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07-100807 . . •. t . . i :.. F1 44 i.' .--- dt.,;.'"(11;A:i'7:7.•: wt --1 . • • :vim, • .-.... . el,, e)f,$ra Pa.; * ,..... Btu! ing •• Conimercial Permit r-F: LI i'.I "4.51t.1?.;!ta l'''Ut! .... , .,„„ .... 1 d,...• ..-:0;,:.",•1:: I In t3 g'og-a ' 1 , N.,:: ; . : .:::,-0718 Inspectior. Reque:3'.. LH. .••-.7.-': r..:,.- --•:..••:-..• P:o:ect Name: ST'FRAI';f:Thi.: ;:-Ii.)SPITAL'ICU/PCC EXPANSION P!Hezt. Aires,: 34515 9TH AVE S iLercei 1.'or_IL:n 7504r.4 04i20 - , Pcojeet Descript:.Go: A.1)1)- 20,009 square foot addition to levei 3 of hospital,creating new ICIL'11211 to;-..,ether with a 3,000 square foot ER addition let level 1. Create To ire.lude phire,11;ney, me:hard:A.1. (• •-• : -, .Jr:0...7.:..Nwr:e.- • I Applicant I- -. e..ontractor r • I 1 :..';',/...'e,i;1 (,',AN HEALT11 SYSTEM I HAMMES COMPANY SKANSICA ;;EALT!i!:,•,,sTEm i 1325 4TH AVE SUITE 1035 2555 SW 153RD DR SEATTLE WA 98101 BEAVERTON OR 9700( i T;(.:!"-V.A N.I.4 '1`,405-4)-.33 Census Category: .137 - ---emnterciai alt i:-.;id /con‘r.:rsil:: it i i- #2 i 43 -4- -1— — ! Cci:lipal:cy ..21,-Iss: 1-2 i_ _. ,. )e....... ..,.o.p.) 0! •:: Type I -A I I _ . :).2:clir-.-.1.;:., Loot:: II I i _ Floor i•.72 1•:q. It.) L 239,09,5 ! _ 0 I 0 I It _ _ _,... AddThOlial Pe:litit Informat:on . S:. -.... ;- ':1;-::,,..: 31-:J0 New/Additional Sq. F,..:;:' -2,•t; ''i .;- No..v I Al.'‘.'ili(,.iii; :::::.i....e.i -,'.it,Ho' :. 2222.1. 73uii..:,,if!:'re-coll. \''.- ling 1:,•(,tii-:...-:" F,::1‘.1in ...iii;:i:-....-:, ..y.-1:,; -:,ii;I:line •/,::-. '%/1thanictil to b Im:Ilidc,i' Niim'ot:ci-• :••• 1 Permit fo:Po.idir.g S1,-:;'Ni•.\. fill.,:;:',:!)2.! ...•1.•..:••••;.f,.,,..? 'fen Specal lospection(s)Requir. Y.•.,,, New/Ac:;Y:r,---,,';.!?,.',. ; ',.:.•_• Total 28032 Ge,-.1q)i,n;v#1 -Us.. .''',: •:. -,; lill •.":7.! F•::"..'..",r0;-; Ai: i..1,,,,i.kiiing ;1.14, -i::, 17_i-,.; 11 ::•it'i.'!:;',1•J F :Aire:3 , 1 .•,-!1,0'' ''. ::.;., ,:i..1 i'i.:*;;;:eiilL, Fixtures 2 Slicm :cs i 'In ..i 1.2 '.Vater 1:::).c,Jo;c 33 \'‘'..r.i.l.i!..!..;:-.! ! • f 0 • i ! :. 2:,..,: ., ....... •::•:(.),2 .-0.....,to,T.;,,.... :.:!.::-,; •-: ',..-, 1; :s: '• 0—,;;%.' ,,.1. +.7:;11:act D ik.ri- ., . !: kV*. • ; : -;-,; '.11),3',it•ClIZ):';. I se rroune-:e... :,y!!'r.'lrIllrf:Fit.•-”Lrinul..., 1 . 3. ‘ . . 4y) e. nolals n- •!..ha11 :a::s.--ein tree.-4,sly.-1.41!: .,;:e gr;n:nd cover. 1 -.. .. ...... .,.. : ....,-n .;,1.,... ,,- . . inu24 mi.,n of IPA—.•, .. ;I..kght at t1ef! t. _0 I: I ti; . . l'';,'4 r,slit-oh:1 •;e1 th.! Ila.‘,:s.7!•..1.;., .;•,.11.1s,::::.: ,..,,--.!f.';,-,r;:.,.. ; ',-.c. L.i.::.•.; f::l':: ..:;:tilii:!:':::•'.!.•.:::, . :P.:.-::,:•....7.'..[:;.