08-103626 - _':' r Ouild1n - ComP Bial
City of Federal Way Q
Community Development Services Permit #: 08-103626-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph.(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: CHRISTIAN FAMILY CARE
Project Address: 33507 9TH AVE S Bldg A Parcel Number: 926500 0020
Project Description: TI-Initial tenant improvement for medical health care. Includes plumbing for bathrooms
• only.
•
Owner Applicant Contractor Lender
CHRISTIAN FAMILY CARE HYE-YOUNG LEE MCCONAGHY CONSTRUCTION CHRISTIAN FAMILY CARE
8725 S TACOMA WAY ARCH/TECH INTERNATIONAL MCCONI*221B3(01/23/10) 8725 S TACOMA WAY
LAKEWOOD WA 98499 29605 MILITARY RD S 2601 70TH AVE W SUITE S LAKEWOOD WA 98499
FEDERAL WAY WA 98003 UNIVERSITY PLACE WA 98466
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 54
Floor Area(sq. ft.) 3,750 0 0 0
Occupancy#1 -Area(Sq:Feet) 3750 Occupancy#1 -Construction Type Type V-B
Existing Sprinkler System in Building' No Mechanical to be Included' No
Number of Stories 1 Occupancy#1 -Class
Permit for Building Shell Only? No Plumbing to b, eluded? Yes
New/Additional Sq.Feet-Total 0 Occupancy# 'se Professional
I Services/Offices
z
Plumbl
Lavatories 3 Water Closets 11 3 0
CONDITIONS: °IV
Tenant Improvements require Traffic Division review. A b. • oo$8.87/square foot pro-rata mitigation
required once more than 50% of the buildings are used I's edic. I ental office use(per SE#05-102187
folder).
PERMIT EXPIR• . Tuesday, February 10, 2009
Permit Issued on Thursday, August 14, 2008
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
4 • and the City of F-deral Way.
Owner or agent: Date: // / 7-of
• w
City of Federal Way II) •
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: CHRISTIAN FAMILY CARE Permit#: 08-103626-00-CO
• Address: 33507 9TH AVE S BIdgA •
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 54
Floor Area(sq. ft.) 3,750 0 0 0
Owner Name: CHRISTIAN FAMILY CARE
Owner Address: 8725 S TACOMA WAY
LAKEWOOD WA 98499
rte.
1, i/2 Si
Building Official Date
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.
• I Alkke. 0 THIS CARD, IS TliEMAIN ON-SITE .,
CITY OF ^ °• Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (2.53) 835-3050
PERMIT #: 08-103626-00-CO
Owner: CHRISTIAN FAMILY CARE
Address: 33507 9TH AVE S Bldg A
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
he 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 Date By Date
•
0 Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
.❑ Rough Plumbing(4230) 0 Fire/Draft Stops(4095) NOTE Prior to scheduling
a Framingg(411
20)
Approved Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By e:... Date j+/4/, e,5 B C- Date/�—z signed-off and approved. IBC 109.3 4/1 BC 108 5 4
0 Framing(4120) ❑ Insulation (4150) ❑ Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By ,/Date I/'7 01 By Date j_ /4-07 By Date
' •
❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By /-s ..-7,•.•.---
2 Date I 3 A By Date By Date
,❑ Final-Plumbing(4075) ❑ Final-Building(4050)
Approved Approved
By Date By Date 1//.01
.
•
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved •
By Date By Date
CITY OF - gk.- / L/Federal 1Na CEIV. -) 0 .,//// J— —
COMMU PERMIT a,g as� 4
SF
NTTYDEVELOPMENTSERVlCES MF e ME EL PL DE EN FP
33325 D AVENUE SOUTH•PO BOX 9718 I 31. 20 p p L I C A T I O N
FEDERAL WAY,WA 98063-260 J U L TD 20. / /
253-835-2607•FAX 253-835-26094
www.atuolTedemlwati corn
Lk flF FEDERAL WAY
The followin elru red i • •• • on—an incomplete application will not be accepted. Please print legibly(in ink)or type.
