09-104453City of Federal Way
Community Development Services
P.O Box 9718
Federal Way, WA 98063-9718
FILE
Ph: (253) 835-2607 Fax: (253) 835-2609
Building - Commercial
Permit #: 09-104453-00-CO
Inspection Request Line: (253) 835-3050
Project Name: AUBURN REGIONAL MEDICAL AT WALMART
Project Address: 34520 16TH AVE S Parcel Number: 212104 9010
Project Description: TI - Interior modifications to create offsite office for Auburn Regional. Includes interior
walls to create restroom. Includes plumbing & mechanical.
Owner
Applicant
Contractor
Lender
FEDERAL WAY MARKETPLACE
WESTMARK CONSTRUCTION INC
WESTMARK CONSTRUCTION
INVESTORS LLC
6102 N 9TH ST SUITE 100
INC
3700BEAZERRD
TACOMA WA 98406-2036
WESTMCI012D3 (3/30/11)
BELLINGHAM WA 98226
6102 N 9TH ST SUITE 100
TACOMA WA 98406-2036
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type III - B
Occupancy Load:
Floor Area (sq. ft.)
372
0
0
0
Additional Permit Information
Existing Sprinkler System in Building?.................Yes Meebanicai to be Included? ..................... ......... ......Yes
Number of Stories........................................ ....... ..1 Permit for Building Shell Only? ........................ .....No
.
Plumbing to be Included?.......:.................:.............Yes New / Additional Sq. Feet - Total.,........................ 0
Occupancy #1 - Use ............................................... Professional
Services/Offices
' r •r Mechanical Fixtures =
Fans.. .............................................. 1
s.r Plumbing Fixtures
Lavatories ....................... ......... 1 Sinks.............................................. 1 Water Closets................................. 1
PERMIT EXPIRES Wednesday, May 12, 2010
Permit Issued on Friday, November 13, 2009
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
aCity of Federal Way.
Owner or agent: �--- Dater A �'�
n
VINAU4P 14,�
lo
City of Federal Way 1
Certificate of Occupancy f
This Certificate issued pursuant to the requirements of Sectiofm1b.2"bhhe In4ational Building Code 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: AUBURN REGIONAL MEDICAL AT WALMARI Permit #: 09-104453-00-CO
Address: 34520 16TH AVE S
Includes:
# 1
#2
#3
#4
Occupancy Class:
B
Construction Type:
Type III - B
occupancy Load:
Floor Area (sq. ft.)
372
0
0
0
Owner Name: FEDERAL WAY MARKETPLACE INN,
Owner Address: FEDERAL WAY MARKETPLACE INN
3700 BEAZER RD
BELLINGHAM WA 98226
2 /—&z7
Bu
114al 0
I / Date
T e priority focus in the review and inspection made by the City prior to issuance of. this Certificate was on those matters which
xpedence has shown most severly 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.
A
4
THIS CARD IS TO RF"-1AIN ON -SITE
crry pF � Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 09-104453-00-CO Address: 34520 16TH AVE S
Owner: FEDERAL WAY MARKETPLACE IN FEDERAL WAY, WA 98003-6841
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.
SWM Precon Site Mtg (4 00)
❑
Initial Erosion Control (43 5)
❑
Footings/Setback (411 )
Approved
To be done prior to breaking ground
Approved to place concrete
By
Date
By
Date
By
Date
❑ Plumbing Groundwork (4190)
SIablConcrete Floor (4255)
Re -steel (4215)
Approved to place concrete or grout
Approved to cover
Approved to place concrete
By
Date
By J (� Date/z—/���
By
Date
Rough Plumbing (4230)
Floor Sheathing (4105)
Underfloor Framing (4285)
Approved to sheath floor
Approved to install flooring
Approved
By
Date
By Date
By
Date 2
❑
Fire/Draft Stops (4095)
Gas Piping (4125)
Mechanical Rough -in (4165)
Approved
Approved to release test
Approved
By
Date ,�
By.; Date
By
Date
Framing (4120)
Interim Erosion Control 4370
( )
Prior to scheduling a Framing inspection;
Approved
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
By
Date
Fire/Draft Stop inspections must be signed -off and
IBC 109.3.4
BY
Date
approved.
