17-105251City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835.2607 Fax: (253) 835-2609
Project Name: NW KIDNEY CENTER - FEDERAL WAY WEST
Project Address: 501 S 336TH ST
Building - Commercial
Permit #:17 -105251 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0240
Project Description: TI - Tenant improvements for dialysis clinic including construction of partition walls, acoustic
ceilings and finishes. Plumbing & mechanical by separate permits..
Owner
Applicant
Contractor
Lender
FOUNTAIN PLAZA
RANDY THOMPSONNORTHWESI
ALDRICH & ASSOCIATES
OWNER IS LENDER
PO BOX 5003
KIDNEY CENTER
810 240TH ST SE
2
BELLEVUE WA 98009
700 BROADWAY
BOTHELL WA 98021-9357
No
Plumbing to be Included? ........................................
SEATTLE WA 98122
Will Certificate of Occupancy be Issued?...............
Yes
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
Occupancy Class:
B
Construction Type:
Type II - B
Occupancy Load:
66.00
Floor Area (sq. ft.)
5,665.00
Additional Permit Information
Occupancy #1- Area (Sq. Feet) ..............................
5665
Occupancy #1 - Construction Type .........................
Type H - B
Mechanical to be Included? .....................................
No
Plumbing Work Valuation?.....................................
0
Mechanical Work Valuation? ..................................
0
Number of Stories...................................................
2
Is this an Online or O.T.C. application? ..................
No
Permit for Building Shell Only? ..............................
No
Plumbing to be Included? ........................................
No
Will Certificate of Occupancy be Issued?...............
Yes
Occupancy #1 -Use ................................................
Clinic - Outpatient
Comprehensive Plan Designation ...........................
Office Park
Zoning Designation .................................................
OP
Total Valuation: 1,098,000.00
PERMIT EXPIRES Tuesday, 3 July, 2018
Permit Issued on Thursday, January 4, 2018
I hereby certify that the abovqformation is correct and that the construction on the above described property
and the occupancy apdtM use will be i ccordance with the laws, rules and regulations of the State of
Was ' ton and the City of Federal Way.
Owner or agent:I Date:
F; , , � -e- A
City of Federal Way
Certificate of Occupancy
This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section
R110 of the International Residential Code is 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: NW KIDNEY CENTER - FEDERAL WAY WEST Permit # 17 -105251 -00 -CO
Address: 501 S 336TH ST Suite 110
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II - B
Occupancy Load: 66.00
Floor Area (sq. ft.) 5,665.00
Owner Name: FOUNTAIN PLAZA
Owner Address: PO BOX 5003
BELLEVUE WA 98009
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 severely 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.
t
ern or VAI�
Federal Way
PERNQT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
1710525100 Address: 501 S 336TH ST Suite 110
FOUNTAINPLAZA 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.
®
Initial Erosion Control (4365)
0
Footings/Setback (4110)
Q
Re -steel (4215)
Gypsum Wallboard Nailing (4130)
To be done PRIOR to breaking ground
Approved to insulate
Approved to place concrete
Approved to install wallboard
Approved to place concrete or grout
By
Date
By
Date
By
Date
®
Slab/Concrete Floor (4255)
FAI
Underfloor Framing (4285)
®
Floor Sheathing (4105)
Gypsum Wallboard Nailing (4130)
Approved to place concrete
Approved to insulate
Approved to sheath floor
Approved to install wallboard
Approved to install flooring
By
Date
By
Date
By
Date
0 Fire/Draft Stops (4095) ® Interim Erosion Control (4370) Prior to scheduling a Framing inspection;
Approved Approved Electrical, Plumbing & Mechanical Ron *4
and Fire6raR Stop inspections must be
J
By ArJ Date AIM51 By Date off and approved. IBC 109.3.4
t2 Suspended Ceiling Grid (4265)
Framing (4120)
0
Insulation (4150)
Apps Md
11
Gypsum Wallboard Nailing (4130)
By Date XZ_�, - %V
Approved to insulate
Approved
Approved to install wallboard
Approved
Approved to install mud & tape
ByDate
Approved
By
Date
By
p.w! Date Z Z ley
t2 Suspended Ceiling Grid (4265)
0 Final - S K F & R (4060)
t4 Final - Planning
Approved to drop file
Apps Md
Approved
By jqp Date 11/31
By Date XZ_�, - %V
By Date
1 s Final Erosion Control (4375) 10 Final - Building (4050)
Approved n. 1 Approved
By Date By Jr Date '7//; / , 7S
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
4 . +1- .. 1h
RECEIVED PERMIT APPLICATION
Fed� is �t G a 3332 r 8th A ue South + SedcW Warr, WA US
&OCT 31 2017 � t PAX 253-836-2W
� �
C ICCW�N�E�EV EIOPMEM'
WM MMU
awn/OWI"!
501 S STH IST SM3
/
a vAx0W
$1,098.0
OP 9 A— AL c, K t3
TYPE OF FWWT
DD Buiwm 0 Ptums o 13 M=iANICAL 0 Dwt?LinoN 0 ENQ[NEFR1NG Q RRF PREvENTiON
NAME OF PROJF=
FEDERAL WAY WEST
SES ATTACHED PROJECT DESCRIPTION
PRtlJVM DRSCUPTION
DetdW4esa*bnqfu"kt0
be 4wk4led on Otis pemit onbi
ti
Pltlit.ARY PHOWffi
PROPERTY 0VVWXR
L
toq
—AS
,tRISti
feElt xx
ALDRICH &ls ASSOCIATESVC
313
WAf affi AI 0RXWB
WKAIL
CONTRACTOR
810 240TH ST $E
SR1NK6AL0R -A88 iATES.00U
em
$TA &
T3P
PAT
BOTHELL
WA
98021
(425)486-1418
WA STATE COWTRAClORV LIOMS t
EXPIRtITWX DAT$
PWDU" WAY IlilitWW I,tC; i
600384678
/ 011 119
20.13.105569.00.OL
OAILE _
P RQFkARY P.IiUttdt.:
NORT14WEST 910MY CENTERS
(206)720.37 5'
700 BROADWAY
RANMYH0MPWN@NWK10NEY:0'Mir
APPLICANT
Ci'P!CSTATE
t7P
PAX
SEATTLE
WA
98122
PROJECT CONTACT
11A1 [t
MILUS AR N R .
