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06-102257City of Federal Way Mechanical Permfl# • 06- 102257 -00 -M E Community Development Services � • P.O. Box 9718 Federal Way, WA 96063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050 Project Name: GROUP HEALTH Project Address: 301 S 320TH ST Parcel Number: 172104 9105 Project Description: Install like - for -like cooling tower with seismic vibration isolation frame onto existing raised concrete curb. Reconect piping. Owner Applicant Contractor GROUP HEALTH COOP & PUGET MACDONALD MILLER FAC SOL INC MACDONALD MILLER FAC SOL INC GROUP HEALTH COOP & PUGET PO BOX 47983 MACDOFS980RU 12/31/06 521 WALL ST SEATTLE WA 98146 PO BOX 47983 SEATTLE WA SEATTLE WA 98146 98121 -1524 Additional Permit Information Mechanical Valuation .................. ..........................23825 Over the Counter Permit?....... ............................... No Mechanical Fixtures its......................... 1 THIS CARD IS TO #MAIN ON -SITE >n � ltomxnunity-Aevelopment Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 06- 102257 -00 -ME Owner: GROUP HEALTH COOP & PUGET Address: 301 S 320TH ST FEDERAL WAY, WA 98003 -5200 This card is part of your required inspection documents. 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. 0 Mechanical Rough -in (4165) ❑ Gas Piping (4125) ❑ Final - Mechanical (4065) Approved Approved to release test Approved By Date By Date By Date 9.7, * ; REC6W4 CRY OF A I / I — 2 (:� 5 Federal way MAY 0 5 2006 PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO E LPL DE N FP 33325 D AVENUE SOUTH • 6 BOX 9718 , P LI CATI O N FEDERAL WAY, WA 9806 (�j� � � � � D �, �„ 253 - 835- 2607•FAX25383ZE09,UILDING DE www.cituoffederalwau.mm CC77 The followina is re uired information - an incom fete agWication will not be acce ted. Please i2rint le f lu tin ) or PROPERTY •. • SITE ADDRESS 30 S 'j 2-1 fiij s4 "� � rQ✓ <'� � _� �� N� SUITE /UNIT # ASSESSOR'S TAX /PARCEL # 'j Z I © - ! I ® LOT SIZE (s,) LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for teag ft legal descrtpaoN PROJECT • • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) C..-� `-'� — i- zs,r-L- Lt � p Lo n � )( ca w e / w � 5 t„ i � I S Ci 1 o—+ ( 0,-, CY -U� Yb^-2 Q✓�� e Cn 14 Q ► C LJ 1 6. C.0 in C PROJECT NAME (Name of Business or Owner Last Name) PROPERTY OWNER CONTRACTOR APPLICANT CONTACT LENDER EXISTING USE NAME PRIMARY PHONE �U �� -C. -� �� Yr - l (Soh n C�`IL'i�c�SC MAII NGADDRESS CITY. STATE, ZIP 3v) 3 Zo ` 5 �xer��i W LA_� %-j n COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS '5 �,� CITY, STATE, ZIP LJA °( W6 CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent Other (Describe) Enn t h C-'Q/ CONTRACTOR'S REGISTRATION NUMBER (copy of card required with each application) EXPIRATION DATE M )2 � 'D C) s ct 0 o 6- J ) 2 / 3( / a G COMPANY NAME WCc0e1nCOG APPLICANT NAME 0-4-L Kam. ( OFFICE PHONE (,2-'4,) `?(A - 3$`� MAILING ADDRESS CITY, STATE. ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent Other (Describe) Enn t h C-'Q/ FAX NUMBER PROPOSED USE EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) PPn.TP("P PT,nnR ARRAR AREA DESCRIPTION EXISTING S . FT. PROPOSED S . FT. TOTAL S . FT. BASEMENTyDi c o-n kqJ-L-� FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS (DESCRIBE) DECK(COVERED ?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS emsnrra raoeoseu rornc �! mrnc's44r' f' � �' rao�(we$pm� ,�`� O n '�'� :. a� � * *NEW HOMES ONLY ** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of future to be insftlled or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ �- � f t , 11 C" v REFRIG. SYSTEMS AIR HANDLING UNITS EV RAOOLERS GAS LOG BBQS FANS HOODS (Commercial) WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MIS/C (Describe) COMPRESSORS FURNACES GAS WATER HEATERS CTD( /✓��t DUCTS GAS PIPE OUTLETS PLUMBING l v / BATHTUBS (m-T b /Shower Combo) SHOWERS WATER CLOSETS abliet) MISC (Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS (Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS I certVy under penalty of perjury that the irtformation furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the irtjormation supplied to the city as a part 4/ this application. NAME /TITLE J�" (� rt4(N c s / DATE -- (Signature) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect N� C Bulletin #100 — January 1, 2006 Page 2 of 4 k\Handouts\Permit Application