-2:. ;:!.": ' -::::'2.S pet year(sp Shill.11.1.1. ' ,d frit) ,_1,1 :},-ie •:)".ar_t:4l ; !, Sif.,:;': :,..i!,-.1.:•;; :-.;! . 1:t.1 iti,:i.:.ie anvii -;:-.r.-:it'.*": oii'.• '':'.f;ve s:otts hroora,ra -:?e!d azed :w.1.-.1;:zr17. Th:.-, ;'..F.tal) %;.. • i:),-I: :r.ir..i.....:.!::: -1-*f•p-,e yea.%:. 1 I 6. ;_.,.:,,-..ee-... i-,i• : : ! : WI r::-...-ij. ;.,:::'..- :!:;: ... ;426 SII•:: i;:eations containI secti..n. 32.9:.010‘s•het.1:- •:-, :Itvc:;;;;• ; ,' -i f.-, • ,,! :p1:::: :;) a:; !.....1,ar.*: iry . ;..!Aum A...*C.stets. Ll4,),. 1:. 1.:1::::-., -...-;:-)ft...» sere:s.n'Ili:,,silaii Lie. i-....pecte4 a:.9 veriiied to comply with FMICC. . 'r: o* o gineer4F ) licensed by the State of:r_ l_,gton s 11 be engatzet , at t:t,e ::-,.7. w lite.r lr:it a;:tor or own'r, to re , inspect,test and certify that all fire-rant assemblies, ;m-Duffel-112., t penetrati(;ns are i~istalled, repaired or maintained to the requirements of the appropriate,�m moved lungs, standards mord Building Code requirements. Reports and letters of acceptance from the FPE :hall be submitted to the City of Federal Way Building Division for review and approval prior to any 'ira, erg :rlspeetiol. 9.Fire Protetion Engineer shall sample,inspect and/or test the existing roof assembly at various locations from each portion of roof to be enclosed in the proposed interstitial space. Roof areas to be included in the interstitial space were constructed at different times; thus,samples from each "era" of roof are to be analyzed. Of concern is the flammability and toxic gas release should the assembly be exposed to fire conditions. Of particular concern is any foam plastic within the existing roof assembly. Fire-rating and/or thermal-barrier qualities must be verified for code compliance. The FPE shall submitted findings to the City of Federal Way Building Division for review prior to any framing inspection. PERMIT EXPIRES Monday, June 2.9, 2009 Permit Issued on Friday, June 29, 2007 I t-,.. :-.?.:by certify that the above information is correct and that the construction on the above described property a;,-' the occupancy ^ . o.use will be in accordance with the laws, rules and regulations of the State of Washingtc;i and the City of Federal Way. Own&or a:lent: /-. A- t) Date:_ y/L.7 Cite of F ederai Way \\� Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Fi ::ir',g Code c::;iifyir,; that Iat til time of issuance, this structure was in compliance with the various ordinances of the City regulating building construction, cr use. This certificate is valid ONLY when endorsed by City staff.. Tenant Name: ST FRANCIS HOSPITAL ICU/PCU EXPANSION Permii #: 07-100887-C0-CC' Address: 34515 9TH AVE S r . .capancy Class: 1-2 T • Construction Type: Type ! -A --- ---•---------._-.