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13-101716 4. •Building —Commercial CityFederalWay Permit #: 13-101716-00-CO Community &Econ.Dev.Services 33325 8th Ave S Federal way,WA 98003 Inspection Request Line: (253) 835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p a .a - Project Name: ST FRANCIS HOSPITAL KITCHEN REMODEL Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: TI-Remodel partial 800 square feet of existing kitchen.Relocate dry storage and kitchen prep area. Plumbing and mechanical included. Owner Applicant Contractor Lender JOHN ELSWICK BARBARA BRANDT ANDERSEN CONSTRUCTION CO OWNER IS LENDER FRANCISCAN HEALTH COLLINS WOERMAN ANDERC*907DN(2/15/14) SYSTEM-W 710 SECOND AVE SUITE 1400 900 POPLAR PL S 1717 S"J"ST SEATTLE WA 98104-1710 SEATTLE WA 98144 TACOMA WA 98405 \ J Census Category: 437 - Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: 1-2 Construction Type: Type I -A Occupancy Load: Floor Area(sq.ft.) 800 0 0 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included? Yes New/Additional Sq.Feet-Total 0 Zoning Designation OP Mechanical Fixtures Ducting 1 Plumbing Fixtures Lavatories 2 PERMIT EXPIRES Monday, December 9, 2013 Permit Issued on Wednesday, June 12, 2013 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 acc?rdance with the laws, rules and regulations of the State of Washington and the City of Federal Way. !) Owner or agent: Dater pf l r .c4i/114/3 7-9- g �S � G� c.e (PkCs-0- .2-J1-3/ �� z 0 ©CC, . THIS CARD IS TO MAIN ON-SITE CITY •OF Construction Ins ection Recoid Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT #: 13-101716-00-CO Address: 34515 9TH AVE S Project: JOHN ELSWICK 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. fl SWM Precon Site Mtg(4400) 0 Initial Erosion Control(4365) El Footings/Setback(4110) Approved To be done prior to breaking ground Approved to place concrete By Date By Date By Date El Re-steel (4215) '0 Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) Approved to place concrete or grout Approved to cover Approved to place concrete By Date B & , Date b— —("3 By Date • 0 Underfloor Framing(4285) El Floor Sheathing(4105) Rough Plumbing(4230) Approved to sheath floor Approved to install flooring Approved By Date By Date I3. Date,—L ( 3 Mechanical Rough-in (4165) ❑ Gas Piping (4125) ❑ Fire/Draft Stops(4095) Approved Approved to release test Approved By Date By Date By Date ❑ Interim Erosion Control(4370) Pror to scheduling a Framing inspection; Framing(4120) ApprovedElectrical,Plumbing&Mechanical Rough-in and Approved to insulate Fire/Draft Stop inspections must be signed off and By Date approved. IBC 109.3.4 By Date ,. ❑ Insulation (4150) 0 Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265) Approved to install wallboard Approved to install mud&tape Approved to drop tile By Date B $J Date(-2 2--(_, Date 7— ( 3 Final-Fire Department(4060) ❑ Final-Planning ❑ Final Erosion Control(4375) Approved Approved Approved s, By Date By Date By Date El Final-Mechanical(4065) 0 Final-Plumbing(4075) Final-Building(4050) Approved Approved Approved By ,, v Date By Date By C, Date ❑ Rough ElectricalIII Final Electrical Right of Way Approved App: 1:1 Approved By Date By Date By Date i � ,T�oF 0 PERMIIOAPPLICATION Federal Way RECEIVED APR 17 2013 PERMIT NUMBER / 3 _ / 0 / / - FEDEMITARGET DATE CDS SITE ADDRESS SUITE/UNIT# PROJECT VALUATION ZONING ASSESSOR'S TAX ARCEL# $ 5� 6)00 Op_.