18-101561Building - Commercial
City of yDevel Federal Way Permit #:18 -101561 -00 -CO
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax (253) 8352609
Project Name: ST FRANCIS HOSPITAL C -SECTION RENOVATION
Project Address: 34515 9TH AVE S
Parcel Number: 750451 0020
Project Description: TI - Interior tenant improvement work of C -Section operating room to accommodate new
ceiling mounted equipment, replacement of gypsum wall board, wall and ceiling finishes,
casework and new power. No plumbing or mechanical work.
Owner
Applicant
Contractor
Lender
JOHN ELSWICKFRANCISCAN
LOUISE WACKERMANBUFFALO
SELLEN CONSTRUCTION
OWNER IS LENDER
HEALTH SYSTEM -W
DESIGN
PO BOX 9970
Type I - A
1717 S "J" ST
1520 4TH AVE SUITE 400
SEATTLE WA 98109
0
TACOMA WA 98405
SEATTLE WA 98101
Plumbing Work Valuation?.....................................
0
Census Category: 437 - Commercial alt / add / conversion
Includes:
#1 #2 #3 #4
Occupancy Class:
I-2
Construction Type:
Type I -A
Occupancy Load:
306
Floor Area (sq. ft.)
306.00
Additional Permit Information
New / Additional Sq. Feet - Ist Floor .....................
0
New / Additional Sq. Feet - 2nd Floor....................
0
New / Additional Sq. Feet - 3rd Floor .....................
0
Occupancy #1 - Area (Sq. Feet)..............................
306
New / Additional Sq. Feet - Basement ....................
0
Occupancy #1 - Construction Type .........................
Type I - A
New / Additional Sq. Feet - Deck ...........................
0
New / Additional Sq. Feet - Garage........................
0
Mechanical to be Included? .....................................
No
Plumbing Work Valuation?.....................................
0
Mechanical Work Valuation? ..................................
0
Number of Stories...................................................
0
New / Additional Sq. Feet - Other ...........................
0
Is this an Online or O.T.C. application?..................
No
Permit for Building Shell Only? ..............................
No
Plumbing to be Included? ........................................
No
New / Additional Sq. Feet - Total ...........................
0
Occupancy #1 - Use................................................
Hospital
Comprehensive Plan Designation ...........................
Office Park
Zoning Designation .................................................
OP
Total Valuation: 114,100.00
PERMIT EXPIRES Tuesday, 13 November, 2018
Permit Issued on Thursday, May 17, 2018
I hereby certify that the ove 'nformatio s correct and that the construction on the above described property
and the occupan and th 4will a in accordance with the laws, rules and regulations of the State of
/
W#hjMton and the City of Federal Way.
Owner or agent: Z/ =-� L/:2 Date: J . IT 1Y
41
-, THIS CARD IS TO REMAIN ON-SITE - k
error Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 1810156100
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
Initial Erosion Control (4365)
0
Footings/Setback (4110)
0
Re -steel (4215)
Approved
To be done PRIOR to breaking ground
IApproved
Illy
Approved to place concrete
Illy
Approved to place concrete or grout
By
Date
By
Date
By
Date
®
Slab/Concrete Floor (4255)
0
Underfloor Framing (4285)
®
Floor Sheathing (4105)
Approved
Approved to place concrete
IApproved
Illy
Approved to sheath floor
Illy
Approved to install flooring
By
Date
By
Date
By
Date
Fire/Draft Stops (4095) ® Interim Erosion Control (4370)EmdFiretD:nft
duling a Framing inspection;
Approved Approved mbing & Mechanical Rougb-in
Stop inspections must be signed -
By Date By Date approved. IBC 109.3.4
®
Framing (4120)
Insulation (4150)
El
Gypsum Wallboard Nailing (4130)
Approved
Approved to insulate
