10-103071 - ,
City of Federal Way 01110 D • Mechanical
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Community Development Services Permit #: 1 0-1 03071-00-M E
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ST FRANCIS HOSPITAL
Project Address: 34509 9TH AVE S Parcel Number: 750451 0010
Project Description: Provide& install(1) new 60 ton rooftop unit. Remove existing unit like for like. Provide
new roof curb and sheet metal duct to adapt to new curb&unit.
Owner Applicant Contractor
ST FRANCIS MED CTR ASSOC AIR SYSTEMS ENGINEERING INC AIR SYSTEMS ENGINEERING INC
1717 S J ST (GENERAL) (GENERAL)
TACOMA WA 3602 S PINE ST AIRSYE*229KN(2/1/12)
98405-4933 TACOMA WA 98409 3602 S PINE ST
TACOMA WA 98409
Mechanical Valuation 97772.90 Is this an Online or O.T.C.application? No
Air Conditioners-Stand Alone Un 1
PERMIT EXPIRES Wednesday, February 2, 2011
Permit Issued on Friday,August 6, 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 will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: (-(A) Date: 56 ("J I20t-U
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PINALED Q Z4 /a
THIS CARD IS TO IN ON-SITE
crn aF Construction Ins ection Record
Federal Way INSPECTION REQU TS: (253) 835-3050
PERMIT#: 10-103071-00-ME Address: 34509 9TH AVE S
Owner: ST FRANCIS MED CTR ASSOC 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.
Ei Mechanical Rough-in(4165) El Gas Piping(4125) Final-Mechanical(4065) `
Approved Approved to release test Approved
By Date By Date Dat6/--Z4
Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
110
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RECE o- _Jo-6510 L
GIN OF Sik .u:.,,.: PERMIT SF' MF CO ME PL DE EN FP
Federal Way juL 2 U Itis. '
COMMUNITY DEVELOPMENT SERVICES FED.
E' r A�'�► AT I O N g(3/f�
253-835-2607•FAX 253-835-2609
wuni t ederal
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CCAS
SITE ADDRESS SUITE/UNIT#
/3 4soq cti'll Alit- 5 '
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
TYPE OF PERMIT IIIBUILDING 111PLUMBING X MECHANICAL
❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT me r • 1_ 01 S jam,6 19+.
(Tenant Name/Homeowner Last Name) r �r /� � ��.J `L ) �1, 1/� ,/
PROJECT DESCRIPTION
inn i * t" C�/p � `/ r (SZCJ `f / l / ��` p
Detailed description of work to L�� �� Y C� � f I 1 1 �l/�'V" a
be included on this permit only ,�/®til �r p oak), ) r O f �( / drb %I V bel
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PROPERTY OWNER NAME ar Lo ' ` j ,, 5 PHONES- Lk o
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F MAII
CITY TcA rI a, \ ZIP 9 :J -1 g. - \(4.5
A NAME A,if-511 64.0/7,6
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CONTRACTOR ✓ D1 7 ` P t' i S�+ ,1 /3 EA'Y'-7 1 C.C.��b eL2-3-17
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NAME ,/\i r Sc o' 6 lgl,n , 'v�9 "- i.,,-q c q ,
APPLICANT �ILIN4 5 ptiff 5f- ` , t a ,lo®a u'aiS
CITY '1 � T �1 U4'U S!11J 6 ✓JLq J ✓
PROJECT CONTACT NAME
e-66 / r t-t_ PHONE
`5Jr . ^C14(U
(The individual to receive and
respond to all correspondence MAILING ADDRESS U -o. w pcne ctE� � �® ,la'�\
•
W
)s
concerning this application) CITY T ` im� qqw4� / C; --6 -1
ZiPq
TRNATECNTTCTt M :
P O .E-MAIL
PROJECT FINANCING NAME
OWNER-FINANCED
Required value of$5,000 or more
(RCW 19.27.095) MAILING ADDRESS,CITY,STATE,ZIP PHONE
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.� n.Q
46L621-1,1
(4)11/4
SIGNATURE: -' ` DATE -1`/ ✓ 'O
PRINT NAME: C-,5441-A Vi tL vim'
Bulletin#100—April 14,2010 Page 1 of 3 k:\I-Iandouts\Permit Application
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IN,
V OF M CAL WORK $9.-7 4 I R, (a copy of bid or estimate must be provided)
Indicate how many of each type offbcture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLE,1S OTHER(Describe)
T AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING:FIXTURES
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand 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
$
fEXIISTTINGG//PR/EVIIOUS USE /..,, LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
l�- '► 1 6(7 t UCS 6--6 -q q )(,Yes ❑ No ❑Yes ❑ No
/
RESIDENTIAL - NE ORA )IDITIbN
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASE1t ENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK.
GARAGE ❑ CARPORT ❑
'hER,(t escrtbe)',
ERDiTAIO PROPOSED TOTAL
Area Totals
*NEW BOWIES ONLY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMS;.. IAI1'
t*...AI>UITIbN ;
AREA DESCRIPTION
Area rea Occupancy Group(s) Construction #of Additional Information
in Square FeetType Stories
NRW BUILDING - ?.
ADDITION
'moi 1-37F-
' ^' hc°nt ,A a-: ^ f y�+Sy' i w 4 �qI
.;,' !Cd1I CE SIAL I 4 1E ENA 1''JMP O :l E
AREA DESCRIPTION Area Occupancy Group(s)a. Construction #of Additional Information
in Square Feet )�y f Type Stories �` ,A f t /�f
TOTAL BUILDING 6) !) + C V 4 . 1 6p tt✓�C..l
TENANT AREA ONLY ✓ 0 yj
PROJECT AREA ONLY
Bulletin#100-April 14,2010 Page 2 of 3 k:\Handouts\Permit Application