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09-103581 . • • Building - Co nmerciul• City ityDev Federal Development ; Permit #: 09-103581 -00-CO Community Develo ment Services P.O.Box 9718 i L Federal Way,WA 98063-9718 Ins ection Request Line: (253) 835-3050 Ph'(253)835-2607 Fax (253)835-2609 p q Project Name: PAIN CENTER OF WESTERN WASHINGTON Project Address: 350 S 333RD ST Parcel Number: 926500 0210 Project Description: TI -Interior remodel to create medical clinic from previously multi-tenant building. Does not include plumbing or mechanical. Owner Applicant Contractor Lender THE PAIN CENTER OF WESTERN MICHAEL DESMARTEAU RUSH COMMERCIAL CONST INC THE PAIN CEN ER OF WESTERN WASHINGTON NORTH PACIFIC DESIGN RUSHCCI973BZ(1/9/11) WASHINGTON 34509 9TH AVE S 2727 HOLYCROFT ST SUITE 410 2727 HOLLYCROFT SUITE 410 34509 9TH AVE S FEDERAL WAY WA 98003 GIG HARBOR WA 98335 GIG HARBOR WA 98335 FEDERAL WAY WA 98003 Census Category: 437 - Commercial alt/ add/conversion Includes: #1 #2 #3 #4 Occupancy Class: B construction Type: Type V- B Occupancy Load: PitiOTArea(sq. ft.) 3,300 0 0 0 n Additional Permit Information Existing Sprinkler System in Buildl� No \lLelku icaI to be Included? No Number of Stories 2 Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Clinic-Outpatient Zoning Designation OP No Fixtl . II , liith This Pei 1 4.':'34,7:"'4''''' CONDITIONS: Any future additions or alterations to the building will trigger the requirement for two exits from each floor of this structure per the International Building Code. PERMIT EXPIRES Saturday, April 10, 2010 Permit Issued on Monday, October 12, 2009 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 nd the City of Fede I Way. Owner or agent: et ......."( I tt t-i'1-- zie ed-- Date: /l//• -/r 7 J 19K /Z ( //O City of Federal Way . • ' r 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: PAIN CENTER OF WESTERN WASHINGTON Permit #: 09-103581-00-CO Address: 350 S 333RD ST Includes: #1 #2 #3 #4 Occupancy Class: B Construction Type: Type V-B Occupancy Load: Floor Area(sq. ft.) 3,300 0 0 0 Owner Name: THE PAIN CENTER OF WESTERN W, Owner Address: 34509 9TH AVE S FEDERAL WAY WA 98003 Building Official •ate 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. • ^` °. • THIS CARD IS TO REMAIN ON-SITE • Construction In ction Record +gyFedral . . INSPECTION RUNETS: (253) 835-3050 PERMIT #: 09-103581-00-CO Address: 350 S 333RD ST Owner: THE PAIN CENTER OF WESTERN ' FEDERAL WAY, WA 98003-6321 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) ElFootings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date o Re-steel (4215) ❑ Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date By Date By Date El Floor Sheathing(4105) o Fire/Draft Stops(4095) ' El Interim Erosion Control (4370) Approved to install flooring Approved Approved By Date By Date By Date ir, Prior to scheduling a Framing inspection; 1 El Framing(4120) El Insulation (4150) Electrical,Plumbing Mechanical Rough-in and Approved to insulate Approved to install wallboard Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4 By Date Li X1-4_1. By Date 0 Gypsum Wallboard Nailing(4130)' 0 Suspended Ceiling Grid (4265) El Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By / Date ��c/p By, _ Date Q b-41 `_l k By Date El Final -Planning( 70) ' 0 Final Erosion Control (4375) El Final-Building(4050) '' Approved Approved 4 Approved / By Date By Date By l'�/ `rDate�� v��, . . Y Rough Electrical Li Final Electrical Right of Way Approved Approved Approved 13N Date B. Date By Date le 4 I I 0: RECEIVED Federal 4 J--}/ 0 3 5 c'- CITY Di '; Federal Way PERMIT SF MFFF CO ME EL PL DE EN FP COMMUNITY DEVELOPMENT SERVICES 16 2009AP P LI CATION �../ �e 253-835-2607•FAX 253-835-2609 www.cltuof)ederalwau.corn trr)pr?A1 ^.•✓ PROPERTY SITE ADDRESS ,-- 3.50 5. 'Orli sfi, e / Way, WA `1 ra93 SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# PROJECT � p ',/_ NAME PROJECT or (Tenant or Homeowner Name) %`fie ?Q i✓7 Center e ` V�/e*r+? Vtbsh, gBUILDINGTI ❑ PLUMBING 0 MECHANICAL TYPE OF PERMIT fSk DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION I7t,TiO r' der-tie/the/3 a--td rem erdei of ./r "f''�� PROJECT DESCRIPTION -S7-S-0 F 1 lncL I ', -Fry- e -et new me L C 0.