18-105810Up
city of Federsl Way
Applicant
Community Development Dept.
JOHN ELSWICKFRANCISCAN HEALTH
33325 8th Ave S
THOMPSON ELECTRICAL
Federal Way, WA 98003
Y
Ph: (253) 835-2607 Fax (253)835-2609
1717 S "J" ST
Project Name: ST FRANCIS HOSPITAL - RADIOLOGY
Project Address: 34515 9TH AVE S
Electrical
Permit #:18 -105810 -00 -EL
Inspection Request Line: (253) 835-3050
Parcel Number: 750451 0020
Project Description: Remove and replace existing imaging equipment. Provide new circuit breaker to serve new
equipment
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
THOWECO08CW (2/16/20)
TACOMA WA 98405
PO BOX 45260
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Circuits - Commercial
PERMIT EXPIRES Saturday,1 February, 2020
Permit Issued on Friday, February 1, 2019
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: OZ -01 -/1
THIS CARD IS TO REMAIN ON -STYE
emr or II/rm&C
Federal VI/a onstruction Inspection Record
Way INSPECTION REQUESTS: (253) 835-3050
PERNW #: 1810581000 Address: 34515 91M 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.
El
UFER Ground (4295)
Q
Ditch cover (4030)
0
Slab/Concrete Floor (4255)
Approved
Approved
Approved
Approved
Approved
Approved
1By
Approved to place concrete
Date
13y
Date
By
Date
By
Date
By
®
Pool Bonding (4195)
®
5❑
Temporary Power (4275)
® Service (4235)
Approved
Approved
Approved
Approved
Approved
Approved
1By
By
Date
By Date
By
Date
Date
0
Feeders/Sub-panels (4045)
®
Rough Electrical (4225)
G1 Ceiling Cover (4020)
Approved
Right of Way
Approved
Approved
By
Date
By
Date
By Date
10 Final - Electrical (4055)
Approved
By Date
Q
Rough Electrical
Final Electrical
Right of Way
Approved
Approved
Approved
By
Date
By Date
By
Date
Cl"P N S
of `''
Federal Way
RECEIVED ELECTRICAL
DEC 10 2018 PERMIT APPLICATION
CITY OF FEDERAL WAY
COMMUNCTY DEVEIOPMEtf I Q- 1 5 8 I- L, Z
RMIT UMBER OO (✓
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best of
my knowledge, the lgformation 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
ir4formation supplied to the city
; pass a part of this application.
SIGNATURE: r' ''"' _eq _ DATE 12/03/18
PRINT NAME: CHRIS BARKER
Bulletin #160 —April 14, 2016
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@,,cityoffederalway.com
Page 1 of 1
k:\Handouts\Electrical Permit Application
SUITE/UNIT/SPACED
SITE ADDRESS: 34515 8th Ave South - Federal Way, WA 98003
PROJECT VALUATION
ASSESSOR'S TAR/PARCEL 9
CURRENT/PROPOSED USE
$ 10,000
750451 - 0020 -
Hospital
PROJECT NAME
(Tenant or Homeoumer Last Name)
SFH - X -Ray Equipment Replacement
Remove and replace existing imaging equipment with new. Provide
new circuit breaker to serve new equipment.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAM
St. Francis Hospital
( 253 )94 8PHONE
a 00
MAILING ADDRESS
34515 8th Ave South
E -MAD.
CITY
STATE
ZIP
FAX
Federal Way
WA
98003
NAME
PRIMARY PRONE
Thompson Electric
( ) -
MADAfa ADDRESS
E-MAIL
ELECTRICAL
CITY
STATE
ZIP
FAX
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE i
APPLICANT
NAMEPRIMARY
Coffman Engineers
PH NE
(206 )623 0717
MA G ADDRESS
E MAD.
1101 Second Ave. Suite 400
barker@coffman.com
CITY
Seattle
STATE
WA
ZIP
98101
FAX
206 624 3.775
PROJECT CONTACT
NAME
Chris Barker
PRDfARY PRONE
( 206-p23-0717
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certify that to the best of
my knowledge, the lgformation 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
ir4formation supplied to the city
; pass a part of this application.
SIGNATURE: r' ''"' _eq _ DATE 12/03/18
PRINT NAME: CHRIS BARKER
Bulletin #160 —April 14, 2016
PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
253-835-2607 + FAX 253-835-2609 + permitcenter@,,cityoffederalway.com
Page 1 of 1
k:\Handouts\Electrical Permit Application