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14-103911r City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Building - Co4nmercYal Permit #: 14 -103911 -00 -CO mfl=E- Inspection Request Line: (253) 835-3050 Project Name: GROUP HEALTH Project Address: 301 S 320TH ST Parcel Number: 172104 9105 k Project Description: TI - Demolition and replacement of acoustical ceiling and light Oxtures. Electrical by separate permit. ' Owne ARRImcant Contractor Lender GROUP HEALTH COOP KELA GRIBBONS MACDONALD MILLER FAC SOL OWNER IS LENDER 12501 E MARGINAL WAY S BCRA INC (GENERAL) TUKWILA WA 98168 2106 PACIFIC AVE SUITE 300 MACDOFS980RU (1/3/15) TACOMA WA 98402 7717 DETROIT AVE SW SEATTLE WA 98106 Census Category: 437 - Commercial alt / add / Includes: #1 #2 Occupancy Class: B Construction Type: Type V - A Occupancy Load- oadFloor FloorArea (sq. ft.) 56,700 Mk a 0 Add!' Existing Sprinkler System in Building ................. Number of Stories ......................... Ak........... Plumbing to be Included? .................... Occupancy # 1- Use ................................ .. .... is - 0 d e Included? ......... No Building Shell Only?............................No litional Sq. Feet - Total .......................... 0 CITY OF Federal Way PERMIT #: Project: THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 14 -103911 -00 -CO Address: 301 S 320TH ST GROUP HEALTH COOP FEDERAL WAY, WA 98003-5200 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 EJ Footings/Setback (411) Slab/Concrete Floor (4255) Foundation Wall (4115) Underfloor Framing (4285) Drainage/Downspout (4040) Approved to place concrete or grout Approved to place concrete By Approved to place concrete By Approved to backfill By Date By Date By Date EJ Re -steel (4215) Slab/Concrete Floor (4255) Underfloor Framing (4285) Approved to place concrete or grout Approved to place concrete By Approved to sheath floor By Date By Date By Date Date Floor Sheathing (4105) Shear Walls (4245) Roof Sheathing (4220) Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date Fire/Draft Stops (4095) Framing (4120) prior to scheduling a Framing inspection; Approved Electrical, Plumbing &Mechanical Rough -in and Approved to insulate By Date Fire/Draft Stop inspections must be signed -off and By Date approved. IBC 109.3.4 Insulation (4150) Gypsum Wallboard Nailing (4130) ❑ Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud & tape Approved to drop tile ! c By Date By fpi, Date i - 20(_ (S� By Date Final - Fire Department (4060) Final - Planning Final - Building (4050) Approved Approved Approved By Date By Date By Date EJ Rough Electrical Approved _ Final Electrical Approved Right of Way Approved By Date By Date By Date DATE INSPECTOR AREA 1 TYPE OF INSPECTION .. ir, S�spS-No o let aA h CITY OF Fed Building Division Way decal Eighth Avenue South eraIFederal Way, WA 98003-6325 Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: Sb) % 32-(-) s:T PERMIT#: I q ' I D 3 7)f , 0-6 [ - IF YOU HAVE QUESTIONS CALL (253) 835- 26 Z WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BEJAADk WITHIN 15 DAYS. DATE INKPECTOR DO NOT REMOVE THIS NOTICE Page ) of �w CITY OF Building Division 33325 Eighth Avenue South Federal Wa Federal Way, 98003-6325 y Phone 253-835-2607 Fax 253-835-2609 CORRECTION NOTICE ADDRESS: 30 / � 3,7a -S % PERMIT#: /'y �,' e�c' IF YOU HAVE QUESTIONS CALL fV� (253) 835- 2&Z-1 WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REO-U—IR'NkTO BE MADE WITHIN 15 DAYS. L/ I/ r DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: GROUP HEALTH Project Address: 301 S 320TH ST FILE Building - Commercial Permit #: 14 -103911 -00 -CO Inspection Request Line: (253) 835-3050 Parcel Number: 172104 9105 Project Description: TI - Demolition and replacement of acoustical ceiling and light fixtures. Electrical by separate permit. Owner GROUP HEALTH COOP Auolicant KELA GRIBBONS Contractor MACDONALD MILLER FAC SOL Lender OWNER IS LENDER 12501 E MARGINAL WAY S BCRA INC (GENERAL) TUKWILA WA 98168 2106 PACIFIC AVE SUITE 300 MACDOFS980RU (1/3/15) TACOMA WA 98402 7717 DETROIT AVE SW SEATTLE WA 98106 Census Category: 437 - Commercial alt / add / conversion Includes: #1 #2 #3 #4 Occupancy Class. B Construction T Type V - A Occupancy Load Floor Area . ft 56,700 1 0 1 0 1 0 Additional Permit'Information 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 # I -Use ............................................... Clinic - Outpatient