23-102277Mechanical
Cityof Federal yDevelopment Permit #:23-102277-00-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: ST FRANCIS HOSPITAL - MRI
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: BLUEBEAM - Install inline exhaust fan above ceiling, exhaust duct, grilles, roof cap.
Owner
Applicant
Contractor
COMMON SPIRIT HEALTH
AMANDA MOOREMACDONALD MILLER
MACDONALD MILLER FAC SOL INC
34515 9TH AVE S
FACILITY SOLUTIONS INC
(GENERAL)
FEDERAL WAY WA 98003
PO BOX 47983
MACDOFS8080S (8/27/24)
SEATTLE WA 98146
PO BOX 47983
SEATTLE WA 98146
Additional Permit Information
Mechanical Work Valuation?............... ................. 12000 Is this an Online or O.T.C. application?.................. No
Mechanical Fixtures
Ducting 1 Fans I
PERMIT EXPIRES Saturday, 2 December, 2023
Permit Issued on Monday, June 5, 2023
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
Wash t&n ang4he City of Federal Way.
Owner or agent: FrL V7 Date:
CITY of
Federal Way
PERMIT #: 23 102277 00
THIS CARD IS TO REMAIN ON -SITE,
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
Address: 34515 9TH AVE S
Project: COMMON SPIRIT HEALTH FEDERAL WAY WA 98003-6761
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 Mechanical Rough -in (4165)
Q Gas Piping (4125)
Q Final - Mechanical (4065)
Approved
Approved to release test
Approved
Date
By Date 41t Ls
By Date
By
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
r
`m
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fl:
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<=MacDonald -Miller
FAGIIJTY SOLUTIONS
We make buildings work better.
TEST, ADJUST, & BALANCE REPORT
FOR
ST. FRANCIS MRI EXHAUST
JOB # 7723-2129
34515 9T" AVE S
FEDERAL WAY, WA 98003
THE DATA PRESENTED IN THIS REPORT IS AN EXACT RECORD OF SYSTEM PERFORMANCE AND WAS
OBTAINED IN ACCORDANCE WITH TABB STANDARD PROCEDURES. ANY VARIANCES FROM DESIGN
QUANTITIES, WHICH EXCEED TABB TOLERANCES, ARE NOTED THROUGHOUT THIS REPORT.
Report Date: May, 18th 2023
Field Technician: Elise Fowler
Supervisor. Oleg Stepanyuk
macmiller.com 1-840-957-5979 WASHINGTON & OREGON
TEST, ADJUST. & BALANCE REPORT
S T FRA Ncis MR1 EXHAus 7'
JOB # 7723-2129
Federal Way, WA
MacDonald -Miller
FACILITY SOLUTIONS
We make buildings work better.
TEST. ADJUST, & BALANCE REPORT
1) General Notes
a) HVAC Work completed 5/18/2023.
b) All measurements taken according to TABB procedural standards.
c) Design information obtained from drawings and submittals provided.
d) Volumetric airflow readings taken with a calibrated Testo 420 Flowhood and Shortridge ADM.
2) Scope of work
a) Test, adjust, and balance one (1) newly installed EF serving MRI room.
b) Survey existing airflow from VAV-D / FCU-6.
i) FCU is back up and not normally operational. Did not test.
3) Findings
a) MRI-EF
i) Inlet 2 total was obtained via subtracting Inlet 1 from traverse total.
ii) Fan set to low speed
b) VAV-D / FCU-6
i) Combined units. FCU powers on in event of AHU failure to maintain airflow to space.
ii) Newly installed Bulimo actuator on FCU-6 not powered on due to delayed arrival of transformer.
(1) Unable to proportion outlets as a result, reflecting in Outlet 1 at 108% and Outlet 2 at 56%.
iii) Unit(s) are low on airflow with total being at 89%.
macmiller.com 1-800-962-5979 WASHINGTON & OREGON
! lTEST, ADJUST. & BALANCE REPORT
ST FRANCIS MR1 EXHAUST
JOB # 7723-2.129
Federal Way, WA
ABBREVIATIONS
MacDonald -Miller
FACILITY SOLUTIONS
We make buildings work better.
