93-100039 cl3 . 100027
CITY OF
33530 First Way South MECHANICAL PERMIT PER ISSUED: 1138
1/29/93
Federal Way, WA 98003 Building Inspection Requests 661-4140 BY: FC
661-4000 EXPIRES: 05/28/94
ADDRESS:301 S 320TH ST
NO_ : 172104-9105
PROJECT DESCRIPTION:HYAC
OWNERfiF
— CONTRACTOR -- LENDER
GROUP HEALTH COOPERATIVE OF PS xx*ONNER IS CONTRACTOR***
301 S 320TH ST
FEDERAL NAY NA 98003
448-2479
NONE
FUEL TYPES.:? ? FANS • 0 BOILERS/COMPRESSORS FEES:
GAS PIPING.: 0 ft HOOD • 0 0-3 HP • 0 PLAN CHECK DEPOSIT.* $ 30.00
FURN(100K..: 0 DUCT WORK • 0 3-15 HP • 0 MEC PRMT ISSUANCE... $ 20.00
GAS HUT - 0 HOOD STOVES...: 0 15-30 HP • 0 NEC APPLIANCE FEES.* $ 6.50
CONY BURNER: 0 FURN>100K • 0 30-50 HP • 0
BBQ • 0 MISC . 0 5+ HP • 0
GAS DRYER..: 0 AIR HANDLING UNITS FUEL TANKS
RANGE • 0 <=10,000 CFM: 0 ABOVE GROUND: 0
GAS LOGS...: 0 > 10,000 CFM: 0 UNDERGROUND.: 0
TOTAL FEES $ 56.50
lies the water supply system contain a Pressure Reduction Device or Check valve? () Yes () No (If 'Yes' then water expansion tank is required on Hot Mater Tank)
Inspection Record Mater Line OK Mechanical Inspection Notes:
GAS PIPING OK Date By
PERMITS EXPIRE 180 DAYS AF ER ISSUANCE IF NO WORK IS STARTED. RESIDENTIAL AND GRADING PERMITS EXPIRE ONE YEAR AFTER DATE OF ISSUANCE.
I CERTIFY THAT THE INfOWATION FURNIS BY ME IS TR AND CORRECT TO THE BEST OF MY KNOWLEDGE AND THE APPLICABLE ITY OF,fERERAL WAY REQUIREMENTS WILL BE MET.
OWNER OR AGENT _�_• /:v17
ZVI �I DATE
FILE COPY
City of Federal Way
NIV Pi APPLICATION FOR BUILDING PERMIT
PLEASE PRINT APPLICATION #:r"' ')"a /4 - i'
LSnE LOCATION Address 30 / .56 '�d 7t! F era)iJ toQui ujf?, (9rdC23
Tenant (ii known) �j�/V Lot # Ass7o4/�ERL-1 off'$b 7 n
) �,'`f l�L ijt) () `
Buildi Owner Name Address (� `7
P EAL.
-734
City FED k.[ W/+ State tuft, Zip Cf GHQe (Phone ,'7tL-7eQ0
Nature of Work I4-606_ — /l/ / £z.-P C 7 Z'UC r Off,•
APP•
LICANT
Name (F,M,L)
Cs, b U P if U Lief FED,E lf_.LL. LI)&V c u l C�
Address 36 / 3 a a uz�/' ' �T
City r _/ 'erA l IV cui State W Zip cip0t3
Co tact Person Day Phone Other Phone Fa
�O rfa KO �Sl-/9�',b �iS/-/9�5 Fal( / 7 7
........ .................. .
.................... ........ .
BUII,DlNG CONTRACTOR<
Company Name
Address
City State Zip
Contact Person Phone Fax
Contractor's #(card must be presented) Expiration Date Verified 0 Yes 0 No
CHITECT .
