08-100288 •
City of Federal Way
Community Development Services Community Eng - Commercial Perm>< #. 08-100288-00-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: COMMUNITY HEALTH CENTERS OF KING COUNTY
Project Address: 33431 13TH PL S Parcel Number: 768190 0070
Project Description: ALT-Remodel 350 square foot area of existing building to create office space.
Owner Applicant Contractor Lender
KING COUNTY HEALTH DANIEL LECKMAN FERRIS TURNEY GENERAL KING COUNTY HEALTH
516 3RD AVE MILLER HAYASHI ARCHITECTS CONTRACTORS 516 3RD AVE
SEATTLE WA 90104 118 35TH ST SUITE 200 FERRIGC037N1 (5/28/09) SEATTLE WA 90104
SEATTLE WA 98103 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.) 350 0 0 0
Additional Permit Information
Existing Sprinkler System in Building? Yes Mechanical to be Includedr ......... ..... .. .........No
Number of Stories 1` Permit for Building Shel,Only? No
Plumbing to be Included? No New/Additional Sq.Feet••Total 0
Occupancy#1 -Use Professional
Services/Offices
No Fixtures Associated With This Permit !!
CONDITIONS: 141/., „.f7,0
Subject to field inspection with plans.
PERMIT EXPIRES Monday, January 18, 2010
Permit Issued on Friday, January 18, 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
and the City of Federal Way.
Owner or agent: / W Mfr Date: I U P v a
f•
THIS CARD IS TO .MAIN ON-SITE
t .
CITY OF ‘ tommunity pnt Develo m Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100288-00-CO
Owner: KING COUNTY HEALTH
Address: 33431 13TH PL S
FEDERAL WAY, WA 98003-6357
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) ❑ Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By Date
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops(4095)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) ❑ Insulation(4150)
inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard
Rough-in and Fire/Draft Stop inspections must be
signed-off and approved. IBC 109.3.4/UBC 108.5.4 By v B- v.� Date Z Z�" cam' y Date
O Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) 0 Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By, ,.. (� Date Z... _0 By Date By Date
ElFinal-Planning(4070) ,❑ Final-Building(4050)
Approved Approved
By Date Date 3— e— j
,
For inspector reference only _
El Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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ederal Way PERM ` � w.m -
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FEDERAL WAY,WA 98063-9718 A A �yfl1 ' ^
253-835-2607•FAX 253-835-2609 t { ��
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The following is required information-an incomplete tGFwfl n V accepted. Please print legibly(in ink)or type.
Ir
MI PROPERTY INFORMAjION
SITE ADDRESS 33431 13th P 1 . S, Federal Way, WA 98003 . SUITE/UNIT# N/A
ASSESSOR'S TAX/PARCEL# 7 6 8 1 9 0 - 0 0 7 0 LOT SIZE(sj) 113 , 300
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) See Attached
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT EN 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)
Conversion of a portion of existing A-3 occupancy meeting room to a B
occupancy medical office .
PROJECT NAME(Name ofBusiness orOwner Last Name) Community Health Centers of King County
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER King County (206 ) 298 - 0238
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
516 3rd Ave Seattle, WA 09104 Maureen.Thomas@Metrokc.gov
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ferris/Turney Gen. Contractors Mike Myers (206 ) 632 -1306
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
P.O,Box 31109 Seattle,WA 98103 (206) 793 .1306
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
06 . 100306 . 00 .BL 12/31/2008 (206) 632 -2796
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FERRIGC037N1 05/28/2009 mikem@ferris-turney.com
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Miller Hayashi Architects Daniel Leckman (206) 634 -0177
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
118 N 35th St Suite 200 Seattle, WA 98103 ( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
X Architect 0 Tenant 0 Agent 0 Other (206 ) 634 -0167
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT Daniel Leckman (206) 634 -0177 danleckman@mi llerhayashi.com
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE Medical Offices PROPOSED USE Medical Offices
EXISTING ASSESSED/APPRAISED VALUE$ 2, 969, 300 VALUE OF PROPOSED WORK $ 35, 000
SPRINKLERED BUILDING? X YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES KI NO
WATER SERVICE PROVIDER X LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER X LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
ry ``
PROJECT FLOOR AREAS
•
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
Medical Offices & Assoc. Meeting Rooms 23, 700 No Change 2 , 00
SECOND
3FO
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
1 0 1 23, 700 No Change 23 , 700
**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 fixtures to remain.
MECHANICAL
Value of Mechanical Work$ 0 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS WATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
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. \ ` Q
SIGNATURE: DATE I ��1 o )
Property Owner and/or Authorized Agent `
FOR OFFICE USE GNU'
n NEW ❑ADDITION n ALTERATION n REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES n NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? n YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES n NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application