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08-102827
Comm nityDeveopme1ntServices Bu>ling - Commercial Perm #: 08-102827-00-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: ST FRANCIS HOSPITAL-IT DESKTOP Project Address: 34503 9TH AVE S 1,0,c Parcel Number: 750451 0050 Project Description: TI-Tenant Improvement to existing storage/shell space,conversion to office spaces, new finishes,lighting and ceiling system.Adding one interior door. No Plumbing or Mechanical Owner Applicant Contractor Lender WSC MEDPAV LLC BUFFALO DESIGN RUSH COMMERCIAL CONST INC WSC MEDPAV LLC 1700 7TH AVE SUITE 1800 1919 2ND AVE SUITE 200 RUSHCCI973BZ(1/9/2009) 1700 7TH AVE SUITE 1800 SEATTLE WA 98101 SEATTLE WA 98101 2727 HOLLYCROFT SUITE 410 SEATTLE WA 98101 GIG HARBOR WA 98335 Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Type II-A Occupancy Load: Floor Area(sq. ft.) 0 0 0 0 Additional Permit Information . Existing Sprinkler System in Building? Yes Mechanical to be Included9 No Number of Stories 3 Permit for Building Shell Only? No Plumbing to be Included" No New/Additional Sq.Feet-Total 0 Occupancy#1 -Use Professional Zoning Designation OP Services/Offices No Fixtures Associated With This Permit !! PERMIT EXPIRES Saturday, January 3, 2009 Permit Issued on Monday, July 7, 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: -_ -- Date: '� ' THIS CARD IS TO&MAIN ON-SITE . ' CITY OF ilitommunity Developme t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-102827-00-CO Owner: WSC MEDPAV LLC Address: 34503 9TH AVE S FEDERAL WAY, WA 98003-6761 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) ElRe-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 0 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 • %• �._., n NOTE: Prior to scheduling a Framing(4120) ElFramig (4120 ) ❑ Insulation (4150) I 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 Date By Date • ❑ Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By Date By 4* (Ai Date-7. 18_ 66 By Date ❑ Final-Planning(4070) 0 Final-Building(4050) Approved Approved By Date By Date For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date I cif— E Federal RMIT COMMUNITY DEVELOPMENT SERVICES SF MF7 CQ ME EL PL DE EN FP 333258TMFEDERALAVENUWAYESOUWATH98063971•POBOX �1 � 112oo$APPLICATION T, / 3 7__ , I 253-835-2607*FAX 2n53-835t-260.9z 53 835 2609 � !__> FEDERAL WA The following is requirgd infarmatton-an incomplete application will not be accepted. Please print legibly(in ink)or type. �, • PROPERTY INFORMATION SITE ADDRESS �5 - 9 T k liv • SUITE/UNIT # / ;t05-C) ASSESSOR'S TAX/PARCEL# - _ r r �7 - LOT SIZE (sf1 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) Co kr-/‹...,54e-- ---rt (Attach separate page for lengthy legal descriphorl ■ PROJECT INFORMATION TYPE OF PERMIT BUILDING 111 PLUMBING CI MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work include on this permit onlp) Tt•✓r✓r MrA 73 Axe,,r/A/& 3TayF�t1 spm , Conl /o ro ome ,rxtrn 4 ii fiM% / /i1 '&7/t,6 4n/t2G144/c, Aye , OA!,;', /1/ 1/1/ fi". PROJECT NAME(Name of Business or Owner Last Name) Jr. beltA/tS t1 /• z 2P--- !'3f • PEOPLE INFORMATION 1 PROPERTY NAME �J� �y� �.