Name n/�
/0/7
Address
City State Zip
Contact Person Phone Fax
LEGAL DESCRIPTION
si7 e "7"7-77--e-hee-7-9 el°,79 "—
Please Complete Reverse Side
CD0492(Rev 4/93)
STRUCTURE I /sting Use 1-'roposedv Use t
Permit includes: a Building ❑ Plumbing , i\echanical ❑ Other
Type of Work: ❑ Residential ❑ New ❑ Remodel ❑ Number of Units Cl Deck
. 0 Commercial ❑ Addition ❑ Garage ❑ Shed ❑ Other
Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft
Area Basement sq ft Decks -_sq ft Garage sq ft Proposed Total Area sq ft
Water Availability ❑ Sewer Availability ❑ On-Site Septic System Availability ❑ Project Valuation ,$
Zoning Lot Size > Exist>l g Bldg:Valuation :$
.......................... .............................................................
............... ......................................................................
........................................................................................
........................................................................................
LENDE ..
Name /0//-
ame ^ 1//y Address
City State Zip
...........................................................................................
...........................................................................................
...........................................................................................
...........................................................................................
..........:::.......................:......................................................
...........................................................................................
...........................................................................................
Contractor Name Address
L ek bP t/Efi�`r-4-/ Nvfte, 5 i c� 21 is /e6
City / / State /6 ft Zip `- Uc.J`-'1
ContactPhone Fax
/U� rtJ 57-/Ci(6 ,Is/-1977
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING CONTRACTOR
Contractor Name Address
City /-°/r State Zip
Contact Phone Fax
License # Expiration Date Verified ❑ Yes ❑ No
PLUMBING FIXTURE COUNT /1Jl f
IWater Closets Sinks Urinals Lawn Sprinklers
Bathtubs Dish Washers Drinking Fountains Other
Showers Water Heaters Sumps
Lavatories WashingMachine DrainsCaii >: ` > i*
:......................
MECHANICAL;;'UNIT COUNT
Fuel Type (electric/other) Gas Dryer Air Handling < = 10,000 CFM 15-30 Tons
Length of Gas Piping Range Air Handling > = 10,000 CFM 30-50 Tons
Furn <100K BTUs Gas Log Unit Heater 50+ Tons
Furn >100 BTUs Fans Miscellaneous Fuel Tanks
Gas Hwt Hood Boilers Above Ground
Cony Burner Duct Work 0-3 Tons Underground
BBQ's Wood Stoves 3-15 Tons Total Unit Count
DISCLAIMER: I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge and further that I am authorized by the owner
of the above premises to perform the work for which permit application is made.I further agree to save harmless the City of Federal Way as to any claim(including costs,expenses,
and attorneys'fees incurred in investigation and defense of such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,
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.
Owner/Agent: /%7-°' w/a-,i ,'S Date: /! // Z/53
WI; __ .
•
GROUP mum raviRAnye
PROPERTY INFQRMAT_fQM (e
must is,two k
MAIL CODE:
FED
FAQJLJTY Q WI NU BER: / !
FED»1 F,FED-1 FShale
Federal Way Medical Canter '
Lt,CATI N:
301 South 320th Street
Federal Way, WA 95003
ILSE:
Medical Offices
DE IPTIC :
Large L-shaped lot-12755c986 w/ 805237
access corridor
One story with part basement
8OU6pE FO IAGC: ¢�
59,
LEGAI,�ESCRIETION:
THE SOUTH MC FEET OF THE NORTH 390 FEET, AS
MEASURED PERPENDICULAR TO THE NORTH UNE, OF
THE NEI/4 OF THE WW1/4 OP THE NW1 4 OF SECTION
17, r2 N, 194E, W.M., IN KING COUNTY, ASH-
INt3TON, AND THE SOUTH 540 FT. OF THE N. 590
FT. AS MEASURED PERPENDICULAR TO THE NORTH
LINE, OF THE E1/2 OF THE NW1/4 OF SAID NW1/4
OF NW1/4 OF SECTION 17.
PRQPi8TY TAX NUMIER:
1721 G 10531
_OWNER:
Group Health
ZONING:
Current: P.U.D (RM-900) and S-R (Suburban residence)
Applicable permitted uses: P,U.D. grants
medical offices.
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waaL- . T C: CB
33 I AW3 3 2 .L. I Z I tf 3 f^i : 3 r, ce L T —CT