18-102193City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 8352607 Fax: (253) 835-2609
Project Name: ST FRANCIS HOSPITAL- PATIENT LIFTS
Project Address: 34515 9TH AVE S
Electrical
Permit #:18 -102193 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 750451 0020
Project Description: Adding receptacles/data outlet for charting station and power connection to patient lifts.
Owner
Applicant
Contractor
JOHN ELSWICKFRANCISCAN HEALTH
CHRIS BARKERCOFFMAN ENGINEERS
THOMPSON ELECTRICAL
SYSTEM -W
1601 FIFTH AVE SUITE 900
CONSTRUCTORS INC
1717 S "J" ST
SEATTLE WA 98101-1620
THOMPECO08CW (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
PERMIT EXPIRES Friday, 7 June, 2019
Permit Issued on Thursday, June 7, 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
Washington and the City of Federal Way.
Owner or agent: Date: 4� — 7- 2,6 12
FINALED
y THIS CARD IS TO REMAIN ON-SITE
"ffy or Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18102193 00 Address: 34515 9TH AVE S
Project: JOHN ELSWICK FEDERAL WAY WA 98003-6761
x s
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.
1❑
UFER Ground (4295)
Q
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
®
Pool Bonding (4195)
0
Temporary Power (4275)
®
Service (4235)
Approved
Approved
Approved
By
Date
By
Date
By
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date
11) Final - Electrical (4055)
Approved
Date ?�
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
(Tp- Co/13/f�'"
RECEIVED �L�'+LECTRICA
MAY 2 3 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY PERMIT NUMBER [
COMMUNfTY DEVELOPMENT
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 apart of this application.
SIGNATURE: _ DATE 05/18/18
PRINT NAME: CHRIS BARKER
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentera cityoffederalway.com
Bulletin #160 —April 14, 2016 Page 1 of 1 k:\I3andouts\Electrical Permit Application
SUITE/UNIT/SPACE #
SITE ADDRESS: 34515 8th Ave South - Federal Way, WA 98003
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL#
CURRENT/PROPOSED USE
$ 8,000
750451 - 0020_ _ _ - _ _ _ _
Hospital
PROJECT NAME
(Tenant or Homeowner Last Name)
sFH - CFAMPF L_ FT-S�
Add receptacles/data outlet for charting station.
Add power connection for patient lift.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAMEPHONE
St. Francis Hospital
( 253 )94 8J 00
MAILING ADDRESS
34515 8th Ave South
E-MAIL
CITY -7STATE
Federal Way
WA
ZIP
98003
FAX
NAME
PRIMARY PRONE
Thompson Electric
( ) -
MAD.DiG ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE M EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE S
APPLICANT
NAME
Coffman Engineers
PRIMARY PHONE
(206 )623 0717
MAILING ADDRESS
E-MAIL
1101 Second Ave. Suite 400
barker@coffman.com
CITY
Seattle
STATE
WA
ZIP
98101
FAX
206 624 3775
PROJECT CONTACT
NAME
Chris Barker
PRIMARY PHONE
( 206-)623-0717
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 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 apart of this application.
SIGNATURE: _ DATE 05/18/18
PRINT NAME: CHRIS BARKER
PERMIT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcentera cityoffederalway.com
Bulletin #160 —April 14, 2016 Page 1 of 1 k:\I3andouts\Electrical Permit Application