14-105829I
Nrechanical
City & Federal Way Permit #: 14- 105829 -00 -M E
Community 8 Eton. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 fax: (253) 835 -2609 Inspection Request Line: (253) 835 -3050
Project Name: GROUP HEALTH CLINIC
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: Adding boiler and associated pump.
Owner
ARplicant
Contractor
GROUP HEALTH COOP
MCKINSTRY CO LLC (GENERAL)
MCKINSTRY CO LLC (GENERAL)
12501 E MARGINAL WAY S
PO BOX 24567
MCKINCL942DW (3/16/16)
TUKWILA WA 98168
SEATTLE WA 98124
PO BOX 24567
SEATTLE WA 98124
Additional Permit Information
Is this an Online or O.T.C. application ? .................No
Mechanical Fixtures
Boilers............. ............................... 1 Ducting............ ............................... 1 Gas Piping....... ............................... 1
PERMIT EXPIRES Tuesday, May 12, 2015
Permit Issued on Thursday, November 13, 2014
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 in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
THIS CARD IS TO ON -SITE
CITY Construction In ection Record
Federal Way INSPECTION REQ TS: (253) 835 -3050
PERMIT #: 14- 105829 -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)
0 Gas Piping (4125)
Final - Mechanical (4065)
Approved
Approved to release test
Approved
By Date , 2
By Date
By ' At— Date I ®° ' IS'
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY or.
Federal Way
IV PERMIT NUMBER 14 _ — —
� PEAPPLICATION
NOV 0 7 2014
FEDERAL WAY
CDS TARGET DATE
SITE ADDRESS
SUITE /UNIT #
301 S 320th St.
PROJECT VALUATION
ZONING
ASSESSOR'S TAR /PARCEL #
$ 108,167
1 7 2 1 0 4_
9 1 0 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ff MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Group Health Federal Way Boiler
PROJECT DESCRIPTION
Adding a boiler and associated pump.
The current
Detailed description of work to
boiler is oversized for most conditions and often
be included on this permit only
cycles continuously.
NAME
PRIMARY PHONE
PROPERTY OWNER
Group Health Cooperative
206.255.7653
MAILING ADDRESS
E -MAIL
12501 E Marginal Way S ASB -1
carter.df @ghc.org
CITY
STATE
ZIP
Tukwila
WA
98168
NAME
McKinstry Co LLC
PHONE
206.762.3311
MAILING ADDRESS
E-MAIL
5005 3rd Ave S
permits @mckinstry.
CONTRACTOR
CITY
Seattle
STATE
WA
ZIP
98134
FAX
206.762.2624
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
MCKINCL942DW
03/ 16/ 16
19 -60- 000003 -00 -BL
NAME
PRIMARY PHONE
McKinstry Co LLC
206.762.3311
APPLICANT
MAILING ADDRESS
5005 3rd Ave S
E -MAIL
permits @mckinstry.
CITY
Seattle
STATE
W
ZIP
98134
FAX
206.762.2624
NAME
PRIMARY PHONE
PROJECT CONTACT
Jim Thomas w/ McKinstry Co LLC
206.763.4819
MAILING ADDRESS
5005 3rd Ave S
E -MAIL
permits @mckinstry.
(The individual to receive and
respond to all correspondence
CITY
Seattle
STATE
WA
ZIP
98134
FAX
206.762.2624
concerning this application)
PROJECT FINANCING
NAME Group Health Cooperative
[2f OWNER - FINANCED
Required value of $5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW19.27.095)
12501 E Marginal Way S; Tukwila WA 981
8 206. 255. 7653
1 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 information 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 aril
out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supp ' to the cit
a part of this application
SIGNATURE:
DATE
11/07/2016
PRINT Jim Thomas w/ McKinstry Co LLC
Bulletin #100 — January 1, 2013 Page 1 of 3 k:\Handouts\Perniit Application
cofA 1
: or1
=oM
" MECHANICAL PERMIT
Indicate how many of each typ e
+' AIR HANDLING UNITS
AIR CONDITIONER
1 BOILERS
COMPRESSORS
1 DUCTING
'fixture to be installed or relocated as
FANS _
FIREPLACE INSERTS _
FURNACES _
GAS LOG SETS _
T GAS PIPING
VALUE OF MECHANICAL WORK
108, 167
F this project. Do not include existing fixtures to remain.
GAS PIPE OUTLETS OTHER (Describe)
HOODS (commercial(
HOT WATER TANKS (Gas)
REFRIGERATION SYST
WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Pernut Application
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub /Shower combo(
LAVS (bland Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen /Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑ Yes ❑ No ❑ Yes ❑ No
Bulletin #100 — January 1, 2013 Page 2 of 3 k:\Handouts\Pernut Application