15-102320N ,
Building - Commercial-
Ciity & Econ.
al Dev. y r ermil. �; 15 -102320 -00 -CO
Community 8 Econ. Dev. Services
33325 8th Ave S
Federal way, WA 98003
Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (25
3) 835-3050
FILE
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 91M AVE S Parcel Number: 7504510020
Project Description: TI - Replacement of 6,640 sf of suspended ceiling.
Owner
JOHN ELSWICK
ARnlicant
KIM SCOTT
Contractor
SELLEN CONSTRUCTION
Lender
OWNER IS LENDER
FRANCISCAN HEALTH
Z G F ARCHITECTS LLP
SELLEC'372N0 (6/1/15)
SYSTEM -W
925 FOURTH AVE SUITE 2400
PO BOX 9970
1717 S "J" ST
SEATTLE WA 98104
SEATTLE WA 98109
TACOMA WA 98405
i
Census Category: 437 - Commercial alt / add / ccOwieon
Includes: #1 #2 �' #3 #4
Occupancy Class:
Construction Type:
Occupancy Load'
Floor Areas . ft. 0 0 411110100 1 0
Ad'' 'tio r; -I'
Building Pre -con. Meeting Required? red?....................Not Ex' rinkler System in Building?..........
.......Yes
Mechanical to be Included? .............. ................ r„N0 of Stories ................................................. 1
Permit for Building Shell Only? ........................ bing to be Included? ...................................... No
Special Inspection(s) Required? ........................... o ,; New / Additional Sq. Feet - Total.......................... 0
ith This Permit 11
PERMIT EXPIRES Tuesday, November 17, 2015
Permit Issued on Thursday, May 21, 2015
I hereby c at 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. `
�iiZ� ltv 421 > Date:
THIS CARD IS TO REMAIN ON-SITE
"T" of Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 15 -102320 -00 -CO 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
SWM Precon Site Mtg (4400)
0
Initial Erosion Control (4365)
Final Electrical
Approved
Footings/Setback (4110)
Underfloor Framing (4285)
Approved
Approved to place concrete or grout
To be done prior to breaking ground
Approved to place concrete
Approved to place concrete
By
Date
By
Date
By
Date
0
Re -steel (4215)
Slab/Concrete Floor (4255)
Final Electrical
Approved
Underfloor Framing (4285)
Right of Way
Approved to place concrete or grout
Date
Approved to place concrete
By
Date
Approved to sheath floor
By
Date
By
Date
By
Date
Floor Sheathing (4105)
Fire/Draft Stops (4095)Interim
Erosion Control (4370)
Approved to install flooring
Approved
Approved
By
Date
By
Date
By
Date
Framing (4120)
a Framing inspection;
Insulation (4150)
:wleduling
bing & Mechanical Rough -in and
EFireffiraft
Approved to insulate
Approved to install wallboard
inspections must be signed -off and
IBC 109.3.4
By
Date
By
Date
pproved.
Gypsum Wallboard Nailing (4130)
❑
Suspended Ceiling Grid (4265)
Final - S K F & R (4060)
Approved to install mud & tape
Approved to drop tile
Approved
By
Date
By
Date
By
Date
Final - Planning
Final Erosion Control (4375)
Final - Building (4050)
Approved
Approved
Approved
By
Date
By
Date
By
Date
Rough Electrical
Approved
Final Electrical
Approved
1:1Approved
Right of Way
By
Date
By
Date
By
Date
' CITY OF Building Division
33325 Eighth Avenue South
A�L Federal Wa Federal Way, 98003-6325
Phone 253-835-2607 Fax
253-835-2609
CORRECTION NOTICE
ADDRESS: / ` A 24& S PERMIT#: r - /02- 3Z 0 ,&-d
IF YOU HAVE QUESTIONS CALLTwt_f ( (253) 835- Z,6 Z, I
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE RZOQIRED TO BE MADE WITHIN 15 DAYS.
12,+-[ s
DATE
INSPECTOR
DO NOT REMOVE THIS NOTICE
Page I of f
S
CRY OF 'A
Federal Way
SCEFVM PERMITOPPLI CATION
MAY 14 2015
PERMIT NUMBEREDERAL WAY
/ / F
_ oz— o L0
TARGET DATE
SITE ADDRESS
SUITE/UNIT #
34515 NINTH AVENUE S, FEDERAL WAY, WA 98003
PROJECT VALUATION
ZONING
ASSESSOR'S TAR/PARCEL # 750451-0020
O v OV-0OFFICE
PARK
—7 S O V _ 00 Z
TYPE OF PERMIT
BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
ST FRANCIS LEVEL 1 CORRIDOR REFRESH
PROJECT SCOPE INCLUDES THE REPLACEMENT OF APPROXIMATELY 6,640 SF
PROJECT DESCRIPTION
Detailed description of work to
OF EXISTING SUSPENDED CEILING SYSTEM AND LIGHT FIXTURES. ALL EXISTING
LIFE SAFETY DEVICES AND PATHWAYS TO REMAIN.
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER
CHI FRANCISCAN HEALTH SYSTEM 253-426-6835
1717 SOUTH J STREET
WMAIL
CITY
STATE
ZIP
TACOMA
IWA 1
98401
NAME
PHONE
SELLEN CONSTRUCTION COMPANY
MAILING ADDRESS
WMAD.
CONTRACTOR
227 WESTLAKE AVE N
CRYSTAL.LASNIER@SELLEN.CO
CITY
SEATTLE
STATE
WA
ZIP
98109
FAX
WA STATE CONTRACTOR'S LICENSE #
SELLEC*327N0
EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
20 -00 -101455 -00 -BL
NAME
PRDIARY PHONE
CHI FRANCISCAN HEALTH SYSTEM
253-426-6835
APPLICANT
MAnmfO ADDRESS
1717 SOUTH J STREET
E -MAD
CITY
STATE
ZIP
FAX
TACOMA
I WA
98401
PROJECT CONTACT
NAME KIM SCOTT
PRIMARY PHONE
206-521-3480
MAILING ADDIUM 925 4TH AVE S, SUITE 2400
-MAIL
OTTQa ZGF.COM
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
SEATTLE WA 98104
FAX
concerning this application)
PROJECT FINANCING
NAME
IZf OWNER -FINANCED
Required value of $5,000 or more
(RCW 19.27.095)
MAILING ADDRESS, CITY, STATE, ZIP
PHONE
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: KIM SCOTT DATE 5-12-15
PRINT NAME: KIM SCOTT, ZGF ARCH ECTS
cam,
Bulletin #100 —January 1, 2013 Page, I of 3 k:\I-Iandouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT N1,W NO RELATED WORK 1w Is
Indicate how many of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS 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
N/A NO RELATED WORK
NO RELATED WORK
$
Indicate how many of each type
o Lrture to be installed or relocated as
part of this project. Do not include exist&Wfixtures
to remain.
BATHTUBS (or Tub/Shower Combo( LAVS (Hand Sinks)
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS (Kitchen/Utility)
WATER HEATERS (Electric)
HOSE BIBBS
SUMPS
WASHING MACHINES
TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY?
WATER PURVEYOR
SEWER PURVEYOR
VALUE OF EXISTING IKPROVEMENTS
N/A
NO RELATED WORK
NO RELATED WORK
EXISTDiG/PREVIOUS USE
LOT SIZE )In Square Feet)
EXISTING FIRE SPRINKLER SYSTEM?
PROPOSED FIRE SUPPRESSION SYSTEM?
HOSPITAL
/Yes o No
o Yes / No
Bulletin #100 —January 1, 2013 Page 2 of 3 k:\Handouts\Perniit Application