16-104311 0° i' Mechanical
Way
Community ty&Econ.ty of Federalev.Services Permit #: 16-104311-00-ME
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: Replace and Install(1)new 125-ton water cooled chiller w/2 turbo core variable speed
compressors.Install(1)new R134A sensor for detection system.Install new refrigerant
relief line and install new water piping.
Owner Applicant Contractor
GROUP HEALTH COOP JOYCE M COPLEY MACDONALD MILLER FAC SOL INC
12501 E MARGINAL WAY S MACDONALD MILLER FACILITY (GENERAL)
TUKWILA WA 98168 SOLUTIONS MACDOFS980RU(1/3/17)
PO BOX 47983 7717 DETROIT AVE SW
SEATTLE WA 98146 SEATTLE WA 98106
Additional Permit Information
Mechanical Work Valuation? 219140 Is this an Online or O.T.C.application No
Mechanical Fixtures
Compressors/Heat Pumps 2 Refrigeration Systems 1
PERMIT EXPIRES Monday, March 20, 2017
Permit Issued on Wednesday, September 21, 2016
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
I,, nd the City of Federal Way. (� �1
Owner or agent: L� 1 Date: "1,b`1" 1
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THIS CARD IS TO REMAIN ON-SITE '
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Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-104311-00-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-i (4165) D Gas Piping(4125) - El Final-Mechanical(4065)
Approved P r Approved to release test Approved
By Date By Date By 4 Ai Date
0 Rough Electrical El Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
.44kfi s PERMIl.APPLICATION
PERMIT CENTER+33325 8th Avenue South + Federal Way,WA 98003-6325
Federal 2.°b 253-835-2607+ FAX 253-835-2609 + permitcenteri5)cityoffederalway.com
ICIleq . I I
PERMIT NUMBER c M
TARGET DATE
SITE ADDRESS SUITE/UNIT#
301 South 320th ST; Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 219, 140 1205 1 7 2 1 0 4 _ 9 1 0 5
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING n<MEGHANICAL 0 DEMOLITION ❑ ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT GH-Federal Way-Chiller Replacement
Install (1) New 125-ton water cooled chiller w/2 turbo
PROJECT DESCRIPTION
Detailed description of work to core variable speed compressors to replace chiller .
be included on this permit only Install (1) New R-134A Sensor for detection system. Install
New Refrigerant relief line; Install New Water Piping
NAME PRIMARY PHONE
GROUP HEALTH CLINIC N/A
PROPERTY OWNER MAILING ADDRESS E-MAIL N/A
301 S 320TH ST 98003
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
MacDonald Miller Fac/Sol 206-407-2614
MAILING ADDRESS E-MAIL
CONTRACTOR 7717 Detroit Ave SW Joyce.Copley@macmiller.com
CITY STATE ZIP FAX
Seattle WA 98106 206-768-4279
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
MACDOFS98RU 1 / 03/ 17 20-03-100372-00-BL
NAME PRIMARY PHONE
Joyce Copley 206-407-2614
APPLICANT MAILING ADDRESS E-MAIL
7717 Detroit Ave SW Joyce.Copley@macmiller.com
CITY STATE ZIP FAX
Seattle WA 98106
NAME PRIMARY PHONE
PROJECT CONTACT Tyler Van Dooren 206-768-3890
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
7717 Detroit Ave SW tyler.vandooren@macmiller.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98106
NAME
PROJECT FINANCING 0 OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 19 27.095)
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 filed against the city,
but only w - - suc laim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
informati. supplied t. the city as a part of this app a ion.
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SIGNATURE: � / dp
DATE 08/30/2016
PRINT NAM'011§ . — e
Bulletin#100—January 29,2016 Page 1 o k:\I-Iandouts\Permit Application
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VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial(
p BOILERS FURNACES HOT WATER TANKS(Gas(
‘.21,�t COMPRESSORS GAS LOG SETS 1 REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT
$
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing 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(Eletric(
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
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe) 1. ,
Area Totals EXISTING PROPOSED TOTAL
**NEW',HOMES ONLY** ', ' .
ESTIMATED SELLING PRICE$ # OF BEDROOMS
CO\I IERCIAI.—NEW/ADDI'T'ION
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING' c' e +'
TENANT AREA ONLY
''1.'€ " h) l 1 a� yo-' api
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PROJECT AREA ONLY
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application