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07-104318C Federa Way Community Developmlopment Services Plumbing Permit #: 07- 104318- 00-PL 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: PACIFIC MEDICAL CENTERS PRIMARY CARE CENTER Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: Adding (2) water closets, (2) lays, (9) bowl bar sinks, (2) bowl sinks, (1) new mop sink, (1) water connection to water cooler, waste & vent piping. Owner Applicant Contractor VIRGINIA MASON MEDICAL CENTER MACDONALD MILLER SERVICE INC - MACDONALD MILLER SERVICE INC - 1100 9TH AVE MECH MECH SEATTLE WA 98101 -2756 7717 DETROIT AVE SW MACDOFS980RU 12/31/08 SEATTLE WA 98106 7717 DETROIT AVE SW SEATTLE WA 98106 Plumbing Fixtures Lavatories ........ ............................... 2 Other Plumbing Fixtures ............... 1 Sinks................ ............................... 11 Water Closets .. ............................... 2 CONDITIONS: PERMIT EXPIRES Sunday, August 2, 2009 Permit Issued on Friday, August 3, 2007 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 ip accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: 6", Date: 0 3 /6'7 // '-V� 4 �(") - (0 / (//7 FINALED THIS CARD IS TO REMAIN ON -SITE CIT,►or Community Development Inspection Wmrd Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 07- 104318 -00 -PL Owner: VIRGINIA MASON MEDICAL CENTER Address: 33501 1 ST WAY S FEDERAL WAY, WA 98003 -6208 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) Approved to cover By Date By Final - Plumbing (4075) Approved By Ie7 Date e--AC7 Rough Plumbing (4230) Gas Piping (4125) Approved Approved to release test Date �� p By Date For inspector reference only D Rough Electrical D FINAL - Electrical Approved Approved By Date By Date 9 CITY OF OA� Federal Way COMMUNITY DEVELOPMENT SERVICES 33325 8tH AVENUE SOUTH ' PO BOX 971 FEDERAL WAY. WA 98063 -9718 253 - 835 -2607• FAX 253.835 -2609 www. ri tuof(ederalwa u. com The followina is reaui vecvj5D PERMIT 8 auG o 36PLICATION y�� OR�ALp W AY i9tlnlbarr>ttdlN�tU n�incomvlete avvlication will not be ?Lly-1 0- 7- - -�Q-�'- -3LI. SF MF CO ME E PL DE EN FP ted. Please print legibly (in ink) or type. SITE ADDRESS 3-5:50 , ' S� /A V,9— S / SUITE /UNIT # FL � , ASSESSOR'S TAR /PARCEL # t0 ,S� 1 -(�C? LOT SIZE (s� 30 vZ 3 SrCF�i LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) We S f CG (y, Q (kS v�'Y 1 ce U (Attach separate pagefo lengthy legal Ascriptiord PROJECT • • TYPE OF PERMIT ❑ BUILDING *PLUMBING 09 MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this perm onl cc c w C': --P u- 1;., 1,2 S-k+ v� kA h! Sii.ks- 2 ,bt7"1 S1.nKS r I ,v"' f-%-C D S) .h y 1 1'., G =er coitAC.L2a -� L> c. } ✓ c,zr4 I e r -i r a eA q fie- - P 1 C - nS PROJECT NAME (Name of Business or Owner Last Name) ?01 C- AA R (Jt V- n-1 PEOPLE • • PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE rypry PRIMARY PHONE MAILING ADDRESS CITY. STATE. I )1 00 q-t�- A JL- S-C,'- COMPANY NAME ) c�c� orlc`LCJ� APPLICANT NAME n OFFICE PHONE (a0 b) -)(p APPLICANT NAME i.�Z OFFICE PHONE (arse) -3w - 3)d2- MAILING ADDRESS CITY. STATE, IP -S, ..k 9if tbti CELL PHONE lacv"' ) -�b j - U)- 7 CITY. STATE. ZIP CELL PHONE ('ja(A) �b� - q,01 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER B L - CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE In A C- o 0 F a 'a. $ o 0- u 1Z./ 3( /0� COMPANY NAME ++ \ APPLICANT NAME n OFFICE PHONE (a0 b) -)(p n t^ L o_ N M 1 `A'� ,�Q .i T\ K 2 MAILING ADDRESS —) 1 l ry CITY. STATE, IP -S, ..k 9if tbti CELL PHONE lacv"' ) -�b j - U)- 7 RELATIONSHIP TO PROJECT Architect Tenant 4W Agent Other �n —NUMBER ( ) - ❑ ❑ (Describe) NAM PRIMARY PHONE E -MAIL ADDRESS c L) r, re Z I ( ") -7(0 - 3 M 2 Per RCW 19.27.095: Lender irtformation is NAME required (fproject value exceeds $5,000 N 77"t MAILING ADDRESS CITY. STATE. ZIP PHONE EXISTING ASSESSED /APPRAISED VALUE $, PROPOSED USE VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) sf, A) 0) Ae0 i^S S -, -(4 - 7ET. m1,� AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENT SHOWERS —�1�— SINKS rn0p - 60-1 WATER CLOSETS rr tiet) DRINKING FOUNTAINS MISC (Describe) FIRST EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS SECOND lUe�.S'l � � ��l nno•r ��r{ FANS Srq r� WOODSTOVES THIRD FIREPLACE INSERTS RANGES MISC (Describe) FOURTH FURNACES GAS WATER HEATERS o YES ADDITIONAL FLOORS (DESCRIBE) GAS PIPE OUTLETS DEMO PERMIT REQUIRED? DECK(COVERED ?) ❑ NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS raasruvc ertoros® rorat. rarv.cxtarmcsr rona.rxoroams rotu.ar * *NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fiat re to be installed or relocated as part of this project. Do not to remain. MECHAMCAL Value of Mechanical Work $ t{�� SHOWERS —�1�— SINKS rn0p - 60-1 WATER CLOSETS rr tiet) DRINKING FOUNTAINS MISC (Describe) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG. SYSTEMS BBQS FANS HOODS )Commemia)) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC (Describe) COMPRESSORS FURNACES GAS WATER HEATERS o YES DUCTS GAS PIPE OUTLETS DEMO PERMIT REQUIRED? �1T BS )or7Lb /Shower combo) _ DISHWASHERS SHOWERS —�1�— SINKS rn0p - 60-1 WATER CLOSETS rr tiet) DRINKING FOUNTAINS MISC (Describe) GAS PIPE OUTLETS SUMPS Sl r kt RAINWATER SYST BASIC PLAN? WASHING MACHINES URINALS HOSE BIBBS j_ LAVS (Bathroom Stnksl VACUUM BREAKERS ELECTRIC WATER HEATERS ❑ NO I certify under penalty of perjury that the irtjbrmation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized 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 s and employees, upon the accuracy of the information supplied to the city as a part of this application NAME /TITLE /' DATE ature) mde) RELATIONSHIP TO PROJECT ❑ Owner kAgent ❑ Contractor ❑ Architect ❑ FOR OFFICE USE ONLY, o NEW o ADDITION ❑ ALTERATION ❑ REPAIR ❑ TENANT IMPROVEMENT BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ❑ NO ZONING DESIGNATION CHANGE OF USE? a YES ❑ NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? o YES ❑ NO PLATTED LOT? ❑ YES ❑ NO DEMO PERMIT REQUIRED? ❑ YES ❑ NO Bulletin #100 - January 1, 2006 Page 2 of 4 k\Bandouts\Permit Application