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17-100420 } -.,2._ a ---- Building - Commercial °r Federal Way _ Permit #:17-100420-00-CO 33325 8th Ave S =_;1 LI _ —,, `x Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 Project Name: ST FRANCIS HOSPITAL-OBSERVATION UNIT Project Address: 34515 9TH AVE S Parcel Number:750451 0020 Project Description: TI Tenant improvement to include renovation of former behavioral health unit to be converted into a 10-patient observation unit.Plumbing and Mechanical included. Owner Applicant Contractor Lender \ JOHN ELSWICKFRANCISCAN TAMMY FELKERZ G F G L Y CONSTRUCTION INC OWNER IS LENDER HEALTH SYSTEM-W ARCHITECTS LLP PO BOX 6728 1717 S"J"ST 925 FOURTH AVE SUITE 2400 BELLEVUE WA 98008-0728 TACOMA WA 98405 SEATTLE WA 98104 Census Category: 437-Commercial alt/add/conversion Includes: #1 #2 #3 #4 Occupancy Class: I-2 Construction Type: Type I-A Occupancy Load: 46.00 Floor Area(sq.ft.) 4,510.00 0.00 0.00 0.00 Additional Permit Information New/Additional Sq.Feet-1st Floor 0 New/Additional Sq.Feet-2nd Floor 0 New/Additional Sq.Feet 3rd Floor 0 Occupancy#1-Area(Sq.Feet) 4510 New/Additional Sq.Feet-Basement 0 Occupancy#1-Construction Type Type I-A New/Additional Sq.Feet-Deck 0 New/Additional Sq.Feet-Garage 0 Mechanical to be Included? Yes Plumbing Work Valuation 157000 Mechanical Work Valuation? 224000 Number of Stories 1 New/Additional Sq.Feet-Other 0 Is this an Online or O.T.C.application No Permit for Building Shell Only? No Plumbing to be Included Yes New/Additional Sq.Feet-Total 0 Will Certificate of Occupancy be Issued? No Occupancy#I-Use Hospital Comprehensive Plan Designation Office Park Zoning Designation OP Total Valuation: 1,400,000.00 Air Handling Units 1 Ducting 1 Fans 1 Refrigeration Systems 1 Lavatories 11 Showers i Sinks 4 Water Closets 11 PERMIT EXPIRES Monday,9 October,2017 Permit Issued on Wednesday,April 12,2017 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 and the City of Federal Way. Owner or agent: Date: A/ 1'-44 ii • • City of Federal Way Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 111 of the International Building Code or Section R110 of the International Residential Code is 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-OBSERVATION IJNI7 Permit# 17-100420-00-CO Address: 34515 9TH AVE S Includes: #1 #2 #3 #4 Occupancy Class: I-2 Construction Type: Type I-A Occupancy Load: 46.00 0.00 0.00 0.00 Floor Area(sq.ft.) 4,510.00 0.00 0.00 0.00 Owner Name: JOHN ELSWICKFRANCISCAN HEAL Owner Address: 1717 S"Y'ST TACOMA WA 98405 k. Building OfficialDate 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 severely 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. I)\TF. I\SPFCTOR _ALRF;. .1" D T\PF OF INSPECTION 51mi,7 Mca, 1;At5 suSI Ae+.4A,cv, PY r ©1C -En wlac is - ,R - 14 Lwo- /l e- c �. . v Sr e_t k/L Ll/7 '4+J _ Fire. sfc+na► c L ,. . , , . . , „ _ . . . • , . A, THIS CARD IS TO REMAIN ON-SITE • CITY OF Construction Inspection Record Federal Way INSPECTION REQUESTS:(253)835-3050 PERMIT#: 17 100420 00 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. ,® Initial Erosion Control(4365) ,1® Footings/Setback(4110) „0 Re-steel(4215) ' To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete or grout By Date By Date By Date • ® Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255) ® Underfloor Framing(4285) Approved to cover Approved to place concrete Approved to sheath floor By 4, Date .5)Lf Jj`) •.