17-100962 A ,
Electrical
City of Federal Way - , Permit#:17-100962-00-EL
CommunityDevelopment
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ST FRANCIS HOSPITAL-OBSERVATION UNIT
Project Address: 34515 9TH AVE S Parcel Number:750451 0020
Project Description: Electrical work to provide new power systems to new patient care units
Owner Applicant Contractor
JOHN ELSWICKFRANCISCAN HEALTH CHRIS BARKERCOFFMAN ENGINEERS H&M ELECTRIC INC
SYSTEM-W 1601 FIFTH AVE SUITE 900 HMELEI*077KR(5/19/17)
1717 S"J"ST SEATTLE WA 98101-1620
TACOMA WA 98405 PO BOX 799
•
MARYSVILLE WA 98270
Additional Permit Information
Is this an Online or 0.T.C.application No
si�.,, � r�' r,-,Ysn �� -` _2 �,4 �/ [ ` a
Alt. Srvc/Feeder over 1000 as 1
PERMIT EXPIRES Saturday,31 March,2018
Permit Issued on Friday,March 31,2017
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
Washin•ton and the City of Federal Way.
Owner or agent: • 3 2
Date: 3i
3Lt . - Li .,-- la. 345(4
VIE INSPECTOR AREA AND TYPE OF INSPECTION
THIS CARD IS TO REMAIN ON-SITE
4
«►� Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100962 00 Address: 34515 9TH AVE S
Project: JOHN ELSWICK FEDERAL WAY WA 98003-6761
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.
Q UFER Ground(4295) E Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date �By Date By Date
'® Pool Bonding(4195) '� ,' '
El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date . By Date
•
" `I ,
•® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
„By 0....m..4.)..._ Date L„. i_ » ,,By CZ aA..'� Date —21..►n ..By 0 .1,,..„ Date to,—21—yl .
El Final-Electrical(4055)
Approved
By ( ` „, Date 1-.5.. 1 ri
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date ,, By Date
-12 3/Z (/(7-
ELECTRICAL
""'°f RECEI D
`Federal Way PERMIT APPLICATION
FEB 2 8 2017
CITY OF FEDERAL Wp�
�v�5R I — 19 oo
CDS SUITE/UNIT/SPACE#
SITE ADDRESS: 34515 8th Ave South - Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 25,000 750451 - 0020 - _ Hospital
PROJECT NAME SFH - OP6i3CUARDN UN tr r r;
(Tenant or Homeowner Last Name)
Provide new power/systems to new patient care units.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME St. Francis Hospital (253 )9PRIMARYa 00
MAILING ADDRESS E-MAIL
34515 8th Ave South
CITY STATE ZIP FAX
Federal Way WA 98003 •
( ) -
NAME PRIMARY PHONE
� M IAcC4,1iC.MAILING ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR CITY STATE ZIP FAX
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
Coffman Engineers (206 )623 0717
APPLICANT MAI.DMG ADDRESS E-MAIL
1601 fifth Ave. Suite 900 barker@coffman.com
CITY STATE ZIP FAX
Seattle WA 98101 ( 206)624 3775
NAME PRIMARY PHONE
PROJECT CONTACT Chris Barker ( 206-23-0Z17
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner.I cert(fy 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 authorised 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 a defense of such laim), which may be made by any person,including the undersigned,and filed against the city,
but only where c im o of the reliance of the city, including its officers and employees, upon the uracy of the
information sup lie to sty of this application.
SIGNATURE: 'I DATE Ot
/ 7
PRINT NAME: TT
PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+ FAX 253-835-2609+permitcenter@cityoffederalway.com
Bulletin#160—April 14,2016 Page 1 of 1 k:\Handouts\Electrical Permit Application