18-102845City of Federal wry
Community Develop—t Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 836-2607 Fax (253) 835-2605
Project Name: FRANCISCAN HEART & VASCULAR ASSOCIATES
Project Address: 34509 9TH AVE S
Plumbing
Permit #:18 -102845 -00 -PL
Inspection Request Line: (253) 835-3050
Parcel Number: 750451 0010
Project Description: Install (3 EA) new exam room sinks and tie into existing waste, vent and water in vicinity.
Owner
Applicant
Contractor
CHI FRANCISCAN HEALTH
AMMONE BEMBRYMACDONALD
MACDONALD MILLER FAC SOL INC
1623 MARTIN LUTHER KING WAY
MILLER FAC SOL INC
(GENERAL)
TACOMA WA 98405
7717 DETROIT AVE SW
MACDOFS980RU (1/4/19)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Lavatories 3
PERMIT EXPIRES Tuesday, 25 December, 2018
Permit Issued on Thursday, June 28, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occup cy and the use will be in accordance with the laws, rules and regulations of the State of
Washjrl t nd the City of Federal Way.
Owner or
:Lffol � H"M
crtr os 7�w!
F6deral Way
PERMIT #:
Project:
THIS .CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
18102845 00 Address: 34509 9TH AVE S Unit 304
CHI FRANCISCAN HEALTH FEDERAL WAY WA 98003-6700
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. Walk 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.
Plumbing Groundwork (4190)
0
Rough Plumbing (4230)
Final - Plumbing (4075)
Approved W cover
1BY
Approved
Approved
BY
Date
Approved
Date
By
-
Date A, lst It
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
4iki. t
CITY OF
Federal Way
PERMIT NUMBER I �
RECEIVED PERMIT APPLICATION
JUN 2 7 2018 PERMIT CENTER + 33325 811 Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter(,cituoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
-I®2�q5- - PL_
TARGET DATE P 1
14q -
SITE ADDRESS
SUITE/UNIT #
34509 9th Ave S; Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL#
$ 17,000
1205
7 5 0 4 5 1_ 0 0 1 0
TYPE OF PERMIT
❑ BUILDING Lf PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Franciscan Heart & Vascular Assoc. - 3rd Floor TI
Install (3 EA) new exam room sinks and tie into existing
PROJECT DESCRIPTION
waste, vent and water in vicinity.
Detailed description of u)ork to
be included on this permit only
NAME
PRIMARY PHONE
Franciscan Health System
N/A
PROPERTY OWNER
MAILING ADDRESS
E-MAIL N / A
34509 9th Ave S.
CITY
Way
STATE
sTWA
298003
#MacDonald Miller Fac/Sol
PHONE06-768-4062
MAILING ADDRESS
E-MAIL
7717 Detroit Ave SW
permits@macmiller.com
CONTRACTOR
CITY
Seattle
STATE
WA
ZIP
98106
FAX
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MACDOFS980RU
1 / 04/ 19
20 -03 -100372 -00 -BL
NAME
PRIMARY PHONE
Ammone Bembry
206-768-4062
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@macmi1ler.com
APPLICANT
CITY
Seattle
STATE
WA
ZIP
98106
FAX
PROJECT CONTACT
NAME
Ammo n e B emb r
PRIMARY PHONE
206-768-4062
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@macmiller.com
The individual t0 receive and
respond to all correspondence
CITY
STATEZIP
T98106
FAX
concerning this application)
Seattle
WA
PROJECT FINANCING
NAME
❑ OWNER -FINANCED
When value is $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27095)
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 apart of this application.
06/28/2018
SIGNATURE: DATE
PRINT NAME: Ammo n e B emb r y
Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application
k
VALUE OF MECHANICAL WORK
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 (commemiai(
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
;_.yip
...
'`!'4 �f
...............................................................................................................................................................................................
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
$ 17, 000
Indicate how mangil of each tupe of
fixture to be installed or relocated as
part of this project. Do not include existin fixtures to remain.
BATHTUBS (oT Tub/shower combo(
3 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
;_.yip
...
'`!'4 �f
...............................................................................................................................................................................................
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
S uare Feet
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
;_.yip
...
'`!'4 �f
...............................................................................................................................................................................................
A51i,MET
Additional Information
FIRST FLOOR (or Mobile Home)
S uare Feet
Tvve
_N
Fl,
�;yy
C 3"NJ�i.
...............................................................................................................................
�. PF _
1.
i
COVERED ENTRY
77
rOwl
...............................................................................................................................
ADDITION
NwWl'a
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
GARAGE ❑ CARPORT ❑
Construction
# of
01
iiTl✓R}iii a i'N . k =
a V
ry P kt
....................................................................................................................
MSTING
Area Totals
PROPOSED
TOTAL
Is
L"4�_32Yi�
Stories
-
(.'�1 N a
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL — NEW/ADDITION
Area in
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
S uare Feet
Tvve
Stories
'gg-
tI3UI#I?IN4 a
1,0
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
Area in
Construction
# of
AREA DESCRIPTION
Occupancy Group(s)
Additional Information
S uare Feet
a
Stories
(.'�1 N a
"Jq k
z.
15"
4 t
IV
TENANT AREA ONLY
�adRR
gg
iii N'
",10
6,
= pRtfiECt�i
F G
x4450 x
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Ilandouts\Permit Application