HomeMy WebLinkAbout15-103205Project Name: PACIFIC MEDICAL CENTER
Project Address: 31833 GATEWAY CTR BLVD S
Mechanical
Permit #: 15-103205-00-M8
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9137
Project Description: Replace existing electric water heater with gas water heater and associated gas piping
Owner
AQ Imon
City of Federal Way
ANS LLC
Community & Econ. Dev. Services
FILE
33325 8th Ave S
(GENERAL)
Federal Way, WA 98003
AUBURN WA 98071-1941
Ph: (253) 835-2607 Fax: (253) 835-2609
MACDOFS980RU (1/3/17)
Project Name: PACIFIC MEDICAL CENTER
Project Address: 31833 GATEWAY CTR BLVD S
Mechanical
Permit #: 15-103205-00-M8
Inspection Request Line: (253) 835-3050
Parcel Number: 092104 9137
Project Description: Replace existing electric water heater with gas water heater and associated gas piping
Owner
AQ Imon
Contractor
ANS LLC
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER FAC SOL INC
PO BOX 1941
(GENERAL)
(GENERAL)
AUBURN WA 98071-1941
7717 DETROIT AVE SW
MACDOFS980RU (1/3/17)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Additional Permit Information
Is this an Online or O.T.C. application?.................Yes
Mechanical Fixtures'
Gas. Piping ...................................... 1 Hot Water Tanks............................ 1
PERMIT EXPIRES Tuesday, December 29, 2015
Permit Issued on Thursday, July 2, 2015
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 agent Date ! / s
CITY OF
Federal Way
PERMIT #:
15 -103205 -00 -ME
THIS CARD IS TO MAIN ON-SITE "
Construction In ection Record
INSPECTION REQ TS: (253) 835-3050
Address: 31833 GATEWAY CTR BLVD S
Project: ANS LLC FEDERAL WAY, WA 98003-5420
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.
Mechanical Rough -in (4165)1:1
Gas Piping (4125)
Final - Mechanical ( 065)
Approved
Approved to release test
Approved
By Date
By Date , _ 21 I r
By Date ry, 2-11-1.3
❑
Rough Electrical
Approved
Final Electrical
Approved
ERight
of Way
Approved
By
Date
By
Date
By
Date
/ Federal Way
PERMIT NUMBER 15
0 PERMIT*PPLICATION
p,ECEIVED
_
to ✓ Zd LTARGET DATE JUL 02 2015
FEDERAL
SITE ADDRESS
SUITEidRI'�^M
L1J
2500 S 320TH ST FEDERAL WAY, WA 98003
PROJECT VALUATION
ZONING
ABNfESSOR's TA%/PARCEL 9
SOD. 00
CC-
0 9 2 1 0 4- 9 1 3 7
TYPE OF PERMIT
❑ BUILDING ® PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
PACIFIC MEDICAL CENTER - CLINIC
REPLACE ELECT WATER HEATER WITH GAS WATER HEATER. INSTALL GAS PIPING AS
PROJECT DESCRIPTION
Detailed description of work to
NEEDED.
be included on this permit only
NAME PACIFIC MEDICAL CENTER
PRntART PHONE N/A
PROPERTY OWNER
DIAHMOAMRIM 7717 DETROIT AVE SW
R -MAIL N/A
a'R SEATTLE
STATE98106
NAME MACDONALD MILLER
PHONE (206) 7684278
...,r.T.°ADDaEss 7717 DETROIT AVE SW
a.doll@macmiller.com
da t
-------------------
CONTRACTOR
cITY SEATTLE
Wg
'� 98106
FAX (206) 7684279
WA STATE CONTRACTOR'S LICENSE i
EXPIRATION DATE
FEDERAL WAY NOourass LicrosE #
MACDOFS980RU
1 / 3 2017
20 -03 -100372 -00 -BL
NAM DARLA DOLL
Pini" MONK 768-4278
APPLICANT
MADnI°wDDasss 7717 DETROIT AVE SW
da ia.doll@macmiller.com
«TY SEATTLE
ETWq
ZIP 98106
FAX (206) 768-4279
NAME
PRIMARY PRONE
PROJECT CONTACT
PERRY CHRISTIAN
(206) 7684278
MAH' NG ADDRESS 7717 DETROIT AVE SW
E•MAn
perry.ehristian@macmiller.com
(The individual to receive and
respond to all correspondence
r
cr" SEATTLE
SzWq
ZIP 98106
concerning this application)
FAX (206) 7684279
PROJECT FINANCING
NAME N/A
❑ OWNER -FINANCED
Required value of $5,000 or more
MAMINO ADDRESS, CMR, STATE, Z@
PHONE
(RCW ]9.27,095)
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 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.
l 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.
0, 7/2/2015
SIGNATURE: � .. DATE
-
DARLA DOLL
PRINT NAME:
Bulletin #100 — January 1, 2013 Page 1 of 3 UliandoutsWermit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commemiat(
BOILERS FURNACES HOT WATER TANKS (c—(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVBYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT
$ NO CHANGE
Indicate how many of each ty
pe of ftxture
to be installed or relocated as
part of this ro' ct. Do not include eicisting fixtures to remain.
BATHTUBS (or7Lb/Shower Combo(
LAVS (H—dSirdca(
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
_ _ OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
GAS WATER HEATER
DRINKING FOUNTAINS
SINKS (xitohen/utility(
WATER HEATERS (FAe tdo(
DECK
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIBTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVBYOR
SEWER PURVEYOR
VALUE OF X=STINO DIPROVENNNTS
FOR OFFICE USE
BASEMENT
NEW Bon,mus
EBISTDTG/PREVIOUS USE
LOT SDS (In Squats Fast)
ErSSTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSIOR SYSTEM?
ADDITION
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
NEW Bon,mus
FIRST FLOOR (or Mobile Home)
ADDITION
SECOND FLOOR
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
Stories
Additional Information
DECK
GARAGE ❑ CARPORT ❑
TENANT AREA ONLY
OTHER (describe)
PROJECT AREA ONLY
Area Totals
zxzrnna
Mtn
TMAL
**JUWHOJWs OANLT**
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area
in Square Feet
Occupancy Groups)
Construction
# of
Stories
Additional Information
NEW Bon,mus
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area Hare Feet
in SqTOTAL`
Occupancy Group(s)
Construction
Stories
Additional Information
B[Imme
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 —January 1, 2013
Page 2 of 3
UHandoutsWernrit Application