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HomeMy WebLinkAbout15-105298 .= •CEIVED4110 CITY OF OCT 16 2015 PERMIT APPLICATION Federal Way CITY OF FEDERAL WAY // CDS PERMIT NUMBER /5 _ / s> _ �` TARGET DATE As soon as possible SITE ADDRESS •••/// ll SUITE/UNIT# 27320 Pacific Highway S PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# 10 ,000 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING RFIRE PREVENTION NAME OF PROJECT DaVita Redondo Heights Facility Fire riser vault and water lines to buildiniq PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME NAME PRIMARY PHONE PROPERTY OWNER DaVita, Inc. -- Kristin Videto, Project Manager 253-606-6191 MAILING ADDRESS 32275 32nd Ave. S. E-MAI..uc knstin.videto @davita.co m CITY Federal Way A ZIP 98201 NAME NAME PHONE TBD MAILING ADDRESS E-MAIL CONTRACTOR CITY STATE ZIP FAX WA STATE CONTRACTOR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# NAME PRIMARY PHONE James Buchanan 206-954-5227 APPLICANT MAILING ADDRESS 2232 Broadway, Suite101 .E-MAILames@axiomnw.com CITY Everett WAE Z1P98201 FAX360-652-1718 ..._ NAME �j PRIMARY PHONE PROJECT CONTACT Elisabeth Eddy 253-442-5747 (The individual to receive and MAILING ADDRESS 2232 Broadway, Suite 101 E-MAIL respond to all correspondence concerning this application) CITY STATE ZIP FAX Everett WA 98201 360-652-1718 NAME PROJECT FINANCING EN OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 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 as a part of this application. ' SIGNATURE: � �! DATE 10-16-15 PRINT NAME: Elisabeth Eddy Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Pennit Application • • VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 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. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(Commereiaq BOILERS FURNACES HOT WATER TANKS Gas COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ 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(orTub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/uuury) 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? ❑Yes ❑ No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE iliklgegW11110.0t 131111111EMBIBM ANIEMES6,.`\\:. . a,. . !O.. annit FIRST FLOOR(or Mobile Home) COVERED ENTRY al RiZ 'W.\ \\ Ams'F Z\\O ���\\�\1�\ @\` too war GARAGE ❑ CARPORT ❑ 1T#I `SLAy is EXISTING PROPOSED TOTAL Area Totals ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories 7104Nait-MITIVN., mom ADDITION COMMERCIAL-REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in S.uare Feet a Stories 11",•04; TemailametialpigVAISMORIMIRMAIMIMStAppliellgriZIPV,% VVI, NOM TENANT AREA ONLY 6372 ninet,p7: Ann ...:.. . ......y,.0 .�.••, s�:..`\.. ,'. .11. `444,4'-.11 ..... �.�\ , ^�. f. MSM . `y\,,...'.': s ;I,��., 4_ l c8 ... Bulletin#100—January 1,2013 Page 2 of 3 k:Handouts\Permit Application