14-102146 • •Building - Commercial
Community C &ty of EconDevFederal Way Services Permit #: 14-102146-00-CO
. .
33325 8th Ave S
Federal way,WA 98003 Ins ection Re uest Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 p q
F ILE
Project Name: UW PHYSICIANS NETWORK
Project Address: 32018 23RD AVE S Parcel Number: 162104 9028
Project Description: TI-Interior tenant improvement work to include reconfiguration and expansion of existing
space.Plumbing and mechanical on separate permits.
Owner Applicant Contractor Lender
FW TOWNE SQUARE L L C HERBERT BAKER G L Y CONSTRUCTION INC OWNER IS LENDER
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: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 8,900 0 0 0
Additional Permit Information
New/Additional Sq.Feet-1st Floor 3600 Existing Sprinkler System in Building? Yes
Mechanical to be Included? No Number of Stories 1
Permit for Building Shell Only? No Plumbing to be Included? No
New/Additional Sq.Feet-Total 3600 Occupancy#1-Use Professional
Services/Offices
No Fixtures Associated with This Permit!!
PERMIT EXPIRES Monday, December 1, 2014
Permit Issued on Wednesday, June 4, 2014
I hereby certify that the above informatio, .s correct and that the construction on the above described property and
the occupancy and the use will be in aIco .ance with the laws, rules and regulations of the State of Washington
nd the C.' of Federal Way.
Owner or agent i ' Date: 66.e fltIN‘°)Ati
ED
! r •
City of Federal Way IIP IIP
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Sectiqb 11O,2,of the International Building Code certifying that
at the time of issuance, this structure was in compliance withihe various ordinances of the City regulating building
construction or use. This certificate is valid ONLY when endorsed by City staff.
• Tenant Name UW PHYSICIANS NETWORK Permit#: 14-102146-00-CO
Address: 32018 23RD AVE S
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type V-B
Occupancy Load:
Floor Area(sq.ft.) 8,900 0 0 0
Owner Name: FW TOWNE SQUARE L L C
Owner Address: P 0 BOX 98922
TACOMA,WA 98498
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 severly 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.
• wr
` DATE INSPECTOR AREA AND TYPE Cw INSPECTION
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THIS CARD IS TO MAIN ON-SITEs.
"T'°F, • Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-102146-00-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) Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
• • • • . ,
El Re-steel(4215) 0 Slab/Concrete Floor(4255) 0 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) CI Fire/Draft Stops(4095) El 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 ill.applroved. IBC 109.3.4 By W6 Date g Ito By Date
o 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 M Date I b (t4 (t By Date
o Final-Planning 0 Final Erosion Control(4375) ❑ Final-Building(4050)
Approved Approved Approved
By Date By Date By IAA/5 Date to ( t+ C Li
•
,.
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
i
r* S
�nret MAY 0 9 2014 PERMIT APPLICATION
` Federal Way CITY OF FEDERAL WAY
CDS
,PERMIT NVMBER J 4 _ I c z I 4 c _c o ca ,,3 �4-
— _ TARGET DATE
SITE ADDRESS SUITE/UItIT•
32018 23rd Ave. S. Federal Way 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL I
$ 4/6.-9/1' 1"L' CC-P 1 6 2 1 0 4 _ 9 0 2 8
TYPE OF PERMIT till BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT UWNC Federal Way Clinic Expansion
Tenant Improvement: A 6,800 SF existing outpatient clinic will expand by
PROJECT DESCRIPTION annexing a 2,100 SF adjacent suite. This project includes the reconfiguration
Detailed description of work to
be included on this permit only of the annexed space and 1,500 SF of the existing clinic. No exterior walls or
structural elements will be modified.
NAME PRIMARY PHONE
PROPERTY OWNER Jay S.Peterson/KAMG Management Corp. 253-584-8408 ex. 1000
POI Box 89 922 dRESS ay@kamgman.com
CITY STATE ZIP
Lakewood WA _ 98496
Matt Neilson/GLY Construction PHONE 425-451-8877
CONTRACTOR 200 112th Ave. NE - Ste 300 E-MAILatt .neilson@gly.com
CITY STATE ZIP FAX
Bellevue WA 98008 425-453-5680
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
GLYCOI*01809 9/ 13 14 20-00-101644-00-BL
HeONE
rbert Baker/SABArchitects 206 9IMARY 57-6400 x204
MLING ADDRESS E-MAIL
APPLICANT 11124 Eastlake Ave. E - Ste 201 herbertb@sabarch.com
Seattle WA_TE 98109 FAX
NAME PRIMARY PRONE
PROJECT CONTACT Molly Shumway 206 520-5666
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence MS 359410 mollsnow@uwpn.org
concerning this application) CITY
ZIP 98195 '166 520-3273
(TAB
PROJECT FINANCING r}/a ❑ OWNER-FINANCED
Required value of$5,000 or more MAn.nIGADDRESS,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 tea 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.
/further agree to hold harmless the City of Federal Way as to any claim(including costs,expense*,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 apart of this application. j
SIGNATURE: DATE -CI 7/ f`-/
PRINT NAME: Jay S. Petersen,4Aanag'rng Member
Bulletin#100--January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
-- • VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ N/A
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 $ N/A
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(Hand 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
N/A Lakehaven Utility District _akehaven Utility District $450,000
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
CLINIC XYes ❑ No Yes ❑ No
87,556
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
................................................................................................................................................................................................
IIII�'IibII ,� (€11011gllo
BASEMEN z "krtl" I'60011i,.l
FIRST FLOOR(or Mobile Home)
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SECOND LOOK ; abl I� f Dh IiIiIIIip611JPil
COVERED ENTRY
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...................................................... ............................... ............ .. .........
GARAGE ❑ CARPORT ❑
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OTHE (desca tbe) ', t E Iii III .. q
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............................................ .............................
EXISTING PROPOSED TOTAL
Area Totals
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ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
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iw. ,I a.l „ l6i„IIII,I,I,IIII,Iip ,;;i,, IIIK,I. J61pII 0 II, '1,11,011,111110111,051111P111111110$11
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ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
In Square
Feet ilI1Type j Stories
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TENANT AREA ONLY 8,900 B V 1 Fully Sprinklered
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III PR�i hONL I r 3,600 IIi Ilu (`,_ (i ii` „t T ,a 41,1'` - ( �i( „`. ull x ,Ler '(d. ,IIII(I
IIiIII�^ :did ` II
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Bulletin#100—January 1,2013 Page 2 of 3 kAHandouts\Permit Application