15-101494 'Plumbing
City of Federal Way • •
Community&Econ.Dev.Services Permit #: 15-101494-00-PL
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2807 Fax:(253)835-2809
Project Name: VIRGINIA MASON CLINIC
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: Replace water piping for steam sterilizer.
Owner Applicant Contractor
VIRGINIA MASON CLINIC AUBURN MECHANICAL INC AUBURN MECHANICAL INC
1100 9TH AVE S 2623 W VALLEY HWY N AUBURMI163BA(9/12/16)
SEATTLE WA 98101-2756 AUBURN WA 98001 2623 W VALLEY HWY N
AUBURN WA 98001
Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Wednesday, September 23, 2015
Permit Issued on Friday, March 27, 2015
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: 337.7/1/.i--
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-101494-00-PL 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 Plumbing Groundwork(4190) El Rough Plumbing(4230) ElGas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date;,-3 / - 15 By Date
❑ Final-Plumbing(4075)
Approved
By f Date3.y3 (-if'
El Rough Electrical Final Electrical Q Right of Way
Approved Approved Approved
By Date By Date By Date
C, PERMIISAPPLICATION
Federal Way
MAR 2 7 2015
/. airy OF EDE/L W/�Y/�
PERMIT NUMBER 1 `YCYY S 1 � p� TARGET DATE
SITE ADDRESS SUITE/UNIT#
335 bt :et r4i D?gs.4-L-L;,4Y,
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT q ❑ BUILDING LUMBING ❑ MECHANICAL El DEMOLITION El ENGINEERING El FIRE PREVENTION
NAME OF PROJECT Ot 4,tA .A Arta i� Sr -& 5 21CtZ C r
PROJECT DESCRIPTION r
Detailed description of work to F p-�e-PtAt t -roe_ `Jj C. S('t,QL1.r7
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER �LrLJAA-Wit.-4 3 '—CcfoG%>
MAILING ADDRESS E-MAIL
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CITY STATE ZIP
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NAME PHONE
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MAILING ADDRESS E-MAIL
CONTRACTOR �(o/-3 U UAL(.. y rHO Y.0ITY _
cFAX
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WA STATE CONTRACTOR'S LICENSE* EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME PRIMARY PHONE04)
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APPLICANT MAILING ADDRESS E-MAIL
X23 w U, Cu -y /tray A.1 r5c: L.� tt1.5�.2 tJ�1iG/lUr.rK.
CITYTY./ alai
STATE ZIP 1" ..b` ryFAX it/1
NAME PRIMARY PHONE
PROJECT CONTACT !4 A&i' -
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ✓ dO 0 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 authorised 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 authorised 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 3!X 7f
PRINT NAME: ., .S{'t ?_
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
11111
• 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
$ 37. 0
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(or Tub/Shower Combo) LAVS(Hand Sinks) TOILETS (C WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS 2. OTHERprn.k'��1(Describe)
�7
DRAINS SHOWERS VACUUM BREAKERS S
DRINKING FOUNTAINS SINKS(Kitchen/utility) 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 n 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 0 CARPORT 0
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOWES+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