__�__--- ---- ---- t- -----_ —. _Occunzncy Load: —----— - Floor Area(sq. ft.) 239,095 f-— 00 r 0 ____j Owner Name: FRANCISCAN HEALTH SYSTEMI. Owner Address: 1717 S J ST TACO A WA 98405-4933 I --� f��%`�' Alb .. .----- v" —c� I Buil. ng Officia! Date, l The priority focus in the review and inspection made by the City prior to,r•:wance cf this Certificate was an those:natters r,1:r c'�'l experience has shown most severly affect the health and safety of Eh?•;:;r:.,Tal pL.bric. Although the City has made as com;.;..?`e;' review and inspection as is reasonably possible (within budgctar -ierr :,d�crsonne,'imitations), the City eek 7 r pt i.ln.e.s r;nr warrants to the owner/occupant or to any other person that this Cert.fica!a evidences strict compiianc-;will;erch u,: ; ."r.r, x l L., rdinaiwe or regulation of the City or the State of Washington affecting the cc `ruction erose of said stiucture or:,',,_::3/Tri u.:1::r; which it is situated. Such compliance is the responsibility of the owner cad/or o„cupr.nt of the pro raises. wMOfiIfAHI...lrfJIMMIMI,.lil17aflrIMIIifMOMMINN�:.MWWW_ffffiffu�\r.•NU..1.10•NW&/_41F'I4.i1+.4f••I.o.IWiLa"lfNV9l•L;1 Afl•/.Will.. e+ r' r .DATE INS ECTOR AREA AND TYPE OF INSPECTION 7 ,� r i!'f`i �D �{ �C'�n 4T�y wee; r)pJ 7-3 07 C � � I (SI .ak- X11 L. . 7 M 8 Z- o7 c. ,7�. �w4� �.Z -- 6 --4), - (o- �-7 G-r.•� i-, (.4),ezt j L/0_ Y'Ge9fc S Cr-6 7 -'a-' 3l a._ Bd ae'ezeitt,t_ Cdf /c.c�fd— s CO)S$ k 0`21- 07 c..J - % / // S 7- 2-4.07 < ' Q. 84- 2_s- e"r/h,/, 4:_epe.4 c. c/a If 2, Z 1 ' . Gi•/2- 7 c. c ,.J L'aiu w, 8E v.2 2,/2.3 VW/ -for C:v4 71r 9 2 y/o 7 - - 71/Uo G - q 47 t).0 L- 2 F/7 11- Vii./ A�u,a_L2 - - - NL f yeA&i4 <,' Ft-12i -& • 2 Fz' L 7 A AiS. - -5' (043 (0-5-oma' - �h= !d/a- /+i 2'16-4 4 -lo -o7 4" 2.3 - 2,$- 2t L14 o7 G c.t_ 1 •r.1/4e if � Z /-1 4/4,76/015 _ Z _ 2- //-9 5) "/#4 Acf.,/sa-/' iel sic=/-s747C/e reties - ,_ //7:46 -07 Ge-A-) -Rea_vh i• 42(c, , ' 4%4904 ekaiii /"S26 r. 7 C (' WC..l, !moi C'0 /u 1V(7 S D✓t / ''-7C7r.. / co.47 �� I1(-29•c9 Gc1J /-4 ;r( vOr � it',7/iiv'. /' � THIS CARD Is TO ,MAIN ON-• ` .., ° , '' CITY C: :' tiommunity Developm nt insueetlion Iteco'f` Federal Way IVR INSPECTION REQUEST PHONE 1= (25?) 835-3050 PERMIT 14: 07-100807-00-CO Owner: FRANCISCAN HEALTH SYSTEM 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. ❑ Footings/Setback(4110) �❑ Foundation Wall (4115) 0 Drainage/Downspout (4040) Approved to place concrete Approved to place concrete Approved to backfill i :—BYDate --By-- Date _ -b _ — Date4it:2 ,C, - rd.