16-100604 f .r� ♦ t � i �
• Building - Com + cial`
City of Federal Way FILE
Permit #: 16-100604-00-C O
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
Project Name: ST FRANCIS HOSPITAL-MEDICAL OFFICE BUILDING
Project Address: 34509 9TH AVE S Unit 202 Parcel Number: 750451 0010
Project Description: TI-Convert administrative office into Audiology,convert existing nurse's area into large
nurse's stations by removing small restroom and telephone room and adding a reception
area.Mechanical,plumbing,and electrical on separate permits
\
Owner Applicant Contractor Lender
ST.FRANCIS HEALTH SYSTEM DIANE BARRINGER CORNERSTONE CONSTRUCTORS ST.FRANCIS HEALTH SYSTEM
PO BOX 2197 HELIX DESIGN GROUP LLC PO BOX 2197
TACOMA WA 98401 6021 12TH ST E SUITE 201 CORNECL887LM(7/28/16) TACOMA WA 98401
TACOMA WA 98424 PO BOX 702
FOX ISLAND WA 98333
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type: Type II-B
Occupancy Load: 23
Floor Area(sq.ft.) 1,199 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. 3
Permit for Building Shell Only No Plumbing to be Included? No
Proposed Structure Valuation 150000 Special Inspection(s)Required'? No
New/Additional Sq.Feet-Total 0 Occupancy#1-Use Professional
Services/Offices
Zoning Designation OP
No Fixtures Associated With.This Permit!l
PERMIT EXPIRES Sunday,October 2, 2016
Permit Issued on Tuesday, April 5, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t - 'II be in accordance with the law /�,es and regulations of the State of Washington
and the Ci a,, ay.
Owner or agent: i ! �A
� �� 4, , i Date: 4/-5---/4,
0
Plans Tv 't-ev fA
_(q 1tl_
-;TATE INSPECTOR AREA AND TYPE OF INSPECTION
4.1141((' 1'4 ?444-1 FvhdPervi'144 - OIL To Covwo- I Jw'-t,s )(«pr At
pl.k1%4)%'J IMti*s. Q rwi't' f.►gEps to 6W ? U412 A,•tD
PbSftYh• sew co.4040. rill o•, �►b-rt firz
. , ,, - THIS CARD IS TO REMAIN ON-SITE -
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 16-100604-00-CO Address: 34509 9TH AVE S Unit 202
Project: ST. FRANCIS HEALTH SYSTEM FEDERAL WAY, WA 98003
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD. Inspections are listedas,plose 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 Initial Erosion Control(4365) El Footings/Setback(4110) 1:1Re-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
Ei Slab/Concrete Floor(4255) ❑ Underfloor Framing(4285) E Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
*0 Fire/Draft Stops(4095) '0 Interim Erosion Control(4370) % Prior to scheduling a Framing inspection;
Approved Approved Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date By Date approved. IBC 109.3.4
.
❑ Framing(4120) El Insulation(4150) • Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date (e( .(l.b By Date By Date
•
• Suspended Ceiling Grid(4265) El Final-S K F&R(4060) Final-Planning
Approved to drop tile Approved Approved
By Date to(Z l t is By Date By Date
•El Final Erosion Control(4375) LJ Final-Building(4050)
Approved Approved
By Date By V4 Date to I I(I to
,
El Rough ElectricalED Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
. odo
•CEIVED
•
4„V FEB 0 2 2016 PERMIT APPLICATION
Federal Way
CITY OF FEDERAL WAY
CDS 1
PERMIT NUMBER 1 cji
_ I Q v\(t�/ to 0 L _ C/o ' 1 TARGET DATE
— — C
SITE ADDRESS '�1z /to Ll.+ SUITE/UNIT#
J,,a��/7 1 NN Th S , SU 1-1-r, 7 Z
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#�� � _ O
$ , UUI� ' 4017
TYPE OF PERMIT 'BUILDING 0 PLUMBING 0 MECHANICAL El DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT CA S 14617. 0f. .177U7 el . pw- aSfilki ( T I.
"14 of .-1-ik c-) n_lifie_ s btc�, (/ V(i�-4- AAvKivs ,
PROJECT DESCRIPTION l �, y �, ��
Detailed description of work to (t I n -_1 01011 ,'�W l} ✓ 4i d'C al Se Wo I 10
be included on this permit only i n breeL6YI.«/v , (:f7 y ve/v t- x(STI r)t/1 �br ce s are
4Y�/I aV V PA-Yen/VI , Ail(A a h4 til am./at -id;/ph1 JY i o vvt
NAME PRIMARY PtIONE
4- 1 o eAS C,P 11-rao,J 1- J�J 522-41-174.......\_.`
PROPERTY OWNER MAILING An L
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'PO
X 2-1.11 CitwvcMc ..Varellkefi,
ll ( CII rkV I,M"1 I"f STATE
lA /4' ZIP 1 Slid 0 1 PPGI V I i c.kia Thu
NAMPA PHCC� '11 --S1.17NA It CDrd��"Tl iaf\.�(?53�303^0-n`1
MAAILING ADDRESS p� E-MAILV
CONTRACTOR 120 t3.20)(G” 10 2— y� " `r'SSe CSCGYISt- uc
CITY STATE 1 Sum D lAn ZIP61 v�-'7 FAX 1 C. w,
,9.3-1'1(4-0 W,�Q ST(/ , CONFACTOR'SLaSE# m EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# _
X I LAI. arOUP, 1nlC. (26- )122 10.37
APPLICANT MAILING/„/;Z 1 D 1 U•' St E. Su/M r r z-o i t bP GY✓l�Jr Jl�_i-Jl
I lVV r J,__ 7�� 3t.
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1Z�DM I4 TAE ZIP
CvTf- .10.4fZf+ A5-5)°IZ?'604ri 9 •
NPRIMARY PHONE
PROJECT CONTACT 1 A 1`IE `?_ -1�()Mg_
(The individual to receive and MAILING ADDR E-MAIL
respond to all correspondence t"/"/Tl PCS LAC4 -4
concerning this application) CITY STATE ZIP FAX
NAME \Kr
PROJECT FINANCING OWNER-FINANCED
When value is$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 su lied to the city as a part of this application.
SIGNATURE: 661/1-ed-41414 3 _ DATE v ` '/ .6 .
(/
PRINT NAME: j/411. .514_/ —'AJO7K✓f —
Bulletin#100—December 29,2015 Page 1 of 3 k:\Handouts\Permit Application
•
•
._1VALUE OF MECHANICAL WORK
��' 1 ' %�
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)
BOILERS FURNACES HOT WATER TANKS(Gee)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING 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.
BATHTUBS(or-rub/shower combo) LAVS(Hand Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Uttiry) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
Ni I Pr LI. $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FItus SUPPRESSION SYSTEM?
HWoua/t. -1 .-707. -)
1 07� s 1'es❑ No Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE ❑ CARPORT ❑
OTHER(describe)
Area Totals EXISTING PROPOSED TOTAL
**rr.EWHOMES.o1ILY*%
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION `mea In ccupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING 13 1 L
TENANT AREA ONLY t-,I CNet
PROJECT AREA ONLY I ' +, , t
Bulletin#100—December 29,2015 Page 2 of 3 k:\Handouts\Permit Application