Li
■ PROPERTY INFORMATION - •
SITE ADDRESS_ 3350-7^ °11-IN,k J,P S d-- SUITE/UNIT#- 4
ASSESSOR'S TAX/PARCEL# 9 �1,0 S-0 00 -C) LOT SIZE(sf) 40- 0 s�
1.44 s.- 42 cF co
. 'a .../'hs e- ze- p „ s i , - (pi - tzerk-dad
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 74-1 Volo It q - ail p s , pufl_/_s 5-5- 4-(1A„1.,, T$ iean-d ,rr— kriv
(Attach separate page for lengthy legal descnpti n) 0
■ PROJECT INFORMATION
TYPE OF PERMIT (23 -7. f 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
1"vl141-a.Qi �eng, f-- i mf rotlrl+t - iced, Kms,/A Cayce
PROJECT NAME(Name of Business or Owner Last Name) C#fLST7,t, P !L c 7fre e
• PEOPLE INFORMATION
PROPERTY NAME '- �I. PRIMARYGPHONE
OWNER G`ilVl57-51k1(I/ Are...---- (9-J3 ) )2 - 24
MAILING ADDRESS / CITY,STATE,ZIP E-MAIL ADDRESS
bl-)1 S - c 4tc L'v^wL . gke.Wu..4 LJ,�7is9
CONTRACTOR COMPANY NAME O APPLICANT NAME OFFICEHONE
MAILING ADDRESS CITY,STATE,AP' CELL PHONE
' ti-**/'-f- >VG' 41/e, ... (Aril W 1£'1 ( 2 6 ) q!* - ii-( i/
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
i .. 0[A 1 /2.1 ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
14S6e1/11 if
0 0 .'
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
/)-lecK/ ,(J/- 17 ( 3 ) ly - 5-Y143
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
,-----1/or ici a-i j2-.1 S F -/ &v.i 1414-11° 3 (3-53) Z(9 -.07`f3
RELATIONSHIP TO PROJECT O FAX NUMBER
Dit,Architect ❑Tenant 0 Agent 0 Other (M3 ) CeY1 -
PROJECT NAME �r ` , PRIMARY PHONE
N E-MAIL ADDRESS
CONTACT i ( 3) •7-(c/ - l'+3 / lN4-jA o o)H z.4''
LENDER NAME II Per RCW 19.27.095:
vGl kr)f-Q l,1 J. `i_It t (i-•k
- Lender information is required if project value exceeds$5,000
MAILING ADDRESS / rl _ CITY,STATE,ZIP PHONE
r1' 7-c -rAc < i,;,-,s1 Li- 2
■ DETAILED BUILDING INFORMATION
(7 Le- ��
EXISTING USE PROPOSED USE Od'd-►urs
EXISTING ASSESSED/APPRAISED VALUE$ i `� VALUE OF PROPOSED WORK $ �j 0,00 0
SPRINKLERED BUILDING? 0 YES > NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES NO
WATER SERVICE PROVIDER $LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER x LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ. FT.
BASEMENT
FIRST
SECOND 7
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
EXISTING PROPOSED TOTAL TOTAL EXISTING ST TOTAL PROPOSED Sr TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 6 0 ° o
• FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ l Ord O (A COPY OF'BID OR ESTIMATE ,140 IN' UDED WITH APPLICATION)
AIR HRtDLII`IG UNITS EVAPORATIVE COOLE•• i PIPE OUTLETS WOODSTOVES
BBQS FANS A;.10/ GAS WATER HEATERS MISC(Describe)
BOILERS - FIREPLACE MSS"'•' HOODS(commercial)
CO •'- FURNACES RANGES
DUCTS G SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS)or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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: DATE '/4( o
operty Owner and/or Authorized Agent
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES a NO
Iv'44W/cc U ( y/'e Ir' i
(6�
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application