23-100397-Application-02.02.2341k
CITY OF
Federal Way
PERMIT NUMBER _
PERMIT APPLICATION
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@cityoffederalway.com
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
34515 9TH AVE S, FEDERAL WAY, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 211,000
7 5 0 4 5 1- 0 0 2 0
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
St Francis Hospital - Family Birthing Center Enabling Scope
RENOVATION SCOPE INCLUDES RELOCATING PATIENT
PROJECT DESCRIPTION
Detailed description of work to
REGISTRATION SERVICES ON LEVEL 01. LEVEL G SCOPE
INCLUDES MINOR MODIFICATIONS TO ADMINISTRATIVE OFFICES
be included on this permit only
AND RELOCATING THE WAITING AREA FOR RADIATION ONCOLOGY.
NAME
PRIMARY PHONE
VIRGINIA MASON FRANCISCAN HEALTH / ST. FRANCIS HOSPITAL
253.273.9040
PROPERTY OWNER
MAILING ADDRESS
34515 9th Avenue South
E-MAIL
ronald.goodnough@commonspirit.org
CITY
STATE
ZIP
Federal Way
WA
98401-2197
NAME
ANTHONY SPINELLI, SELLEN CONSTRUCTION
PHONE
206.682.7770
MAILING ADDRESS
E-MAIL
CONTRACTOR
227 Westlake Ave N
anthonys@sellen.com
CITY
STATE
ZIP
FAX
SEATTLE
WA
98109
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
SELLEC*372N0
578006698
NAME
RONALD GOODNOUGH, COMMON SPIRIT
PRIMARY PHONE
253.273.9040
APPLICANT
MAILING ADDRESS
01-18 1623 MARTIN LUTHER KING JR. WAY
E-MAIL
ronald.goodnough@commonspirit.org
CITY
STATE
ZIP
FAX
TACOMA
�WA
98405
PROJECT CONTACT
NAME
HOLLY HERZER, PERKINS & WILL
PRIMARY PHONE
360-510-0541
MAILING ADDRESS
1301 5TH AVENUE, SUITE 2300
E-MAIL
holly.herzer@perkinswill.com
(The individual to receive and
respond to all correspondence
CITY
STATE
ZIP
FAX
concerning this application)
SEATTLE
WA
198101
PROJECT FINANCING
NAME
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 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 apart of this application.
SIGNATURE: DATE 2/02/23
PRINT NAME: HOLLY HERZER, PERKINS & WILL
Bulletin #100 — February 19, 2020 Page 1 of 2 k:AHandouts\Permit Application
MECHANICAL PERMIT $ 9,000
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existiggfixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (commercial)
BOILERS FURNACES HOT WATER TANKS (Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many of each type offixture 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 (Electric)
HOSE BIBBS SUMPS WASHING MACHINES 0 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
N/A
WATER DISTRICT
PUBLIC
$ 81,121,600
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FI� SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
HOSPITAL
235,790 SF
t�Yes ❑ No
4/Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
...............................................................................................................................
BASEMENT
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
...............................................................................................................................
SECOND FLOOR
...............................................................................................................................
COVERED ENTRY
...............................................................................................................................
DECK
...............................................................................................................................
GARAGE ❑ CARPORT ❑
...............................................................................................................................
OTHER (describe)
...............................................................................................................................
Area Totals EXISTING PROPOSED TOTAL
**NEW HOMES ONLY**
ESTIMATED SELLING PRICE $ 1 # OF BEDROOMS
COMMERCIAL — NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL — REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
62,492 SF
BUSINESS, B / AMB. B
1A
3
NO CHANGES TO USE OR OCC.
TENANT AREA ONLY
PROJECT AREA ONLY
1,421 SF
BUSINESS, B
TENANT
IMPROVEMENT
2
LIMITED AREA ON 2 FLOORS
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application