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18-102137>t City of Federal Way Community Development Dept. 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax (253) 835-2609 Project Name: FRANCISCAN HEART & VASCULAR ASSOCIATES Project Address: 34509 9TH AVE S Building - Commercial Permit #:18 -102137 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Number: 750451 0010 Project Description: TI - Interior renovation of doctor's office waiting and reception area; addition of (3) exam rooms. Plumbing and mechanical by separate permit. Owner Applicant Contractor Lender CHI FRANCISCAN HEALTH CHRIS CARLSONBUFFALO CORNERSTONE CONSTRUCTORS OWNER IS LENDER 623 MARTIN LUTHER KING WA, DESIGN LLC TACOMA WA 98405 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: B Construction T T II - A Occupancy Load: 38.00 Floor Area (sq. ft.) 3,716.00 0.00 0.00 0.00 Additional Permit Information Occupancy #1- Area (Sq. Feet) .............................. 3716 Occupancy #1 - Construction Type ....................... Type II - A Mechanical to be Included? ..................................... No Plumbing Work Valuation?..................................... 0 Mechanical Work Valuation? .................................. 0 Is this an Online or O.T.C. application? .................. No Plumbing to be Included? ........................................ No Comprehensive Plan Designation ........................... Office Park Total Valuation: 300,000.00 Number of Stories....... Permit for Building Shell Only? .............................. No Occupancy #1- Use ................................................ Professional Services/Offices Zoning Designation ................................................. OP PERMIT EXPIRES Sunday, 16 December, 2018 Permit Issued on Tuesdav, June 19, 2018 I herebycertify that the above information is correct and that the construction on the above described property and the occupancy and the use 'll be in accordance with the laws, rules and regulations of the State of hin a the City of Federal Way. Owner or agent: Date: (O crrr or Federal Way THIS CARD IS TO R1+ mA N. oN-srrE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERAM M 18102137 00 Address: 34509 9TH AVE S Unit 304 Project: CHI FRANCISCAN HEALTH FEDERAL WAY WA 98003-6700 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 we logged on the back of this card. 1 Initial Erosion Control (4365) 0 Footings/Setback (4110)3❑' © Re -steel (4215) Approved to drop file To be done PRIOR to breaking ground By Approved to place concrete 113y Approved to place concrete or grout By DateBy By Date By Date 1 Slab/Concrete Floor (4255) ® Underfloor Framing (4285) © Floor Sheathing (4105) Approved to drop file Approved to place concrete IBY By Approved to sheath floe IBY 113y Approved to install flooring By Date By Date By Date 0 Fire/Draft Stops (4095) ® Interim Erosion Control (4370) Prior to sercd.tlq a Framing Inspection; Approved Approved Electrical. Plumbieg & Mechanical Rough -in and FbY/Drafl Stop haapectious mud be slpe& By Date By Date oiYa■d approved IBC 109.3.4 15 Framing (4120) B Final - S K F & R (4060) Insulation (4150) 0 Gypsum Wallboard Nailing (4130) Approved to drop file Approved to insulateLl By Approved to install wallboard 113y Approved to install mud do tape By (LXke-) 1 Date t By Date By 0 Date I tt , 7 •,, 4 15 Suspended Ceiling Grid (4265) B Final - S K F & R (4060) Final - Building (4050) Final - Planning Approved Approved to drop file Approved ]By By Approved By Date _ls-1� By Date Date 15 Final Erosion Control (4375) © Final - Building (4050) Final Elec(ricill Approved 0. Approved By Date By Date. IL 1,h Rough Electrical Final Elec(ricill 0. Right of Way Approved Approved Approved By - Date I By Date By . _ ... ._ - Date r RECE CD PERMIT APPLICATION CITY OF Q 1R Federal Way MAY 1 8 201" PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenterAcityoffederalway.com C,?Y OF FEDERAL�PMENT �pMMUNti`� DEVE PERMIT NUMBER _ J -7 C ® TARGET DATE (.v SITE ADDRESSBUITE/UNIT 9 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL M $.