13-103559! 4,
• 4)Building - Coimmercial
Commtyunity
of FederalEcon.De
. y
S [ Permit #: 13-103559-00-CO
Community& Dev.Services f e,. t � _.:.�r
1 33325 8th Ave S a _.
i
Federal Way,Fax
- C..s6003 I Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax(253)835-2609 L .L.,,,,_._�,
Project Name: C S L PLASMA CENTER
Project Address: 2200 S 314TH ST Parcel Number: 092104 9053
Project Description: TI-Modifications for new tenant including selective demolition,partition walls and
finishes. Minor exterior modifications for door infill/relocation. Includes plumbing&
mechanical.
Owner Applicant Contractor Lender
CSL PLASMA ERIC FREY MATTCON GENERAL OWNER IS LENDER
900 BROKEN SOUND PKWY SUM MATTCON GENERAL CONTRACTORS INC
BOCA RATON FL 33487 CONTRACTORS INC MATTCGC875DQ(3/15/15)
5460 W 84TH ST PO BOX 98
INDIANAPOLIS IN 46268 INDIANAPOLIS IN 46077
Census Category:437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-B
Occupancy Load: 175
Floor Area(sq.ft.) 11,569 0 0 0
Additional Permit Information
Building Pre-con.Meeting Required? No Existing Sprinkler System in Building? Yes
Mechanical to be Included? Yes Plumbing Work Valuation? 75000
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? Yes Special Inspection(s)Required? Yes
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Clinic-Outpatient
Zoning Designation. CC-F
Mechanical Fixturgs
Air Handling Units. 5 Ducting 1 Fans 5
Gas Piping 1
Plumbing Fixtures
Dishwashers. 1 Drains 5 Drinking Fountains. 2
Lavatories 12 Sinks 2 Urinals 2
Water Closets 8 Water Heaters. 1
PERMIT EXPIRES Saturday, May 24, 2014
Permit Issued on Monday, November 25, 2013
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
the City of Feder 1 Way.
2-`/3
Owner or agent • Date: J
Fih.ate-o Z Ito i 'Li
r
„Air .
r City of Federal 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: C S L PLASMA CENTER Permit#: 13-103559-00-CO
Address: 2200 S 314TH ST
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-B
Occupancy Load 175
FIoor Area(sq.ft.) 11,569 0 0 0
Owner Name: CSL PLASMA
Owner Address: 900 BROKEN SOUND PKWY SUITE 4
BOCA RATON FL 33487
1 � to 1 1,9
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.
;
1) INSP 'CFOR AREA AND "TYPE OF INSPEL TION'
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THIS CARD IS TO MAIN N-SITE ,
CITY°F • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-103559-00-CO Address: 2200 S 314TH ST
Project: CSL PLASMA FEDERAL WAY, WA 98003-5475
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.
