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19-100701
! 4 Building - Commercial City of Federal Way Permit #:19-100701-00-00 Community Development Dept. y 33325 8th Ave S Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 Project Name: MADRONA PARK ASSISTED LIVING AND MEMORY CARE Project Address: 31200 23RD AVE S Parcel Number:092104 9127 Project Description: TI-Convert existing units to memory care units-Tenant improvement to include removal of bearing and non-bearing walls,demolition of doors and frames,demolition of kitchenettes in all units,addition of private dining and storage,modification to bathrooms,relocation of mailboxes,casework and finishes.Plumbing&Mechanical included. Owner Applicant Contractor Lender HSRE-PMB MADRONA LLC LEON GRUNDSTEINGENCARE TROON CONSTRUCTION CO LLC HARBORSTONE CREDIT UNION I CARMEL MOUNTAIN RD SUITE LIFESTYLE PO BOX 2244 PO BOX 4207 SAN DIEGO CA 92121 216 1ST AVE S SUITE 340 KIRKLAND WA 98083 TACOMA WA 98438-0207 SEATTLE WA 98104 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? Yes Plumbing Work Valuation? 10000 Mechanical Work Valuation? 10000 Number of Stories 3 Is this an Online or O.T.C.application? No Permit for Building Shell Only? No Plumbing to be Included? Yes Comprehensive Plan Designation City Center Frame Zoning Designation CC-F Total Valuation: 1,940,000.00 �y n X33, riJ � i 9 9 3jpg' ,. ..✓-,.:,-{,.. .,, ,i 3, . .,.� i Ducting 1 Gas Piping 1 cl3 10TOEtt' St Laundry Washer Outlets 8 Lavatories 1 Sinks 2 Water Closets 1 CONDITIONS: Separate Permits for: Modifications to the fire sprinkler system of 10 or more fire sprinkler heads. Any modification to the fire alarm system and/or devices Type I hood and duct suppression system All Fire and Life Safety systems shall be in-service during construction. ■ • '►, _Y `t • la ' • d • PERMIT EXPIRES Tuesday, 1 October,2019 Permit Issued on Thursday,April 4,2019 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 age Date:440 7 THIS CARD IS TO REMAIN ON-SITE CITY OF Construction Inspection Record Federal vvay INSPECTION REQUESTS:(253)835-3050 PERMIT#: 19 100701 00 Address: 31200 23RD AVE S Project: HSRE-PMB MADRONA LLC 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. ® Initial Erosion Control(4365) ® Footings/Setback(4110) Q Re-steel(4215) To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout BY - Date By Date ABy Date ® Plumbing Groundwork(4190) El Slab/Concrete Floor(4255) © Underfloor Framing(4285) Approved to cover Approved to place concrete Approved to sheath floor By Date By Date By Date ® Floor Sheathing(4105) ® Rough Plumbing(4230) El Mechanical Rough-in(4165) Approved to install flooring rt Approved Approved By Date .BY Date II•By Date El Gas Piping(4125) Fire/Draft Stops(4095) 12 Interim Erosion Control(4370) Approved to release test rrApproved Approved By Date By Date By Date Prior to scheduling a Framing inspection; ©3 Framingd Electrical,Plumbing&Mechanical Rough-in �y (4120) ! ©rt Insulation(4150) and Fire/Draft Stop inspections mast be signed- Electrical, Approved to insulate Approved to install wallboard " off and approved. IBC 109.3.4 By Date By Date El Gypsum Wallboard Nailing(4130) 1 El Suspended Ceiling Grid(4265) El Final-S K F&R(4060) ppApproved to install mud&tape Approved to drop tile Approved By Date By Date t By Date El Final-Planning El Final Erosion Control(4375) ' ® Final-Mechanical(4065) ' Approved Approved Approved By Date By Date By Date El Final-Plumbing(4075) El Final-Building(4050) ApprovedApproved NN� ,�,,,,, By L�S Date ‘\'t L((600,0,,By LA/4S Date 11 I Um bog) • Rough Electrical Final ElectricalElRight of Way Approved Approved Approved By Date By Date By Date .N -k) k -.• - — ---s--• .:- ':'",- -..‹.. ----- %-=•-. --- -.•.•.z -- N ,� \f. \rN \'' t 1. t \r1 \f-% V \e' \i' V \r. v, t . o l'‘ 1.;2 Z. -1')OrN %,1 .-- -ti G- ::1->P ''' t k1/4 1\ •<,\ \-\ 4t., 4.v 11 1 k �' t 1kls ` , `'di. y ‘ 1 -6 g ` \ \ 1 c• �' Is - . 