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00-102884 BUII.DING DIVISION � 33530 First Way South �� ��_ ����r,�,�� Federal Way,WA 98003 �� � Fax(253)661-4129 ��� � � ��Q� GfiY OF FEDERAL Vy y' APPLICATION FOF�"��L'�I�VG PERMIT PLEASE PR/NT APPLICATION# v(/�` d 2 �O `7' _�-G�d `/ U s , ' add r es �3 ::i:'s':<::': Srte 3 7 s ::::::.::::::<��:<::::::<::�::;::::<<::��:::::::::':::::::<::::::�::::�>:::<�<�<:«�:<�:>:::::.> ��ir�:�:o��� Lot# Assesso�'s Tax# T��t na �A Gu'�1' /t'I6,OlG9� C�`-! /�l2 3 D S( - 0�7-O Address fL ��" � B 'Iding Owner's Name r (/�' ,1'�, b'Oo� 2,� s , �- �� s'rs�--�-,� s C� �-v�it�c h,�� State lv . Ti Phone e2.s3 S 9/' ��3'� �n. /Gfi�"b J�•/�6� Descri tion of Work L�C .—� �� �-Fi�' .�'. C� G d C /�°�''- :>:�>:::::>:::::>::::;:«;::::::�::.»>::;;::;::::::<:>:�::>::::»::>:::;;:;-=�:<::>-:::::::�: :i:r;;;:;:;::::�:::��#:%:::" . ''7"1���i:;�:Y;'::�:���:'�::�:$.';�'%�::�::'�::�<::'::;:;;:Yi�';:.`;:;:;;'::�:2;.:�i:�:�::��:':�::�::?: ���.. Name(F,M,L) C b � �U G—�-�D � '�.�.. Addres � _ _ � � 5 � � _ State � Z ��� Ci Day Phone ther Ph e Fax // /� Co t Person � ^ /�� �- ��- (fl� p"j (y' p2 ` T�7 1 L.. � � �7 ' ss License # �8 ::...:>.>;:;�`i:`�:<:::<:<::<::::<::�>::>;:>:�:<:::::>::::'::::: Fe de ra I Wa Bus ine ;>:::>�<:;: ::::>:::>:<:<::>�::.;;;;::>::>:::;:>::»:::::�::>=:: . :��. .:�:.�':���v';�'�.�'�''�'.i...:....................... Company Name��` C u� l I �� �� �ic Addre,�sct-� �! i7U�. �Y � �� �� —!—( �V �o�- State �' Z L� Ci Contact Perso Ph��e a. _ �� Fa.C{,i-�o0��'�a� L L.� � O��S d� � Contractor's#(caid must be presentedl Expiration Date Verified O Yes ❑ No <�>s>::;�::�::�::>:�r�: ..••�`�`;::::<'�:�;:<?:::'::�%<:';s��::::s::;;:`:'�:�:��::�'>:'•::'%:�>'�����?>;;:<;s:<r�;�";: :•::::::::•:-::':::. ., . . :�,�„�'�.'�.;.�................................... ......:.......................... Name � Address Cit CGr�fj/Z��%Le� /�iq �4G6�C /� .cf. State Zi Fax ��7S- Contact Perso���` �-�N�� C�Or as�3 Ps 9/� 6lp'�f' S-3 � 7— LEGAL DESCRIPTION ,N MITN iME NORTM W1L� ;1� THE YEST '�lG Qi 'Nf NOR'NE�S� 1'e Of TME ,MlESt l,'d OF SEC110N 20, TOMNiNID �� NORTH, qANGE 4 ���', ►,�„ :N [ING �i��11�r, MASHINGTON, FSCEP7 THEREFROM ANY DpRLION THFREOF l�1NG MITHIN TH( D�pT pf �.�. ��:lL'S ([pAR DARK 4S WELORDED !N VOLU�E NP �f v�a�� AT oAGf 1?, RECORr� pf r;NG � r(��M?Y, MASHINGTON, �F qNV. _. SUBJECT ?0 AND Tp�ETHER MITM EpSEMEN'S, qEStAICT!ONS ANC RESFRVATIONS 0� RfCOAC, If 4NY. p.lease Comn/ete Reverse Side • U Pro os ��+.��.�ft�p ed Use � � ' in se P �?:�:?: Exist 9 .':::�'��EE?::::::>::t:[:t:>Eit:'<:i:`::::i2[>::>`::`«:i::':??»EEEE>E�E?`ii'`:?:%.:[Et:<i['ri<::::::: :.:�:::::.:�:.::.::::::: :`.ti?i�_iiVSt�..............................:....:............................... Permit includes: Buildin ❑ Plumbin ❑ Mechanical ❑ Other Type of Work: ❑ Residential ❑ New �Remodel ❑ #of bedrooms ❑ Deck ❑ Commercial ❑ Addition ❑ Re air ❑ Gara e ❑ Shed Enter 1st Floor sq ft 2nd Floor sq ft 3rd Floor sq ft Existing Floor Area sq ft Area Basement s ft Decks s ft Gara e s ft Pro osed Total Area s ft Water Availabilit ❑ Sewer Availabilit ❑ On-Site Se tic S stem Availabilit ❑ Pro'ect Valuation $ i Zonin Lot Size Existin Bld Valuation S - I�f1 COSt' $ / Pr osed se � 1 i / n o r ientao �EI�€�R<::>:>:<�:'�>:�:::�;::::�;'`:�::::>::>;::::>:<:;:<:<:::>:::`<:::">.