15-103605 _ Buil i �,u�,naie' �a1
City of Federal way Permit #: 15-103605-00-CO
Community&Econ.Dev.Services , ��':�
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: PACIFIC VASCULAR
Project Address: 32014 32ND AVE S Unit 102 Parcel Number: 215480 0020
Project Description: TI-Interior remodel for new tenant including partition walls,acoustic ceiling tile and
finishes, Plumbing& mechanical by separate permits.
Owner Applicant Contractor Lender
SOUND VASCULAR&VEIN SCOTT RICE SIERRA CONSTRUCTION CO INC OWNER IS LENDER
32014 32ND AVE S COLLINS WOERMAN SIERRCC145N8 (3/31/16)
FEDERAL WAY WA 98001 710 2ND AVE SUITE 1400 19900 144TH AVE SE
SEATTLE WA 98104-1710 WOODINVILLE WA 98072
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
No Fixtures Associated With This Permit !!
PERMIT EXPIRES Sunday, February 28, 2016
Permit Issued on Tuesday, September 1, 2015
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.
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Owner or agent: / � "r/ - Date: 1 c-
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I INSPEC OR AREA AND TYPE OF- 1SPEGTI •-
Pµwal Fiey4„, - DV- Tb G«,w. Scc Covoc{.1-t n►,, rlo+`vL.
THIS CARD IS TO REMAIN'ON-SfTE
•
CITY OF 0 Construction Infection lection Record ,
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-103605-00-CO Address: 32014 32ND AVE S Unit 102
Project: SOUND VASCULAR & VEIN 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.
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) ❑ 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) 0 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. IBC 109.3.4 By V*A Date 1 17.* 11 s- By Date
'
Gypsum Wallboard Nailing(4130) '❑ Suspended Ceiling Grid (4265) ' 0 Final-S K F&R(4060)
Approved to install mud&tape Approved to drop tile Approved
By ,\„ Date 'i 2..- 9 By �vhb_r, Date ®—a„-L By Date
•
® Final-Planning ,0 Final Erosion Control(4375) �0 Final-Building(4050)
Approved Approved Approved
By Date By Date B7 S Date c4& (------
,
❑ Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RifEIVED
. - CIrYOF '.* PERMIPAPPLICATION
':4,-ederal Way JUL 222015
CITY Of FEDER4 WAY
`
COS y
PERMIT NUMBER /5 _ / /n _ /J
5TARGET DATE
SITE ADDRESS SUITE/UNIT#
32014 32nd Ave S . 102
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 121, 000 OP-1 2 1 5 4 8 0 - 0 0 2 0
TYPE OF PERMIT 1:3 BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION El ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT Pacific Vascular
Tenant improvement of approx. 1206 s . f . of shell space for
PROJECT DESCRIPTION new medical office .
Detailed description of work to
be included on this permit only
— _
NAME PRIMARY PHONE
PROPERTY OWNER Sound Vascular & Vein 253 . 874 . 7107
MAILING ADDRESS E-MAIL
32014 32nd Ave . S . TimL@soundvascular.cor
CITY STATE ZIP
Federal Way WA 98001
NAME PHONE I
T .B . D .
MAILING ADDRESS E-MAIL
CONTRACTOR -
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE* EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ _
NAME PRIMARY PHONE
Pacific Vascular 425 . 398 . 7769
APPLICANT MAILING ADDRESS E-MAIL
11714 North Creek Parkway N. #100 POlmsted@pacificvascular . corr
CITY 1 STATE I ZIP FAX
oon1 1
NAME ' PRIMARY PHONE
PROJECT CONTACT Scott Rice 206 . 245 . 2071
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 710 Second Ave . #1400
concerning this application) CITY STATE ZIP FAX
Seattle WA 98104 206 . 245 . 2101
NAME
PROJECT FINANCING ® 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 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: .J12_. DATE 07 . 2215
PRINT NAME: Scott Rice
Bulletin#100-January 1,20I 1 Page 1 of 3 k:\l-landouts\Permit Application
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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 OUTL OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(c. erciai)
BOILERS FURNACES HO ,ATER TANKS(eaa)
COMPRESSORS GAS LOG SETS FRIGERATION SYST
DUCTING GAS PIPING V WOODSTOVES
PLUMBING PERMIT 6 VALUE OF PLUMBING WORK
Indicate how many of each type offixture to be i : alled or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) . t S(nand 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
None Lake Haven Lake Haven
$ 1, 604, 700
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Vacant 38, 502 s . f. ixYes ❑ No ❑Yes [_x 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 0 CARPORT 0
OTHER (deccrih,)
Area Totals
EXISTIttG PROPOSED TOTAL
**NEW HOMES oNLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square FeetType Stories
TOTAL BUILDING 1 0, 4 8 8 B V-B 1
TENANT AREA ONLY 1, 206 B V-B 1
PROJECT AREA ONLY
Bulletin #100-January 1,2013 Page 2 of k:AHandouts\Permit Application