•By Date By Date • El Floor Sheathing(4105) ® Rough Plumbing(4230) ® Mechanical Rough-in(4165) Approved to install flooring Approved Approved By Date B Z I "> Dates"—LS"—t'.7 By . y,) Date 5)1,y' 1--7 El Gas Piping(4125) 11 Fire/Draft Stops(4095) El Interim Erosion Control(4370) Approved to release test Approved Approved By Date By Date By Date Prior to scheduling a Framing inspection; El Framing(4120) El Insulation(4150) Electrical,Plumbing&Mechanical Rough-in Approved to insulate Approved to install wallboard and Fire/Draft Stop inspections must be signed- off and approved. IBC 109.3.4 By C\,. a l_ i Date •%A) S„r) By Date "moi- . .. El Gypsum Wallboard Nailing(4130) El Suspended Ceiling Grid(4265) 1:1 Final-S K F&R(4060) Approved to install mud&tape Approved to drop tile Approved By /4'/J Date 6122 t/1 ��By �yy y�1 Date t...,.),„ %,.t . By Date . E] Final-Planning ElFinal Erosion Control(4375) El Final-Mechanical(4065) Approved Approved Approved By Date By Date , By (1,, � Date et-144..41 .ID ... Final-Plumbing(4075) ® Final-Building(4050) Approved Approved By 0),N06.,_ Date 'R_t..,t ri By (�1 ,pDate 41 .14a,, I 1 , 0 Rough Electrical 0 Final Electrical 0 Right of Way Approved Approved Approved By Date By Date By Date RECEIVED • JAN 2 7 2017 PERMIT APPLICATION CITY OF w" --44,00' Federal Way I sem PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325 GG( Y YG CITY OF FEDERAL WAY 253-835-2607+FAX 253-835-2609+permitcenter(ilcitvoffederalway.com CDS PERMIT NUMBER _ 6 U U 2_ 0 _ 6 TARGET DATE 3 ) / SITE ADDRESS SUITE/UNIT S St. Francis Hospital 34515 9th Avenue St. PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL S $ 1.4 million office park f - Q Q TYPE OF PERMIT ISI BUILDING IN PLUMBING IBI MECHANICAL ❑DEMOLITION CI ENGINEERING 0 FIRE PREVENTION NAME OF PROJECT St. Francis Hospital - Observation Unit PROJECT DESCRIPTION Renovation of former behavioral health unit to be converted into a 10 patient observation Detailed description of work to unit to support the volumes in the emergency department. Project is located on the be included on this permit only ground level and is a 1 story wing of the existing hospital. There is minimal demo of walls and all finishes will be upgraded. NAME PRIMARY PHONE Laurie Kearney-CHI Franciscan 253-274-7689 PROPERTY OWNER MAILING ADDRESS E-MAIL 1623 Martin Luther King Jr Wa lauriekeamey@chifranciscan.erg CITY STATE ZIP Tacoma. WA 98405 NAME PHONE Todd Karr-GLY Construction 425-463-4954 MAILING ADDRESS E-MAIL CONTRACTOR 200 112th Ave. NE#300 todd.karr©gly.com CITY STATE ZIP FAX Bellevue _WA 98004 WA STATE CONTRACTOR'S LICENSE i EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE/ 98004GLYCO*01809 9/ 30 /2017 20-00-101644-00-BL NAME PRIMARY PHONE Tammy Felker-ZGF Architects 206-521-3491 MAILING ADDRESS APPLICANT 925 Fourth Ave. Suite 2400 EMAIL tammv.felkere,zgf.com CITY STATE ZIP FAX Seattle WA 98104 NAME PRIMARY PHONE PROJECT CONTACT Julie Randolph-ZGF Architects 206-521-3501 (The individual