04-105190 •
City of Federal Way f Building - Commercial Permit #: 04 - 105190 - 00 - CO
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax (253)835-2609 Inspection request line: (253) 835-3050
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number:750451 0020
Project Description: ADD-Sitework for the placement of a concrete pad within existing parking lot to accomodate a mobile
imaging(pet scan)trailer which will be on site as needed,anticipated one day per week.
Owner Applicant Contractor Lender
FRANCISCAN HEALTH SYSTEM PACIFICADD SERVICES*RAMZI F SELLEN CONSTRUCTION NONE
1717 S J ST 3601 43RD AVENUE COURT NE SELLEC*372ND 6/1/05
TACOMA WA 98405-4933 TACOMA WA 98422 PO BOX 9970
SEATTLE WA 98109 NONE
Includes:
Census category: 999-Unkno #1 #2 #3 #4
Occupancy Group _
Construction Type: ----H 1
--
Occupancy£.qad: { _ ff
H
�
Floor Area(Sq,Ft.):
Census Category.... .r ... .........................999-Unknown Mechanical-..... ,. .,,..« ,... .xr,. ........ No
Permit for Building Shell( sly.. .No Plumbing...., . . ........ .. . No
PERMIT EXPIRES August 21,2005.
Permit issued on February 22,2005
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: Date: 42,/' n,�_
3 0
THIS CARD IS TO REM ON-SITE
CITY OFA CommunityDevelopment rnspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-105190-00-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.
•P Footings/Setback(4110) ❑ Foundation Wall(4115) ❑ Drainage/Downspout(4040)
Approved to place concrete Approved to place concrete Approved to backfill
`By At, Date _'I tk , By Date By Date
e❑ Re-steel(4215)\ �❑ Plumbing Groundwork(4190) 0 Slab/Concrete Floor(4255)
Approved to place concrete or grout Approved to cover Approved to place concrete
By Date By Date By Date
r
❑ Underfloor Framing(4285) ❑ Floor Sheathing(4105) ❑ Shear Walls (4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
O Roof Sheathing(4220) 0 Fire/Draft Stops(4095) gR NOTE: Prior to scheduling a Framing(4120)
Approved to install roofing Approved inspection;Electrical,Plumbing&Mechanical
Rough-in and Fire/Draft Stop inspections must be
By Date By Date signed-off and approved. IBC 109.3.4/UBC 108.5.4
❑ Framing(4120) 0 Insulation (4150) ❑Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date By Date By Date
❑ Suspended Ceiling Grid (4265) ❑ Final-Fire Department(4060) ❑ Final-Planning(4070)
Approved to drop tile Approved Approved
By Date By Date By Date
0 Final-Public Works(4080) Final-Building(4050)
Approved Approved
By Date By i``re Date 4 k ,