17-100743 Electrical
City of Federal Way Permit #:17-100743-00-EL
Community Development Dept 1,1 .71
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-CATH LAB
Project Address: 34515 9TH AVE S Parcel Number:750451 0020
Project Description: Electrical work for the new equipment and reception area. ***Revised 7/7/17 to include low
voltage wiring for fire alarm system,400 amp sub-feeder,and associated circuits.***
Owner Applicant Contractor
JOHN ELSWICKFRANCISCAN HEALTH CHRIS BARKERCOFFMAN ENGINEERS H&M ELECTRIC INC
SYSTEM-W 1601 FIFTH AVE SUITE 900 HMELEI*077KR(5/19/19)
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 O.T.C.application? No
Alt. Srvc/Feeder 201-600 am 1 Circuits-Commercial 84 Low Voltage-Fire Alarm(Co 1
PERMIT EXPIRES Wednesday, 14 March,2018
Permit Issued on Tuesday,March 14,2017
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. -7 ��
Owner or agent: Date: ✓' T t
e
a t
Electrical
City of Federal Way Permit #:17-100743-00-EL
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-CATH LAB
Project Address: 34515 9TH AVE S Parcel Number:750451 0020
Project Description: Electrical work for the new equipment and reception area.
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 O.T.C.application? No
PERMIT EXPIRES Wednesday, 14 March,2018
Permit Issued on Tuesday,March 14,2017
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy d the use will be in accordance with the laws, rules and regulations of the State of
Washington and the City of Federal Way. /N
Owner or agent: Date: 3-'/`i' - /7-
.
f,A,TE INSPECTOR AREA.AND TYPE OF INSPECTION
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THIS CARD IS TO REMAIN ON-SITE • `
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 17 100743 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.
0 LIFER Ground(4295) ID Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date .By Com) Date Lb+-vs.`i ..By 0 , Date ) -iz LI
Pool Bonding(4195) ® Temporary Power(4275) ®
® Service(4235)
Approved Approved Approved
By Date *By Date �.By Date
® Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
.By ic m,f Date k,.t Sir‘Z By t,, Date 111,p.Ulf
`.) q „ By C 1.5 Date N.---•C_-.,`7
E Final-Electrical(4055) 1
Approved
J By Q Date k „1 `i-%'75,
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
• RECEIVED ELECTRICAL
` CITY OF
Federal Way 152017 PERMIT APPLICATION
CITY OF FQLL WAY7 I1 -
COS PERMIT NUMBER _
-
SUITE/UNIT/SPACE#
SITE ADDRESS: 34515 8th Ave South - Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAR/PARCEL{ CURRENT/PROPOSED USE
$ 25,000 750451 - 0020 _ - _ _ _ Hospital
PROJECT NAME SFH - Cath-IR Lab Expansion
(Tenant or Homeowner Last Name)
Cath & IR lab remodel - new equipment and reception area.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER St. Francis Hospital (253 )944 8100
MAILING ADDRESS E-MAIL
34515 8th Ave South
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME 4 ` PRIMARY PHONE
��
C-Ct L ( 34'x) 4' 3(- a, 36
MAILING ADD E-MAIL
ELECTRICALI`
CONTRACTOR CITY STATE ZIP FAX
( )
WA STATE CONTRACTOR'S LICENSE it EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE C
/ /
NAME PRIMARY PHONE
Coffman Engineers (206 )623 0717
APPLICANT MAILING 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-p23-0717
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 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 ty of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred in
the investigation and defense of such cl imj, which may be made by any person,including the undersigned,and filed against the city,
but only where suchClaim es,o t .4'the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to c as of this application.
SIGNATURE: CI �'' DATE I '
PRINT NAME: .....:-.14\� .�l?1- �ii� . zA
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