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01-102230 �� ,��..-��-��.� Yi..... ��F � CONSTRUC, � �ON PERMIT APPLICATION �V Ry�— ��1�M �;��¢� � � �';';�;� PPLICATION NUMBER: � _�- l O Z Z�Q - CO \��" PPLICATIUN NUMBER: - - �� Ue�.Cis€��T�xY PPLICATION NUMBER: — � � ��,' - - - - - - - - - - - - �"1 � ` **The following is required information-Please print(in ink)or type** Please note: Electrical, Fire Prevention Systems and Engineering permits may require a separate application. . � . , . . 3ys�S 9 '��: .ro..� 7.s�o Ys�- a ��o —o SITE ADDRESS• ASSESSOR'S TAX/PARCEL #:�,�"_p �[,f-Lt9Q�YJ = �� _ ��E,t.�c 1�.,,•t7 /,,.,.� _ � 7 ,�a Y�'!' - O a 70 _ Op LEGAL DESCRIPTION OF SUBJECT PROPERTY ATTACH SEPARATE DESCRIPTION IF LENGTHY): I �fEf ff�7Ft c�fi°c C.v�' i4 • . . • . TYPE OF PROJECT(This application): �BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM . PRO]ECT DESCRIPTION (Provide detailed description): //L/"Lo«i-�d�-- p� aC� .ljoyt�� /��.. � O�f's-�c�' Ur.. 7'ft�'' .3 "'� �Gs•�. �4.-D Gb.�v�it,� ` 1-.� %� �r-- o.Qctr- j� COo�r��.c- /l/un-.✓d- �I'T'�t�-�'a�-- PROJECT NAME: • • • • • PROPERTY OWNER' NAME: DArrtME PHONE: I � lZ�t�c .r�c�,.- �.+�%�r .1'yJ i�,K c.2s.�> 9 Y�- 79�� i , MAILuING ADDRESS(S7REET ADDRESS;CITY,STATE, IP): � !.�1� � v +� --ra,ci�. �G�iO E�+.gC !v� �� v0 3 CONTRACTOR' NAME: DAYTIME PHONE: sE�/cr',� Cp„�.rilt�c�ui,... (�G ) �05' - 7//7 � MAILING ADDRE55(STREEf ADDRE55;CITY,STATE,ZIP): EVENING PHONE: �- � Gt/C.t i C.�� v� . .�. �K ��70 ( ) - I CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: - - \ � CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / � APPLICANT: NAME: j DAYTIME PHONE:p / cJ � ��.r C../�I��/�i G I d r ��i� ��!� - 6 �`� � MAILING ADDRE55(STREEf ADDRE ;CITY,STATE,ZIP): EVENING PHONE: I l 7/7 S�. �. �/L6a'j f corr �--`l / �5`s T ( ) - RELATIONSHIP TO PROJECT: �,[�� ^��G��N FAX NUMBER: ; ❑ ARCHITECT ❑ TENANT ❑ OTHER(DES�ftIBE): - (�,S,3)o7v 7 -��7r I E-MAIL ADDRE55: � CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER �APPLICANT ❑ CONTRACTOR . . . • • • EXISTING USE:�7 d�/L!'.�f'L EXISTING BUILDING ASSESSED/APPRAISED VALUATION $J 7 /�I.tC«d� PROPOSED USE: !-/ �o.I�.�l�t"C PROPOSED VALUATION FOR IMPROVEMENTS: $ `�b�.D6� o� SPRINKLERED BUILDING? �YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES �NO / WATER SERVICE PROVIDER: �LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: E�LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • . . • • FLOOR EXISTING S .FT. PROPOSED S .FT. TOTAL BASEMENT FIRST SECOND THIRD � �� FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATNE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(5) ggQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC ❑ GAS , � PLUMBING ��i� � �o�t.t��,,sh�-��''. �Fi .i�.r�t.2+w ri�-`/A/!G`7� �..- f.�✓ BATHTUB(S) LAVATORY(S� URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ ELECTRIC ❑ GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC. ( ) INTERCEPTOR(S) SUMP(S) � • I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 the city as a part of this application. NAME/TITLE�� /LG�IS� Co,�f//L- /'1,.