06-105988 Federal Way
Community Butting - Commercial Permt#: 06-105988-00-CO
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ST FRANCIS HOSPITAL ENTRY VESTIBULE
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: ADD-Addition of a new 70 sq ft entry vestibule @ north dining room entrance.No
mechanical or plumbing. I-A type of construction. Fire-rated coatings require special
inspection.
•
Owner Applicant Contractor Lender
FRANCISCAN HEALTH SYSTEM LISA SCRIBANTE CONSTRUCTION ENTERPRISES& FRANCISCAN HEALTH SYSTEM
1717 S J ST BUFFALO DESIGN CONTRACTORS 1717 S J ST
TACOMA WA 98405-4933 1919 2ND AVE CEC****346L7 9/30/2008 TACOMA WA 98405-4933
SEATTLE WA 98101 3221 CENTER ST
TACOMA WA 98409
Census Category: 437 - Commercial alt/add/conversion
Includes: #1 #2 #3 #4
,,Occupancy Class: ( j:
Construction Type: Type I-A
QCOtti r
icy Load:
Floor Area(sq.ft.) 70
r
:A4dituliitaUffer orma
New/Additional Sq.Feet- 1st Floor 70 Building Pre-con.Meeting Required? No
- Existing Sprinkler System in Building? Yes Mechanical to be Included? No
Number of Stories 1 Permit for Building Shell Only? No
Plumbing to be Included? No Special Inspection(s)Required? Yes
New/Additional Sq.Feet-Total 70 Occupancy#1 -Use Hospital
No Fixtures Associated With This Permit!!
PERMIT EXPIRES Sunday, February 22, 2009
Permit Issued on Thursday, February 22, 2007
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 a ordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date: 2— 2 2.— c?
0 4.
THIS CARD IS TO WAIN ON-SITE
CITY OF community Developm nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 -
PERMIT#: 06-105988-00-CO
Owner:
Address: 34515 9TH AVE S
FEDERAL WAY, WA 98003-6761
This card is part of your required inspection documents. 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.
O Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
By r"..J Date Z- 24.-c j7 By Date By Date
.❑ Re-steel(4215) 0 Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285)
Approved to place concrete or grout Approved to place concrete Approved to sheath floor
By Date a. 26 . D7 By Date z,..2.6. a-) By Date
0 Floor Sheathing(4105) .❑ Shear Walls (4245) '❑ Roof Sheathing (4220)
Approved to install flooring Approved to install siding Approved to install roofing
By Date By Date By Date
❑ Fire/Draft Stops (4095) - NOTE: Prior to scheduling a Framing(4120) 0 Framing (4120)
Approved j inspection;Electrical,Plumbing&Mechanical Approved to insulate
Rough-in and Fire/Draft Stop inspections must be
I signed-off and approved. IBC 109.3.4/UBC 108.5.4 `` /
By Date By,' c...—.) Date4 •it — 0,
.❑ Insulation (4150) 1 ❑Gypsum Wallboard Nailing(4130) �❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By G Date al • G (—o7 By LL, Date 4. ((... b7By Date
0 Final-Fire Department (4060) 10 Final-Planning(4070) ❑ Final-Public Works (4080)
Approved Approved Approved
�
By Date✓/p-(J By Date By Date
O Final-Building (4050)
Approved
By e,..e.oj Dat J.3' o7 •
RCDI)
• GITY OF = NOV 2 O'2
'6°6 06,0 j o 6 • 2A
Federal Way EAL wA 'E RM IT CO-;COMMUNITYDEVELOPMENTSER�( .OF FED AT?PLI SF MF ME EL PL DE EN FP
1UILDING CATI ON V TD. ��
253-835-2607•FAX 253-835-2609 .., ' a
www607.FA ral3835m U
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The ollowin• is re,uired in ormation-an incom•lete a••lication will not be acce.ted. Please •rint le•ibl (in ink)or t -.
