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18-102349C City of Fedeaal way Community Development DepL 33325 81h Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 8352609 Building -Commercial Permit #:18 -102349 -00 -CO Inspection Request Line: (253) 835-3050 Project Name: ST FRANCIS MEDICAL PAVILLION Project Address: 34503 9TH AVE S Parcel Number: 750451 0050 Project Description: TI - Interior tenant improvement work to include construction of new walls within existing space to create (3) new office spaces. No plumbing or mechanical. Owner Applicant Contractor Lender WSC N EDPAV LLC CHRIS CARLSONBUFFALO CORNERSTONE CONSTRUCTORS OWNER IS LENDER 1700 7TH AVE SUITE 1800 DESIGN LLC SEATTLE, WA 98101 1520 4TH AVE SUITE 400 PO BOX 702 SEATTLE WA 98101 FOX ISLAND WA 98333 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class: Construction Type: Occupancy Load: Floor Area (sq. ft.) Additional Permit Information Mechanical to be Included? ..................................... No Plumbing Work Valuation?..................................... 0 Mechanical Work Valuation? .................................. 0 Number of Stories .................................................... 3 Is this an Online or O.T.C. application? .................. NO. Permit for Building Shell Only? .............................. No Plumbing to be Included? ......................................... No 3 jP3 33 i 13- 3 i'3 1 1' 1 11! PERMIT EXPIRES Sunday, 16 December, 2018 Permit Issued on Tuesdav, June 19, 2018 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy d the us I be in rdance with the laws, rules and regulations of the State of s ' n a d the City of Federal Way. Owner or agent: Date: rl FWALED r r carr OF Federal Way THIS CARD IS TO. REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 18102349 00 Address: 34503 9TH AVE S Unit 210 Project: WSC MEDPAV LLC 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) ® FootingVSetback (4110) ® Re -steel (4215) Date I I 1 -1 To be done PRIOR to breaking ground and Fire/Draft Stop inspections must be signed - Approved to place concrete By Date Approved to place concrete or grout By Date By Date By Date ® Slab/Concrete Floor (4255) ® Underfloor Framing (4285) © Floor Sheathing (4105) Date I I 1 -1 Approved to place concrete and Fire/Draft Stop inspections must be signed - Approved to sheath floor - By Date Approved to install flooring By Date By Date By Date El Fire/Draft Stops (4095) ® Interim Erosion Control (4370) Prior to scheduling a Framing inspection; Approved Approved Electrical, Plumbing & Mechanical Rough -in Date I I 1 -1 Approved to insulate and Fire/Draft Stop inspections must be signed - By Date By Date off and approved. IBC 109.3.4 0 Framing (4120) 10 Insulation (4150) 11 Gypsum Wallboard Nailing (4130) Date I I 1 -1 Approved to insulate By Date Approved to install wallboard Approved to install mud By Date By Date By ;7T Date 7 �� 12 Suspended Ceiling Grid (4265) 13 Final - S K F & R (4060) 14 Final - Planning Approved to drop tile Approved Approved Date I I 1 -1 By Date By Date 15 Final Erosion Control (4375) Final - Building (4050) Approved Approved By Date Date Rough Electrical Final Electrical Right of Way Approved Approved Approved By • Date By Date By Date 4ik CITY OF Federal Way PERMIT NUMBER ( 9 RECEIVED MAY 31 2018 PERMIT APPLICATION PERMIT CENTER + 33325 81b Avenue South + Federal Way, WA 98003-6325 CITY OF FEDERAL WAY 253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com COMMUNITY DEVELOPMENT I o Z co TARGET DATE SITE ADDRESS o� C7 -1-P AVS S SUITWUNIT # SCO PROJECT' VALUATION $ ® a00 r Oo ZONING ASSESSOR'S TAS/PARCEL # TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT 4:/W[ e/VI (5r ( ' �y -r5 r IA I l',164� me, �� l� ! / Arr PROJECT DESCRIPTION Detailed description of work to --� be included on this permit only NAME - PRIMARY PHONE `3 2 PROPERTY OWNER MAILING ADDRESS 23 E-MAIL Gime c�ii CITY ST �E ZIP NAME �Qu;25 PHONE CONTRACTOR MAILING APIVSrv/ STjQLL%S♦ YV �/q�� CITY ✓ � (S � i iD V vv,4 � 8�3 ✓� FAX WA STA�T7E, V Er'C _JWIRAMON v E TI F/ �G/it�l WpYr ENSE # NAME Oqrj4j�4 P Y PHONE 43b (o APPLICANT- MAILING ADDRESS 7101 v CITY �7 ZIP FAX PROJECT CONTACT (The individual to receive and NAME �p �q � � 6A64 i,7 4'►�� PRIMARY PHONE MAILING ADDRESS E-MAIL respond to all correspondence concerning this application) 64�' CITY STATE ZIP FAX PROJECT FINANCING IW4459— (,�/ N � #- Znq OWNER FINANCED When value is $5,000 or more (RCW 19.27.095) G ADDRESS, CITY, STATE, ZH' PHONE I certify under penalty OfAft" ,luny that I am the property owner or authorized agent of the property owner. I certify that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied t city as a of this application. SIGNAT DATE PRINT NAME: Bulletin #100 — January 29, 2016 Page I of 2 k:\Handouts\Permit Application W GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTniG ROVEMENTS N D LVA LJU 1,-,:)$ N1 'BP ''i x{S� pkv'{ [ -. "�c ', EXISTING/PREVIOUS USE LOT SIZE (In Square F t) EXISTING RINKLER SYSTEM?. o No PROPOSED Fn2E SUPPRESSI SYSTEM? ❑Yes No I�7AYes 1 _ RESIDENTIAL - NEW OR ADDIT* 10 N* AREA DESCRIMON (in -square feet) FOR OFF CE USE Vis.' C T FLOORFIRST _--' COVERED ENTRY F } R -77777 ��'�'���v}• � �„�,j+F spy,���``,a S��f ff 1 • •� ComwRcLAL—NEWADDITION Occupancy Group(s) MIUMililillill ®Additional Information 'BP ''i x{S� pkv'{ [ -. "�c ', 9I�sRi� r h :. ! : j+i'i5 a:F4a"A �wr>Y3''"..s`baa.i'...�i.'U➢s�.:isss:.wE....77a"..�,"}.`_e-.a...Y...i.�...Su �v�i.u`=3.�s'�fltaSkZ#ili goo Lri A.i�:.�. c�".vTJa: �c?�...T'L'',a3'fAKi�V3/53`^u�Fll._mnta..s:��.!�ca�vr`.Biu..ci,.re.i4..*�'u�.<"�:�'"t"V't'- . •......aY%7AT..t-.s rr REMODEL/TENANTCOMMERCIAL f"ROMENTS . �. • r • •Additionalr: TENANT AREA ONLY I (l_h Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application