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15-101591• Plumbing Community & Ecw. Dev.ay Services Permit #: 15-101591-00-P L 33325 8th Ave S Federal Way, WA 98003 FILE Inspection Re Line: 25 Ph: (253) 835-2607 Fax: (253) 835-2609 Quest 3) 835-3050 Project Name: PACIFIC MEDICAL CENTER Project Address: 31833 GATEWAY CTR BLVD S Parcel Number: 092104 9137 Project Description: Demolish (4) water closets and (4) lavatories, install (1) drinking fountain, (4) water closets, (21) lavatories, (1) recirc pump, (1) mop sink and miscellaneous piping per plans. Owner ANS L L C ARolicant MACDONALD MILLER FAC SOL INC Contractor MACDONALD MILLER FAC SOL INC PO BOX 1941 (GENERAL) (GENERAL) AUBURN WA 7717 DETROIT AVE SW MACDOFS980RU (1/3/17) 98071 SEATTLE WA 98106 7717 DETROIT AVE SW SEATTLE WA 98106 Plumbing Fixtures Dishwashers. .................................. 1 Drinking Fountains......................... 1 Lavatories....................................... 20 Sinks ............................................... 1 Water Closets................................. 4 PERMIT EXPIRES Tuesday, September 29, 2015 Permit Issued on Thursday, April 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 �cc and the City �of Federal Way. � Owner or agent: 1- (NTTD V' Date: r� C, l)A i M10yZ NP GAs 'J City of Federal Way Community & Econ. tev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835-2607 Fax: 253) 835-2609 Plumbing Permit #: 15 -101591 -00 -PL r Inspection Request Line: (253) 835-3050 Project Name: PACIFIC MEDICAL CENTER Project Address: 2500 S 320TH ST Parcel Number: 092104 9027 Project Description: Demolish (4) water closets and (4) lavatories, install (1) drinking fountain, (4) water closets, (21) lavatories, (1) hot water heater, (1) recirc pump, (1) mop sink and miscellaneous piping per plans. Owner ANS L L C Altulicant MACDONALD MILLER FAC SOL INC Contractor MACDONALD MILLER FAC SOL INC PO BOX 1941 (GENERAL) (GENERAL) AUBURN WA 7717 DETROIT AVE SW MACDOFS980RU (1/3/17) 98071 SEATTLE WA 98106 7717 DETROIT AVE SW SEATTLE WA 98106 Plumbing Fixtures Dishwashers. .................................. 1 Drinking Fountains........................ 1 Lavatories....................................... 20 Sinks ............................................... 1 Water Closets................................. 4 Water Heaters................................. 1 PERMIT EXPIRES Tuesday, September 29, 2015 Permit Issued on Thursday, April 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: CITY of Vi& Federal Way PERMIT #: THIS CARD IS T(WMAIN ON-SITE Construction Insection Record INSPECTION REQUE TS: (253) 835-3050 15 -101591 -00 -PL Address: 2500 S 320TH ST Project: ANS L L C 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. 0 Plumbing Groundwork (4190) 0 Rough Plumbing (4230)Gas Piping (4125) Approved to cover Approved Approved to release test By Date By C) Date 7-1 —1 S'' By Date Final - Plumbing (4075) Approved By Rough Electrical Approved 1:1Approved Final Electrical 1:1Approved Right of Way By Date By Date By Date DATE INSPECTOR AREAAND TYPE �i 4'11�ITY OF • PERMIlftPPLICATION Federal Way ReCEIM °°17 3 A P R 0 2 2015 PERMIT NUMBER � � _ � l,/ S _ Y L — —� 111— TARGET DATE CITY OF CFf1FDAI WAV SITE ADDRESS SUITE/ 2500 S 320TH ST FEDERAL WAY, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL # $ 109,000.00 CC -C 0 9 2 1 0 4- 9 1 3 7 TYPE OF PERMIT ❑ BUILDING RI PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT PACIFIC MEDICAL CENTER - CLINIC DEMO (4) WATER CLOSETS AND (4) LAVATORIES. INSTALL (1) DRINKING FOUNTAIN, (4) PROJECT DESCRIPTION WATER CLOSETS, (21) LAVATORIES, (1) HOT WATER HEATER, (1) RECIRC PUMP, (1) MOP Detailed description of work to SINK AND MISC PIPING PER PLANS be included on this permit only NAME PACIFIC MEDICAL CENTER PRRISIARYPHONE N/A PROPERTY OWNER MAILING ADDRESS 7717 DETROIT AVE SW E•IdAD. N/A Cr"` SEATTLE ' WA ' 98106 NAME MACDONALD MILLER PRONE (206) 768-4278 nlADnvaADDREss 7717 DETROIT AVE SW darla.doll@macmiller.com CONTRACTOR CITY SEATTLES SW ZIP 98106 FAX (206) 768-4279 WA STATE CONTRACTOR'S LICENSE # EXPIRATION DATE FEDERAL WAY HusamSS LICENSE # MACDOFS980RU 1 3 2017 20-03-100372-00-131- 0-03-100372-00-BLN"= NA= DARLA DOLL PHONE PRDIARY (206) 768-4278 APPLICANT HAII'IIfQ ADDREse 7717 DETROIT AVE SW da Ir a.doll@macmiller.com FAX (206) 768-4279 CITY SEATTLE STWq ZIP 98106 NAME PRD[ARY PHONE PROJECT CONTACT PERRY CHRISTIAN (206) 768-4278 uARII7O ADDRESS 7717 DETROIT AVE SW perry.christian@macmiller.com (The individual to receive and respond to all correspondence CITY SEATTLE STATE WA zip 98106 concerning this application) FAX (206) 768-4279 PROJECT FINANCING NAME N/A OWNER -FINANCED Required value of $5,000 or more MARINO ADDRE88, CITY, STATE, ZIP PRONE (RCW 19.27.095) 1 certify under penalty of perjury that I am the property owner or authorised agent of the property owner. 1 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. 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 apart of this application. 4/2/2015 SIGNATURE: DATE DARLA DOLL PRINT NAME: Bulletin #100 – January 1, 2013 Page 1 of 3 Uliandouts\Permit 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 vctures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) BOILERS FURNACES HOT WATER TANKS (Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES PLUMBING PERMIT VALUE oFPLunBnvc WORK $ 101,000.00 Indicate how maivu of each tupe of rixture to be installed or relocated as vart of this Proiect Do not include existina rixturesexist' to remain. BATHTUBS (or Tub/shower Combo) _ 20 _ LAVS (Hand sink.) _ 4 — TOILETS WATER PIPING 1 _ DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS WaSTINO FIRE SPPJNKLER SYSTEM? _ 1 _ DRINKING FOUNTAINS _ _ SINKS (Kitchen/utility) _ 1 _ WATER HEATERS (Faectrlc) ❑ Yes ❑ No HOSE BIBBS SUMPS WASHING MACHINES 28 TOTAL Fv=REs GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EIQSTENG IMPROVSMENTS E%ISTEKG/PREVIOUS USE LOT SIZE (In Square Feet) WaSTINO FIRE SPPJNKLER SYSTEM? PROPOSED FMZ SUPPRESSION SYSTEM? ❑ Yes ❑ No ❑ Yes ❑ No Bulletin #100 — January 1, 2013 Page 2 of 3 UHandoutsTermit Application