18-105963 a
41.
Building - Commercial
City of Federal Way Permit #:18-105963-00-CO
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: SEATTLE PAIN RELIEF
Project Address: 35002 PACIFIC HWY S Parcel Number: 185295 0050
Project Description: TI-Interior remodel including selective demolition and construction of partition walls,doors
and ceilings; casework and finishes. No plumbing or mechanical.
Owner Applicant Contractor Lender
FEDERAL WAY CROSSINGS CLAUDIA ROSA-LOPEZM A S CONSTANTINE BUILDERS INC TENANT IS LENDER
10655 NE 4TH ST SUITE 700 ARCHITECTURE LLC 18486 BALLINGER WAY NE
BELLEVUE WA 98004 2562 DEXTER AVE N LAKE FOREST PARK WA 98155
SEATTLE WA 98109
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 1
Is this an Online or O.T.C.application') No Permit for Building Shell Only° No
Plumbing to be Included? No
� Y 3
CONDITIONS:
Any modification to fire alarm system or devices will require a separate permit.
Any modification of 10 or more fire sprinkler heads will require a separate permit.
Single action hardware required on all restroom doors.
Double key deadbolt on entry doors
PERMIT EXPIRES Wednesday, 16 October,2019
Permit Issued on Friday,April 19,2019
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 State of
Washington and the City of Federal Way.
Owner or agent: _ '„ ' Date: 7 /G1
. ., .
THIS CARD IS TO REMAIN ON-SITE r • • ,
CITY 01.Federal Way Construction Inspection Record
y INSPECTION REQUESTS:(253)835-3050
PERMIT#: 18 105963 00 Address:- 35002 PACIFIC HWY S Unit A-105
Project: FEDERAL WAY CROSSINGS 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.
• ,
El Initial Erosion Control(4365) 0 Footings/Setback(4110) ' 0 Re-steel(4215)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout
By Date By Date ).BY Date
® Slab/Concrete Floor(4255) ® Underfloor Framing(4285) CI Floor Sheathing(4105)
Approved to place concrete I Approved to sheath floor 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,Numbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
By Date By Date off and approved. IBC 109.3.4
®f Framing(4120) ® Insulation(4150) 0 Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
•1:1 Suspended Ceiling Grid(4265) '13 Final-S K F&R(4060) El Final-Planning
ifApproved to drop tile Approved Approved
By Date By Date By Date
E5 Final Erosion Control(4375) I El Final-Building(4050)
Approved Approved 61:Ivl blwe4f
By Date By Date (PI 4I lc.
10111119
0 Rough Electrical 0 Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
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RECEIVED
PERMIT APPLICATION
CITY OF DEC W2018
Fe d e ra 11Nay EMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
CITY OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+perndtcentenacitvoffederalwav.com
A COMMUNITY/ DEVELOPMENT f�
PERMIT NUMBER/2
}( 1 s 1, /��,. ( O TARGET DATE 1- / -19
SITE ADDRESS SMG S.0 SUITE/UNIT
t
35002 Pacific Highway South A-105
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL 9
$ 265,813.00 CE 1 8 5 2 9 5 - 0 0 5 0
TYPE OF PERMIT lel BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Seattle Pain Relief Ambulatory Surgery Center Remodel
REMODEL OF 1,490 SF FOR CONSULT ROOM,PROCEDURE ROOM,PRE/POST PROCEDURE BAYS,
PROJECT DESCRIPTION STERILE PROCESSING,DECONTAM AND WAITING AND RECEPTION SPACES. WORK INCLUDES
Detailed description of work to
be included on this permit only SELECTIVE DEMOLITION OF EXISTING WALLS,DOORS,CEILINGS,CASEWORK,FINISHES AND
CASEWORK.FINISHES
NAME PRIMARY PHONE
FEDERAL WAY CROSSINGS OWNER
PROPERTY OWNER MAILING ADDRESS E-MAIL
10655 NE 4TH ST#700
ZIP
BELLEVUE WASTAS 98004
NAME CONSTANTINE BUILDERS PRONE
206-957-4400
1 RAILING ADDRESS
ALLIWAY NE E-MAIL
CONTRACTOR
CITY LAKE FOREST PARK I WA STATE 98155 FAX
WA STATE CONTRACTOR'S LICENSES EXPIRATION DATE I FEDERAL WAY BUSINESS LICENSE•
CONSTBI982J5 04/25 /2020 20-18-104609-00-BL
NAME PRIMARY PHONE
Claudia Rosa-Lopez 206-432-9121
APPLICANT MAILING ADDRESS E-MAIL
2562 Dexter Avenue North claudia@masarchitecture.net
CITY STATE ZIP FAX
Seattle Wa 98109
NAME PRIMARY PHONE
PROJECT CONTACT Tara Graf 253-944-1289
rhe individual to receive and MAW"ADDRESS E-MAIL
respond to all correspondence 35002 Pacific Highway South, Suite A-105 tara@seattlepainrelief.com
concerning this application) ALIT STATE ZIP FAX
Federal Way Wa 98008 253-944-1292
PROJECT FINANCING NAME
OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I cert(fy that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certIfk 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 law&
I J4rther agree to hold harmless the City of Federal Way as to any claim(including costs,egpenses,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 ret - -- of •T ty, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this ,
SIGNATURE: G DATE
12/19/18
PRINT NAME: Claudia Rosa-Lopezlt
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
b
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be instnllod or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
MR CONDITIONER FIREPLACE INSERTS HOODS(common aI)
BOILERS FURNACES HOT WATER TANKS)o,.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures uses to remain.
BATHTUBS(or Tub/Showercombo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/utlecy) WATER HEATERS(n.dbic)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SZWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A Water District Public 3,880,300.00
E ISTINO/PREVIOUS VOL LOT WM Pa Square Feat) manse ma SPRINKLER 5YSTZM? PROPOSED!DRE SUPPRESSION SYSTEM?
Commercial 28,165 sf XYes ❑ No ❑Yes X No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
EIUSTDTO PROPOSED TOTAL -- —____ _...----.—._._.............._.._..----...._.-----•--•-••--------..._.
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ , #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area AREA DESCRIPTION �t Occupancy Groups) Construction N of Additional Information
Stowe Type Stories
NEW TDma
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION q F1 Occupancy Group(s) Construction #of Additional Information
Type Stories
TOTAL Bona=
TENANT AREA ONLY
PROJECT AREA ONLY 1,490 SF B-Business VB 1 N/A
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application