4: 41) in sbi z V._, °i‘. 46, 1 ... ‘1,6.. % 7...,47 r. .:Ni‘ fr"--'--PC.. "..\ ••3 r \ i 0" k- ;. \k-i X N ' '`' �� o •z " Q o G' 0 o $ 1 N N o \ 0,,, x'1 ( e _ RECEIVED r t �`'4/NFEB 08 2019 PERMIT APPLICATION CITY OF Frederai Way OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 CITY253-835-2607 +FAX 253-835-2609+DermitcenterLicitvoffederalwar.com i COMMUNITY DEVELOPMENT PERMIT NUMBER 9 - I v 01 0 ( Lo l I- TARGET DATE l ` SITE ADDRESS SUITE/UNIT# 3)20 0 23 r4 AWA PROJECT VALUATION S, ZONINGrf,y a) G'n�',�J, p 44 900.0,-3SOR'S PARCEL# $ 11/110 610 CF o '3 2- 1 0 9 - 9 1 2- 7 TYPE OF PERMIT IL BUILDING ® PLUMBING 'Vii MECHANICAL ❑ DEMOLITION JIuDnRiM NAME OF PROJECT 37 L-cpke, R 'o ) /idr, Pl6J- / >'r,]Si57c1� t;í;nv7 -4 Yi8/v1dY y CciIi-c_ PROJECT DESCRIPTION i11 s VJ ci1e-) 7ntity1.1A3c,or>71 n £ 1i -";'nis)Ie5)t4ee ctiVe. l),,�I)IP4JY ) knii Detailed description of work to lam4k,Gt1)S �Jji-or ,3 Sz6I1 L, 17e in1/)r nvi—WIT7 i/ Z i°JJ�Taloraf. S be included on this permit only 7-1r1,.41D -/f)C ) lM11 on " A-1_`/t I4 Ale/tM .10OAil Air ,F-4A1's1 (Al, a)1 rMi M'lhAtt5, /NAME �/ PRIMARY PHONEPROPERTY OWNER G-e y,o4D t I )-!1P/ z0,6,4-/67,z-62-6 MAILING ADDRESS E-MAIL rys y Z46CITY )4tj& £1), t) �0STATE ZIP j0111�AG/0i/)�ele°.M1�irPr—)/'e/,f.6Jin ,05JI').P. vt/ Vii01 NAME PHONE T WnlvnS41-LYM;0ll/c,yUr/ Lizs/7Z ',113g2) MAILING ADDRESS E- CONTRACTOR Po km 7.2)./q ...kd)COn&iif)XLIi'Gen7 CITY STATE ZIP •FAX kiY1z)(1144/ WA 9N9%, WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 6 -z3)-&7 ) i 5 aL' NAME PRIMARY PHONE 1 eon br an 06'6,21b7, -C APPLICANT MAILING ADDRESS E-MAIL !b ) /4-0 .5,)St!i4pi j1 l �)rvlr ;ih Maki-i>7L�<A017CITY STATE ZIP AX 5e,A-tl-il; li,1M 9W y NAME PRIMARY PHONE PROJECT CONTACT ba/v; LILY/2)53,0166 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence _0000 AlE, 3).el PL)Sj 9 )02, ,�al/i�j'!�'Ulg&A)x1 it;eo concerning this application) CITY STATE ZIP FAX pAeme vi)A 91moq PROJECT FINANCING Nk}cvrbor 4-m (X&- U/i 1 i 0 OWNER-FINANCED 7.,0 When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) PO NA 11247 7q�-011yII 0 92(93.g-0,307 7-fi3.903,2,6de 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 a part of this application. �J SIGNATURES=- DATE S)g PRINT NAME: pewidiy,e4, Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application , r —10-- .^—, —, VALUE OF MECHANICAL WORK ' MECHANICAL PERMIT L(ftriejeric�� Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include i7 existing fixtures to remain. FANS AIR HANDLING UNITS C/ � GAS PIPE OUTLETS � OTHER-- (Describe) O AIR CONDITIONER , FIREPLACE INSERTS 0 HOODS(commercial) -P7-,G,5 D BOILERS (7 FURNACES 0 HOT WATER TANKS(cas) D COMPRESSORS 1 GAS LOG SETS 0 REFRIGERATION SYST 1 DUCTING , GAS PIPING (3 WOODSTOVES PLUMBING PERMIT ALOE OF PLUMBING WORK $ /d Icy Eta t",.. c) Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not z lude existing fixtu s to remain. n BATHTUBS(or Tub/Shower Combo) 1 LAVS(Hand Sinks) I TOILETS Li WATER PIPING D DISHWASHERS Q RAINWATER SYSTEMS O URINALS OTHER(Describe) D DRAINS () SHOWERS VACUUM BREAKERS D DRINKING FOUNTAINS Z SINKS(Kitchen/Uurry) WATER HEATERS(EIectric) D HOSE BIBBS I) SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYORSEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS �o LuD L o ) $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? /iS,,� LTl9Aia i0 7f5P x Yes E No ❑Yes1 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 sii DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **law HOMES ONLY ESTIM SELLING PRICE$ I #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occu Group(s) Construction #of Additional Information Square Feet Type Stories NEW Buiwiwo ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(*) Construction #of Additional Information Square Feet Type Stories TOTAL BUILDING 77 -1O 14-4 -- t3I R-))5-1 J 1! 3 TENANT AREA ONLY PROJ$CT AREA ONLY Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application