15-102422 • • Mechanical
-• u &Econ l Way Permit #: 15-102422-00-M E
Community&Econ.Dev.Services
33325 8th Ave S
federal Way,WA Inspection Request Line: 253
Ph:(253)835-2607 Fax:(295830)08335-2609 p q � )835-3050
Project Name: ST FRANCIS MEDICAL OFFICE BUILDING
Project Address: 34509 9TH AVE S Parcel Number: 750451 0010
Project Description: Remove and replace existing roof top units and associated ductwork and gas piping.
•
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM W JESSICA BRUCE AIR SYSTEMS ENGINEERING INC
1717 S J ST AIR SYSTEMS ENGINEERING (GENERAL)
TACOMA WA 3602 S PINE ST AIRSYE*229KN(2/1/16)
98405 TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Additional Permit Information
Is this an Online or O.T.C.application? No
Mechanical Fixtures
Air Handling Units. 1 Gas Piping 1
PERMIT EXPIRES Tuesday, December 22, 2015
Permit Issued on Thursday, June 25, 2015
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
d thee Ci o Fe eral Way.
Owner or agent - r
Date:
LF.IN
THIS CARD IS T MAIN ON-SITE
CITY°F • Construction I ection Record -
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 15-102422-00-ME Address: 34509 9TH AVE S
Project: FRANCISCAN HEALTH SYSTEM Al 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.
0 Mechanical Rough-in(4165) ❑ Gas Piping(4125) ❑ Final-Mechanical(4065)
Approved Approved to release test Approved
..:,,2
By Date By Date B Date 11
. . ���JJJJJJKr_3/
•
El Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
4)
CITY OF ,_:::: PERMI APPLICATION
Federal Way
S ( O Z 4 Z MAY 2 0 2015
PERMIT NUMBER _ �` TARGET DATLO �F FE®F
— C'nSRALWAY
SITE ADDRESS I SUITE/UNIT#
s oq �' � S .
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
6.
TYPE OF PERMIT ❑ BUILDING D PLUMBING ,MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT - . ��l �l C� m g rzi 'u - J (� ���- i ►1�1 ---
PROJECT DESCRIPTION j �/15 Cu S+
Detailed description of work to (Lib ���"T'j ClL �..lL �V e_ I
be included on this permit only C "\ r
�► �,L�-V b P,c e,n��,c� ne_A)J U-0 it s
e t iziAkL • r q&s p
N J� 1 [��� p�� pPRIMAIW PHONE
PROPERTY OWNER 5 1 .1 f�st�.�il ► 1
MAILING ADDRESS 1 �"� j�1 _ d j _ ,/I /� ` `� E-MAIL
CITY { �/ M T1/ b VZIP/I cl�l 1 0
NAM
MAIL/ 1' Srty)
V' ' 1I1CONTRACTOR :. ✓ `
CITY ue.J+_XJ 6- �S, TEST ZIP 4 6�q AS✓ :1(83-LA-31
AsirSA�rrs IC is t k1 ) "� TION I FEDERAL WAY BUSINESS LICENSE
NAME4 �n PRIMARY PHONE --
r
APPLICANT MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
:.1. NAME,0.-•() f PRI PHONE
# .. :� PROJECT CONTACTSt/G 01111.4
�
(The individual to receive and MAILING ADDRESS 6 p Link /% i 73��,�"""�'\�}�i"`�
respond to all correspondence y 3 e
concerning this application) CITY�<��' ! �/ 5 ZItf( � �` �/ ! �(G u ✓
NAME /1.}'"(
SIGJ.
PROJECT FINANCING `i OWNER-FINANCED
Required value of$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 supplied to the city as a part of this application.Tt
SIGNATURE: 1Q1JZ. I ( q1J�L DATE 5.J f V
PRINT NAME: V C' / If'UJ- 1 -T
Bulletin#100-January 1,2013 Page 1 of 3 k:\Handouts\Permit Applicatie-
VALUE 04 MECHANIC4L WORK
MECHANICAL PERMIT $ 1 4 ‘.(1
Indicate how many of each type offixture to be installed or relocated a_x---rt of this project. Do not includerxisttng fixtures to remain.
AIR HANDLING UNITS FANS * OAS PJ'E OUT.LETS OTH R(Describ-)
* -I £��I��
AIR CONDITIONER FIREPLACE INSERTS r' HOODS comma ciaq ( lsi
BOILERS FURNACES HOT WATER TANKS(Gas) WirIRI!aL
COMPRESSORS GAS LOG SETS REFRIGERATION SYST + n 1 t)r1, f
DUCTING j GAS PIPING WOODSTOVES l �l
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 Tub/Shower combo) LAVS(Hood Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Utility) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$
EXISTING/PREVIOUS USE LOT SIZE On Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
V' 4 c 5 } —7 ii ❑Yes❑ No ID Yes El No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
B EME1
FIRST FLOOR(or Mobile Home)
SECONDratA:,. '" • " 1 1�'c
COVERED ENTRY
DECK i
GARAGE ❑ CARPORT ❑
'til lEl tdt scnbe- " .A -4?
EXISTING PROPOSED TOTAL
Area Totals
* NEW HOMES ONLr* , , ., "
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction # of Additional Information
in Square Feet Type Stories
a
_ i EW BUILDIN 1 v%/ �� 1 ' �i .' 3 :le •P
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area Occupancy Group(s) Construction #of Additional Information
in Square Feet •• .e Stories
- $'1Cl'1 LDING
\ 3
TENANT AREA ONLY (6 G°. ,r,,
Tq
.lit A 1 $, \ / ,c ow . , ...• ..... 01# e': ....... ,';', r . 0 !i,,,,,,, .,3,... :°.'....., .,4 ... .. .,.,
Bulletin#100-January 1,2013 Page 2 of 3 k:\Handouts\Permit Application