�oo,��' _.-r-% Z�r-L-©Qio TYPE OF PERMIT BUILDING J# PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT r"1VvCxSG9JLJ 14a4er- + VA-!cuLAIZ. Aator-rArES PROJECT DESCRIPTION , Detailed description of work to be included on this permit only NAME GNZ Fr*wssr, PRIMARY PHONE ?5 PROPERTY OWNER MAILING ADDRESS E -MAH. CITY l� STATE 0A ZIP `� O Q A & NAME �C ) L PHONE ,�/ 5 - ' L-�P7 MAILING ADDRESS 'P0 $� E-MAIL CCaI ��l"lZt !(iS CONTRACTOR CITY Fox Tsu%_� STATE ZIP 98333 FAX N P' WA STATE CONTRACTOR'S LICENSE # Cdr EXPIRATION DATE FEDERAL WAY BUSINESS L ENSE M G. G i i o -1 o 7 coo_i NAME SFr 1_C-> PRIMARY PHONE MAILING ADD S E-MAIL APPLICANT 0 CITY t) T)nJF STATE ZIP FAX PROJECT CONTACT NAME !"� �01JY� 1'X� t9 L PRIMARY PHONE O�p� 4? 3040 MAILING ADD s X 6070 AVS 5L= r E-MAIL le individual t0 receive and respond to all correspondence CITY STAT ZIP FAX concerning this application) R IO PROJECT FINANCING NAME OWNER -FINANCED When value is $5,000 or more MAnJNO ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) Z certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certo that to the best of my knowledge, the information submitted in support of this permit application is true and correct. I cert(jy 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 flied 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 the ity as a part of this application. SIGNATURE: DATE cJ PRINT NAME: Bulletin #100 —January 29, 2016 Page 1 of 2 k:\iandouts\Permit Application XV& L l,Cer GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT Ov NEW BUEWING FIRST FLOOR (or Mobile Home) $ Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existingfixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS )commercial) Construction Type BOILERS FURNACES TER���T�ANKS 5, COMPRESSORS GAS LOG SETS ERATI06N SYST 5EF row? ■/I /�Nk/C DUCTING GAS PIPING TOVES ............................................................................................................. -Ivzw mom= T** ESTIMATED SELLING PRICE I # OF BEDROOMS 7 /1-4 VALUE OF PLUMBING WORK PLUMBING PERMIT $ Indicate how many of each type offixture to be,4nstd I as part of this project. Do not include existingfixtures to remain. BATHTUBS )orlub/shower combo) LAV d ' a) TOILETS WATER PIPING DISHWASHERS N E SYSTEMS URINALS OTHER (Describe) DRAINS OWERS VACUUM BREAKERS DRINKING FOUNTAINS KS (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 Ov NEW BUEWING FIRST FLOOR (or Mobile Home) $ EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSEDPfkE SUPPRESSION SYSTEM? �E9S.C.pL `fFi •j'J f 79g (Yes ❑ No ❑ Yes k No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW BUEWING FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COVERED ENTRY COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION ....................................................................---....-----.................................._-. ........................................................................................................................ DECK Construction Type # of Stories GARAGE ❑ CARPORT ❑ TOTAL Sunm G 5, OTHER {describe d n — ! 3 row? ■/I /�Nk/C Area Totals ER 8MG PROPOSED TOTAL ............................................................................................................. -Ivzw mom= T** ESTIMATED SELLING PRICE I # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area In Square Feet Occupancy Group(s) Construction Type # of Stories Additional Information NEW BUEWING ADDITION COMMERCIAL - REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area in Square Feet Occupancy Groups) Construction Type # of Stories Additional Information TOTAL Sunm G 5, j V d n — ! 3 row? ■/I /�Nk/C TENANT AREA ONLY / PROJECT AREA ONLY F-3 / ' 7 /1-4 Bulletin #100 - January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application )