15-105785 • •
Building - Commercial'
City of FeDal Way Permit #: 15-105785-00-CO
Community&Econ.n.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: QUEST DIAGNOSTIC
Project Address: 720 S 320TH ST Unit B Parcel Number: 082104 9266
Project Description: TI-Interior tenant improvement work to include demoliton of walls,install(2)doors and
install new window.No plumbing or mechancial.
Owner Applicant Contractor Lender
CAPITOL SQUARE LLC MICHAEL KERSHISNIK W R HANSON INC
PO BOX 18194 DRAGER ARCHITECT WRHAN**251B1(6/24/15)
SEATTLE,WA 98118-0194 2602 N PROCTOR ST SUITE 206 12510 130TH LN NE
TACOMA WA 98407 KIRKLAND WA 98034
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
Zoning Designation PO
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Wednesday, May 11, 2016
Permit Issued on Friday, November 13, 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. `
Owner or agent: Date: ///`/e /:
4 6.1,.. .1
P
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 15-105785-00-CO Address: 720 S 320TH ST Unit B
Project: CAPITOL SQUARE LLC 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.
0 Initial Erosion Control(4365) ❑ 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
0 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
.® Fire/Draft Stops(4095) El 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 By Date approved. IBC 109.3.4
0 Framing(4120) 0 Insulation(4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
Date A_ I2_ ((o By Date Bj- Date — S�-/,
pended Ceiling Grid(4265) 0 Final-S K F&R.(4060) ® Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
#0 Final Erosion Control(4375) ® Final-Building(4050)
Approved Approved
By Date By e Ik.t,-- Date 5_1 .3...it..
Rough Electrical Final Electrical Right of Way
ElApproved •ElFinal . i❑ Approved
By Date By Date By Date
ECEIVED
'CITY Or • PERMIPAPPLICATION
Federal Way NOV 13 2.015
CITY OF FEDERAL WAY
PERMIT NUMBER /
-7 0 �
-
- L-f TARGET DATE
SITE ADDRESS SUITE/UNIT#
Z- 2b113(
.54
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
VSM E -
TYPE OF PERMIT .*"•�UILDING 0 PLUMBING El MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT C `A 604 ,r r tT Ne
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PROJECT DESCRIPTION o 1E f"„ 41--41- W.41. r' t M
Detailed description of work to • .�." � 1 -- 'y/�I +L GSD (z )
be included on this permit only t"^+,e,)K f E A 4-. Ej5e
I `
NAME PRIMARY PHONE
NA
PROPERTY OWNERMAII,ILI
NG ADDREC�$ E-MAILfo . ` l )
T-11
CITY S\NA ZIP
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NAME„v.i
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MAILING ALTRESS E-MAIL / J
CONTRACTOR : L. G� #� t 9
CITY ►�G
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WAAf�aTORy ISEI 3 �L��2(V/ S IC�
NAME
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PHONE
01. I ' - s e—
MAILING ADDRESS EAIAPPLICANT A#Rr k
CITY
sig y7, Z`�G FA%
y.� A / } y.. [ j 4�NAME
PRIMARY PHONE
PROJECT CONTACT ��,,JJ C-'I tE�,� [4*�-,� t1�- � �� 25-?,
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MAILING ADDRE B _
(The individual to receive and •� E-MAIL
respond to all correspondence 46- 1 . Ira * is tsPPP � 'A(074141:
concerning this application) CITY swas VYZIP FAX
40 A /
PROJECT FINANCING N EA 0 OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIPPHONE
(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. : •art ••lication.
SIGNATURE: —�a�►�• DATE ////49/< v /1"
PRINT NAME: /-1/6-dAti___ _ ii11I
Bulletin#100—October 26,2015 Page 1 of 3 k:\Handouts\Permit Application
• • •
MECHANICAL PERMIT VALUE OF MECHANICAL WORK
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gm)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT VALUE OF PLUMBING WORK
Indicate how many of each type offixture 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 FOUNTAINS 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
' t4 C: WirM Pi ST-041.— J
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
- 3 Co ! ❑Yes No ❑Yes/1 No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMEN •T
FIRST FLOOR(or Mobile Home)
SECOND'FLOOR
COVERED ENTRY
DECK '
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
.'!'*NEW HOMES ONLY**,'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Construction #of
Square Feet Occupancy Group(s) Additional Information
Type Stories
NEW BUILDING - %Y
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Construction #of
Square Feet Occupancy Group(s) Additional Information
Type Stories
TOTAL BUILDIN4 V
TENANT AREA ONLY , J
PJ
ROECT AREA•ONLY s �J
•
Bulletin#100—October 26,2015 Page 2 of 3 k:\Handouts\Permit Application