AC
AIR CONDITIONING UNIT
HP
HORSEPOWER
BDD
BACK DRAFT DAMPER
HP
HEAT PUMP AIR CONDITIONING UNIT
BHP
BRAKE HORSEPOWER
HWR
HEATING WATER RETURN
B.S.
BIRD SCREEN
HWS
HEATING WATER SUPPLY
CEG
CEILING EXHUAST GRILLE
INAC
INACCESSIBLE
CRG
CEILING RETURN GRILLE
LAT (DB)
LEAVING AIR TEMP. (DRY BULB)
CFM
CUBIC FEET PER MINUTE
LAT (WB)
LEAVING AIR TEMP. (WET BULB)
CHWR
CHILLED WATER RETURN
LD
LINEAR DIFFUSER
CHWS
CHILLED WATER SUPPLY
LWT
LEAVING WATER TEMPERATURE
CSD
CEILING SUPPLY DIFFUSER
MAX
MAXIMUM
CWR
CONDENSER WATER RETURN
MIN
MINIMUM
CWS
CONDENSER WATER SUPPLY
O
WIDE OPEN DAMPER / AIR PATH
DD
DIRECT DRIVE
OBD
OPPOSED BLADE DAMPER
DP
DIFFERENTIAL PRESSURE
OD
OUTSIDE DIAMETER
DIFF
DIFFUSER
OSA
OUTSIDE AIR
DMPR
DAMPER
RA
RETURN AIR
DNA
DATA NOT AVAILABLE
REQ'D
REQUIRED
DNL
DATA NOT LISTED
RH
RELATIVE HUMIDITY
DNT
DATA NOT TAKEN
RTU
ROOFTOP UNIT
DWDI
DOUBLE WIDTH DOUBLE INLET
SA
SUPPLY AIR
EAT (DB)
ENTERING AIR TEMP. (DRY BULB)
SP
STATIC PRESSURE
EAT (WB)
ENTERING AIR TEMP. (WET BULB)
SWG
SIDE WALL GRILLE
EC
EGGCRATE RETURN
SWR
ASIDE WALL REGISTER
EF
EXHAUST FAN
SWSI
SINGLE WIDTH SINGLE INLET
EG
EXHAUST GRILLE
T
OUTLET NEAREST THERMOSTAT
ESP
EXTERNAL STATIC PRESSURE
TSP
TOTAL STATIC PRESSURE
EWT
ENTERING WATER TEMPERATURE
T.P.
THERMALLY PROTECTED
FPM
FEET PER MINUTE
T-STAT
THERMOSTAT OR SENSOR
FH
FUME HOOD
TYP
TYPICAL
GPM
GALLONS PER MINUTE
0
VOLTAGE PHASE / DUCT DIAMETER
HF
HEPA FILTER
V.D.
VOLUME DAMPER
macmiller.com 1-800-962-5979 WASHINGTON & OREGON
9 •"��-TEST, Ab:JUST, 8� --LANCE REPORT
�i
ST FRANCts MR1 ExNAUST
l 23-2129
Eral Way,. WA
4=)MacDonald -Miller
FACILITY SOLUTIONS
MacDonald -Miller
F
We make buildings work better.
1
N.9 B
Instrumnt Calibration
lnstrument
Function
Minimum
Ran a
Minimum
Aocurac
Minimum
Resolution
Instrument Information
Cali:braflon
Date
Rotational Measurement
Tachometer
60-5000 t2% of Read
RPM t2 RPM
1
RPM
Extecll - 461995
10/28rr2021
�341111
Temperature Measurement
Thermometer
On
to
200OF
of
ReadrRg
o
2 0°F
0.1°F
Fluke 525eries II
10/12/2021
26090483W''S
Air Probe
Fluke 80PK-SA
ID/12/2021
NA
Immersion Probe
Fluke 80PK-5A
10{12/2021
NA
Contact Probe
OMEGA 792
10/12/2021
Electrical
Measurement
Volts
1- 600
VAC
±2% of
Reading
air
±5 Digits
1 Volt
Fluke 378 FC
1011512021
545300r14
Amperes
0.1- 100
Amps
0.1 Am eS
Fluke 378 FC
1Q/15/2021
54530914
Air Pressure & Velot
Air
Pressure
to 10-0
in W.q.