-1� . Detailed description of work to / be included on this permit only PEOPLE NAME/ PRIMARY PHONEC PROPERTY OWNER i1/471HC,C. ?r7J es ( l5 op 3) 7 - 5% MAILING ADDRESS,CITY,STATE,ZIP E-MAIL /5101 - /31 - Ave., C-,7 yk/k/5,WA /g371 OWNER IS ALSO: El CONTRACTOR 0 APPLICANT ❑ PROJECT CONTACT NAME PRIMARY PHONE 11-4 41. COrArkle(- . Com4ru4`rirrL (-P...3) Sys- Gln CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP oe FAX 2-727 lIyl^rcft5t, 5i-e-4 to, &'jt- rbo;w ( 2,s3) -5V- 3 Pe WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# R CC '' SH el 133 4 / 7 t?c 1I ;iv'o%'f O33O7-1( --$L. NAME �/ PRIMARY PHONE APPLICANT .� 'H 1/L �a e i1it. �e',t i 7T vic • ( ) gig- s' Ci /- MAILING ADDRESS,CITY,STATE,ZIP 9g FAX ,r7.•,/-7 1- t ifC�c t' Si/Ste •4,►o,&cj s r/r'r; wA G263) 8s - .31 Re PROJECT CONTACT \NAME 1 PRIMARY PHONE ,i (The individual to receive and H l'e(ic2ef ee tP( L!,1'1►�L` tt rCFN,1 � �$J� ) 5 � 7' respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP 61?3 5 FAX concerning this application) ., f St Ste• o /_� D �Jd ('i r-.2-) s"..5-1- 3�' a' ALTERNATE CONTACT NAME: (tel PRIMARY PHONE 4��=� E-MAIL) 6 • L0--tt z. 5toic;i F, 1 (. 3) -- -,5 20' ' rwde nla " iu°n 'Y-4f-"it- _ 7 c..hi PROJECT FINANCING NAME OWNER-FINANCED Required for projects with t) (/'Q Y L''1 value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE (RCW 19.27.095) ( ) - I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this application. /� / �y SIGNATURE: ciV ' DATE % /-�/O e PRINT NAME: LA L',ZI 51.M e k) Bulletin#100-4/21/2009 Page 1 of 4 k:AHandouts\Permit Application • MECHANICAL FIXTURES Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED) Indicate numbekof each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING1 NIT5L FANS GAS PIPE OUTLEIS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS •-. LOG SETS REFRIGERATION SYST DUCTING GAS PIP,. WOODSTOVES PLUMBING 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. BATHTUBS(or Tub/Shower Com LAVS(Hand Sinks) TOIL WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM B DRINKING F AINS SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BI S SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ 3/g, SOD. C tc,1�) 1 c. ?t,A9) I c $_ Li 7,3 i c E�— EXISTING/PREVIOUS USE LOT SIZE an Square Feet) EXISTING FIRE SPSYSTEM? PROPOSED F RE SUPPRESSION SYSTEM? f/ ,s971 ; r C; ❑Yes, Eo ❑Yes No `fn RESIDENTIAL AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) Area Totals EXISTING PROPOSED TOTAL ."NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL — NEW/ADDITION AREA DESCRIPTION Area Construction #of in Square Feet Occupancy Group(s) Type Stories Additional Information NEW BUILDING ADDITION COMMERCIAL -REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Construction #of in SquareL� Feet Occupancy Group(s) Type Stories Additional Information TOTAL BUILDING 4, .�, 56 V - ila7 jam'inK1t�'°t)rd TENANT AREA ONLY 4, 550 t, Il II f , PROJECT AREA ONLY 4155© ' II a( Bulletin#100-4/21/2009 Page 2 of 4 k:\Handouts\Permit Application 4110 • ■�NDCIFICRTH ®SPA DESIGN ARCHITECTURE I ENGINEERING I PERMITTING NCORPORATI] September 15, 2009 To: Planning and Land Use City of Federal Way 33325 8th Avenue South, PO Box 9718 Federal Way, WA 98063-9718 Re: Tenant Improvement building permit submittal The Pain Center of Western Washington Crestmark Building 350 S. 333`d St. Federal Way To whom it may concern, We respectfully submit the following tenant improvement for the above referenced project. Here is a brief background of the project and narrative of our proposal. This project went through a pre-application conference with the DRC on August 13th, 2009. At that time we outlined and discussed the full scope of the project, and the fact that we would submit for the interior tenant improvement (Phase 1) separately in advance of the exterior additions and modifications (Phase 2). The primary reason for that was to get a head start on the construction to run concurrently with the extensive Process III review. The Crestmark Building (4,550 S.F.) was built in 1981. The current buyers (MHC Properties) plan to do an extensive remodel to the building and relocate their clinic: The Pain Center of Western Washington. This submittal is for the Phase 1 work only. All exterior additions and modifications will be submitted at a separate time. We look forward to your comments. If you have any questions or need further information, please call me at 253-858-8204 or email at mdesmarteau@northpacificdesign.com. Sincerely, I 1 ' / .W4 Michael Desmarteau Project Architect North Pacific Design,Inc. Park Plaza East 1 2727 Hollycroft,Suite 410 1 Gig Harbor WA 98335 1 [ph] 253.858.82041 [fax]253.858.3188 1 www.northpacificdesign.com