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14-106380City of Federal Way Community & Econ. Dev. Services 33325 8th Ave S Federal Way, WA 98003 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Project Name: GROUP HEALTH Project Address: 301 S 320TH ST Project Description: Replace approzi>o )UP HEALTH MIN� WA' Is this an Ojilkwior O.T.C. application? .... I .......... : Ducting.. 1 eb certi t o upa y Owner r agent: .......a .................. 100 PERMIT E) Permit Issue information is ,ill be in accorc 0-.WM!4 Mechanical Permit #: 14- 106380 -00 -ME FiLE Inspection Request Line: (253) 835-3050 SIT A WA ! R S 4Dmber 11 2 5 6,2014 rrect a on the ce with the laws, rules and regulatio9 the City of Federal Way. w 1) !! )k[(p Parcel : 172104 9105 tea' Contractor .CDONALD MILLER FAC SOL INC (GENERAL) MACDOF U (113115) O AVE SW 1 SE E V& 98106 Jteribed property and o of Washington rZ /i v It DATE INSPECTOR AREAANDTYPE INSPECTION `mot ! �1 P D t 1 c r t ► G r d c-c . I i, 14 re- ra << o L 2- .26 -IS PAV G-rIj Ce jortS� O 3 -OR u -1 S -., Fu t E,2I Grid o THIS CARD IS TO rTS:�((2543) ON -SITE ��TM °F Construction In n Record Federal Way INSPECTION REQ 835 -3050 PERMIT #: 14- 106380 -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) Gas Piping (4125) Final Electrical Approved Final - Mechanical (4065) rzwr�FYl�f ' d By Approved to release test Approved By Date By Date By Date Rough Electrical Approved Final Electrical Approved Right of Way Approved By Date By Date By Date cIrr of PERMIT*IPPLICATION Federal Way RBCEMD PERMIT NUMBER ( 4 _ � � � 3 0 _ � � DEC 15 2014 _ TARGET DATE CITY OF FEDERAL WAY SITE ADDRESS BUITE /Er3 301 S 320TH ST FEDERAL WAY, WA 98003 PROJECT VALUATION ZONING ASSESSOR'S TAR /PARCEL Y $ 70,000.00 OP 1 7 2 1 0 4- 9 1 0 5 TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING IA MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION NAME OF PROJECT GROUP HEALTH CLINIC - FEDERAL WAY REPLACE APPROX. (100) EXISITNG DIFFUSERS WITH NEW PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME GROUP HEALTH PRDSARYPHONE PROPERTY OWNER MAILING ADDRESS 301 S 320TH ST IC-NAM CITY FEDERAL WAY I wA z>p 98003 NAME MACDONALD MILLER FAC SOL PHONE (206) 768 -4278 MAILING ADDRESS 7717 DETROIT AVE SW EMAIL CONTRACTOR olTr ZIP FAx (206) 768 -4279 SEATTLE WA 98106 WA STATE CONTRACTOR'S LICENSE • EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE # MACDOMF972BF 01 / 03 /2015 NAME DARLA DOLL PRDSARY PBONE (206) 768 -4278 APPLICANT WAILING ADDRESS 7717 DETROIT AVE SW E-MAu darla.doll@macmiller.com_I CITY SEATTLE BWq ZIP 98106 FAX (206) 768 -4279 NAME PRIMARY PRONE PROJECT CONTACT DARLA DOLL 206 768 -4278 MAILING ADDRESS 7717 DETROIT AVE SW E-MAIL darla.doll @macmiller.com (The individual to receive and respond to all correspondence CITY SEATTLE STATE WA ZIP 98106 FAX (206) 768 -4279 concerning this application) PROJECT FINANCING NAME N/A OWNER - FINANCED Required value of $5,000 or more MAEUNG ADDRESS, CITY, STATE, ZIP PHONE (RCW 19.27.095) I cert(N under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best of my knowledge, the Wormation submitted in support of this permit application is true and correct. I cert(}y that I will comply with all applicable City of Federal Way regulations pertaining to the work authorised 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 information supplied to the city as a part of this application. SIGNATURE: DATE 