18-100750City of Federal Way
Community Development Dept.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: ST FRANCIS HOSPITAL - CHILLER ROOM
Project Address: 34515 9TH AVE S
Mechanical
Permit #:18 -100750 -00 -ME
Inspection Request Line: (253) 835-3050
Parcel Number: 750451 0020
Project Description: Demo (3) water cooled chillers, (2) cooling towers and (6) pumps. Install (2) chillers, (2) cooling
towers and (6) circulation pumps. Modify chilled water and condenser water piping to support
new equipment connection.
Owner
Applicant
Contractor
JOHN ELSWICKFRANCISCAN HEALTH
AMANDA MOOREP ST MECHANICAL
P S F MECHANICAL INC (GENERAL)
SYSTEM -W
INC
1717 S '7" ST
11621 E MARGINAL WAYS SUITE A
PSFMEI*090NZ (10/5/19)
TACOMA WA 98405
SEATTLE WA 98168
11621 E MARGINAL WAY S
SEATTLE WA 98168
Additional Permit Information
Mechanical Work Valuation? ................................., 665450 is this an Online or O.T.C. application? ........... I...... No
3
;'in1callltures
+i9,e r
Air Handling Units 4 Compressors / Heat Pumps 6
PERMIT EXPIRES Saturday, 10 November, 2018
Permit Issued on Monday, May 14, 2018
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy nd the4usewillbe in accordance with the laws, rules and regulations of the State of
hington and the City of Federal Way.
Owner or agent Date: gh—/ &l p
D
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 18 100750 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.
® Mechanical Rough -in (4165)
El Gas Piping (4125)
® Final - Mechanical (4065)
Approved
Approved to release test
Approved
0.11)
Right of Way
By Date It
By Date
Date z
0�
D
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
�ae n g i n e e r s
YnTd
June 19, 2018
Joe Brucker
PSF Mechanical
11621 E. Marginal Way S.
Seattle, WA 98168
Re: Saint Francis Hospital, Federal Way, Washington
Structural Observation of New Foundations for Chiller Plant Upgrade
Dear Joe,
In accordance with your request we observed the ground preparation and concrete work
for the new footings for the Chiller Plant Upgrade at Saint Francis Hospital.
The construction work took place according to the following schedule:
May 7-8, 2018: Site preparation and subgrade compaction
May 9-10, 2018: Reinforcing steel placement
May 11, 2018: Concrete pour
A well graded gravel base was placed in accordance with the construction documents,
refer to Figure 1 below.
Reinforcing was placed in two layers top and bottom with appropriate clearances above
grade and from forms, refer to Figure 2 below.
Concrete was placed on Friday of that week, May 11, 2018, refer to Figure 2 below.
Construction was based on the drawings provided by the Engineer of Record that were
contained within the original calculations package. The relevant drawing for the
foundation is shown on page 3 of this letter.
Q grid
box 30797
�iO seattle 98113
Figure is Compaction of Subgrade at Footing Location
Figure 2: Reinforcing and Concrete Placement
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Q box 30797
Q Seattle 98113
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Based on the above observations we believe that the foundation system for the Chiller
Upgrade has been constructed in accordance with the drawings and recommendations
of the Engineer of Record.
Sincerely,
t
Paul S. Diedrich PE SE
Engineer of Record
Cc blt 180006
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box 30797
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RECEIVED
CITY OF EB 16 2018 PERMIT APPLICATION
�'.'„.,�
Federal Way CI PERMIT CENTER + 33325 81" Avenue South + Federal Way, WA 98003-6325
OF FEDERAL
VEt_ WAY 253-835-2607 + FAX 253-835-2609 + permitcenterlwcitvoffederalway.com
COMMUNITY
PERMIT NUMBER I _ ( o V -qS0 _LAJ
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
34515 9th Ave S, Federal Way WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAX/PARCEL #
$ 665,450.00
7 5 0 4 5 1 _ to 0 2 0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ® MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
St Francis Chiller Plant Upgrade
Demo of 3 water cooled chillers, 2 cooling towers and 6 pumps.
PROJECT DESCRIPTION
Detailed description of urork to
Install (2) chillers, (2) cooling towers, and (6) circulation pumps. Modify chilled
water & condenser water piping to support new equipment connection.
be included on this permit only
NAME
PRIMARY PHONE
Franciscan Health System
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
1717 South J Street
CITY
Tacoma
STATE I
WA
ZIP
98405
NAME
PSF MECHANICAL
PHONE
206-764-9663
MAILING ADDRESS
11621 E MARGINAL WAY S
E-MAIL
permits@psfinech.com
CONTRACTOR
CITY
SEATTLE
STATE
WA
ZIP
98168
FAX
206-762-8381
WA STATE CONTRACTOR'S LICENSE #
PSFMEI*090NZ
EXPIRATION DATE
0 05 19
10/
FEDERAL WAY BUSINESS LICENSE #
20-13-100197-00—BL
NAME
AMANDA MOORE -PSF MECHANICAL
PRIMARY PHONE
206-812-7683
APPLICANT
MAILING ADDRESS
11621 E MARGINAL WAY S Suite A
E-MAIL
permits@psfinech.com
CITY
SEATTLE
STATE
WA
ZIP
98168
FAX
206-762-8381
NAME
PRIMARY PHONE
PROJECT CONTACT
AMANDA MOORE -PSF MECHANICAL
206-812-7683
MAILING ADDRESS
11621 E MARGINAL WAY S Suite A
E-MAIL
permits@psfinech.com
(The individual to receive and
respond to all correspondence
CITY
SEATTLE
STATE
WA
ZIP
1 98168
FAX
206-762-8381
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 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 a part of this application.
SIGNATURE:' DATE 2/1/2018
PRINT NAME: AMANDA MOORE
Bulletin #100 — January 29, 2016 Page I of 2 k:AHandouts\Permit Application
I
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT 1$665,450
Indicate how many of each type of fixture to be installed or relocated as part of this project. Do not include ' tinp fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS T OTHER (Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS )commercial)
BOILERS FURNACES HOT WATER TANKS )Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
VALUE OF PLUMBING WORK
PLUMBING PERMIT
# of
Stories
Additional Information
$
Indicate how many of each type of
fixture to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS )or Tub/Shower Combo)
LAVS )Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
Occupancy Group(s)
DRINKING FOUNTAINS
SINKS )Kitchen/Utility)
WATER HEATERS (electric)
TOTAL BUILDING
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IMPROVEMENTS
# of
Stories
Additional Information
NEW BUILDING
EXISTING/ PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
ADDITION
Yes ❑ No
r Yes - No
RESIDENTIAL, -NEW OR ADDITION
AREA DESCRIPTION (in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
......................... ................ ............
........................
BASEMENT
...............................................................................................................................
FIRST FLOOR (or Mobile Home)
...............................................................................................................................
SECOND FLOOR
...............................................................................................................................
COVERED ENTRY
............................................................................................................................
DECK
.............................................................................:.................................................
GARAGE ❑ CARPORT ❑
....................................................................:.................................................
OTHER (describe)
...............................................................................................................................
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $ I # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area is
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
Type
# of
Stories
Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin #100 — January 29, 2016 Page 2 of , k:\Handouts\Permit Application