20-101156 Mechanical
City of Federal Way Permit #:20-101156-00-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: VIRGINIA MASON CLINIC
Project Address: 33501 1ST WAY S Parcel Number:926504 0010
Project Description: Replace existing inefficient Carrier 150 ton with R22 refrigerant and reciprocating
compressors air-cooled split system water chiller with new multi-stack module air-cooled-split
system water chiller with scroll compressors and 410A refrigerant.Modify existing chilled
water piping to accommodate new chilled water piping layout.Install new refrigerant monitor
system in chiller room,per plan.
Owner Applicant Contractor
VIRGINIA MASON CLINIC AMMONE BEMBRYMACDONALD MACDONALD MILLER FAC SOL INC
1100 9TH AVE S MILLER FAC SOL INC (GENERAL)
SEATTLE WA 98101-2756 7717 DETROIT AVE SW MACDOFS980RU(1/4/21)
SEATTLE WA 98106 7717 DETROIT AVE SW
SEATTLE WA 98106
•
Additional Permit Information
Mechanical Work Valuation" 200000 Is this an Online or O.T.C.application? No
V4,..11,''..,A i' - yf4 " s �°. 3
Refrigeration Systems 1 Roof Top Units 2
PERMIT EXPIRES Sunday,27 September,2020
Permit Issued on Tuesday,March 31,2020
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 F I L. E Date:
THIS CARD IS TO REMAIN ON-SITE
crnof4 Construction Inspection Record
FeCierau Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 20 101156 00 Address: 33501 1ST WAY S
Project: VIRGINIA MASON CLINIC FEDERAL WAY WA 98003-6208
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) i 11 Final-Mechanical(4065)
Approved Approved to release test Approved
By 4) Date . 3,0a0..,By Date 4By -AIV Date lia8laoa0.
D Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVED
CITY OF MAR
p 2 2020 PERMIT APPLICATION
Federal WayCITY OF FEDERAL WAY PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609+permitcentercicityoffederalway.com
COMMUNITY DEVELOPMENT
PERMIT NUMBER; 0 I 0 I 1 5
TARGET DATE l
SITE ADDRESS SUITE/UNIT#
33501 1ST WAY S, Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 200, 000 Op 9 2 6 5 0 4 _ 0 0 1 0
TYPE OF PERMIT ❑BUILDING ❑PLUMBING IR MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT VIRGINIA MASON FEDERAL WAY CHILLER REPLACEMENT
REPLACE EXISTING INEFFICIENT CARRIER 150 TON WITH R22 REFRIGERANT AND RECIPROCATING
PROJECT DESCRIPTION COMPRESSORS AIR-COOLED SPLIT SYSTEM WATER CHILLER WITH NEW MULTISTACK MODULE
Detailed description of work to AIR-M(11 Fn SPI IT SYSTFM WATFR CHIT I FR WITH SCR()I I COMPRFSSfRS AM-)41 n
be included on this permit only REFRIGERANT.MODIFY EXISTING CHILLED WATER PIPING TO ACCOMDATE NEW CHILLED WATER
f IPINC LAYOUT.INCTALL NEW f lEFIlICERANT MONITOR CYCTEM IN CHILLER f100M,I Efi PLAN.
—-,-•1••——- --- NAME PRIMARY PHONE
VIRGINIA MASON CLINIC N/A
PROPERTY OWNER MAILING ADDRESS E-MAIL N/A
33501 1ST WAY S .
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
MacDonald Miller Fac/Sol 206 -768-4062
MAILING ADDRESS E-MAIL
CONTRACTOR 7717 Detroit Ave SW permits@macmiller.com
CITY STATE ZIP FAX
Seattle WA 98106
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MACDOFS980RU 1 / 03/ 21 03-100372-00-BL
NAME PRIMARY PHONE
Ammone Bembry 206-768-4062
APPLICANT MAILING ADDRESS E-MAIL
7717 Detroit Ave SW permits@macmiller.com
CITY STATE ZIP FAX
Seattle WA 98106
NAME PRIMARY PHONE
PROJECT CONTACT Ammone Bembry 206-768-4062
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 7717 Detroit Ave SW permits@macmiller.com
concerning this application) CITY
T e at t l e STATE
IP FAX
98106
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
IRCW 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 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 a part of this application.
03/12/2020
SIGNATURE: DATE
PRINT NAME: Ammone Bembry
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
r ♦ -
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT 200, 000
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 3 OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)commercai) 1) CONDENSER CHILLER
BOILERS FURNACES HOT WATER TANKS(Gas) (2) HVAC-ROOF MOUNTED
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
Indicate how many of each type offixture 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(Etectnc)
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?
7 Yes No Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BSE
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECr,
GARAGE ❑ CARPORT ❑
OT (+
EXISTING PROPOSED TOTAL
Area Totals
**NEwisomisa c ,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL G
TENANT AREA ONLY
t n
PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application