19-100086 Building - Comtertfal
City of CommunityDevelral opmrn Permit #:19-100086-00-CO
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: REM-Renovation of existing operating rooms and core to accommodate new equipment.
Includes selective demolition,GWB replacement,wall and ceiling finishes and casework.
Owner Applicant Contractor Lender
JIM CANNONFRANCISCAN CLAYTON SELLEN CONSTRUCTION OWNER IS LENDER
HEALTH SYSTEM RICHENBERGBUFFALO DESIGN PO BOX 9970
3451 9TH AVE S 1520 4TH AVE SUITE 400 SEATTLE WA 98109
FEDERAL WAY WA 98003 SEATTLE WA 98101
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.) 2,076.00
Additional Permit Information
Occupancy#1-Area(Sq.Feet) 2076 Occupancy#1-Construction Type Type I-A
Mechanical to be Included? Yes Plumbing Work Valuation? 16400
Mechanical Work Valuation? 4500 Number of Stories 3
Is this an Online or O.T.C.application? No Permit for Building Shell Only? No
Plumbing to be Included? Yes Comprehensive Plan Designation Office Park
Zoning Designation OP
Total Valuation:669,000.00
s.� � fir � : �;: r
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CONDITIONS:
1.Separate Permit required for any modifications to the fire alarm system and/or devices.
2.Separate Permit required for any modifications 10 or more fire sprinkler heads.
3. Separate permit required for modifications to the Med Gas system.
PERMIT EXPIRES Tuesday,21 January,2020
Permit Issued on Thursday,July 25,2019
I hereby certify that the abs - information is orrect and that the construction on the above described property
and the occupanc =nd the use libel accordance with the laws, rules and regulations of the State of
as.o ton and the City of Federal Way.
Owner or agent: / '/ Date:
R; THIS CARD IS TO REMAIN ON-SITE
Construction Inspection Record
Way J INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100086 00 Address: 34515 9TH AVE S
Project: JIM CANNON 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.
❑ Initial Erosion Control(4365) 1:1 Footings/Setback(4110) ' ® Foundation Wall(4115)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete
By Date ; By Date ! By Date
® Drainage/Downspout(4040) El Re-steel(4215) ® Plumbing Groundwork(4190)
Approved to backfill Approved to place concrete or grout Approved to cover
•
By Date By Date 1 By Date
•
Ill Slab/Concrete Floor(4255) •® Underfloor Framing(4285) jID Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor I Approved to install flooring
By Date By Date By
Date
• •
ElShear Walls(4245) ; El Roof Sheathing(4220) El Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date , By Date By Date
El Mechanical Rough-in(4165) ; El Gas Piping(4125) El Fire/Draft Stops(4095)
Approved I Approved to release test I Approved
By Date I By Date By Date
1:1 Interim Erosion Control(4370) Prior to scheduling a Framing inspection; t 7 Framing(4120)
Approved Electrical,Plumbing&Mechanical Rough-in Approved to insulate
and Fire/Draft Stop inspections must be signed-
By Date Oland approved. IBC 109.3.4 By Date
Ull Insulation(4150) ® Gypsum Wallboard Nailing(4130) 1 El Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape I Approved to drop tile
,
By Date : By Date By Date
Final-S K F&R(4060) , El Final-Planning gg Final Erosion Control(4375) ,
Approved Approved Approved
By Date .;.By Date v•By Date
•2a •
Final-Mechanical(4065) El 'f Final-Plumbing(4075) ® Final-Building(4050) •
Approved Approved Approved
•By Date •,By Date By Date
•
Rough Electrical 0 Final Electrical [J Right of Way
Approved Approved Approved
By Date By Date By Date
•
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tm4 THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS:(253)835-3050
PERMIT#: 19 100086 00 Address: 34515 9TH AVE S
Project: JIM CANNON 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.
,
® Initial Erosion Control(4365) El Footings/Setback(4110) ® Foundation Wall(4115)
To be done PRIOR to breaking ground Approved to place concrete Approved to place concrete
By Date By Date By Date
® Drainage/Downspout(4040) ® Re-steel(4215) s❑ Plumbing Groundwork(4190)
Approved to backfill Approved to place concrete or grout Approved to cover •
i
By Date 1 By Date •. By Date
•
® Slab/Concrete Floor(4255) ® Underfloor Framing(4285) ® Floor Sheathing(4105)
Approved to place concrete Approved to sheath floor Approved to install flooring
By Date By Date By Date
ElShear Walls(4245) 0 Roof Sheathing(4220) El Rough Plumbing(4230)
Approved to install siding Approved to install roofing Approved
By Date By Date By Date
N •
El Mechanical Rough-in(4165) 14 Gas Piping(4125) s Fire/Draft Stops(4095)
Approved Approved to release test Approved
By Date j By Date By Date
El Interim Erosion Control(4370) Prior to scheduling a Framing inspection; Ei Framing(4120).
