17-104685 • *�
Building - Commercial
City of Federal Way Permit #:17-104685-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: MULTICARE HEALTH SYSTEM
Project Address: 31861 GATEWAY CTR BLVD S Parcel Number: 092104 9137
Project Description: TI-Tenant improvement to include adding walls,finishes and casework. Plumbing&
Mechanical will be by separate permit.
Owner Applicant Contractor Lender
MULTICARE INDIGO URGENT LAURA JACOBSONBCRADESIGN ANDERSEN CONSTRUCTION CO OWNER IS LENDER
CARE 2106 PACIFIC AVE SUITE 300 6712 N CUTTER CIRCLE
PO BOX 5299 TACOMA WA 98402 PORTLAND OR 97217
TACOMA WA 98415
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 94.00
Floor Area(sq.ft.) 5,795.00 0.00 0.00 0.00
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 5795 Occupancy#1 -Construction Type Type V-B
Mechanical to be Included? No Plumbing Work Valuation? 0
Mechanical Work Valuation? 0 Number of Stories 1
Is this an Online or O.T.C.application" No Permit for Building Shell Only? No
Plumbing to be Included? No Will Certificate of Occupancy be Issued? Yes
Occupancy#1-Use Professional Comprehensive Plan Designation City Center Core
Services/Offices
Zoning Designation CC-C
Total Valuation: 1,600,000.00
• "3., ' '' 0;' 1 ,Flo =ixtures Associated With This Permit 1l �' � 'e
PERMIT EXPIRES Saturday, 16 June,2018
Permit Issued on Monday,December 18,2017
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
Wash'ngton and the City of Federal Way.
Owner or agent: r ii Date: If ITS I 17
,,
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: MULTICARE HEALTH SYSTEM Permit# 17-104685-00-CO
Address: 31861 GATEWAY CTR BLVD S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load: 94.00 0.00 0.00 0.00
Floor Area(sq.ft.) 5,795.00 0.00 0.00 0.00
Owner Name: MULTICARE INDIGO URGENT CARL
Owner Address: PO BOX 5299
TACOMA WA 98415
C ,,,A 3/I ib
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 severely 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.
•
• DATE INSPECTOR AREA AND TYPE OF INSPECTION
z Y Fve - wo.ils oK No So m .c - ►cor o0
i l t cr IM Gtr- 131...\--)(-‘241 C2-000,
•
f
THIS CARD IS TO REMAIN ON-SITE
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 17 104685 00 Address: 31861 GATEWAY CTR BLVD S
Project: MULTICARE INDIGO URGENT CA FEDERAL WAY WA 98003
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.
® Initial Erosion Control(4365) 0 Footings/Setback(4110) 0 Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date By Date
❑ Slab/Concrete Floor(4255) 0 Underfloor Framing(4285) Q Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date
By Date
7 Fire/Draft Stops(4095) 111 Interim Erosion Control(4370) Prior to scheduling a Framing inspection
Electrical,Plumbing&Mechanical Rough-in
Approved Approved
and Fire/Draft Stop inspections must be signed-
By Date By Date off and approved. IBC 109.3.4
® Framing(4120) El Insulation4150
( ) ❑ Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date ; l4'(1 q By Date
El Suspended Ceiling Grid(4265) El Final-S KF&R(4060) ® Final-Planning
Approved to drop tile Approved Approved
By yeti, Date .1 v13- By Date By Date
't Final Erosion Control(4375) CI Final-Building(4050)
Approved Approved
By Date By L4 J Date 3)Ifhf
-irk itic#44/W4 0- )(-1141 1)-001.4, D M-- PN' l 114'11 s'
❑ Rough Electrical ❑ Final Electrical111Right of Way
Approved Approved Approved
By Date By Date By Date
.�, . RECEIVED PERMIT APPLICATION
CITY Of
PERMIT CENTER+33325 8rh Avenue South+ Federal Way,WA 98003-6325
Federal Way OCT 0 2 2017 253-835-2607 + FAX 253-835-2609 +permitcenterfcityoffederalway.com
CITY OF FEDERAL WAY
1 1 - I C�OMMUN(Tj DEcELOP�E_ c c
PERMIT NUMBER 6„ '
TARGET DATE I
SITE ADDRESS SUITE/UNIT#
S 1 b C�flt titiP411 CETT- $LV 0 . SCS(.CTft
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
Si, ,
IP 0DU . oo CCC'0� O "1 .2 1 0 - / .7
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL Cl DEMOLITION LI ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT M LA ii--i care, I in c,1'16 U rr.en'+- CaYt'
PROJECT DESCRIPTION 5,,1615 y� UI virt-�- 0�r� Gll`�i� ei�un+ jmp,-�ytrrlenl-.
Detailed description of work to (9o-wile, lova- W/ Z r9 isi ti.en erifiwiticts Wan-
be included on this permit only GhAte�J ac l(t hits
NAME (/1 PRIMARY PHONE
Nv l(,T1CI e 1N1-T4 %5Tie i1(
PROPERTY OWNER MAILING ADDRESS � E-MAIL
FO X SZ"/�l 1j
CITY A STATE ZIP
—rAttyleyNAME N )E -S i 1J .J 51 gAk OnC&J 200- 7b3—&7/2
MAILINGSILADDRESS /y, �(� _/� E-MAIL ��,���� _
CONTRACTOR 9c? I 0Th 11 wfT� S S. S"' g� 5.50 r114-(611a40. / ,,d�L'I d'�'I��.n
7.00( Tr /c 1'//1 ZIP I(_/�6 FAX W�)I , L�v3'1
WASTATE CONTRACTOR'S LICENSE# Wr 1 EXPIRATION� DATE FEDERAL WAY BUSINESS LICENSE#
'ry R f�1,S Per--41 9 c 7 Oki / /
NAME PRIMARY PHONE
I.k - frt,o 3S0Q 253 -&z1-`7-,_ 7
APPLICANT MAILING ADD E-MAIL
24 DO to P fav 3r� j&t.C��S61i4bC, cie5k
CITY.,.-- _ STATE Z13 Q,,i0 FAX I'
t �b\YIV IIA,. P 1
NAME y� ,/ 3 ►y� PRIMARY PHONE 4.3 -1
PROJECT CONTACT L!cI/'4 4 Pct 0(56-N 2 53 - z/
(The individual to receive and zrj-Gj ADDRESS
D P yI,t c `31-'e.
3 3,0 E-MAIL• ( y: 4, 1" ,r4C4" °,
respond to all correspondence L lV- (W I Gy�w�- r "
Concerning this application) CI STATE ZIP FAX
C
'' v� L , 946
NAME
PROJECT FINANCING , OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP 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 arty 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: ; AAJA U et) DATE II
PRINT NAME: L Au M4 J Art 16 so l4
Bulletin#100—January 29,2016 Page 1 of 2 k:AHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS Commercial
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many 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 Combo( LAVS(Rand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility( WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
M / n Yes X No n Yes n No
RESIDENTIAL - NEW OR ADDITION
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)
EXISTING PROPOSED TOTAL
Area Totals
•
**NEW HOMES ONLY*"
ESTIMATED SELLING PRICE$ # OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Construction #of
Occupancy GrouP(s) Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY V, ' ' I
PROJECT AREA ONLY
Bulletin#100—January 29,2016 Page 2 of 2 k:AHandouts\Permit Application