20-104779City of Federal Way
Community Development Dept,
33325 8th Ave S
Federal Way, WA 99003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: AVALON CARE CENTER
Project Address: 135 S 336TH ST
Project Description: Replace AO Smith hot water tank with same.
Mechanical
Permit #:20 -104779 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 926504 0110
Owner
Applicant
Contractor
135 SOUTH 336T14 STREET LLC
AMMONE BEMBRYMACDONALD
MACDONALD MILLER FAC SOL INC
6380 WILSHIRE BLVD SUITE 800
M1LLI,RFAC SOL INC
(GENERAL)
LOS ANGELES CA 90048-5019
7717 DETROIT AVE SW
MACDOFS980RU (1/4/21)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Additional Permit Information
Mechanical Work Valuation? .................................. 17.100 Is this an Online or [].1'.C. application? ................. I Yes
Hot Water Talks
Mechanical Fixtures
PERMIT EXPIRES Wednesday, 2 June, 2021
Permit Issued on Friday, December 4, 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 acg9rdance.with the laws, rules and regulations of the State of
Wan nd t y of Federal Way.
F1
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF .Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 20 104779 00 Address: 135 S 336TH ST
Project: 135 SOUTH 336TH STREET LLC FEDERAL WAY WA 98003-6601
Scheduled inspections may be failed if this card is not on-site. DO NOT LOST: 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.
i❑ Mechanical Rough -in (4165) 0 Gas Piping (4125) ❑ Final - Mechanical (4065)
Approved Approved to release test App o� ed
By Date By Date By ArJ Dnte 312-42
Rough Electrical
❑
Final Electrical
❑
Right of Way
Approved
A pproved
Approved
By
Date
By
Date
By
Date
RECEIVED
CITY OF �--� DEC a 3 2020 PERMIT APPLICATION
PERMIT CENTER +33325 8'h Avenue South + Federal Way, WA 98003-6325
Federal Way
CITY ❑F FEDERALWAY 253-835-2607 + FAX 253-835-2609 + hee nulla:�ten4e•:cilvuffecicralway.com
OOMMUHrrY DEVELOPMENT
PERMIT NUMBER n n _ ' _ M 12/03/2020
CNIZ ss TARGET DATE
SITE ADDRESS
SUITE/UNIT #
135 South 336th Street, Federal Way 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 17,300
OP
9 2 6 5 0 4_ 0 0 8 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Avalon Care Center Replacement of (1) AO Smith Hot Water Heater
Replace 1 AO Smith Hot Water Heater with a new 1 AO Smith Hot
PROJECT DESCRIPTION
Water Heater, per plan.
Detailed description of work to
be included on this permit only
NAME 135 SOUTH 336TH STREET LLC
PRIMARY PHONE
253-835-7453
PROPERTY OWNER
MAILING ADDRESS
135 S 336TH ST
MAIL
sUnnon.elIering@avalonhealthcare.com
CITY Federal Way
WA
ZIP 98003
NAME
MacDonald Miller Facility Solutions
NE
PH(206) 768-4062
E-MAIL
rmits�?macmiller.com
MAILING ADDRESS 7717 Detroit Ave SW
CONTRACTOR
_ep
CITY Seattle
STATE
WA
ZIP 98106
FAX
N/A
WA STATE CONTRACTOR'S LICENSE #
MACDOFS980RU
EXPIRATION DATE
01 04 21
FEDERAL WAY BUSINESS LICENSE #
03 -100372 -00 -BL
i
NAME Ammone Bembry M1.
PRIMARY PHONE
(206) 768-4062
APPLICANT
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@macmiller.com
CITY
Seattle
STATE
Wq
ZIP
� 98106
FAX
N/A
NAME
Ammone Bembry
PRIMARY PHONE
(206) 768-4062
PROJECT CONTACT
MAILING ADDRESS
7717 Detroit Ave SW
E-MAIL
permits@maemiller.eom
(The individual to receive and
respond to all correspondence
II FAX
I N/A
concerning this application)
CITY STATE ZIP
Seattle 98106
PROJECT FINANCING
_
NAME
MacDonald Miller Facility Solutions
❑ OWNER -FINANCED
When value is $5,000 or more
PHONE
MAILING ADDRESS, CITY, STATE, ZIP
(RCW 1927.095)
7717 Detroit Ave SW. Seattle WA 98106 _.
206) 768-4062
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.
SIGNATURE: DATE 12/03/2020
PRINT NAME: Ammone Bembry
Bulletin #100 — January 29, 2016 Page 1 of 2 k:\Handouts\Permit Application