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13-104488 • , • •Building - Commercial City of Federal Way r ':' I `' 7 -Il Community&Econ.Dev.Services ir i V Permit #: 13-104488-00-CO 33325 8th Ave S 78 Federal Way,WA 98003 Request Line: Ph:(253)835-2607 Fax (253)835-2609 Inspection (253)835-3050 Project Name: ST FRANCIS HOSPITAL PHARMACY Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: TI-Interior tenant improvement work to remodel partial 745 square feet of existing inpatient pharmacy.Partition walls to create new anteroom and(2)pharmacy mixing rooms.Plumbing and mechanical included. Owner Applicant Contractor Lender FRANCISCAN HEALTH COLLINS WOERMAN SELLEN CONSTRUCTION SYSTEM-W 710 SECOND AVE SUITE 1400 SELLEC*372ND(6/1/15) 1717 SO"J"ST SEATTLE WA 98104-1710 PO BOX 9970 TACOMA WA 98405 SEATTLE WA 98109 Census Category: 437-Commercial alt/add/conversion Includes: #1 #2 . #3 #4 Occupancy Class: 1-2 Construction Type: Type 1-A Occupancy Load: Floor Area(sq.ft.) 745 0 0 0 Additional Permit information Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Plumbing Work Valuation? 18500.00 Number of Stories. 3 Permit for Building Shell Only? No Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0 Occupancy#1-Use Hospital Zoning Designation OP Mechanical Fixtures Air Handling Units. 2 Ducting 1 Fans 1 Hoods 2 Plumbing Fixtures' Lavatories 3 Sinks 1 CONDITIONS: Separate electrical permit F'NA ED PERMIT EXPIRES Saturday, July 26, 2014 Permit Issued on Monday, January 27, 2014 I hereby certify that the above informatio ; c4'rrect and that the construction on the above described property and the occupancy and the use will.,l5 �. • d:nce with the laws, rules and regulations of the State of Washington • ,/-1,,,,,/ ; •- _ :•_ -ralWay. Owner or agent: •' ,' Date: /d-----7/1 LI pf Gi•P 5 r( (-. i ‘PD c„ (0,__ . -z.,_-11 DATE INSPECTOR AREA AND TYPE ('� INSPECTION 3 k/iy 55 2. I' 4 w�3 Z- ( e-l .% P(10411y e4 -k ( - 01'. +a cww tiACtCe ( N- 6 o� c y arui e, +rte kr,"4�n.� S` lt. QC,14kA, ? h��e� -2-26- ("C �}-� '[✓� +)vt�\na `4 c�S ��at c G ¢.vNb� k to � 2 3- - t 4s w�.e�,�,. AA RA(-C. 1.-v4d l��vl i�c��c. lnrl�, 3 -zr- 1 �S �vvoc.NT2 vOt . `: '1 J.44t1k,\�1na.S-e _ - THIS CARD IS TO MAIN ON-SITE T • «r„OF �"`' Construction In ection Record Federal Way INSPECTION REQUE TS: (253)835-3050 PERMIT#: 13-104488-00-CO Address: 34515 9TH AVE S 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 SWM Precon Site Mtg(4400) El Initial Erosion Control(4365) ❑ Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date O Re-steel(4215) 0 Plumbing Groundwork(4190) ❑ Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date By Date By Date , ID Underfloor Framing(4285) © Floor Sheathing(4105) El Rough Plumbing(4230) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date 0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) Fire/Draft Stops(4095) Approved Approved to release test Approved B � Date _ t.- ( By Date By Date �{ Interim Erosion Control(437Framing El (4120) '�` Approved Prior to scheduling a Framing inspection; Approved toa Mate Electrical,Plumbing&Mechanical Rough-in and Fire/Draft Stop inspections must be signed-off and By Date approved. IBC 109.3.4. �ja Date . _ k _ \. O Insulation(4150) 0 Gypsum Wallboard Nailing(4130), El Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date By HosDate Li 13 ( 1 4 C S Date A�� ,2f, . . 1 E Final-Fire Department(4060) .. 