to receive and MAILING`�D g EMAIL respond to all correspondence 925 Fourth Ave. Suite 2400 julie.randolphRzgf.com concerning this application) CITY STATE ZIP FAX Seattle WA 98104 NAME PROJECT FINANCING Laurie Kearney-CHI Franciscan ® OWNER-FINANCED When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE (RCW 19.27.095) 1623 Martin Luther King Jr Way Tacoma, WA 98405 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 taws. I further agree to hold harmless the City of Federal Way as to any claim(including costs,expensesand 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 as a part of this application. SIGNATURE: DATE 01-26-2017 PRINT NAME: Laurie Kearney Bulletin#100—January 29,2016 Page 1 of 2 k:UIandouts\Permit Application a VALUE OP MECHANICAL WORK MECHANICAL PERMIT $ 224,000 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. 1 AIR HANDLING UNITS 1 FANS 0 GAS PIPE OUTLETS 15 OTHER(Describe) —0 AIR CONDITIONER —Q__ FIREPLACE INSERTS 0 HOODS(commerNel) REHEAT VAV'S • 0 BOILERS 0 FURNACES 0 HOT WATER TANKS(Gar) 0 COMPRESSORS 0 GAS LOG SETS 1 REFRIGERATION SYST –3 .Q FT DUCTING 0 GAS PIPING 0 WOODSTOVES VALUE OFPLUMBING WORK PLUMBING PERMIT $ 157,000 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. 0 , BATHTUBS for Tub/Showercomtw) 11 LAVS(Rand sank.) 11 TOILETS ^'120 FT WATER PIPING 0 DISHWASHERS 0 RAINWATER SYSTEMS 0 URINALS OTHER(Describe) 0 DRAINS 1 SHOWERS 0 VACUUM BREAKERS 0 DRINKING FOUNTAINS 4 SINKS(Kttd..yutvty) 0 WATER HEATERS(Eleotriq 0 HOSE BIBBS 0 SUMPS 0 WASHING MACHINES TOTAL FIXTURES GENERAL INFORMATION CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS N/A Lakehaven Lakehaven $ 0 EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM? previous use: behavioral hearth 235,790 sf(existing) Xi Yes❑ No Yes 0 No existing use: offices "I;_ H ENTIAL - NEW OR ADDITION AREA D' • PTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE BASEMENT J Y - . .z .:a i.-: "''i b 2fr 2 4,, r s r. _.»........� _....._•.-.,..»m z . OM gg :.."< .. . .1.......V .....,�.: .;..:�-�a' ...,..-.3 to.....,.:,.,f 'ro..r,...,.: FIRST FLOOR(or Mobile Home) SECOND COVERED ENTRY DECK l ,lam �' r� � ; �z t, ..�.. t 3 1.. ��r gt°fir h�� �_r`gaA£y fi�yk;r> rz ��k�.. f) GARAGE 0 CARPORT ❑ -- qF tai. : S `Y < .: �$} 7 'r?�: y "i. z i – __.__.._._......._........._...._....._...._..�....____.—.._ t4reQ 1�4�Yi5 EXISTING PROPOSED TOTAL ___ ____._----.—.— EXISTING z w.NE,W,HOMES:QNLr» s �F , TIMATED SELLING PRICE$ #OF BEDROOMS COMMERCIAL—NEW/ADDITION AREA DESCRIPTION Area in Occupancy Group(s) Construction #of Square Feet P y p( l Type Additional Information 2 y z NEW BILDI { - M :. +. ti r t L ,,¢¢ rl'x E i2 ,... Mtl N C_ z. ,.. .. ..�.,..,.? ';.; f.N;�:,NSWIMa K l..lr,..,..01•?.44::::: z �iw t.l r, }< ( s"k rz,., ,:. {"`s. ADDITION COMMERCIAL—REMODEL/TENANT IMPROVEMENTS Area in Construction #of AREA DESCRIPTION Square Feet Occupancy Group(s) �,pe StoriesAdditional Information :i{ c 7;r E7{' i t: m rmirg TOTAL BUILDINGz. # r r - ` f 1°- .z. .- 4 { '�{ :. ... ... . s i pim y „ie,. ...... .:.£: -... xxn .ews! ?.� -1,..,.., 1,.., a '. ° 1fy g �$ ?�. t TENANT AREA ONLY 4,510sf 1-2 1-A 1 zt) r s Bulletin#100–January 29,2016 Page 2 of 2 k:\Handouts\Permit Application