Approved Electrical,Plumbing&Mechanical Rough-in ,,,p . Approved to insulate
and Fire/Draft Stop Inspections must be signed- kill'-'
By Date off and approved. IBC 109.3.4 By c..1L _ Date 1 it3•.49a i
El Insulation(4150) .
, 1:1 Gypsum Wallboard Nailing(4130) i El Suspended Ceiling Grid(4265)
Approved to install wallboard Approved to install mud&tape Approved to drop tile
By Date By Date By Date
El Final-S K F&R(4060) Q Final-Planning E Final Erosion Control(4375)
Approved Approved Approved
I
By Date �`By Date .iBy Date
,•
El Final-Mechanical(4065) ® Final-Plumbing(4075) '•® Final-Building(4050) '
Approved Approved Approved
,By Date ��By Date By ��,� Date sSlaq�� o,
O Rough Electrical 0 Final Electrical0 Right of Way
Approved Approved Approved
By Date By Date , By Date
RECEIVEDPERMIT APPLICATION
CITY OF
Federal Way JAN 0 4 2019 PERMIT CENTER+33325 8th Avenue South+ Federal Way,WA 98003-6325
253-835-2607+FAX 253-835-2609+ permitcenter(o`citvoffederalway.com
CITY OF FEDERAL WAY
COMMUNITY DEVELOPMENT
PERMIT NUMBER / - 10
1o o 0 2_ /L C O TARGET DATE / -A5
14
SITE ADDRESS LGSUITE/UNIT#
34515 9th Ave South Federal Way, WA 98003
PROJECT VALUATION ZONING ASSESSOR'S TAX/PARCEL#
$ 669,000 • OP 7 5 0 4 5 1 - 0 0 2 V
TYPE OF PERMIT 'BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION 0 ENGINEERING 0 FIRE PREVENTION
NAME OF PROJECT St. Francis Hospital Operating Room & Core Renovation
PROJECT DESCRIPTION RENOVATION OF EXISTING OPERATING ROOMS& CORE TO ACCOMMODATE NEW
Detailed description of work to EQUIPMENT, CI=CCTRICAL S I'C i& FINISHES. WORK INCLUDES SELECTIVE
be included on this permit only DEMOLITION Aid N; REPLACEMENT OF;GYPSUM WALL
BOARD, WALL AND CEILING FINISHES, CASEWORK, AND W€'dd••POWER.
NAME PRIMARY PHONE
Jim Cannon 253.944.4111
PROPERTY OWNER MAILING ADDRESS E-MAIL
34515 9th Ave South jimcannon@catholichealth.net
CITY STATE ZIP
Federal Way WA 98003
NAME PHONE
Sellen Construction 206.396.1967
MAILING ADDRESS E-MAIL
CONTRACTOR 227 Westlake Ave North tonys@sellen.com
CITY STATE ZIP FAX
Seattle WA 98109
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
NAME PRIMARY PHONE
206.467.6306
Buffalo Design
APPLICANT MAILING ADDRESS E-MAIL
1520 Fourth Ave Suite 400 Clayton@buffalodesign.com
CITY STATE ZIP FAX
Seattle WA 98101
NAME PRIMARY PHONE
PROJECT CONTACT Clayton Richenberq 206.467.6306
(The individual to receive and ADDRESS E-MAIL
respond to all correspondence 1520 Fourth Ave Suite 400� Clayton@buffalodesign.com
concerning this application) CITY Seattle STATE
TTTE ZIP FAX
98101
NAME
PROJECT FINANCING 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 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 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 !aim arise out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied o the city part of this application.
SIGNATURE: DATE I q W!/
11
PRINT NAME: Ct,AF0/V ttICA} 6
Bulletin#100—January 29,2016 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT $ [/ 5 Q
Indicate how many of each type of fixture to be installed or relocated as part,if 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
T
1 DUCTING GAS PIPING WOODSTOVES
VALUE OF PLUMBING WORK
PLUMBING PERMIT $ / (o OO
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(or Tub/Shower Combo) LAVS(Heed 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 I 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?
Operating Rooms Yes❑ No ❑Yes No
RESIDENTIAL - NEW OR ADDITION
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
,y ,.
.—__..._
h k
FIRST FLOOR(or Mobile Home)
ECOND FLOOR =" iA
COVERED ENTRY
PECK ,. 2:4 r
GARAGE 0 CARPORT 0
OTHER{desai6eJ r{
EXISTING PROPOSED TOTAL
Area Totals
"NEW HOMES ONLY**
ESTIMATED SELLING PRICE$ I #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
NEW BUILDING •
ADDITION
COMMERCIAL-REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Occupancy Group(s) Construction #of Additional Information
Square Feet Type Stories
TOTAL BUILDING
217.,000 SF
TENANT AREA ONLY 217,000 SF 3
PROJECT AREA ONLY
• 2076�sr1-2 1-A
Bulletin#100—January 29,2016 Page 2 of 2 k:\Handouts\Permit Application