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16-101523
Building - Multi Family cCity iof Fedend Way n el Permit #:16-101523-00-MF 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax(253)835-2609 Project Name: MIRROR LAKE VILLAGE SENIOR HOUSING BLDG A Project Address: 3 1 0 0 0 q'k plQc e s Parcel Number:072104 9087 Project Description: NEW-Construction of a new assisted living building which includes assisted living units and 4,851 square feet of business space&4,443 square foot of general assembly space on the first floor.PLUMBING AND MECHANCIAL ARE SEPARATE PERMITS Owner Applicant Contractor Lender MIRROR LAKE VILLAGE LLC BRUCE DUNN PETRA INC/PETRA INC OF OWNER IS LENDER PO BOX 6961 15049 NE BEL-RED RD IDAHO BELLEVUE WA 98008 BELLEVUE WA 98007 8106 BRACKEN PL SE SNOQUALMIE WA 98065 • Census Category:323-New Hospital and Institutional Building Includes: I #1 #2 #3 #4 Occupancy Class: A-3 B R-2 Construction Type: Type II-B Type H-B Type II-B Occupancy Load: 244.00 5.00 Floor Area(sq.ft.) 11,009.00 1,101.00 10,562.00 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 11408 New/Additional Sq.Feet-2nd Floor 10814 New/Additional Sq.Feet-3rd Floor 10814 Occupancy#1-Area(Sq.Feet) 11009 Occupancy#1-Construction Type Type II-B New/Additional Sq.Feet-Garage 26548 Mechanical to be Included'? No Plumbing Work Valuation 0 Mechanical Work Valuation 0 Number of Stories 3 Occupancy#2-Class B Is this an Online or O.T.C.application? No Permit for Building Shell Only? No Plumbing to be Included? No New/Additional Sq.Feet-Total 59584 Will Certificate of Occupancy be Issued? Yes Occupancy#1-Use Residence Comprehensive Plan Designation SF-High-Density (Care/Assisted Living) Residential Zoning Designation RS 7.2 Total Valuation:6,849,493.29 CONDITIONS: NO FRANIING INSPECTION ALLOWED UNTIL ROUGH IN SPRINKLER SYSTEM HAS BEEN APPROVED FOR COVER PERMIT EXPIRES Monday,29 May,2017 Permit Issued on Wednesday,November 30,2016 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy .nd the use will be in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. ii/Owner or agent: /'i Date: /2,0/6 4 1;& THIS CARD IS TO REMAIN ON-SITE errr a Federal Way Construction Inspection Record y INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 101523 00 Address: 836 SW 312TH ST Project: MIRROR LAKE VILLAGE LLC FEDERAL WAY WA 98023-4515 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) El Foundation Wall(4115) ID Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By Date By Date By Date 10 , ® Re-steel(4215) ® Slab/Concrete Floor(4255) © Underfloor Framing(4285) Approved to place concrete or grout Approved to place concrete Approved to sheath floor By Date ' By Date By Date El Floor Sheathing(4105) '; ® Shear Walls(4245) 0 Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofm By. ' Date By Date By ] Date 1 L El Fire/Draft Stops(4095) Prior to scheduling a Framing inspection; M Framing(4120) Approved and Fire/Draft Stop� Mechanical Rough-la Approved to insulate inspections must be signed- By Date off and approved. IBC 1093.4 By Date CI Insulation(4150) 0 Gypsum Wallboard Nailing(4130) ® Suspended Ceiling Grid(4265) Approved to install wallboard Pp Approved to install mud&tape Approved pproved to drop tile By Date By Date By Date ,® Final-SK F&R(4060) ` El Final-Planning ID Final-Public Works(4080) Approved Approved Approved By Date By Date I By Date El Final-Building(4050) Approved • By d„,) Date 1/5/joit) El Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date ECEIVED ...,,,..46.„,__ tARPERMITPPLICATION CITY OF 2 9 2016 • I-ecteral Way CITY OF FEDERAL WAY CDS ` PERMIT NUMBER / k _ / 0 15 2 3 - C.,.•0TARGET DATE �/ SITE ADDRESS SUITE/UNIT# -CM sP 3 (Z - '' F:rG L DelkPROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# L . - $ , ,(,�; COO --- -R� 97z O -3- Z. O 4 - q (3 a q-- TYPE OF PERMIT .BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT I SIL f I � I`c� �`t111z1�0v- �..l�l Vt�.1.AEj�. �1�1.��oR �C�t1S1u� oco PROJECT DESCRIPTION 1�1ati�'QVL"�l0 O �t.') 1 l5T�'D Detailed description of work to l-tJ 11.1' Li(13u tLPW L 0 ¶� O f Ex.t 'I►11 l Nvit Cleou is D be included on this permit only 1 - aP..I.tt�6\ `�uiLvit`1Ci(is-to9i1-Co)-Cove-r9,,,,c,i-miu T./;p(1_ it-5 _._ NAME p PRIMARY PHONE PROPERTY OWNER M►ezo►2. La �!KEt\ t. UL. - 4z6-60Z-1`130 MAILING ADDRESS E-MAIL 0 OS- (0C1 b I "-1-tu G\a,v-151-o,n ,Cpm_ CITY STATE ZIP 150..Lt_e\/U� ._wP `1SDO8 NAME PHONE MAILING ADDRESS E-MAIL CONTRACTOR I O a 1 V IkFt� SnttLL1L)kN , %46.t•14 C STATE ZIP FAX OQUP.LMI>; /4 `'18 b C 1-2,5° -2- 41t..