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18-102844Mechanical City of Federal yDeveloM-t . Permit #:18 -102844 -00 -ME Community Development Dept. . 33325 8th Ave S Federal Way, WA 98003 Inspection Request Line: (253) 835-3050 Ph: (253) 8352607 Fax (253) 836--2609 Project Name: FRANCISCAN HEART & VASCULAR ASSOCIATES Project Address: 34509 9TH AVE S Parcel Number: 750451 0010 Project Description: Modify existing HVAC distribution to accommodate modified wall layout & (3) new exam rooms. Remove/reinstall diffusers for the new ceiling & relocate (3) diffusers for new exam rooms. Add return grilles in new exam rooms. - 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 Additional Permit Information Mechanical Work Valuation? .................................. 11730 Is this an Online or O.T.C. application?.................. Yes 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 uRs2—v&bq in accordance with the laws, rules and regulations of the State of W gton anAlhe-QW of Federal Way. Owner or ent: DatevG i THIS CARD IS TO REMAIN ON-SITEcrry OF ' Federal Way Construction Inspection Record INSPECTION REQUESTS: (253) 835-3050 PERNM #: 18102844 00 Address: 34509 9TH AVE S Unit 304 Project: 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. 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) ® Gas Piping (4125) 0 Final - Mechanical (4065) Approved Approved to release test Approved By Date N .,. g By DateBy Date 13 Rough Electrical ❑ Final Electrical Right of Way Approved Approved Approved By Date By Date By Date PERMIT NUMBER I S RECEIVED JUN 2 7 2018 CITY OF FEDERAL WAY COMMUNITY DEVELOPMENT PERMIT APPLICATION PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325 253-835-2607 + FAX 253-835-2609 + permitcenter cityoffederalway.com � 0 �, q ti _ -1-v -, �J A — _ TARGET DATE SITE ADDRESS SUITE/UNIT # 34509 9th Ave S; Federal Way, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAR/PARCEL # $ 11,730 1205 7 5 0 4 5 1_ 0 0 1 0 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING EYMECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT Franciscan Heart & Vascular Assoc. - 3rd Floor TI Modify existing HVAC distribution to accommodate modified PROJECT DESCRIPTION Detailed description of u)ork to waii iayout& new exam rooms.Remove/reiftstaii be included on this permit only NAME Franciscan Health System PRIMARY PHONE N/A PROPERTY OWNER MAILING ADDRESS 34509 9th Ave S. E-MAIL N / A clTY Federal Way sTWA z�98003 NAME Miller Fac/Sol PHONE 06-768-4062 MAILING ADDRESS 7717 Detroit Ave SW E-MAIL permits@macmiller.com CONTRACTOR CITY Seattle STATE WA ZIP 98106 FAX WA STATE CONTRACTOR'S LICENSE # MACDOFS980RU EXPIRATION DATE 1 04/ 19 FEDERAL WAY BUSINESS LICENSE # 20-03-100372-00-131, NAME Ammone Bembry PRIMARY PHONE 206-768-4062 MAILING717 Detroit Ave SW permits@macmiller.com APPLICANT CITYSTATE Seattle WA ZIP 98106 FAX PROJECT CONTACT NAME Bembry PRIMARY Y PHONE 206-768-4062 -Ammone MAILING ADDRESS 7717 Detroit Ave SW E-MAIL The individual t0 receive and (The respond to all correspondence C Seattle STATE ZIP 98106 FAX concerning this application) PROJECT FINANCING NAME ❑ 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 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. "Y 06/28/2018 SIGNATURE: DATE PRINT NAME: Ammone Bembry Bulletin #100 - January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT # of ............................................................................................................................................................................................... $ 11, 730 Indicate how manm of each type of vcture to be installed or relocated as part of this project. Do not include existinq fmitures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS I Q OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial) Diffusers BOILERS FURNACES HOT WATER TANKS (caa) OTHER (Describe) COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR VALUE OF PLUMBING WORK PLUMBING PERMIT # of ............................................................................................................................................................................................... SEMENP411 EXISTING/PREVIOUS USE LOT SIZE )In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? Indicate how marw 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 EXISTU40 IMPROVEMENTS # of ............................................................................................................................................................................................... SEMENP411 EXISTING/PREVIOUS USE LOT SIZE )In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? FIRST FLOOR (or Mobile Home) Square Feet ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE Construction # of ............................................................................................................................................................................................... SEMENP411 Occupancy Group(s) Additional Information FIRST FLOOR (or Mobile Home) Square Feet m ti« © F { n ........................................................................................................................ r .a+ N- g(�1�1"�i COVERED ENTRY ............................. 1113'_ EIv ............................................................................................................................... GARAGE ❑ CARPORT ❑ 4�"HFR {dscnfa), Lm ................................................................................................................ hix2i"ti., a OW--- EMSTWG PROPOSED Area Totals TOTAL .0'x�,''-'`':-,: Area in ESTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW/ADDITION Area in Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information Square Feet 1112e Stories g(�1�1"�i ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS Area in Construction # of AREA DESCRIPTION Occupancy Group(s) Additional Information Square Feet a Stories 44' Y�' �Fa �,. TOTAL°tui<D_�i t4 iipl� 1A TENANT AREA ONLY a _ tlry �, t. Mop z >y q Y 3 , ay l� I�) �bfii��#, =�: s;rc�? t ,.3' •_: p:—Y.ea b, `�.. "'Y E w�{'�*.INkiM,'(�V�: r®,t 'e " -&'i 'pXti''; q+.S+x '3c*fi .ktd`4 .., .'Po'.'*e�'^A. Bulletin #100 — January 29, 2016 Page 2 of 2 k:\Handouts\Permit Application