PARCEL# / c () 0 S 0 0C) _a 0 LOT SIZE(sjJ 20 e q d OS aaR
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) SEM.j T1 C.(4( 'D
(Attach separate pagef lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT XBUILDING PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
I er2-10V "TL- 1-J+44-31- 1.IVLPRovalt41001--5 1'b r0,Jvt24- $1314,c411 -ro
tt' St,.caota co t.Lta-cr coo .m.o tsr..-
PROJECT NAME(Name of Business or Owner Last Name) F 5f3 . (07v1-1412- ...61.-.11-6-1?-,
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER R)aer 5400D fSt,oc1P C f L)T P-. ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
R2I Tt'"R.IZ`C a.4,t�. 51.-rn- WA 18104
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
re2R1 1.012J`•)`f (2° )63 Z 2117
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Fo goy 31109 S Tit.e" u-0,‘ '78143 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
(14,- \ -00 Z b -ic, o 1- --- \-o 2- ( )
copy or and om.h.ed CONTRACTORS REGISTRATION NUMBER"' `� ( 2 EXPIRATION DATE E-MAIL ADDRESS
with each application =.4 i 6 Ci
.( "�'�3 I I•I /I 8-O /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
J�v>7 _S F?�-- t rn r 4A M STheC . (2de)z3 - 511°
MAILING AD NESS C11Y,STATE,ZIP CELL PHONE
4S50 FeetESTANS sA. M 1a-t5. u..A18440 (zap )515 -4,4:8Z
RELATIONSHIP TO PROJECT FAX NUMBER
Architect 0 Tenant 0 Agent ❑ Other (2 )Z3 6 -5700
PROJECTNAME f PRIMARY PHONE r E-MAIL ADDRESS
CONTACT J c )'t 5 s'C'P•rP?�» (Zoo ) 2310 - I& J5frrC f T ""'/�
FIET'GON1
LENDER NAME
/�l Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE C.owtvruee-cam.. PROPOSED USE t$4 44) COLLLgal 100 P 4t.%tr
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 6 eD ) Oct
SPRINKLERED BUILDING? X YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES a NO
WATER SERVICE PROVIDER •KLAKEHAVEN 0 HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
*
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
ELCX, Gou_ecnot•-) 364,0 ,3a 6o
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL Tonic=STING SF TOTAL PROPOSED SF TarnLSF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing furtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPOI;ATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS S GAS WATER HEATERS MISC(Describe)
BOILERS 1•`I LACE INSERTS HOODS(Commercial)
COMPRESSORS /FURN S RANGES
DUCTS GAS LOG S REFRIG.SYSTEMS
PLUMBING /
BATHTUBS(or Tab/shower Combo) i+ LAVS(Bathroom smksl • URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS 2. WATER CLOSETS(met)
ELECTRIC WATER HEATERS ' — SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 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 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 Y A DATE C3/21/97
(Signature) (Title)
RELATIONS'!' * PROJECT 0 Owner 0 Agent 0 Contractor XArchitect 0 Other
o NEW ❑ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application