19-102941 •
Mechanical
City of Federalent Permit #:19-102941-00-ME
ni
Commuty 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 OPERATING ROOM & CORE RENOVATION
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: HVAC TI,demo and installation of new low pressure ductwork and GRDS.
•
Owner Applicant Contractor
JOHN ELSWICKFRANCISCAN HEALTH AMANDA MOOREP S F MECHANICAL P S F MECHANICAL INC(GENERAL)
SYSTEM-W INC PSFMEI*090NZ(10/5/19)
1717 S"J"ST 11621 E MARGINAL WAYS SUITE A
TACOMA WA 98405SEATTLE WA 98168 11621 E MARGINAL WAY S
SEATTLE WA 98168
•
Additional Permit Information
Mechanical Work Valuation" 4500 Is this an Online or O.T.C.application" No
Mechanical Fixtures
Ducting 1
PERMIT EXPIRES Sunday, 19 January,2020
Permit Issued on Tuesday,July 23,2019
I hereby certify that the above information is correct and that the construction on the above described property
and the occupancy nd 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 agen : //./C,CVit
Date: IJ29
ITHIS CARD IS TO REMAIN ON-SITE
arra Construction Inspection Record
Feuerai Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 102941 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.
•
ID Mechanical Rough-in(4165) ® Gas Piping(4125) ® Final-Mechanical(4065)
Approved Approved to release test Approved
By Date By Date By At4 Date I:).5 ,q pCQ0 ,
0 Rough Electrical 0 Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
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RECEIVED
CITY OF JUN 13 2019
PMIT APPLICATION
Federal y PERMIT CENTER+33325 8' Avenue i 98003-6325
CITY OF FEDERA253-835-2607+ FAX 253-835-2609+ w .r rrlaa
COMMUNE' DEVELOPMENTL-WAY
PERMIT NUMBER I ( ) D,
TARGET DATE
SITE ADDRESS
SUITEJUNIT#
34515 9th Ave S
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 52.000 7 5 0 4 5 1 _ 0 0 2 0
TYPE OF PERMIT ❑BUILDING ®PLUMBING (Z MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT St Francis Hospital OR & Clean Core TI
HVAC TI, demo and installation of new low pressure ductwork and GRDS
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME PRIMARY PHONE
CHI Franciscan
PROPERTY OWNER MAILING ADDRESS E-MAIL
1145 Broadway STE 1200
CITY STATE ZIP
Tacoma WA 98402
•
NAME PHONE
PSF MECHANICAL 206-764-9663
MAILING ADDRESS E-MAIL
CONTRACTOR 11621 E MARGINAL WAY S permits@psfinech.com
CITY STATE ZIP FAX
SEATTLE WA 98168 206-762-8381
WA STATE CONTRACTOR'S LICENSE II EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE
PSFMEI*090NZ 10 05 1 9 20-13-100197-00-BL
NAME PRIMARY PHONE
AMANDA MOORE -PSF MECHANICAL 206-812-7683
APPLICANT MAILING ADDRESS E-MAIL
11621 E MARGINAL WAY S, Suite A permits@psfinech.com
CITY STATE ZIP FAX
SEATTLE WA 98168 206-762-8381
NAME PRIMARY PHONE
PROJECT CONTACT AMANDA MOORE -PSF MECHANICAL 206-812-7683
(The individual to receive and MAILING ADDRESS E-MAIL
respond to all correspondence 11621 E MARGINAL WAY S, Suite A permits@psfmech.com
concerning this application) CITY STATE ZIP FAX
SEATTLE WA 98168 206-762-8381
• NAME
PROJECT FINANCING ❑ OWNER-FINANCED
When value is$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PHONE
(RCW 1927.095)
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 arty claim(including costs, expenses, and attorneys'fees incurred in
the investigation and defen2se of such claim), which may be made by any person,including the undersigned, and filed against the city,
but only where such ctai arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to e,�city aas�aj/part of this application.
SIGNATURE: /�/,�' �✓(J /f • DATE 6/17/2019
PRINT NAME. $AtNnA MOORE
Bulletin#100-January 29,2016 Page 1 of2 k:\Handouts'\Pemiit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ 4500
Indicate how many of each tope of fixture to be installed or relocated as Dart of this project.Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS iCo,moamiai)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
1 DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ 16400
Indicate how many of each type of fixture to be installed or relocated as part of this project.Do not include existing fixtures to remQi.n..
BATHTUBS tor Tub/Shower Combo) LA'S(Hand Sinks; TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSII;MS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS 1 SINKS piiteher./UtdiUi WATER HEATERS(Eieots,:)
HOSE BIBBS SUMPS WASHING MACHINES 1 TOTAL FIXTURES
GENERAL INFORMATION
CRITICAL AREAS ON PROPERTY? WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
o Yes n No Yes L.1 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 0 CARPORT
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
*NEW HOMES ONLY"
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area in. Occupancy Group(s) Construction Sof Additional Information
Square FeetTYpe Stories
NEW BUIIADIG
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
Area in Construction # of
AREA DESCRIPTION Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100--January 29,2016 Page 2 of 2 k:\Handouts\Permit Application