12-101064City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
� FILE
Project Name: GROUP HEALTH
Project Address: 301 S 320TH ST
Mecliai icai
Permit #: 12- 101064 -00 -ME
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9105
Project Description: Removelreplace (1) diffuser and (1) return air grille for associated tenant improvement
work
Owner
Applican
Contractor
GROUP HEALTH COOP
MCKINSTRY CO LLC (GENERAL)
MCKINSTRY CO LLC (GENERAL)
1959 NE PACIFIC ST
PO BOX 24567
MCKINCL942DW (3/16/12)
SEATTLE WA 98004
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
Additional Permit Information
Mechanical Valuation ................... .........................750.00 Is this an Online or O.T.C. application? ................. Yes
Mechanical Fixtures
Ducting............ ............................... 2
PERMIT EXPIRES Tuesday, September 4, 2012
Permit Issued on Thursday, March 8, 2012
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 Washington
Owner or agent: See APIA8tYgfiF� rl Way. Date: Sea Application
MAR 0 a 2012
,3/,rt/tz
MOO 8 2012
i
CITY OF Y
Federal Way
PERMIT #:
THIS CARD IS TO MAIN ON -SITE
® Construction I ection Record
INSPECTION REQUE TS: (253) 835 -3050
12- 101064 -00 -ME
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.
Mechanical Rough -in (4165)
El
Gas Piping (4125)
Final Electrical
Approved
Final - Mechanical (4065)
n
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
Date 5 _ 4
Rough Electrical
Approved
Final Electrical
Approved
n
Right of Way
Approved
By
Date
By
Date
By
Date
MAR -07 -2812 15:29 From:MCKINSTR*RCHASING 206 7641627
Federal Way
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PERMIT
APPLICATION
To:2532352609 P.2 /4
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KE&IVED
MARI 0 8 2,2
6ITlt"DRES8 CITY OF MMAL WAY
PROJECT VALUATION
$ ,_� 150.00
ZONING
0;7-'
Ay$1C$$OA'9 TAX /P"CIM M
7 ? _L l 05
TYPE OF PERMIT
Q BUIJ.DING ❑ PLUMBING MECHANICAL
C3 DEMOLITION Q ENGINEERING ❑ FIRE PREVENTION
NAB OF PROJECT
ITcrlu n r Nu me /Fiurru.+ou�nrlr L.c>s t Nnnle)
PROJECT DESCRIPTION
Delailcef descrlpUnn 41 ivork t0
p�
L-
be Included nil tills porl)rlt only
PROPERTY OWNER
N.ttrllt
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MAILING ADDR68BG �f� you
2-MAIL
CITY
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ZIP
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CONTRACTOR
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mwinATION DATR
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NAME �� � ,✓�� � )1 -
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PHON[y,
APPLICANT
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PROJECT CONTACT
NAaIU
PHONn;
Mia irldiu(clunl ro rccell.W:' and
� �
I
MAILING ADD ago$
It,INAIL
respond
d 10 Oil CUrTes�iurcdtnL'e
corxcrrltrrq this application)
CITY
STATZ
ZIP
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CONTACT N 6r
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PHOND
4,M
BALAIL
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PROJECT FINANCING
NAME NAr
OWNlSR•FINANCET)
RegL'i%ld vrelru; rl/'s5.000 nr r)irrrc
MAILINGADDRDBB, CITY, BTATZ. ZIP
PHONE
(RCW.10,27005)
I certify under penalty q/'perjary that I am Cho property owner or authorized agent of the property owner. I certify that to the best
of my knowledge, the lrifarmation submitted In support of this permit application is true and correct, I cerft that I will comply with
all applicabie City gfFederal Way rogulations pertaining to the work authorlsod by the issuance of a parmlt, I understand that the
lasuanea of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I furthar agrsa to hold harmless the City of Federal Way as to any claim ( Including costs, aYpenaas. and Attorneys' fees Incurred in
the Investigation and dgfense of such claim), which may be mada by any parson, Including the undarsignad, and filad against the city,
but only where such aialm arises out of the reliance of the city. Including its q}rioers and employees, upon the accuracy 4f the
inf irmation supplied to I I a part of this pflleati
SIGNATURE:
PRINT NAME:
15u11011 +41110- .144rlullry 1,21).11 110p 1 00 k.ftndoiut0crmitApplication
con
I'm
r-1AR-07-2012 15:29 Froni:rlCKINSTRY PURCHASING 206 7641687
•
To:2538352609 P.3/4
•
bldtftdc how many qj'o.,aeh Wee tvatro lo be installed or relocatod as part q/'rh.(q prg)ect, Do riot inclucia existingkxturcs to renialn.
