18-104229City of Federal Wry
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax (253) 8352609
Mechanical
Permit #:18 -104229 -00 -ME
Inspection Request Line: (253) 835-3050
Project Name: ST FRANCIS MEDICAL PAVILLION
Project Address: 34503 9TH AVE S
Project Description: Remove (4) existing diffusers and install (6) small diffusers.
Parcel Number: 750451 0050
Owner
Applicant
Contractor
WSC MEDPAV LLC
AMMONE BEMBRYMACDONALD
MACDONALD MILLER FAC SOL INC
1700 7TH AVE SUITE 1800
MILLER FAC SOL INC
(GENERAL)
SEATTLE, WA 98101
7717 DETROIT AVE SW
MACDOFS980RU (1/4/19)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Additional Permit Information
Mechanical Work Valuation? .................................. 1500 Is this an Online or O.T.C. application?.................. Yes
Ducting 6
PERMIT EXPIRES Sunday, 10 March, 2019
Permit Issued on Tuesday, September 11, 2018
I hereby certify thal the above information is correct and that the construction on the above described property
and the occup y and the us accordance with the laws, rules and regulations of the State of
W
to
and the City of Federal Way.
r r a Date:
(�wrle �
THIS CARD IS TO REMAIN ON-SITE
crrr or V&
Federal WayConstruction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18104229 00 Address: 34503 9TH AVE S Unit 210
Project: WSC N[EDPAV 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.
..1
Mechanical Rough -in (4165)
Fil
Gas Piping (4125)
Final Electrical
s❑
Final - Mechanical (4065)
Approved
Right of Way
Approved to release test
Approved
Approved
BY
Date
By
Date
By
By
J 3
By
Date
By
Date
.41aDate
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
10 PERMIT APPLICATION
CITY OF
Federal Way PERMIT CENTER . 253- 85 Avenue Sou tB--a33� 8003-6325
253-835-2607 ♦FAX 253-835-2609 + perms-tce�e t�ay.com
PERMIT NUMBER 22c7 M c� SEP 11 2018
CITY OF FEDE
TARGET DATE pjrti ^� W� A�
SITE ADDRESS
SUITE/UNIT #
34503 9th Ave Si Federal Way, WA 98003
210
PROJECT VALUATION
ZONING
ASSESSOR'S TAIL/PARCEL #
$ 1500
1205
7 5 0 4 5 1_ 0 0 5 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING EYMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Franciscan Suite 210 Office Admin TI
Removed (4) existing diffusers in old open office area and
PROJECT DESCRIPTION
Detailed description of work to
insta smaiier dittusers in new oftice buiidout.
be included on this permit only
NAME
PRIMARY PHONE
Franciscan Health System
N/A
PROPERTY OWNER
MAILING ADDRESS
34509 9th Ave S.
E-MAIL N / A
CITY
Federal Way
STATE I
WA
ZIP
98003
NMacDonald Miller Fac/Sol
206-768-4062
CONTRACTOR
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@macmiller.com
CITY
Seattle
STATE
WA
ZIP
98106
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MACDOFS980RU
1 / 04/ 19
20 -03 -100372 -00 -BL
NAME
Ammone Bembry
PRIMARY PHONE
206-768-4062
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@macmiller.com
APPLICANT
CITY
Seattle
STATE
WA
ZIP
98106
FAX
PROJECT CONTACT
NAME
Amm o n e Bembry
PRIMARY PHONE
206-768-4062
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@macmiller.com
(The individual to receive and
respond to all correspondence
CITY
Seattle
STATE
WA
ZIP
98106
FAX
concerning this application)
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 09/11/2018
PRINT NAME: Ammone Bembry
Bulletin #100 - January 29, 2016 Page 1 of 2 k:AHandouts\Permit Application
4
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each Ulpe 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
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes No n Yes n No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Construction
# of
Additional Information
Square Feet
$ 1500
Indicate how many of each (Lype of
ffixture to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
6 OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (Commercial)
Diffusers
BOILERS
FURNACES
HOT WATER TANKS (Gas(
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
Occupancy Group(s)
DUCTING
GAS PIPING
WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each Ulpe 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
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes No n Yes n No
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area In
Occupancy Group(s)
Construction
# of
Additional Information
Square Feet
a
Stories
-77
$14W 11H3
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area
Occupancy Group(s)
Construction
#
Additional Information
F
Square Feet
a
Stories
S`Jli. $UII+DIIfCi
TENANT AREA ONLY
PRaIacT AREA ONLY
Bulletin #100 — January 29, 2016 Page 2 of 2 k:AHandouts\Permit Application