16-1059961"
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: DIGESTIVE HEALTH SPECIALISTS
Project Address: 33915 1ST WAY S
Project Description: Remove 9' of non-structural interior wall.
Building - Commercial
Permit #:16 -105996 -00 -CO
Inspection Request Line: (253) 835-3050
Parcel Number: 926504 0150
Owner
Applicant
Contractor
Lender
CLISE PROPERTIES INC
CLISE PROPERTIES INC
OWNER IS CONTRACTOR
OWNER IS LENDER
1700 7TH AVE
1700 7TH AVE
SEATTLE WA 98101
SEATTLE WA 98101
Census Category: 437 - Commercial alt /d / CVion
ill 1/ 1%
Includes: #1 #2 #3
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area (sq. ft.) 7ze
Mechanical to be Included?..............................
Mechanical Work Valuation? ........................ #... rr..W
Permit for Building Shell Only9 .......................�. No
Will Certificate of Occupancy be ed?..... N9
Total Valuation: 14,600.00
Plumbing W NNaluation9..................................... u
Is this Oline or O.T.C. application? .................. Yes
Pl o be Included? ........................................ No
�
PERMO S Sunday, 18 June 2017
Permit Issu n Tuesday, December 20, 2016
he9th, the above informaful is correct and that the construction on the above described property
d e occ ncy and the use will be in accordance with the laws, rules and regulations of the State of
17�shington and the City of Federal Way.
Owner or a t: Date: I Z o '—ZQ/,(-
trrr oR V&
Federal way
PERMIT #: 16105996 00
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 339151ST WAY S Unit 200
Project: CLISE PROPERTIES INC 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.
Prior to scheduling a Framing inspection; U
Electrical, Plumbing & Mechanical Roug4-in
and FireMraft Stop inspections mast be signed -
off and approved IBC 10933A By
0 Final - Building (4050)
Approved
By Date
Framing (4120) Gypsum Wallboard Nailing (4130)
Approved to insulate Approved to install mud &tape
Date / ] . ;,> 7 % I s� Date j �
Rough Electrical
Final Electrical
Right of Way
Approved
I
Approved
Approved
By
Date
I By
Date
By
Date
'kocem PERM I*APPLICATION
CITY OF
Federal Way PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
2 0 2015 253-835-2607 + FAX 253-835-2609 + permitcenter(wcityoffederalway.com
CM OF FEDERAL WAY
PERMIT NUMBER _ -" _ 0 T
1 / _ _ I _f � C) TARGET DATE v C
SITE ADDRESS
SUITE/UNIT #
33915 First Way South Federal Way WA 98003
200
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL #
$ ` (oW
-9-2— SZ -5 Q A_ - 2 1 -5—D---05-05
TYPE OF PERMIT
,
`$, BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Digestive Health Specialists
Tenant Improvement to remove 9' of non structural interior wall and add
PROJECT DESCRIPTION
Detailed description of work to
one hand washing sink.
be included on this permit only
NAME
Clise Properties Inc
PRU ARY PHONE
206-623-7500
PROPERTY OWNER
MAILING ADDRESS
1700 7th Ave Suite 1800
E-MAIL
jmcpherson@
cSeattle
WA
z098101
cliseproperties.com
NA°bwner Acting as Contractor
PHONE
MADJNG ADDRESS
E-MAIL
CONTRACTOR
CITY
STATE
ZIP
FAX
W6EA8CQg'�$AACTQ §�L�C,�NSE #
II �C�A''UU LL AH
EXPIRATION DATE
07 17 17
FEDERAL WAY BUSINESS LICENSE #
NA amie McPherson
P I 7500
APPLICANT
1700 7th Ave. Suite 1800
E MAD
" eattle
$WA
%101
FAX
PROJECT CONTACT
NAME Same as above
PRIMARY PHONE
MAILING ADDRESS
E-MAIL
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
PROJECT FINANCING
NAME
IN OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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.
SIGNATURF���rG�/ L DATE
PRINT NAME: '�(Q,IAA or W C -efij `L,�
Bulletin #100 —January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT NA s
Indicate how many of each e o fixture to be installed or relocated as art o this project. Do not include existin txtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial(
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Area in
NA
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Permit by Mechanical Contractor
3 uare Feet
a
$
Indicate how many of eache o rxture to be installed or relocated as
art o this project. Do not include existingfixtures to remain.
BATHTUBS (or Tub/Shower combo(
LAVS (Hand Sink�s(
TOIL
WATER PIPING
DISHWASHERS
RAING 99(�Ipi S
URINALS
OTHER (Describe)
DRAINS
SItI E ll!!((
VACUUM BREAKERS
DRINKING FOUNTAINS
/ S Itchen/Utility(
T
WATER HEATERS (Electric(
HOSE BIBBS
UMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
Area in
NA
Construction
# of
NA
3 uare Feet
a
Stories
e
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
XYes ❑ No
❑ Yes X No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Occupancy Oroup(s)
Construction
# of
Additional Information
3 uare Feet
a
Stories
e
, -
ADDITION
COMMERCIAL — REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION Area in
Occupancy Group(s)
Construction
# of Additional Information
Square Feet
Tvue
Stories
TENANT AREA ONLY I 5,614 I B-Office/Medical I III N 11 I I
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Perniit Application