``::<<.:<`:::::>.::>::::>:<::`:::> Fo r new es d Name Address Cit State Zi »::>::>::>:<::<::>:::<:<:>::»::>:::�>::>::>::;»>::>:«<:>::>:::;:>::>::>::>::: :::.<::<>:<:>R'><:><>�`:��;:�<:'<:`:;<`; ,.:::......::.:..>.:......:.::...:..,.....:.:..:.::.::�::;:::: ��P�N�A�:'��tT�'C�'�.:.:.:::.:.....:........ Contractor Name � Address Ci State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes ❑ No �������"':::�;::'�;�'<:<:::;�,C�`�R;<'::<:::::>::::s>;»:<::�:<::;::;::;�;>: ;:»<:::::<:;:>�:«>:>::: :....;..:. . i�L�i1�i�3�.�1�`a..:...:..111:.:�E.......................................... Contractor Name Address I<:::,- Cit State Zi Contact Phone Fax License # Ex iration Date Verified ❑ Yes O No ::``'::�:�.��<���::;;��::�`:?:�:�<:>:::>i:>::::s::#::: :�:s����<:����'..,�x�. ..�...:................... ..................................................................... Water Closets Sinks Urinals Lawn S rinklers Bathtubs Dish Washers Drinkin Fountains Other Showers Electric Water Heaters Sum s Lavatories Washin Machine Drains 7otaf.�xt�ie Cai�nt.> I N ON LY S L AT O 1 AL EVA U E HAN C :::>:.«_.:_��t�NT::<:<:;::�::>��::<:::�::::>:::::::::`�: M C :::<;:.>::;;:.;;:.:<::::;:>::>::>::>;:;:::.;:.;:.;:-;:-;:. :�f:l.t�:.��kN�.�Ei:::�l�t'�:::...:.::..:......................:......... Fuel T e( as/electric/other) Gas Dr er Air Handlin < = 10,000 CFM 15-30 Tons Len th of Gas Pi in Ran e Air Handlin > = 10,000 CFM 30-50 Tons Furn <100K BTUs Gas Lo Unit Heater 50+ To�s Furn >100 BTUs Fans Miscellaneous Fuel Tanks Gas Hwt Hood Boilers Above Ground Conv Burner Duct Work 0-3 Tons Under round ggQ's Wood Stoves 3-15 Tons 7GxflF.Uttit>�otrr�i DISCLAIMER: I certify under penalty of perjury that the information furnished by me is hue and coaect to ihe best ofmy knowledge,and further,that I am authorized bY the owner of the above premises to perfocm the work for which pem�it application is made.I further agree to save hamiless the City of Federal Way as to any claim(including costs,e�enses,and atiomeys'fees incu�red in investigaLion and defense of such claim),which may be made by any person,including the undersigned,and filed aga'vist the City of Federal Way,but only where such claim arises out of the reliance ofthe city,including its office�s and employees,upon the accuracy ofthe information supplied to the city as a part ofthis application. Owner/Agent: � Date: S —/�- �agyo &MOpa.Arr R[v5�o W 1&99 City of Federal Way Building - Commercial Permit #:oo - 102884 - oo - Co Conununity R=-�3opment Services 3353F.st Way S Federal Way,WA 98003-6210 Inspection request line: 253.661.4140 Ph:253.661.4000 Fax:253.661.4129 (3:30pm cut-off for next day