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13-105285 C,T.oF oREcEIVE PERMIISAPPLICATION Federal Way 5 2013 NOV 2' 4/(eateti' 4,i « - -(?� ERAL WAY OFFED _ PERMIT NUMBER _ ��111 TARGET DATE SITE ADDRESS SUITE/UNIT# 33501 1st Way South, Federal Way WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# / 65c 9 2 6 5 0 4 - 0 0 1 0 TYPE OF PERMIT ❑ BUILDING 0 PLUMBING ® MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Virginia Mason GIM Renovation Install 1 new fan powered VAV, 1 new exhaust fan and supply ductwork and GRD's PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER Virginia Mason Clinic 253-874-1601 MAILING ADDRESS E-MAIL 33501 1st Way S CITY STATE ZIP Federal Way WA 98003 NAME ---- _--.- PHONE Auburn Mechanical 253-838-9780 MAILING ADDRESS E-MAIL CONTRACTOR P.O. Box 249 margiedeleon@auburnmechanical.com CITY STATE ZIP FAX Auburn WA 98071 253-833-1384 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# AU BO RM I162BA 09 / 12 / 2014 20-10-100014-00-BL NAME PRIMARY PHONE Auburn Mechanical 253-838-9780 APPLICANT MAILING ADDRESS E-MAIL P.O. Box 249 margiedeleon@auburnmechanical.com CITY STATE ZIP FAX Auburn WA 98071 253-833-1384 NAME PRIMARY PHONE PROJECT CONTACT Margie De Leon 253-838-9780 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence P.O. Box 249 margledeleon@auburnmechanical.com concerning this application) CITY STATE ZIP FAX Auburn WA 98071 253-833-1384 NAME PROJECT FINANCING --- [-OWNER-FINANCED f"iy�Ttt / tGd✓t �O� �dn}�C uired value of$5,000 or more MAILING ADDRESS,CITY,STATE,FP PHONE 1RCW 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 ny knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit- I understand that the znce of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating :ruction or environmental laws. farther agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in vestigation and defense of such claim), which may be made by any person, including the undersigned,and filed against the city, tly where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the ation supplied to the city as a part of this application. 'URE: / DATE `Z 'AME: 1Od_ -January 1,2013 Page 1 of 3 k:\Handouts\Permit Application i S 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 13m(L m.a f ' GAS PIPE OUTLETS I OTHER(Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial) Vi'i BOILERS FURNACES HOT WATER TANKS as) 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 ornb/Shower combo) _ _ LAVS(Handsinks( TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(electric) HOSE BIBBS SUMPS WASHING MACHINES _ _ TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYORVALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? E Yes r No Er Yes No RESIDENTIAL — NEW OR ADDITION AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR COVERED ENTRY DECK GARAGE ❑ CARPORT ❑ OTHER(describe) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES ONLY** ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW ADDITION AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY Bulletin#100—January 1,2013 Page 2 of 3 k:\Handouts\Permit Application Mechanical City of Federal Way r ./� Community&Econ.Dev.Services Permit 11: 13-105285-00-ME 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: VIRGINIA MASON-GENERAL INTERNAL MEDICINE(GIM) Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: Install one new fan powered VAV,1 new exhaust fan and supply ductwork and GRD's. Owner Applicant Contractor VIRGINIA MASON CLINIC AUBURN MECHANICAL INC AUBURN MECHANICAL INC 1100 9TH AVE S 2623 W VALLEY HWY N AUBURMI163BA(9/12/14) SEATTLE WA 98101-2756 AUBURN WA 98001 2623 W VALLEY HWY N AUBURN WA 98001 Additional Permit Information Is this an Online or O.T.C.application Yes Mechanical Fixtures Fans 1 PERMIT EXPIRES Saturday, May 24, 2014 Permit Issued on Monday, November 25, 2013 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 in accordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date: //-2--S--/3 THIS CARD IS TO IN ON-SITE CITY of �- Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-105285-00-ME Address: 33501 1ST WAY S Project: VIRGINIA MASON CLINIC FEDERAL WAY, WA 98003-6208 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. 0 Mechanical Rough-in(4165) 0 Gas Piping(4125) 0 Final-Mechanical(4065) Approved Approved to release test Approved By n Joao Date a _.,,k__,I\ By Date By c_ Date 3_‘.0.. E Rough Electrical El Final Electrical Right of Way Approved Approved Approved By Date By Date By Date