19-100855 '" Mechanical
City of Federal Way Permit #:19-100855-00-ME
Community Development Dept.
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph.(253)835-2607 Fax:(253)835-2609
Project Name: PEDIATRICS NORTHWEST
Project Address: 505 S 336TH ST Parcel Number: 926480 0270
Project Description: Modify ducting to match tenants new floor plan,relocate thermostats,add cooling only VAV
box and add(4)exhaust fans.
Owner Applicant Contractor
RH FOUNTAIN PLAZA ASSOC LLC DYLAN EMDEPERFORMANCE PERFORMANCE MECHANICAL GROUP
PO BOX 5003 MECHANICAL GROUP (GENERAL)
BELLEVUE WA 98009 1012 CENTRAL AVE S PERFOHA15ORT(4/30/19)
KENT WA 98032 1012 CENTRAL AVE S
KENT WA 98032
Additional Permit Information
Mechanical Work Valuation? 35800 Is this an Online or O.T.C.application? Yes
:.xr;N ."` £. w4`.:v Mechiat t Fixtures-
Ducting 1 Fans 4
PERMIT EXPIRES Wednesday,21 August,2019
Permit Issued on Friday,February 22,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occu cy 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:
2-/2�l5
OPIA* THIS CARD IS TO REMAIN ON-SITE
=TY OP Construction Inspection Record
vvay
INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100855 00 Address: 505 S 336TH ST
Project: . RH FOUNTAIN PLAZA ASSOC LLC FEDERAL WAY WA 98003-6328
Scheduled inspections may be failed if this cant 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 Mechanical Roagh-in(4165) ID Gas Piping(4125) 0 Final-Mechanical(4065)
Approved i/ Approved to release test Approved
By J Date 4 By Date By : , Date ` 1 11
0 Rough Electrical El Final ElectricalIDRight of Way
Approved Approved Approved
By Date By Date By Date
AL
CITY OF ��� r'= 1V LD
PERMIT APPLICATION
Federal Way r t PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
'FEB 2
2 2019 253-835-2607+FAX 253-835-2609+permitcentert citvoffederalway.com
A0,ERAVIAlit"( z.
PERMIT NUMBER ( q — 1 NMI ":J J E� A (/ /4 k
1 l — — — — TARGET DATE
SITE ADDRESS SUITE/UNIT M
505 S 336TH ST STE 208 BLDG J, SPACE 101
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCELS
$ 35,800 9 2 6 4 8 0 - 0 2 7 0
TYPE OF PERMIT 0 BUILDING 0 PLUMBING A MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Fountain Plaza Pediatrics NW TI
PROJECT DESCRIPTION Modify ducting to match tenants new floor plan.
Detailed description of work to Relocate Thermostats to match tenants new floor
be included on this permit only plan. Add (1) new cooling only VAV box.
NAME PRIMARY PHONE
FEDERAL WAY CROSSINGS
PROPERTY OWNER MAILING ADDRESS E-MAIL
10655 NE 4TH ST #700
CITY STATE ZIP
BELLEVUE WA 98004
NAME PHONE
PERFORMANCE MECHANICAL GROUP 253-380-0699
MAILING ADDRESS a-mAn.
CONTRACTOR 1012 CENTRAL AVE S DYLAN.E@PMGHVAC.COM
CITY STATE ZIP FAX
KENT WA 98032
WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE I
PERFOHA15ORT 04i 30 / 19 19-85-000042-00-BL
NAME PRIMARY PHONE
DYLAN EMDE 253-380-0699
ADDRESS E-MAIL
APPLICANT 1012▪ GCENTRAL AVE S DYLAN.E@PMGHVAC.COM
CITY ZIP
KENT STATEWA98032 FAX
NAME PRIMARY PHONE
PROJECT CONTACT DYLAN EMDE 253-380-0699
MAILINADDRESS E-MAIL
(The individual to receive and 1012 GCENTRAL AVE S DYLAN.E@PMGHVAC.COW
respond to all correspondence
concerning this application) KENT STATE WA 98032 FAX
NAME
PROJECT FINANCING 0 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 authorised 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 su a the city as a part of this application.
SIGNATURE: 41%./ DATE "12 2//
7
PRINT NAME: D4/1-141 1=.,✓1 de-
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
'MECHANICAL PERMIT $ 35,800
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 4 FANS GAS PIPE OUTLETS 1 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) VAV BOX
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
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 EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑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 0 CARPORT 0
OTHER(describe)
Area Totals a ONLY** TtOPOSW TOTAL
*IOW Mil= '"`r
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area is Occupancy Group(s) Construction sof
Square Feet P Ty4e Stories Additional Information
NW Duna=
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction Y of
Square Feet P Type Stories Additional Information
TOTAL BUMMER
TENANT AREA ONLY
PROJECT AREA OILY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application