09-104689 ' ' • Building - Ctimn erj a�
City of Federal Way • �;
Community Development Services t Permit #: 09-104689-00-CO
P.O.Box 9718 r>t
Federal Way,WA 98063-9718 ;;) a 7; y3Inspection Request
Ph:(253)835-2607 Fax (253)835-2609q est Line: (253)835-3050
Project Name: ST FRANCIS HOSPITAL-NURSERY
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: TI-Remodel of Level II Nursery space; includes plumbing& mechanical.NO medical gas
piping on this permit.
Owner Applicant Contractor Lender
FRANCISCAN HEALTH SYSTEM JOHN MESS SELLEN CONSTRUCTION FRANCISCAN HEALTH SYSTEM
34515 9TH AVE S ZIMMER GUNSUL FRASCA SELLEC*372ND(6/1/11) 34515 9TH AVE S
SEATTLE WA 98003 ARCHITECTS LLP PO BOX 9970 SEATTLE WA 98003
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.) 1,197 0 0 0
Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes
Number of Stories 4 Permit for Building Shell Only? No
Plumbing to be Included9 Yes New/Additional Sq.Feet-Total 0
Occupancy#1 -Use Hospital Zoning Designation OP
%a "1,11,44",,,c f 7°�� fr s' '• i a ,y, s , II, , ,t b r �416;
' e i ','''1:'?,-,
>
Ducting 1 Fans 1
C �!�,
.t t xa.4.PL 1, a�4, -: a, .. ,c.1,..• "', c,t,� ..� '5"'S . n ai.� f,,,: <.�� �, 3?° F f z �.•
Lavatories 4 Sinks 1 Waste Interceptors 1
Water Closets 1
PERMIT EXPIRES Wednesday, October 27, 2010
Permit Issued on Friday, April 30, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in - co da, ce with the laws, rules and regulations of the State of Washington
j ':�'� ,f Federal Way.
Owner or agent: /��/C/j� Date: 1174p/i O
i
Di \ �7' )< \ .
n�\ t .� FINALE 8f3//o
DATE INSPECTOR AREA AND TYPE OF INSPECTION /1
924 la P' 0L4,hJ 'No 1 a I IA j4(V �,yy��gq I 1 g rr Z' v'I 4)VC'
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• THIS CARD IS TO IN ON-SITE
CITY OF Construction Ins ction Record
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 09-104689-00-CO Address: 34515 9TH AVE S
Owner: 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.
El SWM Precon Site Mtg(4400) ❑ 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
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
• Underfloor Framing(4285) ❑ Floor Sheathing(4105) Rough Plumbing(4230)
Approved to sheath floor Approved to install flooring Approved
By Date By Date By Date
▪ Mechanical Rough-in(4165) Gas Piping(4125) ❑ Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date �`, Le.–t– By Date By Date
❑ Interim Erosion Control(4370) Framing(4120)
Prior to scheduling a Framing inspection; Ei
Approved Electrical,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 e Date,(.7-4 Q.--t,.�
,0 Insulation (4150) ' 0 Gypsum Wallboard Nailing(4130) ❑ Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By ✓� Date 6/7://, B .,' Date V-1 b_k
❑ Final-Fire Department(4060) 0 Final-Planning(4070) 0 Final Erosion Control (4375)
Approved Approved Approved
By Date By Date By Date
0 Fina Mechanical(4065) ' ❑ Final-Plumbing(4075) El Final-Building(4050)
Approved O , pprovedApproved
Bye(c7 Date 4�7,(U By Date z7% By 4 Date - 71
,,,./(...---- 7- 7-w
Rough Electrical
El
Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
RELIVED OY
e° DEC 01 PZRMIT SF MF' 0 E EL PL DE EN FP
Federal Way
�o °, 56 -ryOF4F t1j TION /A / / S / 07
unxev.Mt�jj' na2�1 ny.mm
....................
