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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