+2%or read
to,001" WR
10.01'bog
'1 " WE
Shor-trldge 860C
4/28/2022
M13055
Air Velocity
Pitot Tube
SO to 3500
FPM
±5% of read
±7FPM
l.a F PM
Shortrldte 860C
412$r2az2
M13055
Air
Velocity
50t06000
FPM
±3%ofread
±3 FPM
1.0FPM
TS19545-A
9/22/2021
954SA1904010
Air Velocity
RVA
50to 6000
FPM
±1%of read
±4FPM
1,0 FPM
TSI 5725
9122f 2p21
T57251942002
Humidity Measurement
Humidity
10toH
±3%RH
1-0�£
9/22f2021
95451A195-A
Hy dronic Measurement
Hyrdronic
Differential
0.4 to 200
PSI
±2% or read
1 PSI
0.1
PSI
ALNOR HME85
q/6/2022
72203018
macmiller.com 1-800-962-5979 WASHINGTON & OREGON
4=% MacDonald -Miller
FACILITY SOLUTIONS
Project
Location
Altitude
Density
St Francis MRI Exhaust
Above Men's Restroom
Sea Level
Standard
11 Pitot Tube
Job Number
System/Service
Air Temperature
Correction Factor
Rectangular Duct
Traverse Report
77232129
MRI-EF
70
1.0
Test Data
Required I
Actual
Width
14
Height
14
Duct Area
1.361
Static Pressure
0.068
Total FPM
14106 1
15558
No. of Points
16
Average FPM
882
972
CFM
1200
1324
Remarks:
Fan set to low speed (1 V).
Test Date 18-May Readings By E. Fowler
<=�MacDonald -Miller
FACILITY SOLUTIONS
Project
Job Number
Area Served
MRI-EF
St Francis MRI Exhaust
77232129
System
Air Outlet Test
Report
Exhaust
Outlet
I Design
I Preliminary
Final
Percent of
No. I Type I Size Ak
Vel. I Flow
I Vel. Flow
Vel. Flow
Design
MRI
Ill
EG 124x241
1 1
1 900
1 1 746
1
1 990
1 110%
MRI
1
1 2
1 EG I
18x10
1 1
1
1 300
1 1 500
1
1 330
1 110%
Totals
1200
Remarks: Inlet 2 total obtained by taking traverse of EA duct and
subtracting inlet 1 total. Fan at 1 V
1246 1320 110%
Test Date: 5/18/2023
Readings By: EF
VAV-D
MRI 1
LCD 16x8
1
320
345
345
108%
Control Room 1 1 2
CD 6
1
180
100
100
56%
Remarks
Totals
500
Unable to proportion as Bulimo actuator on outlet 1
(back up fan coil) is not powered.