Q SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) 01Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
•
O * Re-steel(4215) fp Plumbing Groundwork(4190) 0 *Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By (Ma Date 1 2 c' i 3 By $-4 Date 12.. lid j? By M6 Date 12-it, 1)3
` Vier/It '0 Underfloor Framing(4285) El Floor Sheathing(4105) :
0 Rough Plumbing(4 30)
Approved to sheath floor Approved to install flooring Approved
•
By Date By Date Date l2 za l 5
`El Mechanical Rough-in (4165) El Gas Piping(4125) Q Fire/Draft Stops(4095) `
Approved Approved to release test Approved
By Date By Date >r..z I.�3 1 I? By Date
•
O Interim Erosion Control(4370) Prior to scheduling a Framing inspection; 0 Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date a By (2.. 14
pproved. IBC 109.3.4 `lpi Date I
O Insulation(4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Im4 Date t 1),114 By 4 Date t I 1 i 1 ti By 44.4 Date t '1,2,-v I 14
Final-Fire Department(4060) El Final-Planning 0 Final Erosion Control(4375) `
Approved Approved Approved
By Date By Date By Date
`El Final-Mechanical(4065) El Final-Plumbing(4075) ElFinal-Building(4050)
Approved Approved Approved
ByJC . Date — ( B
Bj�GS Date 2_s= (!� y i".1.4 Date 2.j Vo C 1,44
•
•
CI Rough Electrical • Final Electrical Right of Way
Approved Approved Approved
By Date By MS Date Ll& 1 14 By Date
RECOVED
alfl/Of PERMIIIA PPLICATION
Federal Way AUG 13 2013
CITY OF FEDERAL WAY
• HERMIT NUMBER / _ / iaD _ ® TARGET DATE q/30/13
{ SITE ADDRESS SUITE/UNIT#
2200 South 314th Street
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 1,100,000.00 0 9 2 1 0 4 _ 9 0 5 3
TYPE OF PERMIT (%BUILDING LY PLUMBING IXMECHANICAL 0 DEMOLITION 0 ENGINEERING Xl FIRE PREVENTION
NAME OF PROJECT CSL Plasma New Center - Federal Way,WA
PROJECT DESCRIPTION Interior upfit of an existing tenant space.Work includes selective demolition of existing
Detailed description of work to building space,with complete interior upfit and exterior modifications,including but not
be included on this permit only limited to,framing,millwork,wood doors,hollow metal work,hardware,glazing,interior
finishes,plumbing,1-FV AU, electrical systems,lighting,and fire protection.
NAME PRIMARY PHONE
PROPERTY OWNER Hillside Plaza Assocs.,LLC c/o Rosen Properties Ltd. 425-289-2231
MAILING ADDRESS E-MAIL
2310-130th Avenue, Suite 2302 jenniFerg@rosenproperties.com
CITY STATE ZIP
Bellevue WA 98009
® - NAME PHONE
TBD
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
Mattcon General Contractors,Inc. do Eric Frey 317-872-4700
APPLICANT MAILING ADDRESS E-MAIL
5460 West 84th Street ericf@mattcongc.com
CITY STATE ZIP FAX
Indianapolis IN 46268 317-872-0428
NAME PRIMARY PHONE
PROJECT CONTACT Eric Frey-Mattcon General Contractors,Inc. 317-872-4700
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 5460 West 84th Street ericfarnattcongc.com
concerning this application) CITY STATE ZIP FAX
Indianapolis IN 46268 317-872-0428
PROJECT FINANCING NAME CSL Plasma ® OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW]9.27.095) 900 Broken Sound Parkway- Suite 400,Boca Raton,FL 33487 561-981-3700
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: _ ��/7 �'" DATE 8/6/2013
PRINT NAME: Eric M. Frey
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
.♦
• •
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 65,000.00
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.
5 AIR HANDLING UNITS S FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
HOT WATER TANKS(cas)
BOILERS FURNACES
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING 1 GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$ 75,000.00
Indicate how many of each type of fixture to be installed or relocated as part ofT this project. Do not include existing fixtures to remain.
BATHTUBS or Tub/shower Combo) 12 LAVS(Hand Sinks)
TOILETS _ I WATER PIPING
1 DISHWASHERS RAINWATER SYSTEMS 2 URINALS OTHER(Describe)
_5 DRAINS SHOWERS VACUUM BREAKERS
_ 2. _ DRINKING FOUNTAINS 2 SINKS(Kitchen/Utility) 1 WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 32 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A Public Public ' N/A
a)
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
N/A N/A x Yes ❑ No Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED 'TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
t r J, fit,? i :
COVERED ENTRY
g � \
GARAGE 0 CARPORT 0
:s.� •s
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
-, Construction #of Additional Information
AREA DESCRIPTION Area Occupancy Groups) Typa Stories ; o3 .
• 4in Square Feet ar Ir 1� �Z .,,,,,,,, ,,,6,0740:7:0".-41,07,-. 0%;--,t,--iw ,• - ,, v� ,,( yru , � -r °''''. e
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
Area Construction #of
AREA DESCRIPTION Occupancy Group(s)ill Additional Information
In Square Feet T�rpe Stories
..' 7 n karya `�"' 4� 4 � u' '»< "�.�. - ruc
• 414; to '�. \ \ .....
