18-101417City of Federal Way
_ Im
Building - Commercial
Com—ityDevelop—Dept Permit #:18 -101417 -00 -CO
33325 8th Ave S,
Federal Way, WA 99003 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: Replacement of imaging equipment, replacement of flooring, addition of furring wall, wall
finishes & casework. Includes relocation of duct/diMser and relocation of water piping.
Owner
Applicant
Contractor
Lender
JOHN ELSWICKFRANCISCAN
NEIL PHSPANENN13BJ
SKANSKA USA BUILDING INC
OWNER IS LENDER
HEALTH SYSTEM -W
223 YALE AVE N
221 YALE AVE SUITE 400
0
1717 S "J" ST
SEATTLE WA 98109
SEATTLE WA 98109
Office Park
TACOMA WA 98405
OP
Total Valuation: 20,000.00
Census Category: 437 - Commercial alt / add / conversion
Includes: #1 #2 #3 #4
Occupancy Class: B
Construction Type:
Occupancy Load:
Floor Area (sq. ft
Additional Permit Information
New / Additional Sq. Feet -1st Floor .....................
0
New / Additional Sq. Feet - 3rd Floor .....................
0
New / Additional Sq. Feet - Deck ..........................
0
Mechanical to be Included? ................... ********..........
Yes
Mechanical Work Valuation? ..................................
5000
New / Additional Sq. Feet - Other ...........................
0
Permit for Building Shell Only? ..............................
No
New / Additional Sq. Feet - Total ...........................
Office Park
ZoningDesignation .................................................
OP
Total Valuation: 20,000.00
New / Additional Sq. Feet - 2nd Floor ....................
0
New / Additional Sq. Feet - Basement .................
0
New / Additional Sq. Feet - Garage........................0
Plumbing Work Valuation? .................. **"**.............
5000
Numberof Stories ................................ *****-**-**-*3
Is this an Online or O.T.C. application? ..................
No
Plumbing to be Included? ........................................
Yes
Comprehensive Plan Designation ...........................
Office Park
............... _._
l�
PERMIT EXPIRES Sunday, 30 September, 2018
Permit Issued on Tuesday, April 3, 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
Was ington and the City of Federal Way.
Owner or agent: Date: lf—,:rff
1VAA1tA
V I I- -
CITY OF f�
Federal Way
PERNIIT #:
Project:
THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
1810141700 Address: 34515 9TH AVE S
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.
El
Initial Erosion Control (4365)
Fil
Footings/Setback (4110)
®
Re -steel (4215)
By Date
To be done PRIOR to breaking ground
C
By Date v
Approved to place concrete
Approved to place concrete or grout
By
Date
By
Date
By
Date
®
Plumbing Groundwork (4190)
Fil
Slab/Concrete Floor (4255)
®
Underfloor Framing (4285)
By Date
Approved to cover
C
By Date v
Approved to place concrete
Approved to sheath floor
By
Date
By
Date
By
Date
M
Floor Sheathing (4105)
®
Rough Plumbing (4230)
El
Mechanical Rough -in (4165)
By Date
Approved to install flooring
C
By Date v
Approved
Approved
By
Date
By
Date
By
Date
9
Gas Piping (4125)
t 1
Fire/Draft Stops (4095)
9
Interim Erosion Control (4370)
By Date
Approved to release test
C
By Date v
Approved
Approved
By
Date
By
Date
By
Date
E
to scheduling a Framing inspection;]By
13 Framing (4120) 14 Insulation (4150)
al, Plumbing & Mechanical Rough -in Approved to insulate Approved to install wallboard
Draft Stop inspections must be signed -
off and approved. IBC 1093.4 0 Date s— s:Ay By Date
15
Gypsum Wallboard Nailing (4130)
96
Suspended Ceiling Grid (4265)
0
Final - S K F & R (4060)
By Date
Approved to install mud & tape
C
By Date v
Approved to drop file
Approved
By
Date t5_1 k—b
By
Date
By
Date
1s Final - Planning
9 Final Erosion Control (4375)
Q Final - Mechanical (4065)
Approved
Approved
Approved
By Date
By Date
C
By Date v
El Final - Plumbing (4075)
Approved
By lli-� --"I— Date
99 Final - Building (4050)
Approved
By r Date
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By
Date
By
Date
DATE
INSPECTORAREA
AND TYPE OF INSPECTION
� n
RECEIVE®
PERMIT APPLICATION
>� �--~.� SPR 0 3 �20%�,
a" V* a �+ a PERIUT CENTER + 33325 8th Avenue South + Federal Way, WA 98003-6325
Gi D� OF FF-DeP- L �'`!' `y 253-835-2607 + FAX 253-835-2609 + permitcente ar dVoffederalway.com
( �AFVIUNn oaVTc QWP� FNT ®TC 10: 30RI"
PzMaT Nu=zR V _ b1 I r7 _ C 0 N
— — — — — — — TARGET DATE • _
SITE ADDRESS
SUITE/uMT #
34515 NINTH AVE S
PROJECT VALUATION
$ 20 0-
ZONING
ASSESSOR'S TAX/PARCEL #
OP
7504510020 _
TYPE OF PERMIT
N BUILDING N PLUMBING N MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
_ L
REPLACEMENT OF IMAGING EQUIPMENT, REPLACME T OF FLOORING, ADDITON
PROJECT DESCRIPTION
OF FURRING WALL, ALTERATION OF CASEWROIK
Detailed description of work to
be included on this permit only
NAME
PIi NAAT!SONE
CHI FRANCISCAN - LAURIE KEARNEY
253-274-7689
PROPERTY OWNER
MAU.DIG ADDBXSS
&KAIL
1717 S J ST
CITY
TACOMA
WA8405
NAM
SKANSKA
206 510-1670
HAUM ADI R1S S
L,NAM
CONTRACTOR
221 YALE AVE N STE 400
CUT
SEATTLE
STATE
WA
ZIP
98109
FAX
j
' Z ` G�
SKANSU B985RT�� u� #
TION DAT!
