09-102719C,ty of Fedr al Way
t Community Development Services
P O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
dMI
Project Name: PUGET SOUND HEALTH PARTNERS
Project Address: 32129 WEYERHAEUSER WAY S Suite 201
Building,- CorrYmeicial
Permit #: 09 -102719 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 215465 0070
Project Description: TI - Construct new partition walls, furred walls acoustical ceiling and finishes in existing
5800 sqft space. No plumbing or mechanical. Mechanical, Fire and Electrical work on
separate permits.
Owner
Applicant
Contractor
Lender
PANATTONI DEVELOPMENT CO
SYNTHESIS PLLC
SCHAFER CONSTRUCTION
6840 FORT DENT WAY SUITE 350
11911 NE I ST ST SUITE 103
SCHAFCL938DO (3/20/11)
SEATTLE WA 98188
BELLEVUE WA 98005
PO BOX 724
BELLEVUE WA 98009
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 44
Occupancy Class:
B
Construction Type:
Type Ill - B
Occu anc Load:
Floor Area (sq. ft.)
5,800 0 0 0
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.......................... 0
Occupancy # 1 - Use ............................................... Professional Zoning Designation ................................................ OP -1
Services/Offices
x
N+� F>«xtt�res Ass�iat�d 1ii�t �hts Peirmtt ►��� f
PERMIT EXPIRES Sunday, February 7, 2010
Permit Issued on Tuesday, August 11, 2009
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
an ity of Federal Way. ,y
Owner or agen Date: f> >I
City of Fedetal Way
Certificate of
Occupancy
This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code 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: PUGET SOUND HEALTH PARTNERS Permit #: 09 -102719 -00 -CO
Address: 32129 WEYERHAEUSER WAYS Suite201
Includes:
#1 #2 #3 #4
Occupancy Class:
B
Construction Type:
Type III - B
Occupancy Load:
Floor Area (sq. ft.)
5,800 1 0 1 0 0
Owner Name: PANATTONI DEVELOPMENT CO
Owner Address: 6840 FORT DENT WAY SUITE 350
LIT- A 'PTT U 11T A n Q 1 00
Zv - /- v g
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.
AIA
THIS CARD ISTO MAIN ON-SITE
Cl" of Construction Inection RecordFederal Way INSPECTION REQUE TS: (253) 835-3050
PERMIT #: 09 -102719 -00 -CO Address: 32129 WEYERHAEUSER WAY S Suit
Owner: PANATTONI DEVELOPMENT CO 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.
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
BY ,; / -5<_Date 9 // /1�
Final - Planning (4070)
Approved
By Date
0
Footings/Setback (4110)Re-steel
(4215)
Slab/Concrete Floor (4255)
Approved to place concrete
By
Approved to place concrete or grout
By
Approved to place concrete
By
Date
By
Date
By
Date
Gypsum Wallboard Nailing (4130)
Approved to install mud & tape
BY ,; / -5<_Date 9 // /1�
Final - Planning (4070)
Approved
By Date
0
Floor Sheathing (4105)
Fire/Draft Stops (4095)
Approved to install flooring ,
Approved
By
Date
By
Date
Insulation (4150)
Framing (4120)El
Approved to insulate
Approved to install wallboard
By
Date Zi
By
Date
Suspended Ceiling Grid (4265)
Approved to drop tile
By Date �Z
Final - Building (4050)
Approved
By Date
For
reference
Final - Fire Department (4060)
Approved
By Date
E
O Rough Electrical .0 FINAL - Electrical
Appmed Appy
By Date By Date
i,rroF. VPERMIT
Feder �
COMMUNITY DEVEIAPMENT SERVjC,�S � AP P LI CAT I O N
253-835-2607• FqX 253-835-�� 019
iuiuic.cfaioflederahuawcom
_ io z�
SF MF O ME EL PL DE EN FP
EA 3
SITE ADDRESS
32129 Weyerhaeuser S%uth
SUITE/UNIT #
ZONINGASSESSOR'S
TAR/PARCEL #
201
OP -1
2 1 5 4 6 5 _ 0 0 7 0
„
NAME PROJECT
or
(Tenant or Homeowner Name)
Pu et Sound Health Partners Tenant Improvement
g'
E BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
A 5,800 SF tenant improvement to an existing building shell. Scope of work shall include
PROJECT DESCRIPTION
new partitions, furred walls, acoustical ceiling and finishes. HVAC, Fire, and Electrical
Detailed description of work to
works will be under separate permits.
be included on this permit only
NAME
PRIMARY PHONE
PROPERTY OWNER
Panattoni Development company
( 206 ) 838 -3848
MAH.ING ADDRESS, CITY, STATE, ZIP
E-MAIL
6840 Fort Dent Way Suite 350, Seattle WA 98188
OWNER IS ALSO:
® CONTRACTOR E] APPLICANT E] PROJECT CONTACT
AME
IM
�%� PRIMARY PHONE
lf/� -
ING ADDRESS, ITY, STATE, ZIP
FAX
CONTRACTOR
u �. w
A STATE CONTRACTOR'S LICENSE #
ERPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
b
/ /
NAME
PRIMARY PHONE
Randy Brown- SynThesisPLLC
( 425) 646 1818
APPLICANT
-
MAD.ING ADDRESS, CITY, STATE, ZIP
FAX
12503 Bel -Red Road, Suite 101, Bellevuw WA 98005
(425 ) 646 - 4141
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
Randy Brown
(�) 'L� _ bboo
respond to all correspondence
MAILING ADDRESS, CITY, STATE, ZIP
concerning this application)
12503 Bel -Red Road, Suite 101, Bellevuw WA 98005
ALTERNATE CONTACT NAME:(
PRIMARY PHONE
/
•(! �1
PROJECT FINANCING
NAME
El R -FINANCED
Required for projects with
MAILING DRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5,000 or more
(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 irtformation 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 ermit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or en mental laws.
I further a e to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred
in the investig and efense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only h suc claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information s p ed to a cit a part of this application.
((yy
SIGNATU DATE
PRINT NAME:
Bulletin #100 — 4/21/2009 Page 1 of 4 kAHandouts\Permit Application
4.w
r
GENERAL INFORMATION
MECHANICAL FIXTURES
Value o Mechanical Work $
(A COPY OF BID OR ESTWATE MUST BE PROVIDED)
Indicate number of each type offixture 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
GENERAL INFORMATION
PLUMBING
FIXTURES
Indicate number 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
PROJECT VALUATION
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
$ 250,000.00
Additional Information
NEW BUILDING
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
142,574 SF
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
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)
...............................................................................................................................................................................
Area Totals EB 6MG MOeoacD TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Groups)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
in Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
TOTAL BUILDING
5,800
B
111-B
1
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — 4/21/2009 Page 2 of 4 k:\Handouts\Pemiit Application