SITEADDREss 34515 Ninth Avenue S. , Federal Way, WA 98003
SUITE/UNIT# ZONINGOP ASSESSOR'S TAX/PARCEL#
5 0 4 5 1 - 0 0 2 0
NAME OF PROJECT Level II Nursery - St. Francis Hospital
(Tenant or Homeowner Name)
13 BUILDING 1R`'LUMBING j MECHANICAL
TYPE OF PERMIT
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
Remodel existing nursery on Level 2 of Hospital.
PROJECT DESCRIPTION Project includes nursery suite and lactation room.
Detnilpd description of work to
be inch'fled on this permit only
NAME Chet Zygmunt PRIMARY PHONE
PROPERTY OWNER Franciscan Health System ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
34515 Ninth Avenue S., Federal Way, WA 98003 ChetZygmunt@fhshealth.org
OWNER IS ALSO: 0 CONTRACTOR a APPLICANT 0 PROJECT CONTACT
NAME r PRIMARY PHONE
St� I�'i� (� u-44 - ( io7O-pts'} 3 -
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP i FAX
TBD W4 STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#_
f"Et w 332W 9 O( / l/ /d I ot` -f /'i > U
NAME John Mess PRIMARY PHONE
Zimmer Gunsul Frasca Architects, LLP (206 ) 521 3410
APPLICANT
MAILING ADDRESS,CITY,STATE,ZIP john.mess@zgf.com
925 Four-t;h Avepnue, Suite 2400, Seattle WA 98104
PROJECT CONTACT NAME j ick Olson \p PRIMARY PHONE
(The individual to receive and Fran"nn Health System (253 ) 426 _ 6835
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) 1717 South 'J' Street, Tacoma WA 98405 ( )
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
) _ rickolson@fhshealth.org
PROJECT FINANCING NAME
I n ® OWNER-FINANCED
Required for projects with 0(k Vim/v,
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY 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 suppli- (• t IvI 1�
�'1a � 'ri;C'I'S LIP pd)'
SIGNATURE: ./ DATE /� 3V /
PRINT NAME: I c/Ofii/V G
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Permit Application
.ms, ! •
Value of Mechanical Wor $ I P PW �'/J ?+�"[/i7/', 1,/–rA OW 0 BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type off •- 1,"1– r+4;s-r as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS I FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(O„)
COMPRESSORS GAS LAG SETS REFRIGERATION SYST
VT DUCTING GAS PIPING WOODSTOVES
Indirntn number of each type of to be installed or relocated as part of this project. Do not include existing fixtures in remain.
BATHTUBS(or Tub/shower Oma1 IAVS(Hind Slab) 1 TOILETS ..t._`_, NWATBR PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS O • .4,)'- i•- . . )"
DRAINS CID SHOWERS VACUUM BREAKERS '
Li: tier
DRINKING FOUNTAINS SINKS pmehen/UUMS WATER HEATERS
HOSE BIBBS SUMPS WASHING MACHINES 77. ®ate + ant
4Trc-' a, xv'F bW. f4„:. � „may. W ,. s
PROJECT VALUATION WATER-j J SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$•
EXISTING ODE USE LOT SIZE(la Square Feet) RESTING FIRE STRUDEL=SYSTEM? PROPOSED FIRE-'-- s- ON SYSTEM?
I )(Yes o No o Yes A.No
gF d
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
FIRST FLOOR(or Mobile Home) ,l
S" 0 $6 reg e .5
COVERED ENTRY
n
A �
�
GARAGE 0 CARPORT 0 _-®
k
Area Totals reoroele TOTAL
ufa rry
ESTIMATED SELLING PRICE$ #OF BEDROOMS
.,; F
AREA DESCRIPTION Area Construction #of
Square Feet Occupancy Group(s) �, Stories Additional Information
•
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ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Stories Additional Information
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TENANT AREA ONLY 1,1617 1- 2 , H.04(17-741,..
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Bulletin#100–4/21/2009 Page 2 of 4 k:Wandouts\Penmit Application