� PRIMARY(�PHONE ��jVl OWNER �/ j9-r/ 4/E^"^' �r✓%) 52i -4-1Z4 MAILIN ADDRESS CITY,STATE.ZIP E-MAIL ADDRESS // M.9rV<,67- , Tice7` 7 ' 2 / 4/4 JE- 2- CONTRACTOR CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE V. D 1 Co w, L (zs3) 1y '',E -3( l3(c --r.39 MAILING Zl'Zl t ;l\ Cr2U CITY,STATE,ZIP GA( ?,c( C(ELL PHONE - ) CITY OF FED RAL W[�Y JUSIN SS LICENSE NUMBER /C1.. ti 7: DATE FAX NUMBER / 1/1"--4V .7-.7/Q a)?r- ( ) CONTRACTOR REGISTRATIONR EXPIRATION DATE E-MAIL ADDRESS APPLICANT COMPANY NAMEGGy� If APP CANT NAME ,0 FIICE PHONE) �/J (�, Y/� ; �lo�/ !' - '- CI T ZIP TCv�LL HONE 6 :Dc /MAI INC ADD�,,E�ESU�S,,,, �j�///y� / `� ./cit/ � �o i� /'I '0/ ( ) - I� Architect TO PROJECT NUMBER - chitect ❑ Tenant ❑Agent E Other ) Y.7-4 494- PROJECT NAME PRIMARY PHON r. E-MAIL ADDRESS , CONTACT �, s c t}1 ,�� I ) ' - , Y/.S ' /` /OI ii /Veil LENDER NAME Per RCW 19.27.095: 4 4 k Lender information is required if project value exceeds$5,000 MAIL, G AD 9 CITY,STATE,ZIP PHONE ( ) ., M DETAILED BUILDING INFORMATION EXISTING USE 5'7eJfe1 -514,6e---' PROPOSED USE er/ G(/ .iO4,Gv EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $7 --*/7 066 , SPRINKLERED BUILDING? \ZYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? BYES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC) * ' • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT �� FIRST Or� 7 70,'(16.57,- 70,7 - SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES Indicate number of each type offixture to be installed or relocated as part of this project. Do not inch ide existing fixtures to remain. MECHANICAL 67 Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) a AIR HANDLING UNITS 0 EVAPORATIVE COOLERS 0 GAS PIPE OUTLETS Q WOODSTOVES O BBQS (�^ FANS 0 GAS WATER HEATERS 0 MISC(Describe) 0 BOILERS tQ FIREPLACE INSERTS 0 HOODS(Commercial O COMPRESSORS 0 FURNACES 40 RANGES d DUCTS G GAS LOG SETS 0 REFRIG.SYSTEMS PLUMBING 0 BATHTUBS(or Tub/Shower Combo) 0 LAVS(Bathroom Sinks) 0 URINALS Q MISC(Describe) O DISHWASHERS 0 RAINWATER SYST 0 VACUUM BREAKERS © DRINKING FOUNTAINS d SHOWERS p) WATER CLOSETS Croner) U ELECTRIC WATER HEATERS O SINKS U' WASHING MACHINES 0 HOSE BIBBS cL 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 oft . pplicati SIGNAT (1 it/ S'vC/K-'e4? ) DATE YOg--polideper7> operty Owner and/or Authorized Agent FOR OFFICE USE ONLY ❑NEW ❑ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? u YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application • • • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE /Oil❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50 ❑ Detached outbuilding or garage ❑ 101 -200 amp 155.50 98.00 (Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00 (Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00 ❑ 801 - 1000 amp 536.50 224.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50 Service Feeder ❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00 ❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00 ❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 272.00 145.50 �(/ ,¢ ❑ Over 800 amp 389.50 291.00 /1'/'J Service or Feeders ❑ 0 to 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑ over 1000 amp 489.00 ❑ 0 to 200 amp $96.00 ❑ 201 -600 amp 155.50 ❑ #of circuits to be added/altered ❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee �❑ Service- 1,000 amps or greater ❑ Mast or meter repair $57.50 ¢!�Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $67.50 ❑ #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps $76.50 ❑ 101-200 amps 98.00 ❑ 201-400 amps 115.00 ❑ 401 -600 amps 155.50 ❑ over 600 amps 168.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ D #of Thermostats ❑ (7#of Signs (First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $115.00 Square Feet to be served by system(s) sr (Includes additional circuit,if required) ❑ Fire Alarm System , ❑ Yard Pole meter loops $76.50 ❑ Security Alarm System ❑ Additional Plan Review $115.00/hour ❑ Voice Cabling (for modified submittals) gData Cabling ❑ Automation Fee on all Permits .. $5.50 1st 2500 ft2-$67.50; Each add'n 2500 ft2-$17.50)•Per WAG 296-46-910(5)(b)(i&ii) Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application