12-102314 •Building - Commercial
City of FederalWay Permit tt. 12-102314-00-CO
Community Econ.& Dev.Services
33325 8th Ave S
Federal Way,WA 980it:
Ph:(253)835-2607 Fax:(253)803 35-2609 iti26.eas Inspection Request Line: (253)835-3050
Project Name: ST FRANCIS HOSPITAL-CANOPY ENTRANCE
Project Address: 34509 9TH AVE S Parcel Number: 750451 0010
Project Description: REP-SeIect demo of canopy roof and EIFS columns to determine extent of internal
damage.This includes replacement of new TPO roof
Owner Applicant Contractor Lender
FRANCISCAN HEALTH SYSTEM RUSH COMMERCIAL RUSH COMMERCIAL
W 2727 HOLLYCROFT SUITE 410 RUSHCC*913JG(4/7/13)
1717 S J ST GIG HARBOR WA 98335 2727 HOLLYCROFT SUITE 410
TACOMA WA GIG HARBOR WA 98335
98405
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class:
Construction Type:
Occupancy Load:
Floor Area(sq.ft.) 0 0 0 0
Additional Permit Information
Mechanical to be Included? No Number of Stories. 2
Permit for Building Shell Only? No Plumbing to be Included? No
No Fixtures Associated With This Permit!!
.-- sft//
CONDITIONS:
Subject to field inspection without plans.
PERMIT EXPIRES Monday, November 26, 2012
Permit Issued on Wednesday, May 30, 2012
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use W bey ci d- ce with the laws, rules and regulations of the State of Washington
nd the City of j-deral y.
Owner or agent:
DATE INSPECTOR AREA AND TYPE C ,NSPECTION
Ft"- desiete,,t6 eza 11,91
707
'
• THIS CARD IS TO MAIN ON-SITEi'
CITY OF
Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102314-00-CO Address: 34509 9TH AVE S
Project: FRANCISCAN HEALTH SYSTEM W FEDERAL WAY, WA 98003-6700
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.
▪ SWM Precon Site Mtg(4400) Initial Erosion Control(4365) 0 Footings/Setback(4110)
Approved To be done prior to breaking ground Approved to place concrete
By Date By Date By Date
. I •
•
El Foundation Wall(4115) 0 Drainage/Downspout(4040) El Re-steel(4215)
Approved to place concrete Approved to backfill Approved to place concrete or grout
By Date By Date By Date
0 Slab/Concrete Floor(4255) Underfloor Framing(4285) .
El Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
e� Shear Walls(4245) Roof Sheathing(4220)• �0 Fire/Draft Stops(4095)
Approved to install siding Approved to install roofing Approved
By Date By Q Date 1„1_l...-5,_t„I, • `Boy Date
•
erJ Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Framing(4120)
Approved Approved to insulate
Electrical,Plumbing&Mechanical Rough-in and
Fire/Draft Stop inspections must be signed-off and
By Date approved. IBC 109.3.4 BY Date
O Insulation(4150) ❑Gypsum Wallboard Nailing(4130) 0 Suspended Ceiling Grid (4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By G\Ai.r Date .1 y`q-`,Z By n �-- Date li�\.,_1,,_
❑ Final-Fire Department(4060) ❑ Final Erosion Control(4375) El
Final-Building(4050)
Approved Approved Approved
By Date By Date By Date
•
El Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
0 0
RECEIVED 12._ 0 Zlzt---
,
CITY OF CO SF MF ME PL DE EN FP
y Federal WAY 2 4 2012
conrnrumrrnw6 FEDERAL 'PLICATION
253-835.2607.
