11-102604Mechanical
Ci1�oevelopmentS Permit #: 11- 102604 -00 -ME
Communi Development Services
P.O. Box 9718
Federal Way, WA 98053 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 p q
Project Name: GROUP HEALTH TRAINING ROOM
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: Relocating (4) diffusers
Owner
Applicant
Contractor
GROUP HEALTH
VITAL MECHANICAL SERVICE
VITAL MECHANICAL SERVICE
12501 E MARGINAL WAY S UNIT ASB -I
13106 SE 240TH ST SUITE 101
VITALMS964MM (8/8/12)
TUKWILA, WA 98168 -2560
KENT WA 98032
13106 SE 240TH ST SUITE 101
KENT WA 98032
,'I.. :':. x.. „9,� q...', „�•_. „�s5�*�..' °.�," .�t�:.�.xa�;,��, si9 rs ^i`�"�aE ..,�..do.: ��' ., ....� �, .• , ,,, ,,. ,.,, ,�`."� .... ,.a.
.. C?>rlrtoktfol'1
Mechanical Valuation ................. ...........................2500 Is this an Online or O.T.C. application? ................. Yes
RNma ql/el///
CITY OF
Federal Way
PERMIT #:
Project:
THIS CARD IS TOWMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835 -3050
11- 102604 -00 -ME Address: 301 S 320TH ST
GROUP HEALTH 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.
Mechanical Rough -in (4165)
Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date �� �j
By Date
By — Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way^
Approved
By
Date
By
Date
By
Date
CRY Or 'A
Federal Way
COMMUNITY DEVELOPMENT SERVICES
25 3-835 -2607• FAX 253 -835 -2609
www. ci W offederalwau. co.
0 Ab-1- I OZ6 04-
PERMIT SF MF C� PL DE EN FP
APPLICATION RECEIVED
JUN 30 2011
SITE ADDRESS
SUM /UM #
1 320+► -,E-- CITY OF
EDERAL WAY
PROJECT VAINATION
ZONING
ASSESSOR'S T"/PARCRL # cas
$ 2Soo
—L 2 —L (� tA_ 9 I p ��-
TYPE OF PERMIT
❑ BUHMING ❑ PLUNWRIG MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Nae /Homeoumer Last Na—)
6, n c- W Q J .-rv-a 1 V 1 r 'P—t3 C) YYI
PROJECT DESCRIPTION
v A4 dif ;-eKs
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
G
3KQLkQ &&14
PRUTARY PHONE
zplo - q p l- ({jp t p
MAHMG ADDRESS
12401 E Li L4 vua,t W a" S
E-MAII.
T�icwi lo.
(,v�� A
Gtgt(¢�
nE
V 1 � L Q�►� 1 CL� I'- e r v k C C-
PHONE
153 - 3- 19c133
MAHM ADDRESS
(?vll7l0 S1= e lol
F-MML
���h. Q(rnOVlV11zi�
U
J CONTRACTOR
cxff Kev
wR
A%03(
253 -1030
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY LICENSE #
NAME
cSe" Sl 1 f i 1
PHONE
253 -1P ,0 -CQ°133
MAHnIG ADDRESS
t S- Ik b+c- 101
a v
APPLICANT
k4- $vJ�
1g�31
253- 1Q3o -log3
PROJECT CONTACT
a1w individual to receive and
respond to all correspondence
concerning this application)
NAME
eS
PRONE
ag53 -
MAIIMC. ADDRESS
(3 i O-W Se <,:s 1(7
F MAM
mi m - 2G( vifvo
CrIT
STATE
vV
zw
rl$03l
FAX
--2- 3-L,30- (0`134
TE CONTACT NAME:
e:�7 t � Pal mo
Isom
25 - 30 -to'�13 3
R-MAM
v h , � ►� `�i
PROJECT FINANCING
NAM-E..
Owma -FUL -ACRD
Required value of $5,000 or rrore
(RCW 19.27. 095)
MAH.DiG ADDRESS, CITY. STATE, ZIP
PHONE
I cerd y under penalty of perjury that I am the property owner or authorized agent of the property owner. I cer fll that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I ca-ft 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' foes incurred in
the investigation and defense of such ciaiW, which may be made by any person, including the undersigned, andjiled against the city,
but only where such claim arises out of the reliance of the city, including its q,01cers and employees, upon the accuracy of the
information supplied to the city as a part 4f this application.
SIGNATURE: /]n�t�f.Ot -� s1.1 Pil DATE L 24 �/ j
PRINT NAME:
Bulletin #100 - January 1, 2011 v Page 1 of 3 k- WandoutsTerruit Application
� CG.1 COn
an tom
In(✓n
i 0
GENERAL INFORMATION
MECHANICAL FIXTURES
Indicate how many of each type of jbdure to be installed or relocated as part of this project Do not include existing fixtures to remain.
VAum OF DffmaAme -4L
WORK $ 'ZS _0 U (a copy of bid or estirrWe must be provided)
DISHWASHERS
Indicate how many of each type off fixture to be installed or relocated as part of this project Do not include
ting fixtures to remain.
AIR HANDLING UNITS
FANS GAS PIPE OUTLETS
OTH ' (Describe)
AIR CONDMONER
FIREPLACE INSERTS HOODS (commeraai)
S
BOILERS
FURNACES HOT WATER TANKS (Gas)
❑ Yes ❑ No
COMPRESSORS
GAS LOG SETS REFRIGERATION SYST
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
DUCTING
GAS PIPING WOODSTOVES
Aare Feet
GENERAL INFORMATION
PLUMBING FIXTuREs
Indicate how many of each type of jbdure 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 (mo hen/Ctwcyl WATER HEATERS (Ei-wd
HOSE BIBBS
SUMPS WASHING MACHINES TOTAL F18TU3=
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING DIPROVEMIMTS
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
ESISTDIG /PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTDG FIRE SPRDUUZR SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
FIRST FLOOR (or Mobile Home)
❑ Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL
- NEW OR ADDITION
in urea P
AREA DESCRIPTION (in square feet)
EXISTING
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT
FIRST FLOOR (or Mobile Home)
SECOND FLOOR
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Aare Feet
COVERED ENTRY
Construction
Stories
Additional Information
TOTAL BUB DWO
DECK
GARAGE ❑ CARPORT ❑
OTHER (describe)
PROJECT AREA OPLY
Area Totals
g>""O
>>
TOTAL
**NEW sums ONLY"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL -- NEW/ADDITION
AREA DESCRIPTION
in urea P
Occupancy Crroup(s)
Construction
Stories
Additional Information
NEa BURDBIG
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Aare Feet
Occupancy Group(s)
Construction
Stories
Additional Information
TOTAL BUB DWO
TENANT AREA ONLY
PROJECT AREA OPLY
Bulletin #100 —January 1, 2011
Page 2 of 3
UliandoutAPermit Application