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05-106018 i • Community D City of Federal Way evelopmentServices Building - Commercial Permit #: 05-106018-00-CO 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 CATH LAB REMODEL Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: TI-Remodel existing cath lab on level 1 for new dual-plan cath equipment.Includes plumb /mech. Owner Applicant Contractor Lender FRANCISCAN HEALTH SYSTEM JOHN MESS SELLEN CONSTRUCTION FRANCISCAN HEALTH SYSTEM 1717 S J ST ZIMMER GUNSUL FRASCA SELLEC*372ND 6/1/05 1717 S J ST TACOMA WA 98405-4933 PARTNERSHIP PO BOX 9970 TACOMA WA 98405-4933 925 4TH AVE SUITE 2400 SEATTLE WA 98109 SEATTLE WA 98104 Census Category: 437 - Commercial alt/add Includes: #1 #2 #3 #4 Occupancy Class: 1-2 Construction Type: Type I-A Occupancy Load: Floor Area(sq. ft.) 93,748 0 0 0 Additional Permit Information Existing Sprinkler System in Building? Yes Mechanical to be Included? Yes Number of Stories 1 Permit for Building Shell Only? No Plumbing to be Included? Yes Will Certificate of Occupancy be Issued? Yes Zoning Designation OP Mechanical Fixtures Ducts 1 Plumbing Fixtures Lavatories 1 Other Plumbing Fixtures 1 Sinks 1 CONDITIONS: PERMIT EXPIRES Sunday, January 13, 2008 Permit Issued on Friday, January 13, 2006 I hereby certify that the/above information is correct and that the construction on the above described property and the occupancy and t e use will be in accordance with the laws, rules and regulations of the State of Washington Opand of Federal Way. Owner or agent: Date: r 13 0 c City of Federal Way • 4 Certificate of Occupancy This Certificate issued pursuant to the requirements of Section 110.2 of the International Building Code 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 CATH LAB REMODEL Permit #: 05-106018-00-CO Address: 34515 9TH AVE S Includes: #1 #2 #3 #4 Occupancy Class: 1-2 Construction Type: Type I -A Occupancy Load: Floor Area(sq. ft.) 93,748 0 0 0 Owner Name: JOHN MESS JOHN MESS Owner Name: ZIMMER GUNSUL FRASCA PARTNE Owner Address: 925 4TH AVE SUITE 2400 SEATTLE WA 98104 Building Official Date 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 severly 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 ever, 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. THIS CARD IS TO MAIN ON-SITE CITY OF ommunitY pnt Develo m Inspection Record p Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 05-106018-00-CO Owner: Address: 34515 9TH AVE S FEDERAL WAY, WA 98003-6761 This card is part of your required inspection documents. 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 Footings/Setback(4110) ❑ Plumbing Groundwork(4190) 0 Rough Plumbing(4230) Approved to place concrete Approved to cover \l Approved By Date ` By e.:: j Dater 23.-v 6 By G CA.) Date?—'t --C)Cp 'IJ Mechanical Rough-in (4165) 0 Gas Piping (4125) 0 Fire/Draft Stops (4095) Approved Approved to release test Approved ILBc Date I _ c By Date By Date NOTE: Prior to scheduling a Framing(4120) i ❑ Framing(4120) ❑, Insulation (4150) inspection;Electrical,Plumbing&Mechanical I Approved to insulate Approved to install wallboard Rough-in and Fire/Draft Stop inspections must be signed-off and approved. IBC' 109.3.4/UBC 108.5.4 By Date By Date . ❑Gypsum Wallboard Nailing(4130) ElFinal-Fire Department(4060) 0 Final-Mechanical(4065) Approved to install mud&tape Approved l Approved By Date By Date By I..) ' Date 2.fa.° ❑ Final-Plumbing(4075) ❑ Final-Building(4050) Approved Approved By Ci Date Z. /V• a (o By CEJ Date/!J` Oce., ((//�yy=�ff�F-: •• CITY OF REC L,._. • J 3 - r=edera'Way --�— ® &D 1 g PERMIT COMMUNITY DEVELOPMENT SERVICES ov 2 j� 2A), SF M" 0 E EL PL DE EN FP 33325 AVENUE SOUTH• BOX 9718 I �j ,PLICATION - FEDERAL WAY,WA 9806363 D -9718 ^ / /� 253-835-2607•FAX 253-835-26e1 1 T OF FEDERAL WAY _(//, ` www.eityolfederalway.mm BUILDING DEPT. The oilowi . is re.aired in ormation—an incom•fete a..lication will not be acce.ted. Please •rint le•ibl (in in or .e. ■ PROPERTY INFORMATION . SITE ADDRESS 4" I J t•-)'&414 4 LI &L'(Il SUITE/UNIT# ASSESSOR'S TAX/PARCEL# _2 - D 4- S i - © E, Z 0. LOT SIZE(sj7 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) er Arr4a I I-r.0 (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu) 2" -/V1,0 1 (--- t X�5 N G-% T L-ii l ; ice .,,e.-6-:-' L f- t:_, ,. D.VA - n cA- TT( Qv(rill -iv PROJECT NAME(Name of Business or Owner Last Name) '57, FI2..44•)Ci s . fto s p/?)4-L• cA-7 .