17-103084 y
Mechanical
City of Federal way Permit #:17-103084-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ST FRANCIS HOSPITAL-CARDIAC REHAB
Project Address: 3450/
qq 9TH AVE S Parcel Number:750451 0050
Project Description: Rediistribute air from existing VAV boxes,add(lea)VAV box,new GRD's and add(lea)
transfer fan to maintain space pressurization.
Owner Applicant Contractor
WSC MEDPAV LLC JOSH LEEAUBURN MECHANICAL AUBURN MECHANICAL INC
1700 7TH AVE SUITE 1800 2623 WEST VALLEY HWY N AUBURMI163BA(9/12/18)
SEATTLE,WA 98101 AUBURN WA 98001 2623 W VALLEY HWY N
AUBURN WA 98001
Additional Permit Information
Mechanical Work Valuation? 11800 Is this an Online or O.T.C.application? No
jy
Air Handling Units 14 Ducting 80 Fans 1
PERMIT EXPIRES Wednesday,24 January,2018
Permit Issued on Friday,July 28,2017
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: o^�h Date: t7/2-�/7
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THIS CARD IS TO REMAIN ON-SITE
�m� 4 Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103084 00 Address: 34503 9TH AVE S Unit 208
Project: WSC MEDPAV LLC FEDERAL WAY WA 98003
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.
® Mechanical Rough-in(4165) ® Gas Piping(4125) ® Final-Mechanical(4065)
Approved Approved to release test Approved
,By Q,\ 1,..N Date a1,.\1 By Date ,;`E S Dat —ly- (
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0 Rough Electrical 0 Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
,. ,
GITYOF ` -- . PERMIT APPLICATION
Federal Way PERMIT CENTS eDSouth+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permitcenter))cityoffederalway.com
M,L_ JUN 27 2017
I4
PERMIT NUMBER � _ � 6 _ 1 l L� MU
FEDERAL WAY 7 4 67(7—
I
ttldfrllrt7►aPMENT
SITE ADDRESS SUITE/UNIT#
34503 9th Ave S, Federal Way, WA 98003 208
PROJECT VALUATIO ZONING ASSESSOR'S TAX/PARCEL#
$ Office park 7 5 0 4 5 1 _ 0 0 2 0
TYPE OF PERMIT ❑ BUILDING\ EI.D.,..fitostter El MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT CHI St Francis Cardiac Rehab
Redistribute air from existing VAV boxes, add (lea) VAV
PROJECT DESCRIPTION Box, new GRD' s, and add (lea) transfer fan to maintain space
Detailed description of work to
be included on this permit only pressurization.
C ,r ' PI/ l'' / F-/��♦ /-" ' l 'I •-. , ' y'- ,
NAME PRIMARY PHONE
Laurie Kearney- CHI Franciscan 253-274-7689
PROPERTY OWNER MAILING ADDRESS E-MAIL
1623 Martin Luther King Jr Way lauriekearney@chifranciscan.erg
CITY STATE ZIP
Tacoma, WA 98405
NPHONE
Auburn Mechanical 253-261-5743
MAILING ADDRESS E-MAIL
2623 W Valley Hwy N JoshLee@auburnmechanical.com
CONTRACTOR
CITY STATE ZIP FAX
Auburn WA 98001
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AUBURMI163BA 09 i12 i18 20-10-100014-00-BL
NAME PRIMARY PHONE
Josh Lee 253-261-5743
APPLICANT MAILING ADDRESS E-MAIL
2623 W Valley Hwy N JoshLee@auburnmechanical.com
CITY STATE ZIP FAX
Auburn WA 98001
NAME PRIMARY PHONE
PROJECT CONTACT SAME AS APPLICANT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING Laurie Kearney- CHI Franciscan ® OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19.27.095) 1623 Martin Luther King Jr Way Tacoma, WA 98405 253-274-7689
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 y as a part of this application.
/'�
pplication. �
SIGNATURE: � tht t/ DATE C
PRINT NAME: osh Lee
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 11, 800
Indicate how many of each ttjpe of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS 1 FANS GAS PIPE OUTLETS 14 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) Supply &
BOILERS FURNACES HOT WATER TANKS)Gas) Return grilles
COMPRESSORS GAS LOG SETS REFRIGERATION SYST 1 VAV box
80 I DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLU PERMIT $ 8, 900
Indicate how man o e• •e o txtu - • vtstalled or relocated as sort o this •ro'ect.Do not include existin• Ixtures to remain.
BATHTUBS)or Tub/Shower . .. LAVS(Hand Sinks) 1 TOILETS WATER PIPING
DISHWASHE• RA R SYSTEMS URINALS OTHER(Describe)
D'• SHOWERS VACUUM BREAKERS
IRINKING FOUNTAINS SINKS)Kitchen/Uti),ty) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WA - u ACHINES 5 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
N/A Lakehaven Lakehaven $ 0
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
medical office/ 14 Yes ❑ No ❑Yes ❑ No
medical office
DENTIAL - NEW OR ADDITION
AREA D' ' PTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFIC
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(descrrb-
EXISTING PROPOSED TOTAL
otals
**NEW HOMES,OIMY**;
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
Area in Construction #of
AREA DESCRIPTION Square Feet Occupancy Group(s) Tape Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY 1350 B 2B 1
PROJECT AREA ONLY 1350 B 2B 1
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application