PROPERTY INFORMATION
SITE ADDRESS 3451C- t\ • 5 ,
SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# -7 S C) Lf S- ( - Qj G "2 -0 LOT SIZE(sf1
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) See SHEET C�i
(Attach separate pageJor lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT BUILDING 0 PLUMBING ❑ MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onto)
Agro A! of 4 /I,$W 7 sr toi/77ty la.sT /te CP J✓DR ON/NG ltoa't
re.
To sleys-riiic Sr. /4•/rgS hb rrAv . At. Aitr.4444// 41 0/2 "4//14610446
ko
PROJECT NAME(Name of Business or Owner Last Name) 5TCl 1J 1 j4 p?r*z '
MI PEOPLE INFORMATION
PROPERTY NAME �� MCA/7705 PalMARY
OWNER S7• i7 S /lospiTi4Z — CrCfier 6�%,-*dvJk ' r ,• '( ysj)e3C- 7/a0
MAILING ADDRESS CITY,STATE,ZIP
X575-- 4p* A 1 le.5 . o - /,t 's44 apico3
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
4;'15�rv4(co&letpns' CCK aefo(5,Ie e. Lk./re.I/ A . 13,14/4€ (z53 )572 -5/2Z
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
3ZZ I Com,-k-r 5 fr ef-- 4L,.. , VIA- gelP9 (Z53) ,bob- 6003
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2' a- C2-yX05 b ‘ -BL 12- /3) €57 (253 ) S72 -S712._
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
APPLICANT COMPANY APPLICANT4-1 `5 ertusyl
TVICE P) 47
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
m' �4' Ai #000 Zirge / Get. d. '/o,/ ( ) -
LATIONSHIP TO PROJECT F
Architect 0 Tenant 0 Agent ❑ Other(Describe) AG )NUMBER 4L-*I
CONTACT NAMEMARY PHO
-E,-.MAIL ADD SS
Chlitl5 44,149-1 Ce ) 67 - 4304 vc c *frohicifs rl.coyi
LENDER Per(2CW 9 27.095 Lender to ormation NAME r �Jl
1 s ��/�"
Per
I required}f project value exceeds inf r is OQO --�1 "I
l , MAILING ADDRESS CITY, ATE,ZIP PH NE
( ) -
��,, • DETAILED BUILDING INFORMATION
EXISTING USE •" •/Tai! - PROPOSED USE 1icV/Mi.-
EXISTING
T/1 YEXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 40/ 17Cle •
ale
SPRINKLERED BUILDING? YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? XYES 0 NO
WATER SERVICE PROVIDER Y5,LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER gLAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
410
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSEDTOTAL
SQ.FT. SQ.FT. sQ.FT.
BASEMENT
FIRST y r,, _ -_�
SECOND �fJ�j (�
a
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE
D CARPORT❑
NUMBER OF FLOORS Exisdr rxrnvEXISMG
Tf. SF TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ilA_ ESTIMATED SELLING PRICE $
T�FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
49 MECHANICAL
Value of Mechanical Work
GAS LOGS
$ F OO
AIR HANDLING UNITS EVAPORATIVE COOLERS REFRIG.SYSTEMS
BBQS FANS HOODS(commerejo)) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CIOSE lb[ra)et) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS((Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
City penaltyn of ofaas to a premia (including costs ezy lenses h heo it application isymade.l I further agree to that
I cerci under _ I
am authorized b the owner the above remises to hold
harmless the Ci o Federal Wpe rneys 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 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 applicatio49
n. 4 ' /
NAME/TIT �L sisk 7 /
�, �� � i/ i 0'
DATE ZDU
ign.tore) (17tle)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ❑ Contractor lchitect ❑ Other
EU�EO Y�� y
a NEW a'ADDITION a ALTERATION" a"REPAIR o TENANT IMPROVEMENT "
BUILDING SHELL.ONLY? a" " YES a7 NO BASIC PLAN? =a YES a NO
ZONING DESIGNATION CHANGE OF USE?" a YES a NO`.
NEW ADDRESS REQUIRED? a YES a NO UP/BFPO/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES.' a NO
Bulletin#100—January 1,2006 Page 2 of 4 k Handouts\Pernut Application