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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