15-102159 RECEIVED
CITY OF MAY It 2015 PERMI' APPLICATION
kederal Way 40
CITY OF FEDERAL WAY +��o
CDS �/�
PERMIT NUMBER / 5 _ /0 471, / 5? _ !&_/ TARGET DATE � 7 -( c
SITE ADDRESS 6 SUITE/UNIT#
32275 32nd Avenue S, Federal Way WA 98001
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 25,000.00 2 1 5 4 6 5 _ 0 0 8 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING CI MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Da Vita HQ- MAU-1 Relocate
Remove (1)existing MUA unit from the interior of the building. Provide and install
PROJECT DESCRIPTION (1) new makeup air unit on the roof and reconnect the duct work. This is a fan
Detailed description of work to
be included on this permit only powered unit only(no heat or cool).
NAME PRIMARY PHONE
PROPERTY OWNER Lease 06988.100 Rent Dept
MAILING ADDRESS E-MAIL
PO Box 1476
CITY STATE ZIP
Tacoma WA 98401
NAME PHONE
PSF Mechanical, Inc. 206-764-9663
MAILING ADDRESS E-MAIL
CONTRACTOR 11621 E. Marginal Way S., Suite A permits@psfinech.com
CITY STATE ZIP FAX
Seattle WA 98168 206-762-8381
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PSFMEI*090NZ 10 / 03 / 15 20-13-100197-00-BL
NAME PRIMARY PHONE
PSF Mechanical, Inc. 206-764-9663 •
APPLICANT MAILING ADDRESS E-MAIL
11621 E. Marginal Way S, Suite A permits@psfmech.com
CITY STATE ZIP FAX
Seattle WA 98168 206-762-8381
NAME PRIMARY PHONE
PROJECT CONTACT Kimberly Precour 206-812-7683
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 11621 E. Marginal Way S., Suite A kprecour@psfmech.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98168 206-762-8381
NAME
PROJECT FINANCING DaVita/Jenny Williams -Bjork D OWNER-FINANCED
Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19 27.095) 32275 32nd Avenue S, Federal Way WA 98022 253-733-4894
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 _ • arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppl' % to the c as a part of this application.
SIGNATUFEFi-_ DATE 57Co 1" 0,
PRINT NAME: Kim:� ly Precour
Bulletin#100 January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
0 VALUE OF MECHANICAL WORK
J 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(
HOT WATER TANKS(Gas(
BOILERS FURNACES
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(Hand sinks( 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
VALUE OF EXISTING IMPROVEMENTS
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR
c-%
$
-2C 000—
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
D Yes c No c Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
v r
FIRST FLOOR(or Mobile Home)
dap aY :r , it w y p
•a, \`\\../\ 1`,'''A","./�✓ fin€. ,_,.,..� �'., �\\� ,r, `.................................................................................... ... ...........................
COVERED ENTRY
y �
a� x . �:.
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTIONWM" Occupancy Group(s) Stories Additional Information
itiS',. �.ti:tel .,
ADDITION a=,
_■ Y
.
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTIONWWI Occupancy Group(s) Construction Stories Additional Information
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_■
TENANT AREA ONLY , \\ \ � _• • \ ee \ � Nya_
Bulletin#100—January 1,2013 Page 2 of 3 k:�Flandouts\Permit Application
• • S Mechanical.
City of Federal
v S Permit #: 15-102159-00-M E
Way
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax(253)835-2609 FILEp q
Project Name: DAVITA
Project Address: 32275 32ND AVE S Parcel Number: 215465 0080
Project Description: Relocate MUA unit to roof.
Owner Applicant Contractor
DAVITA P S F MECHANICAL INC P S F MECHANICAL INC
32275 32ND AVE S 9322 14TH AVE S PSFMEI*090NZ(10/3/15)
FEDERAL WAY WA 98003 SEATTLE WA 98108 9322 14TH AVE S
SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C.application? No
Mechanical Fixtures
Air Handling Units. 1 Ducting 1
PERMIT EXPIRES Sunday, November 8, 2015
Permit Issued on Tuesday, May 12, 2015
I hereby certify that the -•ove in • mafion is correct and that the construction on the above described property and
the occupancy and th use will be accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent Date: 'S--/I•9-ft
THIS CARD IS T MAIN ON-SITE
CITY OF IA
• Construction I ection Record •
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-102159-00-ME Address: 32275 32ND AVE S
Project: DAVITA 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.
0 Mechanical Rough-in(4165) El Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release st Approved
ilf
Bye 4 v Date 6 ..36, _ 1r • By ate A— .(‘By C°,+.i.. _ Date 2_ t 3
N• f te.,kti(6,-30 - 14"
— kl• �1 n',C.G 1
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El Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
. .