FWW" weT i1USias88 WC=SX #
1 12/20191
2019
11-102816
NAME
NBBJ
PRIMARY PHONE
APPLICANT
MA=0 ADDRNSS
223 YALE AVE N
E tib
Cr`"STATE
ZT!
FAX
Ca�
SEATTLE
WA
98109
PROJECT CONTACT
NAME
NEIL PIISPANEN, NBBJ
PNDEAAY PHONE
206-621-2390
p'he &XUvldUW to receive and
NAMING ADDRZ88
&MAD.
upon( to aQ correspondence
223 YALE AVE N
NPIISPANEN@NBBJ.COM
concerning this application)
CrrTSEATTLE
UP
FAX
WA
98109
PROJECT FINANCING
NAME
LAURIE KEARNEY
® OWNER -FINANCED
When value is $5,000 or more
(RCW 19.27.095)
MAUMGADDRZSS, CITY, STATE, ZIP
PHONE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. Z certo that to the beat
of my knowledge, the information submitted in support of this permit application is true and corned. I ow t{fy that Z 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 responstMHty for compliance with local, state, or federal have reguaating
construction or environmental laws.
Z 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 auch claim), which may be made by any person, including the undersigned, andflied against the city,
but only where such claim arises out of the reliance of the city, inchuding its ofjhcers and employees, upon the accuracy of the
information supplied to the city as a part o application.
SIGNATURE. DATE 4/2/2018
PRINT NAME- NEIL PIISPANEN
Bulletin #100 — January 29, 2016 Page 1 of 2 k lHandoutsTermit Application
GENERAL INFORMATION
CRITICAL AREAS OR PROPERM
WATLa PUNVZTOR
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
FOR OFFICE USE
1$10,009
5'k
Indicate how many of each type o
to be installed or relocated as part
of this project, Do not inchcde res to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS
OTHER (Descnbe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS (co=..viA
RAINWATER SYSTEMS
BOARS
FURNACES
HOT WATER TANKS (al
SHOWERS
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
SINKS (wtCh./utaity)
1 DUCTING
GAS PIPING
WOODSTOVES
SUMPS
GENERAL INFORMATION
CRITICAL AREAS OR PROPERM
WATLa PUNVZTOR
VALUE OF PLUMWING WORK
PLUMBING PERMIT
FOR OFFICE USE
BASEMENT`
$�
5
Indicate how many o each type offtxture
to be installed or relocated as
part o this project, Do not inchule
res to remain.
BATHTUBS (o 'Nb/Sh.. Mem)
LAVS M..d -W
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAXERS
# of
Stories
DRINKING FOUNTAINS
SINKS (wtCh./utaity)
WATER HEATERS (mu*
"B .
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FUrrUIM
GENERAL INFORMATION
CRITICAL AREAS OR PROPERM
WATLa PUNVZTOR
SEwZR PURVE70a
VALVE OF ZXXSTIXG DIPROVEN09 S
FOR OFFICE USE
BASEMENT`
EIISMO/PREVIOUS um
LOT SIZE (In Sgnae Fed"
E=IS=G MM SPRnMAR STSTZK?
PROPOSED nW SUPPRZBSION SlSTEK?
ADDITION
X Yes ❑ No
❑ Yes ❑ No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION (in square feet)
E7 BVMGr
PROPOSED
TOTAL
FOR OFFICE USE
BASEMENT`
FIRST FLOOR (or Mobde Home)
ADDITION
SECOND PLOOR.
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
COVERED ENTRY
Occupancy Group(s)
Construction
TYPe
# of
Stories
atio
Additional Informn
TIMAL �dG
"B .
UBC1-HR, '
"
GARAGE ❑ CARPORT ❑
TENANT AREA oNLY
9963
B
UBC 1 -HR
OrTIER (d
Pltps7C ALAI GMT1200}".
B
Area Totals
>
rleoaosm
TOTAL
w00im
OItH".r* .
ESTIMATED SELLING PRICE $
# OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Am& in
Hare Feet
Occupancy Grroup(s)
Construction
# of
Stories
Additional Information
ADDITION
COMMERCIAL - REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION
Areain
et
Occupancy Group(s)
Construction
TYPe
# of
Stories
atio
Additional Informn
TIMAL �dG
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UBC1-HR, '
"
TENANT AREA oNLY
9963
B
UBC 1 -HR
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Bulletin #100 —January 29, 2016 Page 2 of 2 klHandoutsTermit Application