15-102018_.. %_%
0
City of Federal Way
12501 E MARGINAL WAY S
Community & Econ. Dev. Services
MCKINCL942DW (3/16/16)
33325 8th Ave S
SEATTLE WA 98124
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
SEATTLE WA 98124
Project Name: GROUP HEALTH CLINIC
Project Address: 301 S 320TH ST
.7
11 ic— anical
Permit #: 15- 102018 -00 -ME
Inspection Request Line: (253) 835 -3050
Project Description: Replacing an existing gas fired boiler and associated pump.
Parcel Number. 172104 9105
Owner
GROUP HEALTH COOP
ARRycaet
MCKINSTRY CO LLC (GENERAL)
Contractor
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 Sunday, November 1, 2015
Permit Issued on Tuesday, May 5, 2015
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
and the City of Federal Way.
Owner or agent: l�-✓n+G�+ Date:
TS CARD IS TO MA
THIS IN ON -SITE
Federal Wa Construction In tion Record
y INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 15- 102018 -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.
0
Mechanical Rough -in (4165)
Gas Piping (4125)
0
Final - Mechanical (4065)
Approved
By
Approved to release test
Approved
By
Date
By
Date
By
PA.L� Date ID _ 8 _ (S�-
7_30 -15-- Pqt - N., 4,cce ".s - s-6c AK'l ;-.-( ` -�/' 'qdd J4C*�4j hof fir
Rough Electrical
Approved
R
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
10 .
`rrfOF APR 7 2015 PERM I'10APPLICATION
Federal Way 2
CITY OF FEDERAL WAY CDS
PERMIT NUMBER _ / JJ ss / �,_
v F��� V 0
TARGET DATE
SITE ADDRESS
SUITE /UNIT #
301 S 320th St.
PROJECT VALUATION
ZONING
ASSESSOR'S TAX /PARCEL #
$ 70, 000
1 7 2 1 0 4_ 9 1 0 5
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING Cf MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Group Health Federal Way Boiler
PROJECT DESCRIPTION
Replace existing gas fired boiler
Detailed description of work to
be included on this permit only
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
Tukwila
WA
PIP
98168
NAME
PHONE
MCKinstry Co LLC
206.762.3311
MAILING ADDRESS
E -MAIL
5005 3rd Ave S
permits @mckinstry.
CONTRACTOR
CITY
Seattle
STATE
W
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
W
'
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
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 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 fled 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 t;the ' as apart of this application.
rn r
(y , I ' C 04/27/2015
SIGNATURE: l� DATE
PRINTNAM Jim Thomas w/ MCKinstry O LLC
MA
Bulletin #100 - January 1, 2013 Page 1 of 3 k: flandouts\Permit Application
COAL
:�Oih I
.o1v\ I
s•
MECHANICAL PERMIT
Indicate how many of each typ t
AIR HANDLING UNITS
AIR CONDITIONER
Z BOILERS
COMPRESSORS
Z DUCTING
fixture to be installed or rel
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
GAS PIPING
VALUE OF MECHANICAL WORK
$ 5f 7U, 4y
as part of 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
VALUE OF PLUMBING WORK
PLUMBING PERMIT
EXISTING /PREVIOUS USE
LOT SIZE (In Square Feet)
$
Indicate how many of each type offixture
to be installed or relocated as
part of this project. Do not include existin 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 (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\Pem--ut Application