16-103119 all
CITY OF 411k PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+F I• enCa4 6325
253-835-2607+FAX 253-835-2609+permitcen e ,
(n 3 IFP'
JUN 2 8 2016
PERMIT NUMBER Y _ 1 I { 91 -
- TARGET DATE CITY OF FEDFRAL WAY
CDS
SITE ADDRESS SUITE/UNIT#
32275 32nd Ave S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 3, 669 2 1 5 4 6 5 - 0 0 8 0
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING al FIRE PREVENTION
NAME OF PROJECT Davita
Add/relocate 10 sprinkler heads for ceiling/wall
PROJECT DESCRIPTION revisions on level 1.
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
ARC TRSEAWA LLC
PROPERTY OWNER MAILING ADDRESS E-MAIL
30-30 47th Ave; Suite 480
CITY STATE ZIP
Long Island City NY 11101
NAME PHONE .. .
McKinstry Co LLC 206-762-3311
MAILING ADDRESS E-MAIL
CONTRACTOR 5005 3rd Ave S permits@mckinstry.com
CITY STATE ZIP FAX
Seattle WA 98134 206-762-2624
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MCKINCL942DW 03 16 18 19-60-000003-00-BL
NAME PRIMARY PHONE
McKinstry Co LLC 206-762-3311
APPLICANT MAILING ADDRESS E-MAIL
5005 3rd Ave S permits@mckinstry.com
CITY STATE ZIP FAX
Seattle WA 98134 206-762-2624
NAME PRIMARY PHONE ..
PROJECT CONTACT Jim Thomas w/ McKinstry Co LLC 206-762-3311
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 5005 3rd Ave S permits@mckinstry.com
concerning this application) C,''eattle STATE ZIP
FAX
WA 98134 206-762-2624
NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$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 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 a part of this application.lij
SIGNATURE: ; ct/ //t /
�` Cr DATE 06-28-2016
PRINT N• Jim Thomas w/ M Kinstry Co L C
Bulletin#100—January 29,2016 Page 1 of 2 k:\f-landouts\Permit Application
•
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
Indicate how many of each type offvcture to be installed or relocated as part of this project.Do not include existing fixtures t cremain.rib
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Desce)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(cas)
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
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)
SB+ Lf3
COVERED ENTRY
GARAGE ❑ CARPORT ❑
\ o O \ c \
OO�� j
EXISTING PROPOSED TOTALv
Area Totals
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) #of Additional Information
S.•
uare Feet Stories
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction #of Additional Information
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stones
Fes. ..\ , `� a. �„ a`�. .� '• ... �.. . �\ ,.,, �. ;.�. ,...� .\y\\\\o \�..' c\\\�..,,,+
TENANT AREA ONLY
,
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application