18-100994r - M
City of Federal Way
Community Development Dept.
Applicant
"ILE
33325 8th Ave S
CHRIS BARKERCOFFMAN ENGINEERS
THOMPSON ELECTRICAL
Federal Way, WA 98003
1601 FIFTH AVE SUITE 900
CONSTRUCTORS INC
Ph: (253) 835-2607 Fax: (253) 835-2609
SEATTLE WA 98101-1620
THOMPECO08CW (2/16/20)
Project Name: ST FRANCIS HOSPITAL - CHILLER ROOM
Project Address: 34515 9TH AVE S
Electrical
Permit #:18 -100994 -00 -EL
Inspection Request Line: (253) 835-3050
Project Description: Remove and replace existing chillers and cooling towers with new.
Parcel Number: 750451 0020
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 Wednesday, 10 April, 2019
Permit Issued on Tuesday, April 10, 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: _._ /0
FiNALED
THIS CARD IS TO REMAIN ON-SITE
MY CW Construction Inspection Record
Fecleral Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18 100994 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
UFER Ground (4295)
®
Ditch cover (4030)
®
Slab/Concrete Floor (4255)
Right of Way
Approved
Approved
Approved
111y
Approved to place concrete
By
Date
By
By
Date
By
Date
®
Pool Bonding (4195)
®
Temporary Power (4275)
®
Service (4235)
Right of Way
Approved
Approved
Approved
111y
Approved
By
Date
By
By
Date
By
Date
7❑
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
®
Ceiling Cover (4020)
Right of Way
Approved
Approved
Approved
Approved
Approved
By
Date
By
By
Date
By
Date
HIO Final - Electrical (4055)
Approved
�- Date
Rough Electrical
Final Electrical
0.
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
CITY Of 'A
Federal Way
Tom: .���
RECEIVE® ELECTRICAL
MAR 05 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY I g'
COMMUNITY R
10 0 1 (ilt CC)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(fy 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, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: '� DATE 02/27/18
PRINT NAME: CHRIS BARKER
PERMIT CENTER + 33325 811, 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 kMandoutsTlectrical Permit Application
SUITE/UNIT/SPACE M
SITE ADDRESS: 34515 8th Ave South - Federal Way, WA 98003
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL M
CURRENT/PROPOSED USE
$ 50,000
750451 - 0020 _ - _ _ _ _
Hospital
PROJECT NAME
(Tenant or Homeowner Last Name)
SFH -Chiller Replacement
Remove and replace existing chillers and cooling towers with new.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME
St. Francis Hospital
PRIMARY PHONE
( 253 )944 8100
MAnMG ADDRESS
34515 8th Ave South
E-MAIL
CITY
Federal Way
STATE
WA
ZIP
98003
FAX
NAME
PRIMARY PHONE
MAMMG ADDRESS
EMAIL
ELECTRICAL
CONTRACTOR
CITY
STATE
ZIP
FAX
WA STATE CONTRACTOR'S LICENSE 8 EXPIATION DATE
FEDERAL WAY BUSINESS LICENSE
NAMEPRIMARY
Coffman Engineers
PHONE
(206 )623 Q717
APPLICANT
NUULMG ADDRESS
E•MAU.
1101 Second Ave. Suite 400
barker@coffman.com
CITY
Seattle
STATE
WA
ZIP
1 98101
FAX
206)624 3775
PROJECT CONTACT
NAME
Chris Barker
PRIMARY PHONE
( 206 fo23-0717
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I cert(fy 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, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: '� DATE 02/27/18
PRINT NAME: CHRIS BARKER
PERMIT CENTER + 33325 811, 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 kMandoutsTlectrical Permit Application