12/15/2014 ILA��L PRINT NAME: Bulletin #100 — January 1, 2013 Page 1 of 3 k:\IIandouts\Permit Application VALUE OF PLUMBING WORK PLUMBING PERMIT CRITICAL AREAS OR PROPERTY? WATER PURVEYOR VALUE OF MECHANICAL WORK MECHANICAL PERMIT Indicate how many of each type o vcture to be installed or relocated as 70,000.00 Indicate how many of each type offtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS FANS GAS PIPE OUTLETS 100 OTHER (Describe) AIR CONDITIONER FIREPLACE INSERTS HOODS (commercisl) DIFFUSERS BOILERS FURNACES HOT WATER TANKS (G-) SINKS (Kitchen /utility) COMPRESSORS GAS LOG SETS REFRIGERATION SYST SUMPS DUCTING GAS PIPING WOODSTOVES ��w i� �, a d d iI a 1 p diI VALUE OF PLUMBING WORK PLUMBING PERMIT CRITICAL AREAS OR PROPERTY? WATER PURVEYOR Is VALUE OF EXISTING DIPROVEDIENTS Indicate how many of each type o vcture to be installed or relocated as part of this project. Do not include existing Uctures to remain. BATHTUBS (or Tub /shower Combo) LAVS (H— dSinka) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER (Describe) DRAINS SHOWERS VACUUM BREAKERS ......................... ............. DRINKING FOUNTAINS SINKS (Kitchen /utility) WATER HEATERS (nectric) Additional Information HOSE BIBBS SUMPS WASHING MACHINES TOTAL FDPPURES GENERAL INFORMATION CRITICAL AREAS OR PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING DIPROVEDIENTS FOR OFFICE USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ............. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ . .................. Mina )�iw n oir w r' mix EXISTINo /PREVIOUS USE LOT SIZE (In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? f a��° x ❑ Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ......... ............. .... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ............ . .................. Mina )�iw n oir w r' mix s !,3i a hyt d�� 3 ti0�� @. ''u`�> -ill -m dp lllrf�mU lL r 'i f a��° x .................. ............................................ ..... ... y .3.m COMMERCIAL — REMODEL/TENANT IMPROVEMENTS ......................... ............. FIRST FLOOR (or Mobile Home) Construction # of Additional Information in Square Feet a Stories ��w i� �, a d d iI a 1 p diI _. z t ". wawih(iEa E �y�ht v,� fi III" " .h Il ( ,x nxiil Iw b .aliity COVERED ENTRY .................................. ...._...._ .... _ ........ ---.......................................... .................__._........,_ — ___............ 9�dy�G11� _ _. , yN dL '#��°sy �., , h I r (�� ' $ h k, 101 _ 1j a GARAGE ❑ CARPORT ❑ ......................_...... _ ......................................................................................................................... _._ ... .._....... __....... h ' 10 wrr � ''. per`. O ........... ......................... ...... L7[ICrRfO PROPOSED TOTAL Area Totals FSTIMATED SELLING PRICE $ # OF BEDROOMS COMMERCIAL — NEW /ADDITION Area DESCRIPTION Occupancy Group(s) Construction # of Additional Information in AREA Square Feet Type Stories 77777,77 w c+' iihi��D�i�Y4 ��DT" !,3i a hyt d�� 3 ti0�� @. ''u`�> -ill "( =rr�.a Wi°' .,� t€ ADDITION COMMERCIAL — REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information in Square Feet a Stories ��w i� �, a d d iI a 1 p diI - 1 )i4 t ". - ,^ - , wawih(iEa E �y�ht v,� fi III" " .h Il ( ,x nxiil Iw b .aliity rr�, TENANT AREA ONLY k, 101 $ 1j a Bulletin #100 –January 1, 2013 Page 2 of 3 k:UIandouts\Permit Application