Suspended Ceiling Grid (4255)
Gypsum Wallboard Nailing (4130)
El
Insulation (4150)
Approved to install wallboard
Approved to install mud & tape
Approved to drop tile
By
Date
q
_
Bf 7\—e Date17
Date
❑
Final Erosion Control (4375)
Final - Planning (4070)
Final - Fire Department (4060)
Approved
Approved
Approved
By
Date Q'L L10
By Date
By
Date
Final -Building (4050)
Final - Numbing (4075)
El
Final - Mechanical (4065)
Approved
Approved
Approved
By
Date /
By a Date 7 a �
By
040C� Date / a f45
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By ��
Date 1 �� ��
By
Date
B,y_.
Date
, r[--. 1V EE)
CITY of
Federal WaMOV 13 Z009
PERMIT
COMMUMTYDEVELOPAIENT SERVICES, L I G A T I O N
2sss3526a7•x 3 FEDERAi
w• fr r It
r+rtiC
�rt---1 53
SF MF .C4 NJM EL DE EN FP
C� ( / C----]
PROPERTY a
SITE ADDRESS
34520 - 16th Avenue South; Federal Way, WA 98003
SUITE/IINIT Y ZONING ASSESSOR'S TAR/PARCEL 8
CE 2 1 2 1 0 4 9 0 1 0
.wu _
NAME OF PROJECT
(Tenant or Homeowner Name)
Auburn Regional Medical Office at Wal Mart
® BUILDING ® PLUMBING N MECHANICAL
TYPE OF PERMIT
® DEMOLITION N ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
372 sq. ft. tenant improvement of existing space - to include
PROJECT DESCRIPTION
Detailed description of work to
interior construction only. Construction to utilize existing
be included on this permit only
plumbing, mechanical, and electrical building systems.
PEOPLE
NAME
PRIMARY PHONE
PROPERTY OWNER
Wal Mart
_
MAILING ADDRESS, CITY, STATE, ZIP
EMAIL
2001 SE loth St.; Bentonville, AR 72712
OWNER IS ALSO:
CONTRACTOR APPLICANT PROJECT CONTACT
~- -
NAME •r
n c J PRIMARY PHONE
Westmark Construction, INc.
253 ) 564-_4620
CONTRACTOR
MAILING ADDRESS, CITY, STATE, ZIP
FAX
6102 No. 9th St., Suite 400; Tacoma 98406
-
WA STATE CONTRACTOR'S LICENSE fl
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
...�_~—
WESTMCI012D3
04/ 30 / 10
19-98-105787-00-BL
NAME
PRIMARY PHONE
Zenczak & Partners - Architects
253 475-0380
APPLICANT
-
MAILING ADDRESS, CITY, STATE, ZIP
FAX
4545 So. Union, Suite 200; Tacoma
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
Jerry Isaksen
253 475 Q380
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
4545 So. Union, Suite 200; Tacoma 98409
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
_
studio@zpaaia.com
PROJECT FINANCING
Required for projects with
NAME Auburn Regional Medical Center
❑ OWNER -FINANCED
MAILING ADDRESS, CITY, STATE, ZIP
PRIMARY PHONE
value of $5, 000 or more
(RCW19.27.095)
202 North Division St.; Auburn, WA 98001
253 333 -2549
I cerWy 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 Wormation submitted in support of this permit application is true and correct. I cert(jy 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 harmtess 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 flied 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
plicallon.
lgormation supplied to he city as part :77��
BIGNA -G �� DATE
Annlication
s MECHANICAL FIXTURES
Value o Mechanical Work $ exist. system A COPY OF BID OR ESTIMATE MUST BE PROVIDED
Indicate number of each type o /vcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING
FIXTURES
Indicate number 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)
TOILETS WATER PIPING
�— DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
30,000 Federal Way Federal Way $ '-
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
Office (B) 22.14 acres iNYes ❑ No ❑Yes ❑ No
(to remain)
AREA DESCRIPTION (in square feet)
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
RESIDENTIAL — N/A
EXISTING I PROPOSED I TOTAL FOR OFFICE USE
E�¢aTDro
Area Totals
"'AMW HON0S ONLY**
ESTIMATED SELLING PRICE $
PROPOSED I TOTAL
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION — N/A
AREA DESCRIPTION
Area
Groups))
Construction
# of
Additional Information
in Square Feet
TypOccupancy
a
Stories
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction # of
Occupancy Group(s) Additional Information
in Square Feet a Stories
TOTAL BUILDING
206, 750
M — Mercantile/
B — Office
111B
1
Pre—appproved
Mixed IIse Occ.
TENANT AREA ONLY
372
B — Office (exist.)
111B
1
PROJECT AREA ONLY
372
B — Office (exist.)
111B
1
Bulletin #100 — I1/12/2009 Page 3 of 4 k:\Handouts\Permit
Annlication