18-101345 p i
Electrical
City of
Development Dept F I Permit #:18-101345-00-EL
Community Development Dept.
33325 8th Ave S
LE
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ST FRANCIS AMBULATORY CARE CENTER
Project Address: 34515 9TH AVE S Parcel Number:750451 0020
Project Description: Electrical work to include replacing an existing linear accelerator with new equipment in Linac
Room 046.Electrical scope includes providing power to new Linac equipment and associated
control room.
Owner Applicant Contractor
JOHN ELSWICKFRANCISCAN HEALTH JUNE MECHURE THOMPSON ELECTRICAL
SYSTEM-W 929 108TH AVE NE SUITE 1000 CONSTRUCTORS INC
1717 S"J"ST BELLEVUE WA 98004 THOMPECOO8CW(2/16/20)
TACOMA WA 98405 PO BOX 45260
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application? No
�Z,c1„ ,333,,e: _= '124! ii1)f3,r3 !
No Fixtures Associated With This Permit III,,.,
PERMIT EXPIRES Saturday,27 April,2019
Permit Issued on Friday,April 27,2018
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
W.' 7.3folla�shington andthe City of Federal Way.
Owner or agent: R "-' f��'f J� "1 Date:
•
THIS CARD IS TO REMAIN ON-SITE
CITU OF
Federal Wa Construction Inspection Record
y INSPECTION REQUESTS: (253)835-3050
PERMIT#: 18 101345 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.
® UFER Ground(4295) ® Ditch cover(4030) ® Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By , Date . . 4 __, zi. By Date
El 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 Date By Date By Date r
El Final-Electrical(4055)
Approved
By (, Date -I _- . 1 i
El Rough Electrical fl Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
DATE INSPECTOR AREA AND TYPE OP INSPECTION
-- - - --- -- - -
,
A
CITY OF = RECEIVED
ELECTRICAL
Federal Way PERMIT APPLICATION
MAR 27 2018
CITY OF FEDERAL WArt RMIT NUMBER ) 53 i C) / 3 Li - c". v
COMMUNITY DEVELOPM�+ -
SUITE/UNIT/SPACE#
SITE ADDRESS: 34515 9th Ave S, Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 75 000 7 5 O r/ .> / - 00 2 0 Hospital
PROJECT NAME St Francis Hospital Ambulatory Service Building-Linac Replacement
(Tenant or Homeowner Last Name)
Work for this project includes replacing an existing linear accelerator
PROJECT DESCRIPTION with new equipment in Linac Room 046 in St Francis Hospital in
Detailed description of work to Federal Way, Washington. Electrical scope includes providing power to
be included on this permit only new linac equipment and associated Control room.
NAME PRIMARY PHONE
PROPERTY OWNER CHI Franciscan Hospital ( 360) 744 - 6910
MAILING ADDRESS E-MAIL
9633 Levin Rd NW
CITY STATE ZIP FAX
Silverdale WA 98383 ( ) -
NAME PRIMARY PHONE
Thompson Electrical Contractor ( 253) 539 - 0999
MAILING ADDRESS E-MAIL
ELECTRICAL 150 100th St S stan@thompsonconstructor
CONTRACTOR CITY STATE ZIP .C 0 M FAX
Tacoma WA 98444 ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
EC THOMPEC 008CW 02 / 16 / 20 200110-961 00-GL
NAME PRIMARY PHONE
June Mechure (425 ) 628 - 6062
APPLICANT MAILING ADDRESS E-MAIL
929 108th Ave NE, Suite 1000 jmechure@woodharbinger.
CITY STATE ZIP CO FAX
Bellevue WA 98004 ( 425) 822 -4338
NAME PRIMARY PHONE
PROJECT CONTACT June Mechure (425 ) 628 - 6062
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 — e-of uch claim), which may be made by any person, including the undersigned, and filed against the city,
but only wher such,,ctaim arises oit o the reliance of the city, including its officers and employees, upon the accuracy of the
information pplied(to the city as a f this application.
SIGNATURE: I Y DATE
27))8 3/
PRINT NAME:Jbo -ch VANE
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:AHandouts\Electrical Permit Application