( £ 4i 1Q6e PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER '( t 1---144+1\Z,/, 404PP1774-1_ t1- 3) -510c MAILING ADDRESS CITY,STATE,ZIP 34 I S N t NJ-T/4 A-UF- rr t-7,-,r)r oa A-4,_- wAl i wA- `l 5 ioe, CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE 9 e,,1..r-(_1 cam s-fiWc upl -t c . "41%17) rho -c(-f- (Z ( F) 12-3- 777 MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE _ 179%466 A-V6. N. 7rc W,4- 'Ism? ( ) - CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER a - c,, -n4- - ! r 1 4{- --,-r_' -B L (? / 31 / ,o5" (z ) ' - CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE s1✓ c, c� c- - 72- ONS a & / / 7 APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE L/iv ME'12--(PUN S.(-)C--F(241-5C4 4714EIi t lLi MES ( 2 ) ;2- - 34(cs MAILING ADDRESS CITY,STATE,ZIP CELL PHONE ' i ; "-'';2-7 ' AI/6- SUITE-2die0 s A-11-1.. 1 oYil' ei$l44 ( ) RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect 0 Tenant 0 Agent 0 Other(Describe) ( :.-66)) &,z3 -7866 CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS It 1-1.k t 1.'/N4---- , . (- ,,) SZ ( - 34 1 B j s t 1 C s.>, (o.Z.di f-.ca 0114 LENDER • er o is NAME 7 e J C MAILING ADDRESS CITY,STATE,ZIP • . . , • . • • ■ DETAILED BUILDING INFORMATION .. EXISTING USE 1+05 r I T "L PROPOSED USE I-+DSr(-(34(•., EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 86,. 06)Ct V SPRINKLERED BUILDING? 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/;tEQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER AKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) .___I • • PROJECT FLOOR AREAS \_,_-) EXISTING PROPOSED AREA DESCRIPTION TOTAL SQ.FT. • SQ. FT. SQ. FT. BASEMENT ,{C� �y FIRST 9•?�t 7`([a F 37 et SECOND THIRD • FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL i.: r Iiu Dta'Y .-aorv ,r�owsensr r v ec s�� °` 'x s. **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES. .. ......... ...... Indicate number of each type of fixture. to be installed or relocated as part of this project. Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ <<'G L' AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS — BBQS FANS HOODS(commrci,X) W OO D STO V ES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) — COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS or Tub/Shower comX o) SHOWERS WATER CLOSETS(ro l<q MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom s nks) VACUUM BREAKERS ELECTRIC WATER HEATERS DISCLAIMER/SIGNATURE BLOCK • I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. �/ �f�� p� NAME/TITLE �0��� --.._. ," T 44-x'61/? , ATE (( 41 4 (Signature) (Title) RELATIONSHIP TO PROJECT o Owner ❑ Agent ❑ Contractor 0 Architect 0 Other �.1 t ��eDITI ' p 1 1• 7:::::..‘,7,,cir.:71,51:„3.:, - MEN P F E To i 1 D t ® e :''-',..9:4,,4".-:,:t?-`..,:..,,,- ® (): -( . xar . I iB YES ® O a 0,41-01 iD- .S '"° 1 D , @ Slit I, O •lSEPA%SU?� i., t , , � . k*A ESD' OT? ,P ` P y • °' ..`: O a' M0 , Tye �° d �� YES p µ d Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application • , dL.- ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE El Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage U 101-200 amp 141.00 89.00 (Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50 (Inspected separately) $69.50 ❑ 601-800 amp 398.50 . 168.50 0 801 - 1000 amp 486.50 203.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00 Service Feeder CI Up Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00 ❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00 ❑ 401 -600 amp 193.00 96.00 CI -800 amp 247.00 132.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ Over 800 amp 353.50 264.50 Service or Feeders ❑ Oto 200 amp $113.50 ALTERED SINGLE/MULTI FAMILY ❑-201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ Oto 200 amp $87.00 ❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered ❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater ❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility MOBILE HOMES ❑ Service or feeder only $69.50 ❑ Service and feeder $113.50 TEMPORARY SERVICE 1 i MOBILE HOME/RV PARK Residential/Multi-Family $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps _ $69.50 ❑ 101-200 amps 89.00 ❑ 201-400 amps 104.50 ❑ 401-600 amps 141.00 ❑ over 600 amps 152.50 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) Ad Low Voltage ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) ), )Z 4..- (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System ❑ Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) ata Cabling ❑ Automation Fee on all Permits $5.00 (Per Systems) Pt 2500 ft2-$61.00; Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5)(6/(&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application