— Re-steel (4215) —1 ❑ Plumbing Groundwork(4190) 0 _ Slats/Concrete Flror(4-275)--) i Approved to place concrete ar grout Approved to cover Approved to place concrete 1 l l B / ..y �✓ DateD 5-- By G C,J Date 5-23-0� By -..., Date -26-G g ID _n_, it ID Underfloor Framing (4235) f❑ Floor Sheathing (4105) (,_1 Shear Wails (4245) fApproved to sheath floor • Approved to install flooring Approved to install siding :I ^y Date By Date By ` Date og r .� Roof Sheathing(4220) --� �El Rougn Plumbing (4230) {_,3 Mel - 'cal '�71;1t-ill (416'70Anprraved to instal rooting Approved Approved Date By C_ t,. .) Date(6:...../o�©� _______ C. (...„3_Is� _�.� tte. ��., Gas Piping(412;5) f C] Fire/Draft Stops (4095) NOTE: Prior to Sc.teilulirt t Framing(4120) l Approved to release test Approved inspection;Electrical,Plumbing&Mechanical i : Rough-in and Fire/Draft Stop inspections must be iBy / ( J Date .4...6 el) `By Date 7.2.5 AS signed-off -tp,^,rnve.l. Ti L 10‘,`.3..i/UBC i;13C 103�.d ❑ Framing (4120) ) r Insulation (41`50) [-Gypsum Wallboard �iaili;;g (4130) Approved to insulate Approved to install wallboard Approved to install mud Sz tape By �‘ pDate f 4/ Date <0.... 4,/,00 By - Date 4 it, Suspended Ceiling Grid (4265) 0 Final-Fire Department (4060) 0 Final-Planning (4070) Approved to drop tile j� Approved Approved By c.::... Dtea , a BByK. Date 7, _ ,,e , By Da'tepp r-b- - .. e2/ Final- Public Works (4080) Final-Mechanical (4065) f•-•=.❑ C7 Final-Plumbing (40 a5) �I Approved Approved I Approved 1 • 1 By. Date e_L, (Je By C— C„,,Lj Dateg.45!, Py ` Dane _ j . I Final -Buildin;* (41)50) For inspector reference only I 0 Al)Rek h Electrical I 0 FINAL-Electrical - 1 Approved Approved By..-- 11 - all -Dlej y- —D�tF--- By Date �_ 'r rt‘. 4:„..4,-,7:(,--6( -44°-' e)L ....-A410--- , c_ __ 0 0,---(e - 1 g 9\b 4 - 1 " o r 1 \1 a Federal FEB 4 4. 2 01 7 - L . 7 P E RM L SF MF CO ME EL PL DE EN r�- r COMMUNITY DEVELOPMENT SERVICES 0IP 33325 8�*AYENUE S1 AIN.PD BOX 971 Q��o'w, -'SAP P LI CATI O N To • FEDERAL WAY.WA 9;073-139°71X8971. 8063-97]8 Ip 11v� / . 253-835-2607•FAX 253-835-2609 r_ wwwctwoffederolwau.cool 1 The following is required information-an incomplete application wilt not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 34-515 NI rLJ7E ✓0uJ-1LFED. . kI/T y SUITE/UNIT N1 ASSESSOR'S TAX/PARCEL 4 '7 5 D 4 C/// - O 0 2 Q LOT SIZE(4)LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1) Lor(D/ SSP 57,F1M/C/S /fDYP/rift. (Attach separatelpogefor lengthy legal descnption) • ■ 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 only) 57: FILA-n/ c,/S ti-DSP / nape__ lea/Pcu APO/1701V itVD -D UP‘-,-,1-PS PROJECT NAME(Name of Business or Owner Last Name) 5r FK41/VeI1 ii-DsPi L©l.-l/l- r c(A' • PEOPLE INFORMAT IION PROPERTY NAME PRIMARY PHONE OWNER r / de ' i 1b- a/4" 5IOSqL � 2. 