20-101012 Building - Commercial
City of Federal Way Permit #:20-101012-00-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: SAGHALIE MIDDLE SCHOOL
Project Address: 33914 19TH AVE SW Parcel Number: 192104 9033
Project Description: Relocate school nurse and expand health program by converting(2)classrooms into a school-
based health clinic. Includes plumbing and mechanical.
Owner Applicant Contractor Lender
BRIE GUSTAFSONFEDERAL WAY CONNIE ZHENGBASSETTI BAYLEY CONSTRUCTION LP OWNER IS LENDER
PUBLIC SCHOOLS ARCHITECTS 8005 SE 28TH ST
1211 S 332ND ST 71 COLUMBIA ST SUITE 500 MERCER ISLAND WA 98040
FEDERAL WAY WA 98003 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.) 0.00 0.00 0.00 0.00
Additional Permit Information
Mechanical to be Included" Yes Plumbing Work Valuation" 94645
Mechanical Work Valuation" 93725 Number of Stories 1
Is this an Online or O.T.C.application" No Permit for Building Shell Only? No
Plumbing to be Included" Yes Comprehensive Plan Designation SF-High-Density
Residential
Zoning Designation RS 7.2
Total Valuation:711,000.00
Air Handling Units 2 Ducting 1 Fans 3
Drains 2 Lavatories 2 Showers 1
Sinks 6 Water Closets 2
CONDITIONS:
A separate permit is required to relocate the fire alarm and fire sprinkler devices.
PERMIT EXPIRES Tuesday,2 February,2021
Permit Issued on Thursday,August 6,2020
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
of Federal Way.
rimEity
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
WVO Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
•
PERMIT#: 20 101012 00 Address: 33914 19TH AVE SW
Project: BRIE GUSTAFSON FEDERAL WAY WA 98023
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.
I •
® Initial Erosion Control(4365) 0 Footings/Setback(4110) ® 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
El Plumbing Groundwork(4190) ® Slab/Concrete Floor(4255) ® Underfloor Framing(4285)
Approved to cover Approved to place concrete Approved to sheath floor
.By A NJ Date ?l Ute) aQD,By Date .'�By Date
,0 Floor Sheathing(4105) ' ® Rough Plumbing(4230) ® Mechanical Rough-in(4165)
Approved to install flooring Approved Approved
By Date By Date �,By AA) Date i of I / Oaa
El Gas Piping(4125) ID Fire/Draft Stops(4095) El Interim Erosion Control(4370)
Approved to release test Approved Approved
By Date �'•By f6 Date c lc2/ •• Approved
Date
•
Prior to scheduling a Framing inspection; El Framing(4120) 0 Insulation(4150)
Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard
and Fire/Draft Stop ioss mast be signed-
off
olrana approved e& IBC 1093.4 By Date By -Date
r.
'
Gypsum Wallboard Nailing(4130) 90 Suspended Ceiling Grid(4265)
E5 El Final-S K F&R(4060)
Approved to install mud&tape Approved to drop tileApproved
Lei
By S Date to f RI kat) By LWS Date Jai i 11 C.By Date .
1:1 Final-Planning 1 El Final Erosion Control(4375) El Final-Mechanical(4065)
Approved Approved Approved
.BY Date A Date ,'‘By A NJ Date J ))5&a b,
M Final-Plumbing(4075) E Final-Building(4050)
Approved Approved
By Iiik. Date • • • li;lb By L. Date a • ra r
•
•
0 Rough Electrical Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
_ RECEIVED PERMIT APPLICATION
CITY OF
Federal Way MAR 0 5 2020 PERMIT CENTER.33325 8w Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenten@cityoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
Muer Num=_c21D _ /SeC .LL,2 I ,I ro,-0_ TARGET DATE 3e) aO
SITE ADDRESS SUITE/UNIT I
33914 19th Ave SW 98023
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL f
$711,000 RS7.2 1 9 2 1 0 4 _ 9 0 3 3
TYPE OF PERMIT ®BUILDING ®PLUMBING ® MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT TAF @ Saghalie Health Clinic
PROJECT DESCRIPTION Relocate school nurse and expand health program by converting two existing
Detailed description of work to classrooms into aschool-based health clinic.
be included on this permit only
NAME PRIMARY PHONE
Federal Way Public Schools (253) 945-5939
PROPERTY OWNER zo ADDRESS E-MAD,
1211 S 332nd Street bgustafson@fwps.org
CIl'Y STATE ZIP
Federal Way WA 98023
NAME PHONE
MAILING ADDRESS E-MMAD.
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE If EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE f
NAME PRIMARY PHONE
Bassetti Architects (206) 340-9500
T
APPLICAN
MING
Columbia St, Suite 500 jkiel@bassettiarch.com
CITY STATE ZIP FAX
Seattle WA 98104
NAME PRIMARY PHONE
PROJECT CONTACT Connie Zheng (206) 340-9500
(The individual to receive and MAILING ADDRESS EMAIL
respond to all correspondence 71 Columbia St, Suite 500 czheng@bassettiarch.com
concerning this application) CITY FAX
Seattle WA 98104
PROJECT FINANCING NFederal Way Public Schools ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) 1211 S 332nd Street, Federal Way, WA 98023 (253) 945-5939
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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.
,
SIGNATURE: DATE 3/5/2020
PRINT NAME: dan Kiel
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
16.
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 93,725
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing futures to remain.
AIR HANDLING UNITS 3 FANS GAS PIPE OUTLETS OTHER(Describe)
2 AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(ciao)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
2 DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 94,645
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing factures to remain.
BATHTUBS(or Tub/shower combo( 2 LAVS(Hand sinks) 2 TOILETS 2 WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
2 DRAINS 1 SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS patches/Utility) WATER HEATERS(ziectriq
HOSE BIBBS SUMPS WASHING MACHINES 15 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATTER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
None Lakehaven Water and Lakehaven Water and
Sewer District Sewer District $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
School (Public) 427,759 x Yes ❑ 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)
Area Totals =STING PROPOS TOTAL
"NSW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BOU.DIINQ
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in Occupancy(croup(•) Construction it of Additional Information
Square Feet Type Stories
TOTAL BUDDING 96,194 sf E,A V 1
TENANT AREA oNLY 2,300 sf E V 1
PRo.IECT AREA ONLY 2,300 sf E V 1
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application