IApproved
Illy
Approved to install wallboard
Illy
Approved to install mud & tape
By
Date
By
Date
By
Date
E21
Suspended Ceiling Grid (4265)
Final - S K F & R (4060)
®
Final - Planning
Approved
Approved to drop tile
IApproved
Illy
Approved
Illy
Approved
By
Date
By
Date
Approved
Date
Final Erosion Control (4375)
®
Final - Building (4050)
Approved
Right of Way
IApproved
Illy
By
Date
Approved
jW Date rp
Approved
By
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
I
By
Date
By
Date
e
RECEIVED
PERMIT APPLICATION
APR 11 20
CITY OF
PERMIT CENTER + 33325 8u Avenue South +Federal Way, WA 98003-6325
Federal Way CITY OF FEDERAL WAY
253-835-2607 + FAX 253-835-2609 4 permitcentelfa)citvoffederalway.com
COMMUNITY DEVELOPMENt
PERMIT NUMBER ' _ 10 • - (2 0 I `
_ TARGET DATE
SITE ADDRESS
SUITE/UNIT #
34515 9th Ave S, Federal Way, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL B
$ 114, 100.00
op
7 0 4 5 1- 0 0 2 0
TYPE OF PERMIT
[BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
St Francis Hospital C -Section Renovation
Renovation of existing C -Section operating room to accommodate new
PROJECT DESCRIPTION
g mounted ceilin ted Work includes selective demolition and new
Detailed description of work to
construction; replacement of gypsum wall board, wall and ceiling finished,
be included on this permit only
casework and new power.
NAME
Franciscan Health
PRIMARY
P 2 3 274 7689
PROPERTY OWNER
NAMING ADDRESS
1623 MILK Jr Way
E•MAM
lauriekearney@chifranciscan.org
CITY Tacoma
STATE
W�
ZIP 98405
NAME Sellen Construction
206.682.7770
NiAMING ADDRESS
E-MAIL
227 Westlake Ave N
oscarl sellen.com
CONTRACTOR
CITY Seattle
sTWA
ZIP 98109
FAX
WA STATE CONTRACTOR'S LICENSE 9
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE N
NAME Buffalo Design
P2'64 7 6306
APPLICANT
NAMING ADDRESS
1520 4th Ave. Suite 400
E-MAIL
CITY Seattle
BWAE I
ZIP
98101
FAX
NAME
Louise Wackerman
206.467 6306
PROJECT CONTACT
NAMING ADDRESS
1520 4th Ave. Suite 400
IouM se@buffalodesign.com
('The individual to receive and
respond to all correspondence
CITY Seattle
STATE
WA
ZIP
98101
FAX
concerning this application)
PROJECT FINANCING
NAME
OWNER -FINANCED
When value is $'5,000 or more
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
(RCW 19.27.095)
I certify under penalty of perjury that I am the property owner or authorized agent of the properly 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 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, i luding its officers and employees, upon the accuracy of the
hkformation supplied to city part of this ap lic
SIGNATURE: DATE
PRINT NAME:
Bulletin #100 — January 29, 2016 Page 1 of 2 kAHandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing res to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS (Commercial(
BOILERS FURNACES HOT WATER TANKS (Gas(
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
Indicate how man o each hine of fiviure to be installed or relocated as L7art of this vroiect. Do not include existing tures to remain.
BATHTUBS (or9Lb/shower Combo(
LAVS (Hand Sinks(
TOILETS WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Unity(
WATER HEATERS (Electric(
HOSE BIBBS
SUMPS
WASHING MACHINES TOTAL FD=RES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
no
Additional Information
NEW BUILDwo
114,100.00
$
EXISTING/PREVIOUS USE
LOT SIZE (In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
C -Section OR
Wes ❑ No
❑ Yes gr No
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDwo
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
220,608
1'.and B
1A
3
TENANT AREA ONLY
PROJECT AREA ONLY
306
1-2
1A
NA
Bulletin #100 — January 29, 2016 Page 2 of 2 k:\IIandouts\Permit Application