13-103169 • Plumbing
City of Federal Way Permit #: 13-103169-00-P L
Community&Econ.Dev.Services
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DAVITA-PHASE III
Project Address: 32275 32ND AVE S Parcel Number: 215465 0080
Project Description: Installation of backflow prevention device at espresso bar.
Owner Applicant Contractor
DAVITA P S F MECHANICAL INC P S F MECHANICAL INC
1423 PACIFIC AVE 9322 14TH AVE S PSFMEI*090NZ(10/3/13)
TACOMA WA 98402 SEATTLE WA 98108 9322 14TH AVE S
SEATTLE WA 98108
Plumbing Fixtures
Other Plumbing Fixtures. 1
PERMIT EXPIRES Monday, January 13, 2014
Permit Issued on Wednesday, July 17, 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 he City of Federal Way.
Owner or agent: %/J/L/ / .'' / Date: �� jmay_/ 3
4P*t.
8/1 3
THIS CARD IS TO MAIN ON-SITE ,
crrr� Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 13-103169-00-PL 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 Plumbing Groundwork(4190) 0 Rough Plumbing(4230) Gas Piping(4125)
Approved to cover Approved Approved to release test
By Date By Date By Date
El Final-Plumbing(4075)
Approved
Date ®--(
41 10'
❑ Rough Electrical ED Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
,
REIVIVED
.wor JUL 17.2013 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS
PERMIT NUMBER /3 _ / O 3 / 2 - pi_
V / TARGET DATE
SITE ADDRESS SUITE/UNIT#
32275 32nd Ave S Phase III Espresso Bar
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 100. 00 2154650080 -
TYPE OF PERMIT ❑ BUILDING Of PLUMBING D MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT DaVita HQ at Weyerhaeuser NB1
Plumbing - installing 1 Backflow preventer
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER ARC Trseawa001 LLC
M32275AI ING ADDRESS nd Ave S E-MAIL
32
CITY STATE ZIP
Federal Way WA 98063
PHONE
F Mechanical, Inc. 206-812-7678
MAILING ADDRESS E-kgeorge@psfinech.corn
CONTRACTOR 9322 14th Ave S
CITY STATE ZIP FAX
Seattle WA 98108 206-812-7679
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
PSFMEI*O9ONZ 10 03 13 2013100197-00-BL
NAME PRIMARY PHONE
Karen George 206-812-7678
APPLICANT 9322 14th Ave S
E-MAIL
grge@psfinech.com
CITY STATE ZIP FAX
Seattle WA 98108 206-812-7679
NAME PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING 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 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 arty 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: `L'l �r �1 DATE 7-16-13
PRINT NAME: Karen George
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Perniit Application
• i
VALUE OF MECHANICAL WORK 4
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(G...)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF iPLU ING WORK
PLUMBING PERMIT $ /GO o
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 K. OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS IOW �1rI
DRINKING FOUNTAINS SINKS Kitchen/Utility WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES J 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 ❑ No
RESIDENTIAL, - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home)
a€lic .<aly
COVERED ENTRY
144.s.? ';:1; I I.�(...z,, ^;ir -',=` '-s> e� 3 mx . .I,.4,>€
GARAGE ❑ CARPORT ❑
11.4,11V
EXISTING PAOPOBED TOTAL
Area Totals
311755k."';''
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTIONMEN Occupancy Group(s) NERO 3to ies Additional Information
q {{[ � �`,�z �¥ s• s d'$� 3 Iix �2��'( '� t€x � "
fr ''4:- �� . II. ') (�= I..... ,.,.8 -� •.t�.�.
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) l #of Additional Information
in S uare Feet Stories
X
��.<,- 1 ..,.......� x mss:• 9'"L., a£. .::n`'� ...e., .<t�'z' �3s�t. .. ;..I.S.S.�`E si� z..z�.:I .,:_?.x. �...:?r., :*.... :.lig_x.>€ .
TENANT AREA ONLY
P., is
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application