17-103082 s. 3 I
Mechanical
City of Federal Way Permit #:17-103082-00-ME
Community Development Dept
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-PHARMACY
Project Address: 34515 9TH AVE S Parcel Number:750451 0020
Project Description: Replacing existing chemo hood,exhaust fan,hood and ductwork to accommodate higher
exhaust airflow at new hood.Install(2)each filter diffusers and upsize associated ductwork.
Re-balance air flows.
Owner Applicant Contractor
JOHN ELSWICKFRANCISCAN HEALTH JOSH LEEAuburn Mechanical AUBURN MECHANICAL INC
SYSTEM-W 2623 WEST VALLEY HWYN AUBURMI163BA(9/12/18)
1717 S"J"ST AUBURN WA 98001
TACOMA WA 98405 2623 W VALLEY HWY N
AUBURN WA 98001
Additional Permit Information
Mechanical Work Valuations 15000 Is this an Online or O.T.C.application9 Yes
Air Handling Units 2 Ducting 60 Fans 1
Hoods 1
CONDITIONS:
Subject to field inspection with plans.
PERMIT EXPIRES Sunday,24 December,2017
Permit Issued on Tuesday,June 27,2017
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
Washington and the City of Federal Way.
Owner or agent: Date: (alb 7//7
kilONI t4
s THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 103082 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.
• � .• t. .
EI Mechanical Rough-in(4165) El Gas Piping(4125) � Final-Mechanical(4065)
Approved Approved to release test Approved
By j i‘j Date 91 2. / 1 7 ..By Date By ki`t Date 1(/'S/j 7
0 Rough Electrical Final Electrical 0Right of Way
Approved Approved Approved
By Date By Date By Date
..
CITY OF Mme...., PERMIT APPLICATION
Federal Way PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+permr,> Crrftbay.com
PERMIT NUMBER i _ 1 0 0 8 7 _ HIE JUN 2 7 2017
— TARGET DATE
CI 1Y OF FEDERAL WAY
SITE ADDRESS COMNgagyuliPgLOPMEN I
St. Francis Hospital 34515 9th Avenue St.
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 15,000 office park 7 4 - Q
TYPE OF PERMIT 0 BUILDING 0 PLUMBING IE MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT St. Francis Hospital - Pharmacy Chemo Hood
PROJECT DESCRIPTION Replacing existing chemo hood in the hospital pharmacy.Replace existing exhaust fan.
Detailed description of work to hood and ductwork to accommodate higher exhaust airflow at new hood. Install 2ea filter
be included on this permit only diffusers and upsize their associated ductwork. Re-balance air flows.
NAME PRIMARY PHONE
Laurie Kearney - CHI Franciscan 253-274-7689
PROPERTY OWNER MAILING ADDRESS E-MAIL
1623Martin Luther King Jr Way lauriekearne
y@chifranciscan.Jrg
CITY STATE ZIP
Tacoma, WA 98405
NAME PHONE
Auburn Mechanical253-261-5743
MAILING ADDRESS E- L
CONTRACTOR 2623 W Valley Hwy N JoshLee@auburnmechanical.con
CITY STATE ZIP FAX
Auburn WA 98001
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
AUBURMI163BA 09112 / 18 20-10-100014-00-BL
NAME PRIMARY PHONE
JoshLee 253-261-5743
APPLICANT MAILING ADDRESS E- L
2623 W Valley Hwy N JoshLee@auburnmechanical.com
CITY STATE ZIP FAX
Auburn WA 98001
NAME SAME AS APPLICANT PRIMARY PHONE
PROJECT CONTACT
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence
concerning this application) CITY STATE ZIP FAX
NAME
PROJECT FINANCING Laurie Kearney-CHI Franciscan Igl OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(I2cwI9.27.ov5) 1623 Martin Luther King Jr Way Tacoma, WA 98405
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 p�artt offPthis application.
SIGNATURE: 41 (_. ��j"moi(/ DATE 67:92-6/7i7
PRINT NAME: Josh Lee
Bulletin#100-January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 15,000
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.
0 AIR HANDLING UNITS 1 FANS 0 GAS PIPE OUTLETS 2 OTHER(Describe)
0 AIR CONDITIONER 0 FIREPLACE INSERTS 1 HOODS)commercial)(Chemo) supply air diffusers
0 BOILERS 0 FURNACES 0 HOT WATER TANKS)Gas)
0 COMPRESSORS 0 GAS LOG SETS 0 REFRIGERATION SYST
-60' DUCTING 0 GAS PIPING 0 WOODSTOVES
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(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
N/A Lakehaven Lakehaven $ 0
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
previous use: pharmacy 235,790 sf(existing) N Yes a No X Yes ❑ No
existing use:pharmacy
' I ENTIAL - NEW OR ADDITION
AREA D s, PTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)'
E7CISTDIO PROPOSED TOTAL
Area Totals
*•111X 'HOME ONLY""
TIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
NEW BUILDING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area In Occupancy Group(s) Construction #of Additional Information
Square FeetType Stories
TOTAL BUILDING
TENANT AREA ONLY
PRoJEcT AREA om.Y 91 sf 1-2 1-A 1
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application