12-100738` City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
t
f - wilding -'Con ereial
0 Permit #: 12- 100738 -00 -CO
`` L Inspection Request line: (253) 835 -3050
Project Name: GROUP HEALTH
Project Address: 301 S 320TH ST
Parcel Number: 172104 9105
Project Description: TI - Infrastructure and finish upgrades to support replacement of x -ray equipment. No
plumbing & mechanical.
Owner
AR12licanj
Contractor
Lehr
GROUP HEALTH COOP
TURNER CONSTRUCTION
TURNER CONSTRUCTION
GROUP HEALTH COOP
1959 NE PACIFIC ST
830 4TH AVE S
TURNECC2371)2 (2/7/13)
1959 NE PACIFIC ST
SEATTLE WA 98004
SEATTLE WA 98134
830 4TH AVE S
SEATTLE WA 98004
SEATTLE WA 98134
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1
#2
#3
#4
Occupancy Class:
Construction Type:
Occupancy Load
Floor Areas , ft.
252
0
1 0
1 0
Additional Permit Information
Existing Sprinkler System in Building? .................Yes Mechanical to be Included? ................................... No
Number of Stories ................... ..............................1 Permit for Building Shell Only? ............................ No
Plumbing to be Included? .......... .............................No New / Additional Sq. Feet - Total.......................... 0
Occupancy # 1 -Use ................ ............................... Clinic - Outpatient Zoning Designation ................................................ OP
No Fixtures Associated With This Permit 11
PERMIT�XPIRES Tuesday, September 4, 2012
P it Issued on Thursday, March 8, 2012
I hereby certify that the above ' formation is correct and that the construction on the above described property and
the occupancy and the us ill be in accordance with the laws, rules and regulations of the State of Washington
�^ and the City of Federal Way.
Owner or agent:
Date: 5— 8 -1 2
;;(r4ALk1> 4 /(011x.
cffv6' A�
Federal Way
THIS CARD IS TO MAIN ON -STFE . ,
Construction I ection Record -
INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 12- 100738 -00 -CO Address: 301 S 320TH ST
Project: GROUP HEALTH COOP 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.
Prior to scheduling a Framing inspection;
Footings/ Setback (4110)
Framing (4120)
Re -steel (4215)
Floor Sheathing (4105)
lab /Concrete Floor (4255)
0
Approved to place concrete
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Approved to place concrete or grout
Date '3w- . d--
Approved to place concrete
By
Date
By
Date
By
Date
Prior to scheduling a Framing inspection;
Underfloor Framing (4285)
Framing (4120)
0
Floor Sheathing (4105)
0
Fire/Draft Stops (4095)
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
Approved to sheath floor
Date '3w- . d--
By Date
Approved to install flooring
Suspended Ceiling Grid (4265) inal - Fire Department (4a
Approved to install mud & tape
Approved
By
Date
By Date
By
Date
By AV Date
By
Date
Prior to scheduling a Framing inspection;
Rough Electrical
Approved
Framing (4120)
Insulation (4150)
Electrical, Plumbing & Mechanical Rough -in and
Approved to insulate
Approved to install wallboard
Fire/Draft Stop inspections must be signed -off and
approved. IBC 109.3.4
By
Date '3w- . d--
By Date
Gypsum Wallboard Nailing (4130)
Suspended Ceiling Grid (4265) inal - Fire Department (4a
Approved to install mud & tape
Date
Approved to drop tile
Approved
By Date
By
Date
By AV Date
Final - Planning
Final - Building (4050)
Approved
Approved
By Date
By
Date y -6 -,17
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
ur ReCEwEV*PERMIT
'Federal Way p 1
COMMUNITY DEVELOPMENT SERVICES" EB + 2 p LI CAT I O N
253 - 835 -2607• FAX 253 - 835 -2609
www e `A' ^!'s �
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CDs
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M CO E PL DE EN FP
SITE ADDRESS
SUITE /UNIT #
301 South 320th Street, 98003
PROJECT VALUATION
ZONING
AS TAR /PARCEL # 172104-9105
$ $80, 000
//[�/ /�
C)
— — — — — — — — — —
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
(Tenant Name /Homeowner Last Name)
GHC FedWay Radiation Room Upgrades
infrastructure and finish upgrades to support
PROJECT DESCRIPTION
replacement of x -ray equipment
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM
Group Health Cooperative
PRIMARY PHONE
206 - 988 -7583
1959 ADDRESS St, Seattle, WA 98004
moorman.g @ghc.org
CITY
STATE
7
NAME
Turner Construction Company
PHONE
206 - 505 -6600
MAILING ADDRESS
E-MLAJL
830 4th Ave. South, '8 t o 400
CONTRACTOR
cSeattle
SW WA A
98134
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
TU- RN- EC- C237D2
0207 X13
19- 91- 101889 -BL
NGreg Meckling
206 786 -4307
APPLICANT
BLAMING ADDRESS
same as contractor
gmeckling @tcco . com
CITY
STATE
ZIP
FAX
PROJECT CONTACT
Nsame as applicant
PHONE
(The individual to receive and
BLAMING ADDRESS
E MAC
respond to all correspondence
concerning this application)
CITY
STATE
ZIP
FAX
ALTERNATE CONTACT NAME:
PHONE
E -MAIL
PROJECT FINANCING
NAME property owner
OWNER - FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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 irtformation 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
itlformation supplied to the city as a part of this application.
!
SIGNATURE: DATE
PRINT NAME: Gregory Meckling
Bulletin #100 — January 1, 2011 Page 1 of 3 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK $ zero (a copy of bid or estimate m e provided)
Indicate how many of each type offixture to be installed or relocated as part of this pr ' t. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS XGA E OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS (Cmmercial)
BOILERS FURNACES TER TANKS (Gas)
COMPRESSORS GAS LOG SETS ERATION SYST
DUCTING GAS PIPING TOVES
Indicate how many of each type of fixture to be>e9&lIed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower Combo)
S (Hand Sinks)
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utility)
WATER HEATERS (hiect io
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL?FIXTURES
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
.... ....... ....... .... ... ..... ..... .... ...... ...... ...... ..... ....
....._............. ....................__...._.._.
FIRST FLOOR (or Mobile Home)
COVERED ENTRY
EXISTING I PROPOSED I TOTAL
E
AREA DESCRIPTION in Square Feet Occupancy Group(s)
Construction # of Additional Information
Tvue Stories
ADDITION
Ml
Mt7 ON,
OMMIERCIA
_z
Area Construction # of Additional Information
AREA DESCRDPTION in Sauare Feet Occupancy Group(s) Type Stories
TENANT AREA ONLY
Bulletin #100 -January 1, 2011 Page 2 of 3 k:\IIandouts\Permit Application