No Fixtures Associated With This Permit tl PERMIT EXPIRES Wednesday, March 25, 2015 Permit Issued on Friday, September 26, 2014 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 Stateof Wa Kington anda City I Federal Way.Owner or agent: Date: I THIS CARD IS TO REMAIN ON-SITE CITY, Const�uctYr on Inspection on Record Federal Way INSPECTION REQUESTS: (253) 835-3050 PERMIT #: 14 -103911 -00 -CO Address: 301 S 320TH ST Project: GROUP HEALTH COOP FEDERAL WAY, WA 98003-5200 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 0 Footings/Setback (4110)0 0 Foundation Wall (4115) 0 Drainage/Downspout (4040) Approved to place concrete By Approved to place concrete Approved to backfill By Date By Date By Date El Re -steel (4215) 0 Slab/Concrete Floor (4255) 0 Underfloor Framing (4285) Approved to place concrete or grout By Approved to place concrete Approved to sheath floor By Date By Date By Date 0 Roof Sheathing (4220) Walls (4245) Q Floor Sheathing (4105)Shear Approved to install flooring Approved to install siding Approved to install roofing By Date By Date By Date scheduling a Fuming inspection; Framing (4120) Fire/Draft Stops 4095 p ( ) Approved bing & Mechanical Rough -in and FfirdDraft Approved to insulate By Date inspections must be signed-offand 109.3.4 By Date pproved. IBC 0 Suspended Ceiling Grid (4265) 0 Gypsum Wallboard Nailing (4130) Insulation (4150) Approved to install wallboard Approved to install mud & tape Approved to drop tile By Date By Date By Date 0 0 Final - Building (4050) Final - Planning ❑ Final - Fire Department (4060) Approved Approved Approved By Date By Date By Date El Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date INSPECTORDATE AREA AND TYPE OF INSPECTION 2 1 i' c— -iat- vs G 1-3 3— PN L W R E 1 L I rj&- Ar luuaic-s Ei—A T/a N .S" C4 / Dt 3- a (o - lS Pte- &03 A i o Ta ti. OL 6-,-( a{ C e i C I, 22 to u S--�s G o b Recew Q PERMIT APPLICATION Federal Way AUG 0 5 2014 CITY OF FEDERAL WAy CD PERMIT NUMBER _ D _ / -C-0 TARGET DATE / T SITE ADDRESS W 011b01C)3 SUITE/UNIT M N/A, 30l sockT" �Zo'"s`r•, F -wk`s, PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL f � 4=-13, Ofld M5 I _L a- ? _L sZ A. - q- _L s TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION MALT" C00 Tle t L wA kAA DIC L' NAME OF PROJECT 0V-9 N 0 ki d PROJECT DESCRIPTION Detailed description of work to w Lt us AND U T 0P4 JPASJ_ALLM-W1�,AWW V S Q u be included on this permit only IN AIC&I CPV "91 ­ NAME PRIMARY PHONE PROPERTY OWNER '�� Ggji p� Zbtn , °I (� V4, �- 2.01 E-KAIL nl.WLoSTATE ShLkELMWSS s 2W W lJ� _ �/N l PHONE MAUdNG ADDRESS E --L VA�a .'P'L,LO S ' CONTRACTOR CITY thcr)MA- STATEZ1 Wk FAX WA STATE CONTRACTOR'S LICENSE i AYP13LATION DATE FEDERAL WAY BUSINESS LICENSE • to C. O b l0 NHONE AME ^C V—A � ^P(07-- 1 ALAHJNAPPLICANT 7 G ADDRESS G fte Lt ITE7 EMAIL CITY^ OKA� STATE ZIP^ ? FA� _ NAMEb PRDfARY PHONE 2 PROJECT CONTACT . MAULING ADDRESS 2 S� UC) EMAIL ^ ,�, �NS'V Px KAI (The individual to receive and respond to all correspondence CITY STATE zIP o � V _Ql concerning this application) FAR 13j2, -VIA. A165 PROJECT FINANCING NAME �2 , � JQ 1V� I `S OWNER -FINANCED Required value of $5,000 or more (RCW 19.27.095) MAILING ADDRESS, CITY, STATE, ZIPV�� tLh L *w -*1 PHONE hm 4$1109) 1AQI .41� 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 cla#n arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplie4 to Ae city as a pa f this application. SIGNATURE: DATE 1 PRINT NAME: Bulletin #100 —January 1, 2013 Page 1 of 3 k:\Iandouts\Permit Application il ?ESILIN . cowl r VALUE OF hIECHANICAL WORK MECHANICAL PERMIT $ Indicate how many of each type offixture to be installed or relocated as part of this projecL Do not include existing fix -tures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (comm—jai) BOILERS FURNACES HOT WATER TANKS (Gas( COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT $ A45-0rbDO EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) E338MG FIRE SPRINKLER SYSTEM? � mac""* IN mtf Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include axis uctures 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 (xitohea/utility( WATER HEATERS (©eerie( HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ A45-0rbDO EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) E338MG FIRE SPRINKLER SYSTEM? PROPOSED FIRE 8 ON SYSTEM? mac""* IN mtf XYes 11No ❑ Yes No Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Perniit Application