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ia:mu, C
eit+ialtedemu+nit
i . m CDS
SITE ADDRESS { ) SUrFE/ tl
340,71 pvvs so1,014- l � , 111 ')SW? tV�
PROJECT VALUATION ZONING J► ASSESSOR'S TAX/PARCEL#
5!I P J CQMrn, r M- `: S 0 4 6 I - n D 1 t?
ryi OF PERMIT aBUILDING 1:1 PLUMBING CI MECHANICAL
[i,.DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
s. NAME OF PROJECT
(Tenant Name/Homeowner Last Name) 5r �. 'i i aP+ 'D f P t
Ste~ c C-��la v Lo bcs Lu vik.m. _
DESCRIPTION r �• , y
A G
DetailedPROJECT deseriptton of work to G% R M,&ie C7MM1 (j '�A L�) O ) ,
be Included on this Pennit only WILL fkle-W-DE -AC ivi. r arm.) )20LF.,
Lz,,,
PROPERTY OWNER .FI (•4 e IM � :7-'NAME
/1
•
-1-0-11r171WIta-tri- 6)
COYuIINE
2-
N��MSk � Wty1t� c.lt_. r ,3-1,3149
MARINO ADDRESS � }�,
CONTRACTOR S �i u o >rCYYt.I� `}' .YL1��11'ev tpuiuS
cr"6
1 6 - Q312*
U + � ERAL
COWT./Fr_il cms.kernwa_LICENBE II ON DATE
WAY BUSINESS LICENSE 4/
NAMSUIN VERL) PHONE
APPLICANT p
MAILING ADDRESS EMAIL
CITY I 1; Ago vc STATE ZIP FAX
PROJECT CONTACT DI id 1LA-61- PHONE
(The indi,tdual toreceive and
`
respond to all correspondence MAILING ADDRESS .,i,E
concerning this applicatioN IN leo �1�Fx"'�V1L YL��+� Com
CITY STATE ZIP FAS
AL TE CO NAME: PHOE ASML etSNI 2.53L) 14-41404-
OM
PROJECT FINANCING `31.. M ! � e
OWNE -FINANCED
Required',due of$5,000 or more _ CAS_ •
iRCW is.zx ossl. p 4Ft a P�1V STATE, . 14 M an 2 2•412E
PR
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility far compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther agree to hold harmless the City of Federal Way as to any claim(includeng costs,expenses,and attorneys'fees incurred in
the investigation and defense of such claim).which may be made by any person,including the undersigned,and filed against the city,
but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information suppli .. ' _as a part of this application.
po
SIGNATURE: , i" tAA-1 DATE 5704'/1?,
PRINT NAME" p I:" e•O
l /�'ftLLlr l W11+1 -� --
Bulletin#100-January 1,2011 Page 1 of 3 k:\Handouts\Pemtit Application
• i
IVieciirAivicAL FIXTURES
VALUE OF MFxHAIVICAL WORT[ y$.2/ (a copy of bid or estimate must be prouided)
Indicate how many of each type offveture to be installed or relocated as part of this project. Do not include:exfstirigfixtures to remain.
AIR HANDLING UNTTS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS)cmnmereia
BOILERS FURNACES HOT WATER TANKS IoM
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING W00DSTOVES
PLUMBING FIXTURES
Indicate hour many of each type offtxture to be installed or relocated as part of this project. Do not Include existing ftxtures to remain.
BATHTUBS[or1Uh/shower comb.) LAVS(Hand& I TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS i)md�ressty) WATER HEATERS lEkdrI,l
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL,INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR -SEWER PURVEYOR. - VALUE Of EXISTING IMPROVEMENTS
ar ce ( N $ .S•t,3Jf
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet). EXISTING FIRE SPRINKLER.SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
4-sip ❑Yes No ❑Yes tic No
ate:
RESIDENTIAL NEW OR ADDITION A
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BAS1T.
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT❑
crl (d -
raremra PROPOSED Sano,
Area Totals
••REE 1 ONLY`'..
ESTIMATED SELLING PRICE$ #OF BEDROOMS
,,,C41V111ERCIAL. ;NEIADDITION � ...
Area Construction #of
AREA DESCRIPTION Occupancy Group(*) Additional Information
in Square Feet Type Stories
NEW BUaDIRti':<
ADDITION
�'` COM TIAL—REMUD NANT.IMPROVEMENTS ?... •.. . .,
Area Construction #of
AREA DESCRIPTION in&quare Feet Occupancy Group(s) Type Stories Additional Information
1AIAL BDIIDIIin
TENANT AREA ONLY aril k�nr
PROJECT AREA ONLY i67_1 Samir t`-WVi'
Bulletin#100—January 1,2011 Page 2 of 3 Ic:\Handouts\Permit Application