14-102027 �,rroF • PERMIleAPPLIcsajON
Federal Way
MAY 0 5 2014
PERMIT NUMBER4- - t 0 -f7tCITY OF FEDERAL WAY
TARGET DATE CDS
SITE ADDRESS SUITE/UNIT I1
32018 23rd Avenue South
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ CC 1 6 2 1 0 4 - 9 0 2 8
TYPE OF PERMIT ❑ BUILDING ®PLUMBING ® MECHANICAL ❑ DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT UWMC FEDERAL WAY
Renovation of existing tanning salon to UWMC office
PROJECT DESCRIPTION space with ith minor modifications to existingspace .
Detailed description of work to tenant
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS E-MAIL
CITY STATE ZIP
NAME PHONE
Auburn Mechanical 253-838-9780
MAILING ADDRESS E-MAIL
CONTRACTOR 2623 West Valley Highway North
CITY STATE ZIP FAX
Auburn WA 98071
WA STATE CONTRACTOR'S LICENSE I EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
AUBURMI163BA 9 / 12 / 14 20-10-100014-00-BL
NAME PRIMARY PHONE
Austin Hanks 253-838-9780
APPLICANT MAILING ADDRESS E-MAIL
2623 West Valley Highway North austinhanks@auburnmechanical.com
CITY STATE ZIP FAX
Auburn WA 98071
NAME PRIMARY PHONE
PROJECT CONTACT Joe Holden 253-838-9780
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 2623 West Valley Highway North joeholden@auburnmechanical.com
concerning this application) CITY STATE ZIP FAX
Auburn WA 98071
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 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 as a part of this application.
SIGNATURE: ' DATE 5 May 2014
PRINT NAME: Austin Hanks
Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 13, 000
Indicate h w ma o fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS _ GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER -ACE I HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMP' _:a- GAS LOG SETS � REFRIGERATION SYST
CTING GAS PIPING WO TOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 20, 000
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) 8 LAVS(Hand Sinks) 1 TOILETS X WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
1 DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 1 SINKS(Kitchen/Utility) 1 WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES 12 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Lakehaven Lakehaven
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
N Yes ❑ No ❑ Yes ❑ 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 0
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
PROJECT AREA ONLY
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application
•
IIII IIIPlumbing
City of FederalWay
Community&Econ.Dev.Services E Permit #: 14-102027-00-P L
33325 8th Ave S
L
Federal Way,WA 98003FI Inspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p q (253)835-3050
Project Name: UW PHYSICIANS NETWORK
Project Address: 32018 23RD AVE S Parcel Number: 162104 9028
Project Description: Install new plumbing fixtures for associated tenant improvement work.
Owner Applicant Contractor
FW TOWNE SQUARE L L C AUBURN MECHANICAL INC AUBURN MECHANICAL INC
P 0 BOX 98922 2623 W VALLEY HWY N AUBURMI163BA(9/12/14)
TACOMA,WA 98498 AUBURN WA 98001 2623 W VALLEY HWY N
AUBURN WA 98001
•
Plumbing Fixtures
Drains 1 Lavatories 8 Other Plumbing Fixtures. 1
Sinks 1 Water Closets 1
PERMIT EXPIRES Saturday, November 1, 2014
Permit Issued on Monday, May 5, 2014
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
y�_ - _and the City of Federal Way.
Owner or agent +�' Date: /y
-1111444
eso
. `�_VTE INSPECTOR AREA AND TYPE O" INSPECTION
l '"Z4.1-- 0 ,'" I 9-ouaL ,:(^, (---- ,••et.C.-0-- .--- --
a _i_-• Z_L4_____=S• 26 Lt(A. CR vt446 ...2 t: t I 1/1CCj l""‘'V ffil;$41- , r4-
I
• THIS CARD IS TO MAIN ON-SITE •
CITY OFPII. Construction In ection Record
Federal Way INSPECTION REQ TS: (253)835-3050
PERMIT#: 14-102027-00-PL Address: 32018 23RD AVE S
Project: FW TOWNE SQUARE L L C FEDERAL WAY, WA 98003-6031
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) 0 Gas Piping(4125)
Approved to cover Approved Approved to release test
By e Date Li `lBy V1‘5 Date Q(IS (� By� Dat t
0 Final-Plumbing(4075) �•
Approved
By Date
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date