inspections) Project Name: ST FRANCIS MEDICAL CENTER Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: TI-Interior alterations to portion of first floor to expand reception area and create storage room Owner Applicant Contractor Lender ST FRANCIS MEDICAL CTR AS ST FRANCIS M6DICAL CTR AS SELLEN CONSTRUCTION ST FRANCIS MEDICAL CTR AS 1717 S J ST 1717 S J ST SELLEC*372N0(6/1/00) 1717 S J ST TACOMA WA "I'ACOMA WA PO BOX 9970 TACOMA WA 98405-4933 98405-4933 SEATTLE WA 98109 98405-4933 Includes: Census category: 437-Comm #1 #2 #3 #4 Occupancy Group: B Construction Type: Type III-One-HR Occupancy Load: z Floor Area(Sq.Ft.): 506 ist Floor Proposed Sq.(eet.................................506 Building Pre-con.Meeting Required...................No Census Category................................................. 437-Commercial alUadd Fire Sprinklers................................................. Yes . Mechanical................................................. No Permit for Building Shell On1y............................No Permit for Foundation Only.................................No Plumbing................................................. No Special lnspection Required................................No Total Proposed Sq.Feet.......................................506 ��ill Certificate of Occupancy be Issued?............No CONDITIONS: ; This decision shall not waive compliance with future City of Federal Way codes,policies,or standards relating to the subject proposaL PERMIT EXPIRES November 12,2000,IF NO WORK IS STARTED. Permit issued on May 30,2000 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: '�_�(��(�'' ( •� ��� � � . f �. .._ . ... ._. . . . � . � . POST T CARD ON THE FRONT OF BUILDING �F G BUILIDIv G DIVISION � � -� EDF!ZF-iL uv F:Y INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-661-4140 Request must be received by 3:30 PM for next day inspection PERMIT #: 00-102884-00-CO OWNER'S NAME: ST FRANCIS MEDICAL CTR AS SITE ADDRESS: 34515 9TH S � � FooTirr�sisETBacxs ( > Fouiv�aTlorr waLL DO NOT POUR CONCRETE UNTIL THE ABOVE IS APPROVED ( ) DRAINAGE: Line ( ) Connection DO NOT POUR SLAB UNTIL THE ABOVE IS APPROVED ( ) UNDERFLOOR FRAMING ( ) ROUGHPLUMBING: DWV Waterpiping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover _ ( ) FIRE/DRAFTSTOPS ALL THE ABOVE MUST BE APPROVED PRIOR TO FRAMING INSPECTION ( ) FRAMING/FIRESTOPPING��_ �Z — UD �(til THE ABOVE MUST BE APPROVED PRIOR TO INSULATING OR SHEETROCKING ( ) INSULATION: Floors Walls Attic THE ABOVE MUST BE APPROVED PRIOR TO APPLYING SHEETROCK ( ) WALLBOARD NAILING �,— �(p— �O GG� ( ) SUSPENDED CEILING THE ABOVE MUST BE APPROVED PRIOR TO TAPING OR INSTALLING CEILING TTLE O ELECTRICAL FINAL �-' Z 7—� OO �j�� ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL � `- � � — D O �(,—�2� THE ABOVE MUST BE APPROVED PRIOR TO BUILDING DEPARTMENT FINAL ( ) BuiL�rnrG FrNAL 7_ ��/—�,� ��.� ��.� ,�u���. �'='.�= � DO NOT OCCUPY THIS BUILDING UNTIL BUILDING FINAL IS APPROVED