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08-102896 1111111 r tfFealWa Bui in - Commercial Perm#: 08-102896-00-CO Community Services P.b.Dox 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 IKNI,G,COU1 TX,1 Project Address: 33431 13TH PL S Parcel Number: 768190 0070 Project Description: REM-Interior modifications to add and reallocate exam"°iom areas including plumbing for sinks and speciman collection restroom,and mechanical work. Owner Applicant Contractor Lender KING COUNTY LAURA ROSENBERG J R ABBOTT CONSTRUCTION KING COUNTY 500 4TH AVE MILLER HAYASHI ARCHITECTS INC 500 4TH AVE SEATTLE WA 118 35TH ST SUITE 200 JRABBCI022JZ(3/1/10) SEATTLE WA 98104-2337 SEATTLE WA 98103 PO BOX 84048 98104-2337 SEATTLE WA 98124 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.) 23,828 0 0 0 Additional permit Information Existing Sprinkler System in Building' Yes Mechanical to be Included? Yes Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included9 Yes New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Clinic-Outpatient Zoning Designation OP Mechanical Fixtures Compressors 1 Fans 1 Plumbing Fixtures Lavatories 1 Sinks 9 Water Closets PERMIT EXPIRES Saturday, January 17, 2009 01‘ Permit Issued on Monday, July 21, 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: '<:Z't,C, �� t Date: `i V2-1/o 4111P I. 411 11/441. ( _ DATE INSPECTOR AREA AND TYPE OF INSPECTION G l.‘.J p I t0 a. ,r©u h cd-. exa se YAits78> f;/6.l2) �+- I c[- e. � c/id-1" itit 5 a,, _x''G� rsvt s 7). 8 //j /2) ,4 lam-' �- QX�it a.tic.7e !-w,✓� Tar ee j.00 rpt S-2e - oe� -c. I O Y uk.- l / �. 71/�' �'d 2s-, 27 D ,�J �v -u MIS 1G,hi;ZZJ tivtAimifif /3, /y, 2 17.ct .',� @) 14t (mss� 9, 9'-(8"°9 JtA ® ,�?i s' � v##4 If m 2 . Leick, ((e) . acittov, Pots. B)'iJ 3 Si +2, 'e_C \ K` q•3o-a►8 - c.J ttk ( ,e►_:vt e,t.-4-vctI4 ..Q , ,0 . 3. c. w t . -eK....( Cit. I-4;8 . /l442 !d-/S=0 �s t e.." 1.k 2 f7/4"...-v- P-ev>t v � /D-22.-040 --c"-J S u s42 .c e_,/;.e3 atz /tin rs. 8 j �� j //c✓a.�2•o�2sy Z17, Q .w�...L f�.�/S-`$-°I l - .(9 �zE �6 S ��s .��►+�eCJ Gem� 6_ �-o-w+� c) �o .. /0/261 r ikt I ta?r' ro o � r fi aro) Fri►ri fry f en-fp' faf1 10-30_c c�, .SLS ,� �,�a�t t-\ \;r cin .c (2.m.s o 2_) 1 6 ) Su /<-7.ow. c.-c.v a . /0'7N -oo- PL THIS CARD IS TO AMAIN ON-SITE fli , , A CITY OF - mitY Develo n nt Ins tiRecord . Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ' PERMIT#: 08-102896-00-CO Owner: KING COUNTY 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. O Footings/Setback(4110) ❑ Foundation Wall(4115) 0 Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date - 0 Re-steel(4215) ❑ Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Cdj • Date6..11- 08 By Date O Underfloor Framing(4285) 0 Floor Sheathing(4105) ❑ Shear Walls (4245) Approved to sheath floor Approved to install flooring Approved to install siding By Date By Date By Date I❑ Roof Sheathing(4220) 0 Rough Plumbing(4230) ❑ Mechanical Rough-in(4165) Approved to install roofing Approved Approved By Date By Date By Date O Gas Piping(4125) ❑ Fire/Draft Stops(4095) NOTE: Prior to scheduling a Framing(4120) Approved to release test Approved inspection;Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4 ❑ Framing (4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130) Approved to insulate Approved to install wallboard Approved to install mud&tape By Date ii 2. —ZIL --/—.-� By Date By �` Date �, 9 ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) 0 Final-Planning(4070) Approved to drop tile Approved Approved 22,....... 61....222211/ 621_, By Date By pate , ❑ Final-Mechanical(4065) 0 Final-Plumbing(4075) ❑ Final-Building(4050) Approved Approved Approved By Date By c LA J Date j h--t_0a By , 0-/Date 1//.7.-41 ; For inspector reference only _ _ ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date RECEIVA• D Feciea�way E RM IT COMMFMTYDEVEIAPMENTSERVICES JUN 16 20 SF MF� EL- EN FP 33325 D AVENUE,SOUTH9•63 BOX 9718 CATION FEDERAL WAY,WA 98063-9718 1'D '253-835-2607•FAX 253 � OF F E® www.cityoffederalwr rl l The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. MI PROPERTY INFORMATION SITE ADDRESS 33431 13th Pl . 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 descrrptloN PROJECT INFORMATION TYPE OF PERMIT N BUILDING E PLUMBING N MECHANICAL 0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu) Tenant Improvement of an existing Community Health Center. PROJECTNAME(NameofBusinessorOwnerLastName) 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 Abbott Gen. Contractors Terri Johnson (206)467-8-500 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE Seattle,WA 98103 (206)459-6301 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 19-99-106217-00-BL 12/31/2008 (20.6) 447-1885 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS JRABBCI022JZ 05/28/2009 TerriJ@JRAbbott.com APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE Miller Hayashi Architects Laura Rosenberg (206) 634 -0177 MAILING ADDRESS CI1Y,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 -016 7 PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT Laura Rosenberg (206) 634 -0177 laurarosenberg@millerhayashi.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, 3 0 0 VALUE OF PROPOSED WORK $ 275, 0 0 0 SPRINKLERED BUILDING? Xl YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES X1 NO WATER SERVICE PROVIDER Xi LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER X LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL _ SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST Medical Offices & Assoc. Meeting Rooms 23, 700 128 23, 828 SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING sr TOTAL PROPOSED SF TOTAL SF 1 0 1 23 , 700 128 23, 828 **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type of fixture to be instced or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL sv Value of Mechanical Work$ (B.COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) S S ► 3 8. 13 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS 1 FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commercial) 1 COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING I BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Stotts) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS 1 WATER CLOSETS(rottet) 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: /24 ° DATE O k / `p/O 8 Property Owner an r Authorized Agent FOR OFFICE USE"ONLY o NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES ❑NO UP/SEPA/SU? o YES ❑NO PLATTED LOT? ❑YES n NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100-January 1,2008 Page 2 of 4 k\Handouts\Permit Application