20-102275 •
Plumbing
City of Federal Way Permit #:20-102275-00-PL
Commmmity 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: KAISER PERMANENTE
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: Install single surface lay in Addiction Team space.
Owner Applicant Contractor
KAISER PERMANENTE OF WA AUBURN MECHANICAL INC AUBURN MECHANICAL INC
1300 SW 27TH ST 2623 W VALLEY HWY N AUBURMI163BA(9/12/20)
RENTON WA 98057 AUBURN WA 98001 2623 W VALLEY HWY N
USA
s AUBURN WA 98001
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Lavatories 1
PERMIT EXPIRES Monday,7 December,2020
Permit Issued on Wednesday,June 10,2020
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: FILE Date:
•
THIS CARD IS TO REMAIN ON-SITE
CITY�` Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
•
PERMIT#: 20 102275 00 Address: 301 S 320TH ST
Project: KAISER PERMANENTE OF WA FEDERAL WAY WA 98003-5200
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.
El Plumbing Groundwork(4190) Rough Plumbing(4230) ® Final-Plumbing(4075)
Approved to cover 4. ^„� Approved ! (t Approved
1'7 !1 7
By Date
•
•
Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
I-IEUEIVEU
CITY O .-.. .;.:.,,. JUN
09 2020 PERMIT APPLICATION
e �e'ra a CITY OF FEDERAL WAY PERMIT CENTER+ 33325 8th Avenue South + Federal Way,WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
COMMUNffY DEVELOPMENT
PERMIT NUMBER _ ± / �] _ P
t! #112\ J TARGET DATE
SITE ADDRESS SUITE/UNIT#
301 S. 320th St. Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 5,200.00 1 7 2 1 0 4 _ 9 1 0 5
TYPE OF PERMIT ❑ BUILDING 1 PLUMBING ❑ MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT Kaiser Permanente Federal Way Addiction Team Space
Install (1) new single surface lay in exam room.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
Kaiser Permanente 253-874-7000
PROPERTY OWNER MAILING ADDRESS EMAIL
310 S. 320th St.
CITY Federal Way STATE ZIP
WA 98003
NAME Auburn Mechanical PHONE 253-838-9780
MAILING ADDRESS 2623 West Valley Hwy. N. EMAIL
CONTRACTOR
CITY Auburn STAR ZIP 98001 FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE UBI#
AUBURMI163BA 09 12 /2020 600-074-968
NAME Tierney Nowels PRIMARY PHONE
206-817-7154
APPLICANT MAILING ADDRESS E-MAIL G
2623 West Valley Hwy. N. tierneynowels@auburnmechanical.com
CITY Auburn STATE ZIP 98001 FAX
NAME PRIMARY PHONE
PROJECT CONTACT (same as above)
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING ❑ 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 a part of this application.
=X,'"
TierneyNowels
� 06/03/2020SIGNATURE: DM,2020 06091001�or0 DATE
PRINT NAME: Tierney Nowels
Bulletin#100—February 19,2020 Page 1 of 2 k:\Handouts\Permit Application
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(commcretai
BOILERS FURNACES HOT WATER TANKS(pas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 5,200.00
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) 1 _ LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Kitchen/Utibty WATER HEATERS(Electric(
HOSE BIBBS SUMPS WASHING MACHINES 1 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF FXISTINQ 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 ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100-February 19,2020 Page 2 of 2 k:\Handouts\Permit Application