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16-101605 Y t l . F ' IT Building - Multi Family • Ci of Federal Wa . Community Development Dept. - -� Permit #:16-101605-00-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 B Project Address: 836 SW 312TH ST , Parcel Number:072104 9087 Project Description: NEW-Construction of a new 32,036 square foot,3-story,assisted living building.PLUMBING AND MECHANICAL BY 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: #1 #2 #3 #4 Occupancy Class: R-2 • Construction Type: Type II-B Occupancy Load: 165.00 Floor Area(sq.ft.) 32,442.00 0.00 0.00 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 10814 New/Additional Sq.Feet-2nd Floor 10814 New/Additional Sq.Feet-3rd Floor 10814 Occupancy#1-Area(Sq.Feet) 32442 New/Additional Sq.Feet-Basement. 0 Occupancy#1-Construction Type Type II-B New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? No Plumbing Work Valuation? 0 Mechanical Work Valuation 0 Number of Stories 3 New/Additional Sq.Feet-Other 0 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 32442 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:5,279,286.66 CONDITIONS: (1)NO FRAMING INSPECTION ALLOWED UNTIL THE ROUGH-IN SPRINKLER SYSYTEM 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 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: ` C [ 3 0 /2.-4 ( 6 . s 1 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 11 Permit# 16-101605-00-MF Address: 836 SW 312TH ST Includes: #1 #2 #3 #4 Occupancy Class: R-2 Construction Type: Type II-B Occupancy Load: 165.00 0.00 0.00 0.00 Floor Area(sq.ft.) 32,442.00 0.00 0.00 0.00 Owner Name: MIRROR LAKE VILLAGE LLC Owner Address: PO BOX 6961 BELLEVUE WA 98008 • 04AW 1111 ---- ghle/Z-0-26 Building Official Date 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. 4 ' 4 1 e c. '-... Xi --- i ....a,dot ...) fi tnL.4_ t 1-- i i , 1 '°3 _i . `r 1c —-,N' '1 S.- —4, ?, r I� THIS CARD IS TO REMAIN ON-SITE 'I °* Construction Inspection Record Federalway INSPECTION REQUESTS:(253)835-3050 PERMIT#: 16 101605 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. ❑ Footings/Setback(4110) El Foundation Wall(4115) Drainage/Downspout(4040) Approved to place concrete Approved to place concrete Approved to backfill By. Date By Date By 4J Date a t9 )g ® 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) 9❑ Roof Sheathing(4220) Approved to install flooring Approved to install siding Approved to install roofmg By Date By Date By *9 Date I /6 , ' -® Fire/Draft Stops(4095) Prior to scbed li s a Fraeogiaspectloa; Q Framing(4120) Electrical,Phrmbias&Mechanical Roaglaia Approved and FireIDraa Step inspections must be signed- Approved to insulate By Date off sad approved. IBC 109.3A By Date 0 Insulation(4150) NJ Gypsum Wallboard Nailing(4130) '® Suspended Ceiling Grid(4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By Date By Date El Final-SKF&R(4060) © Final-Planning El Final-Public Works(4080) Approved Approved Approved By Date By Date By Date El Final-Building(4050) Approved By 4 ) Date CtIIGI24 Zc 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date • / - — C C + a K) n 0 a- 3 a° rt LL yv. p -� o _ . —1 o -t A -`g e - -'6 .0 .. y. — ..,, • "c: , '^ I f IP ..... - v) c ii -i 4 (.) d c - ItS . •••`' L V t-I'' i.4.. 4... , sl , +v) °‘ - - Y 2 I. 1., o 4 ...... n , -L.- k6 -3- 8 LA k 0 in -i A ° t j J L- I' / /-1- ..0 u- 4 c. c-v c _Is v. ::: -i p Q ' L. $ ® — V re a t_ c �q L �-4- 0!1 M `^ is "• p s . 1 M 1 M ,�.--` $ l `- LL Lg 4 4 (Ni i I i f; 4 1 ac ea % 1--- ' ;7-- t aq v1 i S e� I-- L 1 qA h An N 3up. tk. 3 �1 I - o� tai 0 {-f� ii w 1+ .30 ib . i ,:'. q 1 R. -2 ' 4 -z 4, i- q 1 I 1 ' '4 2 4 -z 4- 4 t 4 'k / t 'sze 0- �----- .