0 Final-Planning ❑ Final Erosion Control(4375) Approved Approved Approved By Date By Date By Date ` El Final-Mechanical(4065) 0 Final-Plumbing(4075) 0 Final-Building(4050) Approved Approved Approved Dates 13_ t AByc-�c s _ SCS Datelamyk , .By- - Date 13— (4 , . ❑ Rough Electrical Final Electrical Right of Way Approved Approved Approved By Date By Date 1 By Date p RECEIVED 4 tar(OF4"4.........." PERMIT APPLICATION Federal Way OCT 09 2013 a v 3 CITY OF` 4 FEDERALAWAY t 1 PERMIT NUMBER 4 / , 43 TARGET DATE SITE ADDRESS SUITE/UNIT# 34515 1T14 NENvE S. ft PE 14%,t- way WA ' 003 PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL# $ 1,0 ‘ I 500 . 00 OP -• t 7 6 0 9 5 I — 0 0 2 TYPE OF PERMIT K BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT S'('. PR614c4S ROS1)(1N.. Pt1ARMALY RE, OXE L A PI1 Rttp.l. 1415 SF REMopat.. of tilt: ExtvtlNlr trinktte.Nt PROJECT DESCRIPTION ? IM- ( (P(�D((DIt.tt, Ntv4 AtirtLitobw P D Z l Y Detailed description of work to be included on this permit only IAM14(5' foo(4 4 ) PRIMARY PROPERTY OWNER NAME f,►k s H C i` T ft ^' {'� �CJ�(,G25PHONE K 3. 9 26 -4393 MAILING ADDRESS johNAISW 4,0+1,1,,,,iti.on CITY STATE ZIP NAME Atax. PSort CoNSrNAilloN. o 2c6 -7b' -67 t 2 G ADDRESS E-MAII. p0poILA - Pt,pacrr Soi1� ebIson()wkr.sor. CONTRACTOR / Q y. CITY C tA1 i L Sj w J A ZTP /,V��� FAX GOAS 7 .conn WA STATE CONTRACTOR'S LICENSE# Y v EXPIRATION�IDATE FEDERAL WAY BUSINESS LICENSE S / / PRIMAR NAME Go�.�.1NsWoERMAN Zob-ZMPHO5 -2039 APPLICAANT MAILING ADDRESS E-MAIL X1(7 t) Ct O ��E . SV l YE. ( t 0 4btaakb0r.%0 CenIASWotrAO+A.COrt CITY/ �tfi Ls ria E ZIP et 81 O N I AX NAME) Y c./. V{.�Ac k�IV PRIMARY P-HONE O'5' °�1 PROJECT CONTACT (The individual to receive and MAILING ADDRESS EMAIL respond to all correspondence 1 t 0 SEDN D `"t. S‘31-rt 19t) 0 1F lidri LAI tA�rM'A'C V i concerning this application) CITY SAs'It L. ziPl E'D{,J 'x NAMEOWNER-FINANCED PROJECT FINANCING Required value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 1 I certify under penalty of perjury that I am the property owner oauthorized agen f the property owner.I certify that to the best of my knowledge,the information submitted in support of this perms 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 suc laim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information suppl the city as of this itp cation. / SIGNATURE: ~'1 v • DATE t 0/ q/SO' PRINT NAME: V PSf Co • b� t"iG1445 u(t 1 Bulletin#100—January 1,2013 Page 1 of 3 k:\Handouts\Permit Application • • VALUE OF MECHANICAL WORK MECHANICAL PERMIT 1-13,1> Indicate how many of each type off;xture to he installed or relocated as part of this project. Do not include existing fixtures to remain. AIR HANDLING UNITS I FANS( g.,01) GAS PIPE OUTLETS 2. {�OyT�H�ER(Describe) C AIR CONDITIONER FIREPLACE INSERTS Z HOODS(Commerciai) JMMAL WO'7 BOILERS FURNACES HOT WATER TANKS(Gas) COMPRESSORS GAS LOG SETS REFRIGERATION SYST V DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT 117P%' 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(orThb/Shower Combo) IF'3 LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS I SINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES 1 TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS =STING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes E No ❑Yes ❑ No RESIDENTIAL - NEW OR ADDITION N/P1 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) EXISTING PROPOSED TOTAL.. Area Totals **NEW HONES OJVI Y*" ESTIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION N f P AREA DESCRIPTION Area Occupancy Groups) Construction #of Additional Information in Square Feet Type Stories NEW BUILDING ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information in Square Feet Type Stories TOTAL BUILDING TENANT AREA ONLY PROJECT AREA ONLY 745 `Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application