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06-101631
ty of comm n' Deve eralWay Services Building - Commercial Permt#: 06-101631 -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 Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: TI-Remodel existing pharmacy on level 1 for new carousel unit (automated storage& retrieval system) Owner Applicant Contractor Lender FRANCISCAN HEALTH SYSTEM JOHN MESS SELLEN CONSTRUCTION FRANCISCAN HEALTH SYSTEM 1717 S J ST ZIMMER GUNSUL FRASCA SELLEC*372ND 6/1/07 1717 S J ST TACOMA WA 98405-4933 PARTNERSHIP PO BOX 9970 TACOMA WA 98405-4933 925 4TH AVE SUITE 2400 SEATTLE WA 98109 SEATTLE WA 98104 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.) 98,748 0 0 0 Additional Permit Information 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? No Occupancy#1 -Use Hospital Zoning Designation OP No Fixtures Associated With This Permit I! PERMIT EXPIRES Sunday, May 11, 2008 Permit Issued on Thursday, May 11, 2006 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 accordance with the laws, rules and regulations of the State of Washington A and the City of Federal Way. Owner or agent: �'" ` Date: 5--// - City of Federal Way ` • Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code certifying that at the time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction or use. This certificate is valid ONLY when endorsed by City staff. Tenant Name: ST. FRANCIS HOSPITAL Permit#: 06-101631-00-CO Address: 34515 9TH AVE S Includes: #1 #2 #3 #4 Occupancy Class: 1-2 Construction Type: Type I -A Occupancy Load: Floor Area(sq. ft.) 98,748 0 0 0 Owner Name: Owner Address: 1717 S J ST Sj_zj TACOMA WA 98405-4933 Building •fficial Date The priority focus in the review and inspection made by the City prior to issuance of this Certificate was on those matters which experience has shown most severly affect the health and safety of the general public. Although the City has made as complete a review and inspection as is reasonably possible(within budgetary time and personnel limitations), the City neither guarantees nor warrants to the owner/occupant or to any other person that this Certificate evidences strict compliance with each and every ordinance or regulation of the City or the State of Washington affecting the construction or use of said structure or the land upon which it is situated. Such compliance is the responsibility of the owner and/or occupant of the premises. THIS CARD IS TO .MAIN ON-SITE CITY OF '�'' , tommunitY Develo m nt Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 06-101631-00-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) ❑ Re-steel (4215) ❑ Slab/Concrete Floor(4255) Approved to place concrete Approved to place concrete or grout Approved to place concrete By Date By Date By Date O Underfloor Framing (4285) ❑ Floor Sheathing(4105) ❑ Fire/Draft Stops (4095) Approved to sheath floor Approved to install flooring Approved By Date By Date By Date NOTE: Prior to scheduling a Framing(4120) ❑ Framing(4120) El Insulation (4150) inspection;Electrical,Plumbing&Mechanical Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC 109.3.4/UBC 108.5.4 By Date By Date ❑Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) Approved to install mud&tape Approved to drop tile Approved By Date By Date By ��. Date -Z/- e.3> O Final-Planning (4070) ❑ Final-Building (4050) Approved Approved By Date By . GJ Date /.. _I. v D CITY OF RECEI oh l - - f J Federal Way ASR 0 3 '006 pERMIT 111/// COMMUNITY DEVELOPMENT SERVICES SF MFO/ ME EL PL DE EN FP 3332FEDERAVENUE SOUTH 980 0BO,971 r-vFBUIL FEDE .APPLICATION i FEDERAL WAY,WA 98063-9718 TD I / 253-835-2607*FAX 253-835-2609 BUILDING[r O 4 www.citgot7edernlwau.cont The ollowing is re.uired information-an incom.fete a..lication will not be acce.ted. Please .rint les ibly(in ink)or .•. • PROPERTY INFORMATION SITE ADDRESS ' 45-1 5 N?NTH At/E. SoV 1 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 1 5' 62 4 S I - 0 /©�. 2- D LOT SIZE(sf1 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) s 6 Air/4614�ED (Attach separate page for lengthy legal desenplion) ■ PROJECT INFORMATION TYPE OF PERMIT X BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) p.EMO1 t ex lSTrik. PN-�AR-MA•CL GkJ L '/ °L- I Fo(�. !J6 ui G A(ZOU SGt- UN IT (Au-('b MA- 6 STO2.44? Et 2E'T'(Z13\/4L S�s rens) PROJECT NAME(Name of Business or Owner Last Name) ST. F(2-P11�J Gi S f}Ds P 1-rift- — {�1-1.0 R-A Ac i /fie me L • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER 6T. 'F(/Aric-L S -to ST'1Ti4L (ZS3)944- a 1 o a MAILING ADDRESS CITY,STATE,ZIP 341- 1S N1N7}I Atte S . F60 6-AM- WA•L( I t'w 9 Soo" CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE co AJ STR ' dlJ BAND Li $ov t+e/L (z 4')(O Z!, -77?0 MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 227 LE L..4�c.E A i . &I sePr-rrL e WA `i810' ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Z l2 -_00 -1 19 L 4 -B L 12 / 31 /p(p (2o(o)(TL3 -52x'1 CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE 55 L 1_ EG *- 5i 1.1c (v / e.1 / P.b07 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE I( DIMM (,UMStI - fPASCA PAR AtVgil,p JaHN MESS (uY') * 2-1 -34 iS MAILING ADDRESS CITY,STATE,ZIP CELL PHONE Rz s Fot��t,T�1 AVE 5c'Ire 24-0o SE/TLE, WR 9 flag-a4 ( ) - RELATIONSHIP TO PROJECT ! FAX NUMBER Architect ❑Tenant ❑Agent o Other(Describe) (2,6Y0)(023 -7g(os, CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS J oHIV MC-SS (Zoe 52! - I mess a Z9-f-. Al LENDER Per RCW 19.27.095: Lender information is NAME / /f (��, ' required if project value exceeds$5,000 ..,k V � `�-�(-� MAILING ADDRESS CITY,STATE,ZIP v PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE 1405 p 1 TI' L- PROPOSED USE t-cO S P 1T r L. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ .C3 t SPRINKLERED BUILDING? YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 11 + ir' • • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL sg.FT. sg.FT. SQ.FT. EASEMENT a FIRST n 5, 74-e) 9 x7174'6 SECOND "1 THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT❑ ERI G MOOED T TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type of fixture to be installed or reloca •d as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ AIR HANDLING UNITS EVAPORATI 3'" OOLE'S GAS LOGS REFRIG.SYSTEMS BBQS FANS HO• (Commercial) WOODSTOVES BOILERS FIREPLACE I .E' `. griS MISC(Describe) COMPRESSORS FURNACES 'TER HEATERS DUCTS GAS PIPE OUTL Do: PLUMBING BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roues) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTL SUMPS RAINWATER SYST WASHI r CHINES URINALS HOSE BIBBS e' S(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 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 application. e-,--r-Atruer NAME/TITLE ( �-"j DATE 3,� (Signature (Title) RELATIONSHIP T u 'ROJECT ❑ Owner o Agent o Contractor Architect ❑ Other FOR OFFICE USE ONLY E NEW c ADDITION c ALTERATION c REPAIR TENANT IMPROVEMENT BUILDING SHELL ONLY? :YES ...,NO ,,. BASIC PLAN? c YES go ZONING DESIGNATION ,t CHANGE OF USE? c YES O NEW ADDRESS REQUIRED? c YES . .NO UP/SEPA/SU? c YES c NO PLATTED LOT? c YES c NO r.f DEMO PERMIT REQUIRED? ❑YES rk NO Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application