7) 1-121,o-1,o-b 3 33.5- MAILING CI E-MAIL ADDRESS/717 SDu t31Sr 'emA /A)/1-?8,-/DS-- CONTRACTOR ?B,-/aS CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE s,c�/4405�Cl1--- To DD P D m o (6-63) ( // - 25-07 MAILING S.W. 163 Pe Pg FO le WA) DR 9700� CELL PHONE 2S_ -168s CI1Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATEFAX NUMBER (N")3 3 (nz- i 3 ©c- -31 _v (5-o3) 61/3-6e04 COPT of card re9drod CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS .Itb .oplluUao b ` Y-•Ali S v orbs - til( I aCi APPLICANT COMPANX NAME APPLICANT NAME OFFICE PHONE /�1 Mm/ e-S^Co) }. J7A-W COXf�}�)L L(��{/ (20�10/�444L iii-C200 MAIL/ rz$ 4- A U�1 s .103 c STATE. T 1 Wa 9610/ (ELL LL/�1N9 J ,m9 D/ RELATIONSHIP TO PROJECT FAX NUMBER �/ 0 Architect ❑Tenant (Agent 0 Other (.2.49&) I/64420/ - PROJECT NAME Q PRIMARY PHONE �" E-MAIL ADDRESS CONTACT D4-W COX 4L-1, (2P6,) X04-y"200 GdcoX4//(hanmmeS,eem LENDER NAME /4 i.— Per RCW 19.27.095: dt4-14S Ca.n Lender information is required if project value exceeds$5,000 MAILING AD RESS CITY,STATE,ZIP PHONE ) —7 l`-7 S s . S 1- ram . ave crit, ( ) _ ■ DETAILED BUILDING INFORMATION � EXISTING USE P/7 L. PROPOSED USE llDSPI/.�y�1 '- EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ /,}i -• `i '" SPRINKLERED BUILDING? )4YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDERAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 'yLAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) * ' • 0 07-I OO807 "VC • - ■ PROJECT FLOOR AREASJ AREA DESCRIPTION EXISTING PROPOSED TOTAL VV sg.FT. SQ.FT. SQ.FT. ,�y,_? BASEMENT _ FIRST 3, 1gow LI 1' Z SECOND t (PI O 5f 1.C H& THIRD 2I22Z#SFi l \ ADDITIONAL FLOORS(DESCRIBE) J DECK(0 COVERED OR 0 UNCOVERED?). . GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS EXISTINGPROPOSED TOTAL TOTALE�rarMSr TOTAL sr Torre Sr HOMES ONLY" NUMBER OF BEDROOMS — ESTIMATED SELLING PRICE $ 1I YS • 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. MECHANICAL Value of Mechanical Work $ :5(6 Enta 9-1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS • WOODSTOVES BBQS l t FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING � BATHTUBS(or Tub/Shower Combo) j% LAVS(Bathroom Sinks) URINALS .) MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS WiJP -r. DRINKING FOUNTAINS 10 SHOWERS 3(Q WATER CLOSETS(Wet) ELECTRIC WATER HEATERS ) y SINKS 00 WASHING MACHINES HOSE BIBBS SUMPS / SIGNATURE 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 1 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. i NAME/TITLE `- e, ti (' I. I DATi- 1 t--}e i (Signature) Male) RELATIONSHIP TO PROJECT ❑ Owner Agent 0 Contractor ❑Architect ❑ Other FOR OFFICE:USE ONLY ❑NEW a ADDITION a ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-January 1,2007 Page 2 of 4 k\Handouts\Permit Application