15-106195 • FPlumbing
Community&Econ.Dev.Services Permit #: 15-106195-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: SEA-MAR CLINIC
Project Address: 31405 18TH AVE S Parcel Number: 092104 9233
Project Description: Install new plumbing fixtures for associated tenant improvement work.
,
Owner Applicant Contractor
SEA-MAR COMM HEALTH CENTER M C PIPEMASTERS LLC M C PIPEMASTERS LLC
1040 S HENDERSON ST 12312 135TH STREET CT KPN MCPIPPL881M3(8/6/16)
SEATTLE WA 98108 GIG HARBOR WA.98329 12312 135TH STREET CT KPN
GIG HARBOR WA 98329
Plumbing Fixtures
Drains 2 Drinking Fountains. 4 Laundry Washer Outlets. 1
Lavatories 53 Other Plumbing Fixtures. 1 Sinks 6
Water Closets 11
PERMIT EXPIRES Sunday, June 5, 2016
Permit Issued on Tuesday, December 8, 2015
I hereby certify that the above i formation is correct and that the construction on the above described property and
the occupancy and t use w,I be a • ance with the laws, rules and regulations of the State of Washington
:nd the City of Federal Way.
Owner or agent Date: /07 /�
Eo
f‘
INSPECTOR AREA AND TYPE OF '-"SPECTION
,
2)2,3 Ali pL. S, oke ;d14-e_ Oie OK -to eamy
L . . �n �j < ;5 ern
► +∎n Reit CoArxe.0-t A C t3 2 & r► r5ec+;tin
1r 5e.A4t.' ' C.O s •‘ _ t)(v 6c-1A OIL f`
t3ld; f $ ' at- ext.e..( ?0,2.
THIS CARD IS TO MAIN ON-SITE , _ 1..
Federal /1!a • Construction In ection Record
y INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-105195-00-PL Address: 31405 18TH AVE S
Project: SEA-MAR COMM HEALTH CENTEF FEDERAL WAY, WA 98003-5404
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) 0 Rough Plumbing(4230) Gas Piping(4125)
Approved to cover Approved
t)? ill Z3 Approved to release test
• 1 e S Date I_z0— 1( , Date (..1it::, By Date
❑ Final-Plumbing(4075)
Approved /
it - Dat ji ,;T_ / ,�
[ trkFJ [if1 Final Electrical ❑ Right of Way o
Approved
Approved Approved
By Date By Date
By Date
I
RIw
CITY OF S PERMI'I'APPLICATION
Federal Way RECEIVED
PERMIT NUMBER 15 ! 0 Co 1 9 5 17i, DEC 0 8 2015
_ - - TARGET DATE
CITY OF FEDERAL WAY
SITE ADDRESS SUITEET#
3/,iorr / ire - 5 F.,),„ J ttlit4
PROJECT VALUATION ZONING ASSESSOR'S TAX/PAR L#
$ 9 a / d q - 01 2 3
TYPE OF PERMIT ❑BUILDING LtPLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT 1Z,ter Cdr 7 72(el � ��
PROJECT DESCRIPTION
,--56-.#7,,/ S l ! I' t row 5
Detailed description of work to pi,.....,.�,,,.of Ai tit) f ...1 3/44 .1.'
15
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAM G S C PHONE .J.
/u/➢( F'i J' - as--3 "V770720
MAILING ADDRESS J s J E-MAIL
CONTRACTOR ir2 10�- /,}+ ' S I. (//'. 14---, 4 plwtM.- 5,44-t 6/ 9 A.....r/•(.
Cl�'Y, SWAT ZIP 41 3' FAX
WA S TE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/LlC PiPL a 114 3 4 / ZO / /4
NAME PRIMARY PHONE
J/14, , b(4" (,— aS3 X77 670,6
APPLICANT MAILING ADDRESS E-MAIL
I�0)i7 a s>` C'i• xpA//}'ti ,FAX ,-h-,lj.�,��7 l L
C( WX ZI4g3 FAX
N PRIMARY PHONE
PROJECT CONTACT i 0-43- h 3 3'11 O7/ 7
(The individual to receive and MAILING ADDRESS _
respond to all correspondence 1003)o- /?S S1 C • p
concerning this application) CITY,y -t ` .- STATE f 49 z(.7$'3J7
FAx
NAME l (� v_r7
PROJECT FINANCING OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095)
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 authorized 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.
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 claim),which may be made by any person,including the undersigned,and filed against the city,
but only where such claim ariut of th eliance of the city, including its officers and employees, upon the accuracy of the
information suppll' jLJt1 dgto th a rt of hi application. / ,/
SIGNATURE: --- DATE I gJ/ 4��5
PRINT NAME: /, 1 r triEr— /
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
• •
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ -Fo) 060
Indicate how many of each type of frxti re to be installed or relocated as -rt of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/shower combo) ,, � � LAVS(Hand Sinks) / TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS , OTHER(Describe)
DRAINS _ SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS _ SINKS(1 hen%Utihty) I WATER HEATERS(Electric)
HOSE BIBBS SUMPS I WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes ❑ No ❑Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE-- _
�' �/
FIRST FLOOR(or Mobile Homy
r�yya yy� ,
, V`
-it.K,r^� .�%4t:' ,.,:/r.. iii% „,i.i r, .`' ./`✓'„ e✓.
COVERED ENTRY f
DEC
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
'!*SEW BOMBS ONLY" ,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
;12"-,:„
/;•<.`/f NEW BUILDINNW/ / t ai iue r1r %f,:e1/ , q,,
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet Type Stories
$tfILDINC� 3%'9if !` i,; ! i f "/�� �" ./•/'� l',/,;;.';!•,,".„:".. f l,•%
TENANT AREA ONLY
PROJECT A%t EA ONLI' ,
Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application