14-101821 3 •Building = Commercial
City of Federal Way
Community&Econ.Dev.Services Permit #: 14-101821 -00-CO
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: UW PHYSICIANS NETWORK
Project Address: 32018 23RD AVE S Parcel Number: 162104 9028
Project Description: TI- "Soft" demolition work of interior partitions and finishes in tenant space adjacent to
existing clinic.
Owner Applicant Contractor Lender
FW TOWNE SQUARE L L C HERBERT BAKER G L Y CONSTRUCTION INC
P O BOX 98922 S A B ARCHITECTS GLYCOI*01809(9/30/14)
TACOMA,WA 98498 1124 EASTLAKE AVE E SUITE 201 PO BOX 6728
SEATTLE WA 98109 BELLEVUE WA 98008-0728
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq. ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included9 No Number of Stories. 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 0
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, October 19, 2014
Permit Issued on Tuesday, April 22, 2014
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
C -� and the City of Federal Way.
Owner or agent: J L" ----
_.,_ 1J Af Date: 1/72//y
( 6(&)„,, �� Loc�LD (0 ( ?
[FINALED
THIS CARD IS TO MAIN ON-SITE
CITY 4414OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 14-101821-00-CO Address: 32018 23RD AVE S
Project: FW TOWNE SQUARE L L C FEDERAL WAY, WA 98003-6031
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 SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) El
Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
o Re-steel (4215) 0 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
•
Floor Sheathing(4105) ❑ Fire/Draft Stops(4095) ❑ Interim Erosion Control (4370)
Approved to install flooring Approved Approved
By Date By Date By Date
Prior to scheduling a Framing inspection; Framing(4120) 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. 1BC 109.3.4 By Date By Date
El Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060)
Approved to install mud&tape Approved to drop tile Approved
By Date By Date By Date
El Final Erosion Control (4375) 0 Final-Building(4050)
Approved Approved q
'By Date .",�By-�( DatQ._. _ ( I
• .....
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
..
• 1111
CITY Of A RiVED PERMIT APPLICATION
Federal Way
APR 222014
Vr
Y C Li TARGET DATEOFEt, R _PERMIT NUMBER 1 �n -
—�- � �'1• V� "�
SITE ADDRESS SUITE/UNIT A
32018 23rd Ave. S. Federal Way 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$ i 3I tb0 CC-P 1 6 2 1 0 4 . 9 0 2 8
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING 0 MECHANICAL 24 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT 1 4 ft P/t4. IC jc )� hio 0-YL
Architectural demolion of 2,100 sf of an existing tenant space in
PROJECT DESCRIPTION preparation for a futuretenant improvement project that will be covered
Detailed description of work to Pre PP P
be included on this permit only under a separate building permit.
�ryµPROPERTYOWNER NJay S.Peterson/KAMG Management Corp. PRIMARY
ex. 1000
MAILING ADDRESS E-MAIL
PO Box 98922 jay@kamgman.com
CITY STATE ZIP
Lakewood WA 98496
-
NAMEaNeilson/GLY Construction 425 451-8877
CONTRACTOR AIL
200 112t Ave. NE - Ste 300 matt. neilson@gly.com
CITY STATE ZIP FAX
Bellevue WA 98008 425-453-5680
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY STISINESS LICENSE
GLYCOI*01809 9, 13 / 14 20-00-101644-00-BL
HeONE
rbert Baker/SABArchitects P206-9MARY 57 6400 x204
APPLICANT MAILING Eastlake Ave. E - Ste 201 h re bertbc sabarch.com
Seattle BWA 98109 FAX
RAMP 1 ��yy,�V�1� y� PRIMARY PHONE
MOLL
PROJECT CONTACT ` ,TLtANI O`t Zap- 52O-✓rlfl(p(p
(The individual to receive and t,,MAILING ADDRESSa {o
respond to all correspondence MS { alsiAow G(A writoYtJI
concerning this application) S mil Ai cita( I S
STATE` Z FAx _ J
Y r2 s20-323
PROJECT FINANCING n 0 OWNER-FINANCED
Required value of$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 appllcable 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 flied 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: ~��'/� DATE 4/1 6/1 4
PRINTNAME: Jay S,/Petersen, Managing Member
Bulletin#100-January 1,2013 Page 1 of 3 k:Handouts'Permit Application
11111 •
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 Pristina fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(comm,,eigl
BOILERS FURNACES HOT WATER TANKS toga)
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(orTb/ShowerCambo} LAVS(Hand Sick.) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(wtchcn/uunty) WATER HEATERS(Ekrtrio)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A Lakehaven Utility District Lakehaven Utility District 13,000
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Currently vacant,
X Yes No
previously tanning studio 87,556 Yes No (w/forthcoming const. permit)
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 0 CARPORT 0
OTHER(describe)
Area Totals g'tl°TO/0 PROPOaaa TOTAL
"NEW HOMES OwVLY"*'
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction Stories Additional Information
in Square FeetTYPe
NEW BUILDING
ADDITION
COMMERCIAL—REMODEIJTENANT IMPROVEMENTS
AREA DESCRIPTION Area r Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
TOTAL BUILDING 26,540 B V I
TENANT AREA ONLY 2,100 B V 1 Fully Sprinklered
PROJECT AREA ONLY 2,100 B V 1 Fully Sprinklered
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application