-045-0 WA STATE CONTRACTOR'S LICENSE# - EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE CA .- I UOAJ . \C. , -4z.5--�4 -3I? APPLICANT MAILING ADDRES / E-MAIL 15d��t El- ,e� �� O C��Gy..>-• tnc,tarn CSTATE ZIP FAX IUrUI° w £1 OO - zkz5-- -3-4Geq- V N --.. PRIMARY PHONE-Cell CONTACT r ,U CXR l k)1i-] N 2.6 —Sct a-`1261 0 (The individual to receive and MAILING ADDRESS I ']7:�,� E-BTL respond to all correspondence 1'5 04 H - I—��(/� v Y !\ (� .,'iii&s G9»1 concerning this application) 11STRT ZIP FAX ..)G NAME PROJECT FINANCING E., t- or I M e_ OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,L-/ ZIP PHONE (RCW 19.27.095) 0 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 • city as a part of this application. SIGNATURE: rij►�� DATE c> a 1 PRINT NAME: (U L'e L V t r —CAL-1/411Ji J00040 9' . 'Iletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application • 0 _ � VALUE OF MECHANICAL_WORK 00 MECHANICAL PERMIT $ b1, 1754-" . Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain._ .4k7 AIR HANDLING UNITS FANS GAS PIPE OUTLETS I. OTHER(Describe) � AIR CONDITIONER FIREPLACE INSERTS 7i 114,/‘HOODS(Commercial) C'/A 1 1(4 ' /2 BOILERS 7 FURNACES I HOT WATER TANKS(Gas) epr COMPRESSORS ,I' GAS LOG SETS fd REFRIGERATION SYST /r DUCTING I,(�f.7 GAS PIPING /6 WOODSTOVES PLUMBING PERMIT VALUE OF PLUMBING WORK '-150 572 Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain. Z BATHTUBS or Tub/Shower Combo) LAVS(Haan sinks) '2,41 TOILETS WATER PIPING I DISHWASHERS RAINWATER SYSTEMS I URINALS **e OTHER(Describe) DRAINS 31 SHOWERS VACUUM BREAKERS .�.,4,I Rev I DRINKING FOUNTAINS 58 SINKS(Kitchen/Utility) WATER HEATERS(Electric) q HOSE BIBBS rZ SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION, CRITIC AREASgjON_PROPERTY? WATER 1�-1 141-\, ` R\/re2vv SEWER1.- v N VALUE OF EXISTING IMPROVE 1L� t1W 1� $ 1/�X. ao EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? g j l Oe.VUTI Vk L l sa'Z4 ZZ. 4 `❑ Yes t No A„Yes ❑ No / RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) Ilitab SECOND FLOOR f COVE Y 3d., )0 t 3/4 DECK GARAGE 0 CARPORT ❑ OTHER(describe) Area Totals EXISTING PROPOSED TOTAL **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ I #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information Square Feet * Type Stories n t��y�� NEW BUILDING A.— 5 !0"5,1a 13LP A --' 4•/-5 Z^1 `1 . +d11401hQ iC V L)1 � '_[r - 1 ? t 1 Y 1 ADDITION / COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100-February 22,2016 Page 2 of 2 k:\Handouts\Permit Application „,s, __,..21......z__ G u• .=...___—.-5s— ..1.) f. — —3) --. --- _t .4 --- .t. .il ."........''..""..r....1 .."...n...... .13 ."::.•• ... ' 4. z_ l. sttt /._ ,, -a— 1.- t '' ' 1.'1 1- t_ t_ t t t t 't t , ... t N th) -,A i 7 I, I N ;° ; Lft 4 i I , % N • f— .`-', K..._,... k.) --:—.- v ,)) \ g.-- z ) 1 -)2 4-1 L -3::' -r -Y.. k -- c7r. F• Zx t � p ?"\- � �--t ;- - p A opo ktA w X , -, CN 0 Vi k--- -ra_ k 7). . z / il t 5 cl \"\ 6 F 0 D X _ o , V City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is certifying that at the time of issuance,this structure was in compliance with the various ordinances of the City regulating building construction or use.This certificate is valid ONLY when endorsed by City staff. Tenant Name: MIRROR LAKE VILLAGE SENIOR HOUSING 18 Permit# 16-101523-00-MF Address: 836 SW 312TH ST Includes: #1 #2 #3 #4 Occupancy Class: A-3 B R-2 Construction Type: Type II-B Type II-B Type II-B Occupancy Load: 244.00 5.00 0.00 0.00 Floor Area(sq.ft.) 11,009.00 1,101.00 10,562.00 0.00 Owner Name: MIRROR LAKE VILLAGE LLC Owner Address: PO BOX 6961 BELLEVUE WA 98008 BuildingOfficial �D ate The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severely affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. • zLL+1-£s+7-Sz'i -j fioogb vm `3nA3ll3s gogo-£S+r-Szti :j zos# Id pI££ 3N Oooii �-31Y a Q ol p saw � s VM `AVM -lVH3 3A 133HIS Hlzm Ms 96 c om 'A' d Z m 41 p p h }- ~ U � LLj 7 U ® W w N *g Z O Z tjj oQ O O Cam? �=J CL En � � s L'.1_ ui WH Q Z Q O O Cl � 0. OT O raj � w Z�EbZ aO t2 En tz Z t- Z ¢ wa v w cr) O u g wQ t?¢8 t°r) W W 6 il Z �' wm C� Q Lac � O N O N w � � � � i- !-- Z U Q ® Z ram. O u, cn < Z a Q i- ts+ U bc:, 0. 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