445 445 89%
Test Date: 5/18/2023
Readings By: EF
Test Date 5/18/2023 Readings By E. Fowler
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Permit Number r
6938527-ME
111
M M FS#77221355
APN #:
DVO067736
CITY, OF SEATTLE
Mechanical Permit
Site Address: 50017TH AVE
SEATTLE, WA 98122
Building ID:
Location: LEVEL A
Seattle Department of
Construction and Inspections
700 Fifth Ave, Suite 2000
PO Box 34019
Seattle, WA 98124-4019
(206) 684-8600
Legal Description: PARCELS A-F, LBA #3003656 REC NO. 20061101900006 TGW PARCEL C OF LBA
Records Filed At: 500 17TH AVE
APPLICANT
MACDONALD MILLER
PO BOX 47983
SEATTLE, WA 98146
Ph: (206) 768-4062
Primary Applicant/Installer
CONTRACTOR
MACDONALD MILLER
PO BOX 47983
SEATTLE, WA 98146
Ph: (206) 768-4062
General Contractor Lic: MACDOFS8080S
Application Date:
12/22/2022
Issue Date:
02/13/2023
Expiration Date:
08/13/2024
Fees Paid:
$824.29
As of Print Date:
2/13/2023
Description of Work: MODIFY EXISTING PIPING TO ACCOMMODATE EQUIPMENT REPLACEMENT. per plans
Permit Remarks:
PERMIT SUBMITTED ONLINE
NOTE: HEAT PUMPS, SPLIT SYSTEMS, AND A/C REQUIRE A
SEPARATE REFRIGERATION PERMIT
SDCI Valuation: 18500 Special Inspections: N Toning/Overlays:
Land Use Conditions: N MIO-105-LR3 (M)
MIO-160-LR3 (M)
MIO-65-LR3 (M)
FREQ_TRANSIT _SRVC_CORRIDOR Yes
Additional Information on File
A/P #
Related Cases/Permits
6938527-ME-001
Contractor Disclosure Form
6938527-ME-002
Application Intake
6938527-ME-003
Upload Documents
Project Contacts
Name
Phone
Ordinance Reviewer
NA
NA
Structural Reviewer
NA
NA
NOTE: All components external to the building must comply with Seattle Noise Ordinances SMC 25.08.410 and
25.08.420. (Reference information at: www.seattle.gov/dpd/codesrules/commonquestions/noise/)
Applicant Signature: Date:
Permitted work must not progress without prior inspection approval. When ready for inspection, make request with the Seattle
Department of Construction and Inspections at (206) 684-8900 or on the internet at: www.scattic.gov/dpd/permits/inspectionsl. Provide the
permit number, site address, and contact phone. Permission is given to do the above work at the site address shown, according to the
conditions hereon and according to the specification pertaining thereto, subject to compliance with the Ordinances of the City of Seattle. Correct
information is the responsibility of the applicant. Permits with incorrect information may be subject to additional fees.
You Must Have a Paper Copy of Your Approved and Stamped Plan Set Available at Your Job
Site for the City Inspector to Review. If You Do Not Have Your Plans Printed and Ready for
Review, You May Fail Your Inspection.
City of .Seattle
Seattle Department of Construction and Inspections
PERMIT # 6938527-M E 700 Fifth Ave, Suite 2000
POST THIS SIDE OUT:
TO THE CONTRACTOR/OWNER,
Additional permits may be required for work occurring under this permit. This permit does not authorize Sewer, Public
Right -of -Way Shoring, Drainage and Street Use, Fire Department, Boiler, Electrical, Elevator, Furnace, Gas Piping,
Plumbing, or Sign permits. If other permits are required, they must be applied for separately from this permit. The
requirements for all other permits related to this Permit, must be completed prior to the Final Inspection of this permit.
This Permits Final Inspection is_required. The premises must not be occupied until the Final Inspection is provided and
occupancy is authorized by the Seattle Department of Construction and Inspections.
ISSUED PERMIT STATUS:
You can check the status of issued permits on the internet at: www.seggle.gov/did
INSPECTION REQUESTS:
Please clarify which inspections your project requires before proceeding with your project.
You may request an inspection on the internet or by phone. Inspection requests received before 7:00 AM are scheduled
for the same working day. Inspection requests received after 7.00 AM are scheduled for the next working day. Inspectors
are available between the hours of 7:30 AM and 8:30 AM.
A) Internet: www.seattle.gov/dpd/permits/inspections/ Under Scheduling an Inspection click Requesting an
inspection online.
B) 24 hour inspection request line at (206) 684-8900, cell phones are discouraged due to frequent connection problems.
C) Customer Service at (206) 684-8950 between the hours of 7:30 AM and 4:30 PM.
FIRST GROUND DISTURBANCE:
A) Before First Ground Disturbance, request an inspection of installed Erosion Control Measures.
B) When required, request a Pre Construction Conference to review project conditions and Special Inspections by
calling (206) 684-8860.
C) If this permit requires a Soil Bearing Capacity special inspection by a Geotechnical Engineer, that approval is required
before the foundation pour. The Building Inspector will accept the Geotechnical Engineer's approval signature below.
D) When Special Inspections are required, notify the Special Inspection Agency at least 24 hours in advance.