�, `n - cr. --• Cr- cr yr. --� "C • 4 a �� ��tA --� 1- h� o �' - Th---6_-- 6) r ti• • 29 201 PERMIT APPLICATION,...„. 0 41dera( Way CITY OF FEDERAL WAY • / CDs :PERMIT NUMBER / 1 _ -/ _ 111 TARGET DATE 10//4-- SITE ADDRESS SUITE/UNIT# � _ 4 BIZ--• . El-- OLDS 6 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL f $ ' >� " R , - r c -- - Z. 1 o4 - 0q- TYPE OF PERMIT Vt.BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Ill t eRcv- LE V t 4-tea. l In R Vintl S 114 ci PROJECT DESCRIPTION �" `,'`"Qi7C�IbU OF TW` _� 4) � �" + # IST�'D Detailed description of work to 1-tV1�� ti- tLDt10 ol"jjj¶� •pf �X,1-1}4ft UN-y Ut-1O be included on this permit only 't4C itsl WA tali(ls-tt7q '�-'O0)-C0tki5`'(�,�jciton) I'VE_ It-15 - - - o>Lj t .> t,s��t. aT i N kl `t�T('�rn . NAME �, WCPRIMARY PHONE 1` 1 PROPERTY OWNER 1eiw� L � \tt t'f1! 4Z`6-6OZ 1 '7j 7 MAILING ADDRESS E-MAIL RC2 t 2()?(• (oCt b I 'al-1U Gl6V*1400 e 0.301 CITY STATE ZIP NAME PHONE - - -- 17ET1zA,- .1-Z5-391,—i-510 MAILING ADDRESS E-MAIL CONTRACTOR F lo 4, 15g iskfk inl194Ne.t. 5m tatcvo,o), 146.1•el CITY STATE ZIP FAX AsloQun.Lm t g- \A/74, cie b GS- ham' -3611.-b4So _ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE M / / NAME PRIMARY PHONE - - - cp.LN 1iL10 d a.m. r N L , -47-5=(4 -31 Z3 APPLICANT MAILING ADD ) EMAIL C STATE ZIP FAX Ute WA- 98001-- ztZS-�3-4be*- ___. N PRIMARY PHONE C.- PROJECT PROJECT CONTACT -2t , (Ai-- Al 11 A 7-5-ego-41-7_610 (The individual to receive and MAILING ADDRESS I -k ..rj EL respond to all correspondence 1 )04"t t I- D 0 Vie\( (#A'*jrt CA Wt S concerning this application) L le v u S,,?Th ZIP `- 42-5 3-NAM -/ � � -, to 03-- NAME E PROJECT FINANCING F�`` ^.1V-- I oy mDiEte__ pc, OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) y 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. � � _ 1 SIGNATURE: yt 1' / ( DATE c PRINT NAME: 'r l?Z-e .t1 \ —(.A t_v 11I JelreG.l lU Bulletin#100—February 22,2016 Page 1 of 2 k:\Handouts\Permit Application c."1.... ..). 11110 • VALUE OF MECHANICA40)AVORGK0 11\ I MECHANICAL PERMIT $ H3- 77 3. Indicate how many of each type of re to be installed or relocated as part of this project.Do not include existingfixtures to reins n. rT'4k' AIR HANDLING UNITS FANS GAS PIPE OUTLETS i OTHER(Describe) 140 AIR CONDITIONER _ FIREPLACE INSERTS HOODS)commereial) G11 Il1e� . `L_ BOILERS --_F FURNACES ' HOT WATER TANKS(cos) 40 COMPRESSORS GAS LOG SETS . REFRIGERATION SYST /�Oc-7 DUCTING `mac. GAS PIPING .f. WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ Lr c pi 53 L ZO 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. BATHTUBS(or Tub/Shower Combo) _ \ LAVS(Hand Sinks) '14 b TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS fi. URINALS OTHER(Describe) DRAINS x4540 SHOWERS VACUUM BREAKERS 0 DRINKING FOUNTAINS S` SINKS)Kitchen/Unity) WATER HEATERS(Electric) 4 HOSE BIBBS Z SUMPS C, WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAI AREAS ON PROPERTY? WATER PURVEYOR j SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS u ttiVi_ 1,44-11- I IZ ' 1-14..rz- l FZ►.i $ t, ,0 pO CD'`--- EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? ❑Yest No .Yes ❑ No g (i?e.‘vTik L 1.....,.2.2_�422. 4 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) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** • ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION Area in Construction #of Additional Information AREA DESCRIPTION Square Feet Occupancy Groups) Type Stories p•-33 o 36 .16(- 61A — a,r'P�*i^1 Q�`1° A1.1G Vk ial NEW BUILDING v7y J 2 07.,,G. 1 ��' -r. ADDITION1047-1 COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—February 22,2016 Page 2 of 2 k:\Handouts\Permit Application