15-105298 .= •CEIVED4110
CITY OF OCT 16 2015 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
// CDS
PERMIT NUMBER /5 _ / s> _ �` TARGET DATE As soon as possible
SITE ADDRESS •••/// ll SUITE/UNIT#
27320 Pacific Highway S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
10 ,000
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING RFIRE PREVENTION
NAME OF PROJECT DaVita Redondo Heights Facility
Fire riser vault and water lines to buildiniq
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME NAME PRIMARY PHONE
PROPERTY OWNER DaVita, Inc. -- Kristin Videto, Project Manager 253-606-6191
MAILING ADDRESS 32275 32nd Ave. S. E-MAI..uc
knstin.videto @davita.co m
CITY Federal Way A ZIP 98201
NAME NAME PHONE
TBD
MAILING ADDRESS E-MAIL
CONTRACTOR
CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE It EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
James Buchanan 206-954-5227
APPLICANT MAILING ADDRESS
2232 Broadway, Suite101 .E-MAILames@axiomnw.com
CITY Everett WAE Z1P98201 FAX360-652-1718
..._ NAME �j PRIMARY PHONE
PROJECT CONTACT Elisabeth Eddy 253-442-5747
(The individual to receive and MAILING ADDRESS 2232 Broadway, Suite 101 E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
Everett WA 98201 360-652-1718
NAME
PROJECT FINANCING EN 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 such claim), which may be made by any person,including the undersigned,and filed against the city,
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.
'
SIGNATURE: � �! DATE 10-16-15
PRINT NAME: Elisabeth Eddy
Bulletin#100—January 1,2013 Page 1 of 3 k:AHandouts\Pennit 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(Commereiaq
BOILERS FURNACES HOT WATER TANKS Gas
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(orTub/Shower Combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/uuury) WATER HEATERS(Electric)
HOSE BIBBS SUMPS 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
iliklgegW11110.0t 131111111EMBIBM ANIEMES6,.`\\:. . a,. . !O..
annit
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
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GARAGE ❑ CARPORT ❑
1T#I `SLAy
is
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
7104Nait-MITIVN., mom
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in S.uare Feet a Stories
11",•04; TemailametialpigVAISMORIMIRMAIMIMStAppliellgriZIPV,% VVI, NOM
TENANT AREA ONLY 6372
ninet,p7: Ann
...:.. . ......y,.0 .�.••, s�:..`\.. ,'. .11. `444,4'-.11 ..... �.�\ , ^�. f. MSM . `y\,,...'.': s ;I,��., 4_ l c8 ...
Bulletin#100—January 1,2013 Page 2 of 3 k:Handouts\Permit Application