PUMARY PHDWE
(206)957.1905
"'"Q ADI:RIsea
102RMAVENVA, 5 ITE 00
E -HIAA.
OREMULAND 1:US.ARGH1
aU kdicnduai to reaeim and
respond to att arrespandmoe
a"
nrx
wncwltiv ftfs appikatioN
SEATIrLe
`WA
98101
PROJECT FiNANCINQ
WAltts
�'A4�N��1 Ali BF1
Whets valid U $5,000 or amore
#i CW } 3,87.0951
ICA2bTWti ADDRE88, CITY, STATE, XV
Mon
Z cert b under penal ofpwjwV that Z am the property owner or authorised agent q/ the property owner, I awWb that to the beet
of my knowieclpe, the information submitted in sccpport of this permit application is true and correct. Z certo that Z will oompiy with
all applicable Owl of pew woo =1a0 ne: pasmin j to the work avtAtorfwO by the teaew omm, of a perms . Z undaratsawd that the
imamate of thin:- pawn aces not, t"!i!tW the owmr`sfaspoosea(v jb r tompumact with U00 eta or f0dwof-..Uwe nvutwjw
cenetraetfon or l bmws.
Zfuroet arm to holtt ha nala w thea etty of Paderetl, em to any otaim (fnefu gag and hw .inowwwO to
Ow and A#ku* of sash alaisib which mayet be mtWi by duv pwaau, i^*hadd€ * the u ■s4 ana jutd dire city&
but only where each clam arts" out qj the reliance of the city& inahcding its +f"oen and empfcyome upon the accuracy of the
information suppUed to the eft as a part of this application.
S1ti1tATI7 TR lj
PRIIPT It ,at-.
$cell ed I00 — January 29, 2(1.16 Pale x oft kAK
MECHANICAL ICAs PERMIT�O SEP, 'CELY V� € f AfWW
1O _ SUIS
F each vera iii be ins or relowted as tier's fflb not � A3 ice:
AIR HANDLrNG C MTS FANS GAS PIPE OU••TI M w OTHER tDeaca>e)
AIR CONDITIONER FIREPLACE INSERTS BOORS �o nePdiyl
BOILERS FURNACES HOT WATER TANKS (a*
COMPRESSORS OAS LOG SETS REFRIGERATION SYST
DUCTING GAS PINING WOOD STOVES
GENERAL INFO--RMATIOr
C$WfLrA& AVdM&Q* PRGPZItM
M Y
It{9L.'1TS
f',I�3NG WORKPL
;r
V MBING ftRM IT
TOBE SUWAZTTE9 SEPARA
PUBLIC WATER QIMri T
*+awu r!each offivdum
to be vmtaUed ormboated as Zen
2 ;,E= MtES :iia not
ffi7CIS=G rnm SPRtttx=R sYYST w
BATHTUBS µ+,•Tub/sh*vwcowAm
IAVS (Nand sww
1`OILE"T9
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS �
URINALS
OT14ER (Descr c)
DRAINS
SHOWERS
VACUUM BREAKERS
�1,Y3 y4n� 4
DRINKING FOUNTAINS
SINKS tt(ttchm/umitm
WATER HEATERS (ri-mo
_ �.ah a %:; A'.,
ROSE SIDDS
SUMPS
WASHING MACHINES
TOTAL DTiMRRN
GENERAL INFO--RMATIOr
C$WfLrA& AVdM&Q* PRGPZItM
.w
VAX= PUIMSTOR
VAMN O8
Pumfe WATER Imo:
PUBLIC WATER QIMri T
$ 3.403 WO
xxterm1pamous mz
WT S= (IIn Square V"#
ffi7CIS=G rnm SPRtttx=R sYYST w
pwPo m TLRx vanntzenow mmw
BUSINESS,
108,820 SF
o Yes X No
a Yes X No
NO CHANGE
,'{'Awl'
�TM
ra.
CommERcm L — NEWADO TIO
to
CoII*traction
Information
ARRA DEBCRIMON
OccupancyGmU s
Di
Additional
twit%
storm S
,'{'Awl'
�TM
ra.
t #..i.i
�1,Y3 y4n� 4
Q
'u 4 i#fit+ sr
.'*.Ors.-.`-'fa��.J'e'€e^',��^,.,,�� � .e:m,
i'im
� .."t. du
_ �.ah a %:; A'.,
�> '��' �;3�
� . ?z �
st.� •.. 3 . �..>. � ;�'. �s ,��#
ADDITLi?11
ARM& DRSC F ae WR
�
VRi�ie� )
�
�iba4t
Feet
F�b
"ILA{S"t a ssf
t�
3 . �.#.?C`Yi
'�, ��a�x'�+i��.�.kre•�,•=..a .3E^..�r
sTst,[+.,,
Ti11AMT AREA **Lr
5,665 &F
GROUP O
11-6 1
INTERIOR ONLY
srtc caNsiaucnowl
Exlsr ccsNs erns raecl
..
s U 91100—J 29, 203 5 Pne 2 of 2 k -V Is it Application