22-103400City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Plumbing
Permit #:22-103400-00-PL
Inspection Request Line: (253) 835-3050
Project Name: DICK'S DRIVE-IN
Project Address: 32048 PACIFIC HWY S
Project Description: BLUEBEAM - Plumbing work for new restaurant building.
Parcel Number: 762240 0015
Owner
Applicant
Contractor
MERLONE GEIER PARTNERS
SCOTT MILLERMETRIX ENGINEERS
HOLMBERG COMPANY (PLUMBING)
C/O RYAN LLC HILARY RAYMOND
227 WILLIAMS AVE S
HOLMBC*794M (7/2/23)
PO BOX 847
RENTON WA 98057
12002 SE 9TH PL SUITE 300
CARLSBAD CA 92018
BELLEVUE WA 98005
Drains
Rain Water Systems
Water Closets
Plumbing Fixtures
35 Lavatories
6 Sinks
4
4 Other Plumbing Fixtures 2
28 Urinals 2
PERMIT EXPIRES Monday, 22 May, 2023
Permit Issued on Wednesday, November 23, 2022
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
i and4i4City of Federal Way.
Owner or agent: Fr Date.
Fig 1
HOLMBERG MECHANICAL
15400 SE 30th Place, suite 100
Bellevue, WA 99007
425-822-2233
HOLMBERGCOXOM
kCCOUN I' #
MECHANI
est,1949
AL
BUILDING SYSTEMS. ENSURING PROGRESS.
BACKFLOW PREVENTION ASSEMBLY TEST REPORT
N;\N4b: OF PREMISE
Diek's Federal Way_ Commercial N Residential ❑
SERVICE ADDRESS 1701 S Commons C1TYFederal Wa ZIP 98003
CONTACT PERSON Ken Frazier ------- PIIONF (206)940-3365 ------ FAX ( )
LOCATION OF ASSr:a-Il3Ix North East side of the buildin
DONVNSTREAM PROCESS Irrigation DCYA K ❑ PVBA ❑ OTHER
NE-W INSTALL ® EXISTING ❑ REPLACEN9ENT ❑ OLD SER. # PROPEIR INSTALLATION? 1'ES 91 NO ❑
MAKE 01;.ASSEN16L1' &T__S_ DEL a7M3QT.SERIAI, No. 212114 _SIZE 3/4"
Air Gap Inspection: Supply Pipe Diameter: Separation: 19 PASS ❑ FAIL ❑
LINE PRESSURE: 45 PSI
REMARKS:
WSDOH APPROVED ASSEMBLY? YES I&I NO ❑
TESTERS SIGNATURE: Christian F._ _
TESTERS NAME PRINTED: Christian Faria
REPAIRED BY:
CERT. No. B6854
DATE 06/30/2023
TESTERS PHONE 4 (425 ) 324-1598
DATE
FINAL TEST BY: CERT. NO. DATF.
CALIBRATION DATE 01 i25i23 GAUGE # 01 21 091 2MODEL 835 SERVICE RESTORED? YES M NO ❑
I c•ertift that this report is accurate, and I have used ilAC 146-190-490 approved test nullaods aiid test equipment.
HOLNIBERG MECHANICAL
15400 SF 30th Place. suite 100
Bellevue, WA 93007
425_A22.2233
HOLMBERGCO.COM
*14e)
ECHANI
est,1949
AL
BUILDING SYSTEMS. ENSURING PROGRESS.
BACKFLOW PREVENTION
ASSEMBLY TEST
REPORT
ACCOt:NTt-
Dick's Federal Way
Commercial
N Residential ❑
NAiNIE OF PRI:NIISE —-
S Commons
cvrYFederal Way ZIP
98003
SERVICE; ADDRESS _1701 _ _ --
CONTACT PERSON Ken Frazie PHONE (206040-3365
FAX(_
--
LOCATION OF ASSENIBLY Rm 108 Soda Room
DON1'NSTREAM PROCESS Soda machine
DCVA ❑ RI'13A N PN'BA
❑ OTHER
NF'W INSTALI, ® EXISTING ❑ REPLACEMLN"r ❑ OLD sI:R. # PROPER INSTALLATION?
1'FS KI NO ❑
MAKE OF .nssE�-IBLY WATTS _.MODEL _LFaOSQT
_SERIAI. No. _ 373445
SIZE 1 /2"
DCVA1RPBA DCVA/RPBA
RPBA
PVBl 5VBA
INITIAL CHECK VALVE NO.I CHECK VALVE N0.2
AIR INLET
NED AT 3 9 PSID
TEST
OPENED A•I'— _PSID
LEAKED ❑ I.EnKID ❑
#1 CHECK 8.2 PSID
❑
DID NOT OPEN
PASSED
8.2 PSID CT
PSID AIR GAP OK'? _ Y
FAILED ❑------_----_-- ---PSID
CONTINUEDTO
FULLY OPEN? Y N
REPLACE PART L't.l:�\\ RGPLACE Pr]RT CLf=•1ti REPLACE: I'AKT
CHECK VALVE
NEW ❑ ❑ ❑ ❑
❑ ❑
FIELD AT PSID
❑
PARTS ❑ ❑ — ❑ ❑
❑ ❑
LEAKED
AND ❑ ❑ - ❑ ❑
REPAIRS
❑ ❑
CLEANED ❑
El❑ ❑ El—
❑ ❑
REPnllir_D El
liar .--T L -
REPAIRS LE:AKFD ❑ LE'AKED ❑
OPENED A I —__._PSID
AIR INLET PSID
PASSED ❑ PSID —PSID
91 CHECK PSID
CHK VALVI: PSID
FAILED ❑
Air Gap Inspection: Supply Pipe Diameter: _
Separation:..
91 PASS ❑ FAIL ❑
LINE
PRESSURE:_45 PSI
REMARKS: —
— __
WSDOI-I APPROVED ASSEMBLY? YES ® NO ❑
TESTERS SIGNATURE: Christian F.
TESTERS NAME PRINTED: Christian Faria
REPAIRED BY:
CERT. No. B6854 DATE 06/30/2023
TESTERS PHONE # (425 ) 324-1598
n ATE.
FINAL TEST BY: CERT. NO. DATE
CALIBRATION DATE 01 i25/23 GAUGE # 01210912MODEI---- _ _835 _ SERVICE RESTORED? YES M NO ❑
l c•ertifP that this report i.v acc•urale, and l have used 14:4C' 246-290-490 approved test methods and lest egaipmeitt.
THIS CARD IS TO REMAIN ON -SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 103400 00 Address: 32048 PACIFIC HWY S
Project: MERLONE GEIER PARTNERS, 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.
0 Plumbing Groundwork (4190) Rough Plumbing (4230) Final - Plumbing (4075)
Approved to cover Approved Approved
By A-^j Date :L 17-1 23 By i Date 'J3 f 21 By Date �J L3
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date