TENANT AREA ONLY 11,569 Business Groin B Type IIB 1
Bulletin#100-January 1,2013 Page 2 of 3 k:�Handouts�Permit Application
• S
PERMIT APPLICATION
Federal Way
•
Maur NUMBER 3 - 12 ��� - TARO=DATE
SATs ADDRt$$ $UITi/UNIT t
.2200 South 314th Street
PROJECT VALUATION 10111(0 Aa66BSOR'E TAX/PARCEL i'
$ 1,100,000.00 0 9 2 1 0 4 _ 9 0 S 3
TYPE OF PERMIT IX BUILDING QXPLUMBINB IX MECHANICAL 0 DIIMOLmON 0 ENOINEF;RINO XI FIRE PREVENTION
NAME OF PROJECT CSL Plasma New Center- Federal Way,WA
DESCRIPTION Interior unfit of an existula tenant space.Work includes selective demolition of exiPROJECT in
Detailed description of work to building space,with complete interior upfit and exterior modifications,including but not
be included on this permit only limited to,framing,millwork,wood doors,hollow metal work,hardware,glazing,interior
finishes,plumbing,Frvx�.,electrical systems,lighting,and fire protection.
aASIE - ?MA=PRONE
PROPERTY OWNER Hillside Plaza Assocs.,LLC c/o Rosen Properties Ltd. 425-289-2231
MAKING ADDRESS OMAII.
2310-130th A - M - 12 'ennifer l @rosen•ro•erties.com
CITY STATE ZIP
Bellevue WA 98009
NARK Moat
TBD
SIAbdNCI ADDRESS It-MAIL
CONTRACTOR
CItY I STATE I.01 VAX
WA STATE CONTRACTOR'S meaty a SAT oN DATE PImORAL MAY IFUNINEAS LICENSE
/ /
NAME PRIMARY PRONE
Mattcon General Contractors,Inc.do Eric Frey 317-872-4700
APPLICANT RAILING ADDRESS S-iAa.
5460 West 84th Street ericf@mattcongc.com
Ctri' STATE 1 SIP PAX
Indianapolis IN 46268 317-872-0428
NAME PRIMARY PHONE
PROJECT CONTACT Eric Frey-Mattcon General Contractors,Inc. 317-872-4700
(The individual to receive and
RAILIERADDRESS MA
respond to all correspondence 5469 Wed 84th Street _ ericf@matteongc"enm_ _
concerning this application) CITY STATS m VAX
Indianapolis IN 46268 317-872-0428
'NAIIIN
PROJECT]FINANCINGCSL Plasma o�vxraemtARcm
Requlrvel Aha of$5,000 or more RAIL =O ADDRESS,CITY,STATE,MIP PRONE
«`'W Iasr.ovsJ 900 Broken Sound Parkway-Suite 400,Boca Raton,FL 33487 561-981-3700
i Soma*ander penalty re perjury that Ian the property owner or authorised agent of the property owner.l certify that to the bad
of my knowledge,the inJbrmatton submitted In support of eke penult application is bus and correct.I carter that I will comply with
all applicable City.f Federal Way regulations pertaining to the work authorised by the issuance of a permit:I understand that the
issuance of this permit doer hat ranees the owner's responsibility for esmptta,Ree with local, state, or federal laws regulating
eo$sbwetien or environmental laws.
I farther agree t.held haneless the City of Aedarai Way ae to any claim(including cast%expenses,and attorneys'foes incurred in
the ineestlgaMpm and defense of ash clwtnr},which may be made by any parson,Including the and rslgned,and filed against the
but only where such claim arta out of the reheat** of the city, including its officers and employees, open the aconrocy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE 8/6/2013
PRINT NAME: Eric M.Frey
Bulletin#100—January I,2013 Pagc I of 3 k\MandoutslPermit Application