� / 5 b 4 5 - 0 0 �� TYPE OF PERMIT V BUILDING Lp LUMBING"MECHANICAL ❑ DEMOLITION ❑ ENGINEERING- ❑ FIRE PREVENTION NAME OF PROJECT "�/2.4��!!�`� ',I /744o�Y/' /-2✓ -MD /l PROJECT DESCRIPTION A "077-At_. 8� Ie2ev+ncyAG �oY� L / ? Detailed description of work to /41-64474x DAY ti/5/,./.e4 r, � 7 ...,3r4Vj> �`/7hi' be included on this permit only / �,5// t Cp/t+��i NAMES L/ �+�� PRIMARY PHONE r L PROPERTY OWNER / // s' /4C/ -- �f // 1/�. kii 2753. 4z • q'3�T 3 MAILING ADDRESS E-MAIL // /D/?�G�/SC't)/C CITY STATE ZIP NAME , PHONE /Q-rV p F,k5 /<.2: CO A/57'1''.,u47bA/ CO. L '749 3 i/2. MAILINGG ADDRESS E-MAIL CONTRACTOR Cflap'"ArR4(G ' jA Pict/SCA.) ail tit? >D ! CIT, A rte STATE ZII7 e31 - ,p FAX �.L'I/? ('.�-, WA STATE CONTRACTOR'S LICENSE# ",x,''11• EXPIRATIIIONN DATE FEDERAL WAY BUSINESS LICENSE# / / NAME PRIMARY PHONE ( a,,/N 14)O 'iri t 60(10 ' 74-5 Z-/ ate MAILING ADDRESS E-MAIL APPLICANT 7t0 , -- ',c)/J/2 XU/ //, ,t / Ile CITY( 'SA 76/0 IP /-- /7/0 FAX NAME �/ /�jf'� PRIMARY PHONE PROJECT CONTACT eJ�"4 &-4(J.0( 22 oz, 4/6 ' (The individual to receive and MAILIN -ADDRESS �►� �n,�I/,� E-MAIL ` respond to all correspondence 1:54/71t.-4-- /� 17 h�. r-a-�'2e d.) concerning this application) CITY STw�E ZIP FAX L //// wtr M / e°,27 NAME PROJECT FINANCING ❑ OWNER-FINANCED Required value of$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 a��ys��a part of this application. /..( SIGNATURE: 7e5 ��l'lre, C>W1 )44'(-- DATE ✓ ' i'j' '-?)/J PRINT NAME: /54,47!) ,64' P' " FV Bulletin#100—January 1,2013 Page 1 of 3 10Handouts\Permit Application • s • VALUE OF MECHANICAL WORK MECHANICAL PERMIT $ 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. AIR HANDLING UNITS FANS GAS PIPE OUTLETS / OTHER(Describe)� AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial) it`x AA// //x BOILERS FURNACES HOT WATER TANKS(Cas) ovir- COMPRESSORS GAS LOG SETS REFRIGERATION SYST DUCTING GAS PIPING WOODSTOVES VALUE OF PLUMBING WORK PLUMBING PERMIT $ Indicate how many of each type ofre to be installed or relocated as part of this project. Do not include existing fixtures to remain. BATHTUBS(or Tub/Shower Combo) h LAVS(Hand Sinks) TOILETS WATER PIPING DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe) DRAINS SHOWERS VACUUM BREAKERS DRINKING FOUNTAINS —011rSINKS(Kitchen/Utility) WATER HEATERS(Electric) HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FI7 SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? Yes ❑ No ❑ Yes ❑ No RESIDENTIAL - NEW OR ADDITION tJ/ AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE BASEMENT FIRST FLOOR(or Mobile Home) SECOND FLOOR -- COVERED ENTRY DECK GARAGE ❑ CARPORT E OTHER(de e) EXISTING PROPOSED TOTAL Area Totals **NEW HOMES o'er,* ESTIMATED SELLING PRICE$ # OF BEDROOMS COMMERCIAL-NEW/ADDITION AREA DESCRIPTION Area Occupancy Group(s) 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 G 1 Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application I