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15-103205Project Name: PACIFIC MEDICAL CENTER Project Address: 31833 GATEWAY CTR BLVD S Mechanical Permit #: 15-103205-00-M8 Inspection Request Line: (253) 835-3050 Parcel Number: 092104 9137 Project Description: Replace existing electric water heater with gas water heater and associated gas piping Owner AQ Imon City of Federal Way ANS LLC Community & Econ. Dev. Services FILE 33325 8th Ave S (GENERAL) Federal Way, WA 98003 AUBURN WA 98071-1941 Ph: (253) 835-2607 Fax: (253) 835-2609 MACDOFS980RU (1/3/17) Project Name: PACIFIC MEDICAL CENTER Project Address: 31833 GATEWAY CTR BLVD S Mechanical Permit #: 15-103205-00-M8 Inspection Request Line: (253) 835-3050 Parcel Number: 092104 9137 Project Description: Replace existing electric water heater with gas water heater and associated gas piping Owner AQ Imon Contractor ANS LLC MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC PO BOX 1941 (GENERAL) (GENERAL) AUBURN WA 98071-1941 7717 DETROIT AVE SW MACDOFS980RU (1/3/17) SEATTLE WA 98106 7717 DETROIT AVE SW SEATTLE WA 98106 Additional Permit Information Is this an Online or O.T.C. application?.................Yes Mechanical Fixtures' Gas. Piping ...................................... 1 Hot Water Tanks............................ 1 PERMIT EXPIRES Tuesday, December 29, 2015 Permit Issued on Thursday, July 2, 2015 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 Date ! / s CITY OF Federal Way PERMIT #: 15 -103205 -00 -ME THIS CARD IS TO MAIN ON-SITE " Construction In ection Record INSPECTION REQ TS: (253) 835-3050 Address: 31833 GATEWAY CTR BLVD S Project: ANS LLC FEDERAL WAY, WA 98003-5420 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)1:1 Gas Piping (4125) Final - Mechanical ( 065) Approved Approved to release test Approved By Date By Date , _ 21 I r By Date ry, 2-11-1.3 ❑ Rough Electrical Approved Final Electrical Approved ERight of Way Approved By Date By Date By Date / Federal Way PERMIT NUMBER 15 0 PERMIT*PPLICATION p,ECEIVED _ to ✓ Zd LTARGET DATE JUL 02 2015 FEDERAL SITE ADDRESS SUITEidRI'�^M L1J 2500 S 320TH ST FEDERAL WAY, WA 98003 PROJECT VALUATION ZONING ABNfESSOR's TA%/PARCEL 9 SOD. 00 CC- 0 9 2 1 0 4- 9 1 3 7 TYPE OF PERMIT ❑ BUILDING ® PLUMBING ECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT PACIFIC MEDICAL CENTER - CLINIC REPLACE ELECT WATER HEATER WITH GAS WATER HEATER. INSTALL GAS PIPING AS PROJECT DESCRIPTION Detailed description of work to NEEDED. be included on this permit only NAME PACIFIC MEDICAL CENTER PRntART PHONE N/A PROPERTY OWNER DIAHMOAMRIM 7717 DETROIT AVE SW R -MAIL N/A a'R SEATTLE STATE98106 NAME MACDONALD MILLER PHONE (206) 7684278 ...,r.T.°ADDaEss 7717 DETROIT AVE SW a.doll@macmiller.com da t ------------------- CONTRACTOR cITY SEATTLE Wg '� 98106 FAX (206) 7684279 WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY NOourass LicrosE # MACDOFS980RU 1 / 3 2017 20 -03 -100372 -00 -BL NAM DARLA DOLL Pini" MONK 768-4278 APPLICANT MADnI°wDDasss 7717 DETROIT AVE SW da ia.doll@macmiller.com «TY SEATTLE ETWq ZIP 98106 FAX (206) 768-4279 NAME PRIMARY PRONE PROJECT CONTACT PERRY CHRISTIAN (206) 7684278 MAH' NG ADDRESS 7717 DETROIT AVE SW E•MAn perry.ehristian@macmiller.com (The individual to receive and respond to all correspondence r cr" SEATTLE SzWq ZIP 98106 concerning this application) FAX (206) 7684279 PROJECT FINANCING NAME N/A ❑ OWNER -FINANCED Required value of $5,000 or more MAMINO ADDRESS, CMR, STATE, Z@ PHONE (RCW ]9.27,095) 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 authorised 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. l 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. 0, 7/2/2015 SIGNATURE: � .. DATE - DARLA DOLL PRINT NAME: Bulletin #100 — January 1, 2013 Page 1 of 3 UliandoutsWermit Application VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (Commemiat( BOILERS FURNACES HOT WATER TANKS (c—( COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVBYOR VALUE OF PLUMBING WORK PLUMBING PERMIT FOR OFFICE USE BASEMENT $ NO CHANGE Indicate how many of each ty pe of ftxture to be installed or relocated as part of this ro' ct. Do not include eicisting fixtures to remain. BATHTUBS (or7Lb/Shower Combo( LAVS (H—dSirdca( TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS _ _ OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS GAS WATER HEATER DRINKING FOUNTAINS SINKS (xitohen/utility( WATER HEATERS (FAe tdo( DECK HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIBTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVBYOR SEWER PURVEYOR VALUE OF X=STINO DIPROVENNNTS FOR OFFICE USE BASEMENT NEW Bon,mus EBISTDTG/PREVIOUS USE LOT SDS (In Squats Fast) ErSSTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSIOR SYSTEM? ADDITION ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT NEW Bon,mus FIRST FLOOR (or Mobile Home) ADDITION SECOND FLOOR COMMERCIAL - REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION COVERED ENTRY Occupancy Group(s) Construction Stories Additional Information DECK GARAGE ❑ CARPORT ❑ TENANT AREA ONLY OTHER (describe) PROJECT AREA ONLY Area Totals zxzrnna Mtn TMAL **JUWHOJWs OANLT** ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL - NEW/ADDITION AREA DESCRIPTION Area in Square Feet Occupancy Groups) Construction # of Stories Additional Information NEW Bon,mus ADDITION COMMERCIAL - REMODEUTENANT IMPROVEMENTS AREA DESCRIPTION Area Hare Feet in SqTOTAL` Occupancy Group(s) Construction Stories Additional Information B[Imme TENANT AREA ONLY PROJECT AREA ONLY Bulletin #100 —January 1, 2013 Page 2 of 3 UHandoutsWernrit Application