BNrHTUBS I-AVS 1:;INNO
DISKWASI 11;RS RAINWATMIq SY.Vr1tMS URINAL ti OTMER IDLocribel
DItAINS $Nowlrns VACUUM 1311MAJUMS
DRINKING FOUYI-AINS SINKS ji(lial..,quililly, — WXMI'R HEATERS (momiu)
H05t: Molili y1)mll9 — W&9HING MACHINILLS TOTAL FIXTURUS
MECHANICAL.
FIXTURES
sZWMR PURVEYOR.
VALUE OF MECHANICAL WORK 5b'
wsf
bid orcatirriaic IrkLESt bexrouldeco
FOR OFFICE USE
InciLI(Ve hOLv man g q1'nirh We o (.Jlvfti.ry
to tic instei tied or raloco ted. a-senrt qffhls jwqjort, Do riot JrjCftiCjc r_ViSfjriqj'beh.LreS
to rernaly'k.
AIR HAN01,1NG UNITS
1"ANS
GAS PIN,;
vmtea wmxib")
AIR CONDITIONER
FIREPLACE INSERTS
MOODS
r1r-U51;7Q-
1.101 TX,R
FURNACES
1'10r1'WK1'1tKTANKS (04.1
'kf
COM1,11(e8SORS
GAS 1,00 36,TS
REIMIGICIIATION SYST
6:5 M
DUCTING
(]AS PIPING
WOODS1,0VES
bldtftdc how many qj'o.,aeh Wee tvatro lo be installed or relocatod as part q/'rh.(q prg)ect, Do riot inclucia existingkxturcs to renialn.
BNrHTUBS I-AVS 1:;INNO
DISKWASI 11;RS RAINWATMIq SY.Vr1tMS URINAL ti OTMER IDLocribel
DItAINS $Nowlrns VACUUM 1311MAJUMS
DRINKING FOUYI-AINS SINKS ji(lial..,quililly, — WXMI'R HEATERS (momiu)
H05t: Molili y1)mll9 — W&9HING MACHINILLS TOTAL FIXTURUS
Ric, s. .NTIA
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
sZWMR PURVEYOR.
VALTIC OF MXIDTING IA4PRQVCMML4TD
TOTAL
FOR OFFICE USE
Nipw atyll.Wpio
11WIPTINCl/PHIMIOUS U19C
LOT 8121; (in 6qt4ArQ VO4t1
'mmaTiNo FrRz OPIUNKI,CR BYSTEM?
PROP011013 FIRR 51111PRI165ION 0YOUN7
ADDITION
o Yes Q No
o Yes o No
Ric, s. .NTIA
N.i,.iw mi ADIMION
AREA DESCRIPTION (in square fact)
EXISTING
PROPOSSI)
TOTAL
FOR OFFICE USE
Nipw atyll.Wpio
FIRST FLOOR (or Mobile Horne)
ADDITION
4r,QONQ FLOOR
Comwnw Imp .1 li.'NIS
T 110v �m
AREA DESCRIPTION
Area
In Ovare Feet
COVERED ENTRY
Construction
TYRO
# of
$toriax
Additional Information
BUILDINQ
DECT?
. ...........
OARAGC C) CARPORT 0
. ...... . ......
OTHER Wasvr(be)
Area Totals
I LTSTIMATLrO S1:1-1,ING PRICCZ
#OF BEDROOMS— j
X)NI M ERCIA 11 — Nc, W/A 001'1 ION'
AREA DESCRIPTION
Area
—12 -Square Feet
Occupancy Group(dkl
Construction
DTO
0 of
Stories
Additional Information
Nipw atyll.Wpio
ADDITION
Comwnw Imp .1 li.'NIS
T 110v �m
AREA DESCRIPTION
Area
In Ovare Feet
Occupe-noy Group(o)
Construction
TYRO
# of
$toriax
Additional Information
BUILDINQ
TENANT ARTLA ONLY
BLI[Ictin #100 - January 1. 2o i i
Page 2 of 3
kAHawlotils \Permit Application