19-103210 d' r r
Electrical
City of Federal Way Permit #:19-103210-00-EL
Community Development Dept
33325 8th Ave S
Federal Way,WA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: ST FRANCIS HOSPITAL DATA CENTER
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Provide back-up power to data center room.
Owner Applicant Contractor
CHI FRANCISCAN C/O LUDA COPELNAD CHRIS BARKERCOFFMAN ENGINEERS THOMPSON ELECTRICAL
MS07 02 1101 2ND AVE SUITE 400 CONSTRUCTORS INC
1145 BROADWAY SUITE 1200 SEATTLE WA 98101 THOMPECOO8CW(2/16/20)
TACOMA WA 98402 PO BOX 45260
TACOMA WA 98445
Additional Permit Information
Is this an Online or O.T.C.application9 No
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Circuits-Commercial 1
PERMIT EXPIRES Tuesday,28 July,2020
Permit Issued on Monday,July 29,2019
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: el 7 -Z 9 ,/ �T
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THIS CARD IS TO REMAIN ON-SITE
°� Construction Inspection Record
Federa,Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 103210 00 Address: 34515 9T11 AVE S
Project: CHI FRANCISCAN do LUDA COPEI 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.
•
In UFER Ground(4295) El Ditch cover(4030) 1 0 Slab/Concrete Floor(4255) '
Approved Approved I Approved to place concrete
By Date By Date By Date
'
® Pool Bonding(4195) El Temporary Power(4275) ® Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) ® Rough Electrical(4225) ® Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
® Final-Electrical(4055)
Approved n
By ye, Date( n/T
0 Rough Electrical 0 Final Electrical 0 Right of Way
Approved Approved Approved
By Date By Date By Date
1YttLtC1 L�- # "! i
RECEIVED ELECTRICAL
ciTY OF
Federal Way JUL2019 PERMIT APPLICATION
cim OF FEE=:PALW.;Y
COMMUN'-Y DEVELOPMENT Q
PERMIT NUMBER / / _ 3 0 - '
SUITE/UNIT/SPACE# V^
SITE ADDRESS: 34515 eth Ave South - Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 65,000 750451 - 0020 _ _ Hospital
PROJECT NAME SFH - Data Center Upgrade
(Tenant or Homeowner Last Name)
Provide backup power to data center room.
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER NAME St. Francis Hospital (253 )94 8100
MAILING ADDRESS E-MAIL
345151th Ave South
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME PRIMARY PHONE
Thompson Electrical Constructors ( 253) 539-0999
MAILING ADDRESS E-MAIL
ELECTRICAL 150 100th St. S stan@thompsonconstructo's
CONTRACTOR CITY STATE ZIP .con FAX
Tacoma WA 98444 ( ) -
WA STATE CONTRACTOR'S LICENSE Y EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE 1
THOMPFC008CW / / LIC#20-01-102961-00-BL
NAME PRIMARY PHONE
Coffman Engineers (206 )623 (1717
APPLICANT
MAIL1101 Second Ave. Suite 400
barker@coffman.com
mortensont coffman.com
CITY STATE ZIP FAX
Seattle WA 98101 ( 206)624 3775
NAME PRIMARY PHONE
PROJECT CONTACT Chris Barker ( 20623-0217
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 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
,ass a part of this application.
"
`^
SIGNATURE: ''"`9�'G j1a44-' DATE 06/20/19
PRINT NAME: CHRIS BARKER
PERMIT CENTER+33325 8th 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 k:\Handouts\Electrical Permit Application