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13-105286 arror • P MI'�APPLICATION Federal Way 3 _ NOV 2.5 2013 IY OF FEDERAL CITWAS, PERMIT NUMBER— 1 0 --�(/� "`�� TARGET DATE SITE ADDRESS SUITE/UNIT# 33501 1st Way South, Federal Way WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 39. o _9_ _2_ L _5_ L 4 - L 0 _L 0 TYPE OF PERMIT ❑ BUILDING ® PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT Virginia Mason GIM Renovation install 7 new counter mount sinks, 1 new wall hung lavatory and 1 new wall hung PROJECT DESCRIPTION Detailed description of work to water closet 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-BU-RM-I162BA 09 / 12 / 2019 20-10-100019-00-BL NAME PRIMARY PHONE Auburn Mechanical 253-838-9780 APPLICANT MAILING ADDRESS E-MAIL P.O. Box 249 margiedeleon@auburnmechanical.corn CITY STATE ZIP FAX Auburn WA 98071 253-833-1384 _ NAME PRIMARY PHONE PROJECT CONTACT I Margie De Leon 253-838-9780 (The individual to receive and MAILING ADDRESS E-MAIL respond to all correspondence P.O. Box 299 margiedeleon@auburnmechanical.com concerning this application) CITY STATE ZIP FAX Auburn WA 98071 253-833-1389 NAME PROJECT FINANCING ,,1; ,4,t„ , 60-4041-- E OWNER-FINANCED Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP„ifPHONE (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 aris out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to the city part of this application. SIGNATURE: DATE / - 2S----( 3 PRINT NAME: e.t.a".--L) Bulletin#100–January 1,2013 Page 1 of 3 k:AHandouts\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 $ 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 Gland sinks( i 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 PURVEYOR VALUE OF EXISTING IMPROVEMENTS $ EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? I— Yes r- No r Yes p 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 FeetType 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 ( 3 0(. PROJECT AREA ONLY Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application • Plumbing City of Federal Way TPermit #: 13-105286-4Q-PL Community&Econ.Dev.Services s I l Lr, 33325 8th Ave S Federal Way,WA 98003 Request ec Ins tion Re t 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 7 new counter-mounted sinks,1 new wall-hung lavatory,new wall-hung water closet. 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 Plumbing Fixtures Lavatories 8 Water Closets 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 -ccordance with the laws, rules and regulations of the State of Washington OPP and the City of Federal Way. Owner or agent: Date: /l 2S 4 9 0 THIS CARD IS TO MAIN ON-SITE ., CITY OF ° - Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-105286-00-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) ID Rough Plumbing(4230) El Final-Plumbing(4075) Approved to cover Approved Approved By Date .By Q Date��`i ,Bye Date 1 Q_t \--1.„... E Rough Electrical Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date .