07-100332City of Federal Way Plumbing Perm #: 07- 100332 -00 +P L
_ Community Development Services g
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: AUBURN REGIONAL MEDICAL CENTER
Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090
Project Description: Installation of (10) exam sinks, (3) toilets, (3) lays and (1) water heater for Initial TI work.
Owner
Applicant
Contractor
OPUS NORTHWEST LLC
AUBURN MECHANICAL INC
AUBURN MECHANICAL INC
OPUS NORTHWEST LLC
PO BOX 249
AUBURMI163BA 09/12/08
915 118TH AVE SE SUITE 300
AUBURN WA 98071
PO BOX 249
BELLEVUE WA 98005
AUBURN WA 98071
Plumbing Fixtures
Lavatories ........ ............................... 3 Sinks................ ............................... 15 Water Closets.................. I.............. 3
Water Heaters . ............................... 1
Owner or ac
PE T, F, IRES.Wednesday, February 4, 2009
perrmif` Issued on Monday, February 5, 2007
THIS CARD IS TO #MAIN ON -SITE - -
CITY OF tommunity Development Inspection Record
Federal way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 07- 100332 -00 -PL
Owner: OPUS NORTHWEST LLC
Address: 1413 S 348TH ST Suite L104
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ Plumbing Groundwork (4190) ❑ Rough Plumbing (4230) ❑ Gas Piping (4125)
Approved to cover Approved Approved to release test
By C LAJ Date Z - ZZ — 0'2 By Date By Date
❑ Final - Plumbing (4075)
Approved
By G ,j Date 3,.
RECEIVED46
Federal way JAN 2 3 2007 PERMIT
CObtMUNI7Y DEVELOPMENT SERVICES
33325 BDtt AVENUE SOUTH BOX 9718p p LI CATI O N
FEDERAL WAY. WA 98 QF FEDERAL
253 - 835 -2607• FAX 253- -
uuj�µ"_cquo- ffede-m1wal,cron, ILDING DEPT.
- an
SITE ADDRESS
will not be
SF MF CO ME EL (ODE EN FP
oted. Please print leniblu (in inks or tupe.
SUITE /UNIT # L
ASSESSOR'S TAX/PARCEL # ! S 5 ? S - Q LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) Aub( AY in T�M 16122 �Dy ] `m C��►� ��-
(Att -h separate Pagef r lerigthyi al descrtpdoN
PROJECT • •
TYPE OF PERMIT ❑ BUILDING B- fL'UMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
(Provide detailed description of work included on
.5 v,A i V%e,4, i I i D emu :
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
PRIMARY ?3 g - ��� E-MAIL ADDRESS
Per RCW 19.57.095: Lender ir}forrnation is
NAME
V � �
required (f pro,(eat value exceeds $5,000
1 V l
i/� Y
MAILING ADDRESS
CITY, STATE. ZIP
uS
PHONE
c (010)
PROPOSED USE
i✓ 1*c-
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 40 a 0n .,Do
SPRINKLERED BUILDING? ❑ //YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES e'NO
WATER SERVICE PROVIDER W6/AKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER WLAHEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
?r2
i ►r ►� Fl ►1 J A nsvr�
A
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
S . FT.
BASEMENT
FANS
HOODS (commercial)
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Describe)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
❑ YES
❑ NO
FOURTH
YES ❑ NO
UP /SEPA /SU?
ADDITIONAL FLOORS (DESCRIBE)
..MOWERS
V WATER CLOSETS (Tb&t)
MISC (Describe)
DECK (COVERED ?)
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT ❑
SUMPS
RAINWATER SYST
NUMBER OF FLOORS
a
Fr<oFOSF�
ror v
mr w amernvo sr
rornc Fnoeos® eF
TMAL SF
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOGS
REFRIG. SYSTEMS
BBQS
FANS
HOODS (commercial)
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Describe)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
UP /SEPA /SU?
BATHTUBS(/ WTLb /Shower Combo)
..MOWERS
V WATER CLOSETS (Tb&t)
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVS (Bathroom Slaks)
VACUUM BREAKERS
l ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the irtformation furnished by me is true and correct to the best of my knowledge, and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, 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.
NAME /TITLE
RELATIONSHIP TO PROJECT ❑
❑ Agent $Contractor
❑ Architect ❑ Other
I 101 0(0
FOR O)P'F)(C.� IY
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑
YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Permit Application