15-100549 Electrical
City
Community&Econ.Deof Federalv.aServices Permit #: 15-100549-00-EL
33325 8th Ave S
Federal way.WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 peC
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Electrical for CT Scanner replacement
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM CHRISTOPHER J BARKER,PE THOMPSON ELECTRICAL
34515 9TH AVE S COFFMAN ENGINEERS CONSTRUCTORS INC
FEDERAL WAY WA 98003 1601 FIFTH AVE SUITE 900 THOMPECOO8CW(2/16/16)
SEATTLE WA 98101-1620 PO BOX 45260
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application? No Is Use Educational or Institutional? Yes
Service greater than 999 Amps? No
No Fixtures Associated With This Permit ll
PERMIT EXPIRES Tuesday, August 25, 2015
Permit Issued on Thursday, February 26, 2015
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the e will be in accorda with the laws, rules and regulations of the State of Washington
a/I; a City o�Federal Way.
Owner or agent: �d�'U Date: 2 26 -.2(0/..c-
11415‘1(... ' G - /..c—
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11011
THIS CARD IS TO ON-SITE 4
CITY
OF • Construction In ection Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 15-100549-00-EL Address: 34515 9TH AVE S J
Project: FRANCISCAN HEALTH SYSTEM FEDERAL WAY, WA 98003-6761
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 LIFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) Q Service(4235)
Approved Approved Approved
By Date By Date By Date
,
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Im6 Date q L l b tr By Date
l
0 Final-Electrical(4055)
Approved
By 10) Date 1+1;0 f I r ,
0 Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
ELECTRICAL
•
4,,,, CITY QF
Federal Way PERMIT APPLICON
PERMIT NUMBER 1 5 _ l 0 C) 5 4 9 _ CD' FEB 04 2015
CITY OF FEDERAL WAY
SUITE/UNIT/8ei
SITE ADDRESS: 34515 8th Ave South - Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 15,000 750451 - 0020 _ _ Hospital
PROJECT NAME St. Francis Hospital
(Tenant or Homeowner Last Name)
CT Scanner Replacement
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER St. Francis Hospital ( 253) 944 - 8100
MAILING ADDRESS E-MAIL
34515 8th Ave South
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME PRIMARY PHONE
Thompson Electrical Constructors Inc. ( 253) 539 _ 0999
MAILING ADDRESS E-MAIL
ELECTRICAL 150 100th St. South
CONTRACTOR CITY STATE ZIP FAX
Tacoma WA 98444 ( 253) 539 - 0101
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
/ /
NAME PRIMARY PHONE
Coffman Engineers (206) 62 3 - 0 717
APPLICANT MAILING ADDRESS E-MAIL
1601 fifth Ave. Suite 900 barker@coffman.com
CITY STATE ZIP FAX
Seattle WA 98101 ( 206) 624 _ 3775
NAME PRIMARY PHONE
PROJECT CONTACT Chris Barker ( 206) 623 - 0 717
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 taint arises out of th's reliance of the city, including its officers and employees, upon the accuracy of the
information supplid • the'city as a part of if application.
N.....) r
SIGNATURE: 'ikil / DATE 2-6 I r.
PRINT NAME: 0- 2,\ 709'A (. 14. I.
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