19-104323 .,
Building - Commercial
City ofFederal Way Permit #:19-104323-00-CO
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-RADIOLOGY
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: ALT-Remodel of portion of Radiology Department including equipment replacement and
upgrade of finishes. No Plumbing or Mechanical.
..Owner Applicant Contractor Lender
JOHN ELSWICKFRANCISCAN TODD STINEZ G F ARCHITECTS SELLEN CONSTRUCTION OWNER IS LENDER
HEALTH SYSTEM-W LLP PO BOX 9970
1717 S"J"ST 925 4TH AVE SUITE 2400 SEATTLE WA 98109
TACOMA WA 98405 SEATTLE WA 98104
Census Category: 437-Commercial alt/add/conversion
Includes: #1 #2 #3 #4
Occupancy Class: I-2
Construction Type: Type I-A
Occupancy Load:
Floor Area(sq.ft.) 351.00
Additional Permit Information
Occupancy#1 -Area(Sq.Feet) 351 Occupancy#1-Construction Type Type I-A
Mechanical to be Included" No Number of Stories 1
Is this an Online or O.T.C.application" No Permit for Building Shell Only" No
Plumbing to be Included" No Occupancy#1-Use Hospital
Comprehensive Plan Designation Office Park Zoning Designation OP
Total Valuation:546,225.00
x _. .-.. t, •1 � a ' ry 4 1•;t 'a ,s ea i
Ar
PERMIT EXPIRES Sunday,22 March,2020
Permit Issued on Tuesday,September 24,2019
I hereby certify that the above infor ation' correct and that the construction on the above described property
and the occupancy a • - u - will ;- in accordance with the laws, rules and regulations of the State of
W•s I'•• = - =•d the City of Federal Way.
Owner or agent: 1,7:7"
� fir' Date: /17
THIS CARD IS TO REMAIN ON-SITE
C""Of - Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 19 104323 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.
❑ Foundation Wall(4115) ® Re-steel(4215) I:I Slab/Concrete Floor(4255)
Approved to place concrete Approved to place concrete or grout Approved to place concrete
By Date By Date By it Date /7. !R
® Underfloor Framing(4285) ® Floor Sheathing(4105) s❑ Shear Walls(4245)
Approved to sheath floor Approved to install flooring Approved to install siding
By Date By Date By Date
•
0 Roof Sheathing(4220) ® Fire/Draft Stops(4095) Prior to scheduling a Framing inspection;
Approved to install roofing Approved Electrical,Numbing&Mechanical Rough-in
and Fire/Draft Stop inspections must be signed-
•By Date By Date off and approved IBC 109.3.4
® Framing(4120) El Insulation(4150) El Gypsum Wallboard Nailing(4130)
Approved to insulate Approved to install wallboard Approved to install mud&tape
By Date 12- 1q i By Date By Date
DI Suspended Ceiling Grid(4265) El Final-SKF&R(4060) D Final-Planning
Approved to drop tile Approved Approved
By Date By Date By Date
El Final-Building(4050)
Approved
By AO Date -11I
•
El Rough Electrical ❑ Final ElectricalC3 Right of Way
Approved Approved Approved
By Date By Date By Date
.
RECEIVED
CITY OP - PERMIT APPLICATION
Federal Way ay SEP 1 0 2019 PERMIT CENTER+33325 8th Avenue South+Federal Way,WA 98003-6325
j
253-835-2607+FAX 253-835-2609 +permitcenterI citvoffederalway.corn
CITY
COhA UOFFEDERLLWAY
TY v
QRMENT
PERMIT NUn1BEIt - a �`
/v -/
(f TARGET DATE September 2019
SITE ADDRESS
St Francis Hospital l SUITE/UNITS
34515 9th Avenue South, Federal Way, WA 98003 I(
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 546,225 OP-Office Park 750451-0020
TYPE OF PERMIT ®BUILDING ❑ PLUMBING ❑ MECHANICAL ❑DEMOLITION 0 ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT St Francis Rad-Fluoro X-Ray Equipment Replacement
PROJECT DESCRIPTIONWORK INCLUDES REMODEL OF PORTION OF THE EXISTING RADIOLOGY
Detailed description of work to DEPARTMENT. WORK TO INCLUDE: REPLACING EXISTING RADIOGRAPHIC
be included on this permit only FLUOROSCOPY EQUIPMENT, STRUCTURAL MODIFICATIONS, AND FINISH
UPGRADES. SCOPE TO INCLUDE RELOCATION AND REPLACEMENT OF
CEILING FIXTURES AFFECTED BY STRUCTURAL EQUIPMENT, PATCH AND
REPAIR OF EXISTING FLOORING, MEP WORK AS REQUIRED, AND
STRUCTURAL WORK AS REQUIRED.
NAME
PRIMARY PHONE
CHI FHS - ST. FRANCIS HOSPITAL, Tracey Arney (253) 944-4111
PROPERTY OWNER MAILING ADDRESS E-MAIL
34515 NINTH AVE. S. TraceyArney@chifranciscan.
org
CITY STATE ZIP
FEDERAL WAY WA 98003
NAME PHONE
Tony Silva 206.396.1967
MAILING ADDRESS E-MAIL
CONTRACTOR Sellen Construction; P.O. Box 9970 TonyS@sellen.com
CITY STATE ZIP FAX
Seattle WA 98109
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SELLEC*372ND / / 20-00-101455-00-BL
NAME PRIMARY PHONE
ZGF: Todd Stine (206) 521-3430
APPLICANT MAILING ADDRESS E-MAIL
925 4th Ave, suite 2400 todd.stine@zgf.com
CITY STATE ZIP FAX
Seattle WA 98104
NAME PRIMARY PHONE
PROJECT CONTACT Leah Meer
(206) 521-3441
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 925 4th Ave, suite 2400 leah.meer@zgf.com
concerning this application) CITY STATE ZIP FAX
Seattle WA 98104
NAME
PROJECT FINANCING
0 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 is application.
ButRgi mPNREor miary?9,"016 PagP 1 of 2DATE � •C/�. • ... _ .. . for
wr
it • t
V •
• VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $
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.
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
VALUE OF PLUMBING WORK
PLUMBING PERMIT $
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 K.Tub/shower comm) LAVS(Hand sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS Rad.../utility) WATER HEATERS(Eictric
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(lit Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
aYes❑ No I 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$ # OF BEDROOMS
COMMERCIAL—NEW/ADDITION
AREA DESCRIPTION Area m Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
NEW BUIL •
DING
ADDITION
COMMERCIAL—REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area in Occupancy Group(s) Construction # of Additional Information
Square Feet Type Stories
TOTAL BUILDING
TENANT AREA ONLY 1-2 I-A
PROJECT AREA ONLY 351 I-2 I-A 1
Bulletin#100-January 29,2016 Page 2 of 2 k:\Handouts\Permit Application