�6/l• DATE: `S �°�y' � ( ❑ PROPERTY OWN �AP CANT ❑ CONTRACTOR FOR OFFICE USE ONLY: ❑ NEW ❑ A ITION ❑ ALTERATION ❑ REPAIR TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATI N : BUILDING SHELL ONLY? ❑ YES NO COMP PLAN DESIGNATION BASIC PLAN? ❑ YES � NO SECTI TOWNSHIP RANG NEW ADDRESS REQUIRED? O YES NO PLATTED LOT? ❑ YES NO CHANGE OF USE? ❑ YES NO COMMUNITY DEVELOPMENT SER F1R5T WAY SOUTFi•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 ! CityofFederalWay Building - Commercial Permit #:ol - 102230 - oo - CO Community Deve(opment Secvices 33530]st Way S Federal Way,WA 98003-6210, Ph:253.661.4000 Fax:253.661.4129 Inspection request line: 253.g35.3�50 Project Name: ST FRANCIS HOSPITAL Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: REMOD- Remodel area of 3rd floor to create nurses' station. *"No plumbing or mechanical on this permit*" Owner Applicant Contractor Lender ST FRANC[S MEDICAL SELLEN CONSTRUCTION SELLEN CONSTRUCTION ST FRANCIS MEDICAL 1717 S J ST PO BOX 9970 SELLEC*372N0 6/1/02 1717 S J ST TACOMA WA SEATTLE WA 98109 PO BOX 9970 TACOMA WA 98405-4933 SEATTLE WA 98109 98405-4933 Includes: Census category: 437-Comm #1 #2 t�3 #4 Occupancy Group: I-1.1 Construction Type: Type I-FR Occupancy Load: Floor Area(Sq.Ft.): 160 lst Floor Proposed Sq.Feet.................................160 Building Pre-coa MeetingRequired...................No Census Category.................................................437-Commercial alt/add Fire Sprinklers................................................. Yes Mechanical................................................. No Number of Stories................................................3 Permit for Bui(ding Shell Only............................No Plumbing................................................. Yes Special Inspection Required................................Yes Total Proposed Sq.Feet....:............::....................160 Will Certificate of Occupancy be Issued?............No Zoning Designation.............................................OP PERMIT EXPIRES January 20,2002,IF NO WORK IS STARTED. Permit issued on July 24,2001 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 ccordance with the laws,rules and regulations of the State of Washington and the City of Federal Way. / �7 �� - Owner or agent: Date: � V � � � , . �► � ' ' PO"�'r'HIS CARD ON THE FRONT OF BUILD""n • � �� BUIL�ING DIVISION uV AY INSPECTION RECORD INSPECTION REQUEST PHONE#: 253-835-3050 PERMIT #: 01-102230-00-CO OWNER'S NAME: ST FRANCIS MEDICAL SITE ADDRESS: 34515 9TH S ( ) FOOTINGS/SETBACKS ( ) FOUNDATION WALL �.�= A �� _:, . ��;.,�=DO,NOT�O'�TR�ONCRETE�[,TNTiL�;�HE A:BQ��TS"�'�P�tO'YED „��i . ( ) DRAINAGE: Line ( ) Connection y y ��, p' g�: '�.., �p �a � � m � .� �u�c.�ur a �a� V�` rl�t: -�Do�vo�r��°Q��sLaB�.v��so;�v.� s�G�r�e��D�� ,�� ,�� a. d_ r �� ,� � � � . _ . . ( ) UNDERFLOOR FRAMING ( ) ROUGH PLUMBING: DWV Water piping ( ) ROUGH MECHANICAL Gas piping ( ) SHEATHING Roof Floor. ( ) SHEAR WALLS ( ) ELECTRICAL ROUGH-IN Ditch Cover ( ) FIRE/DRAFTSTOPS � g';,�,�� ,�,.��;�4�� '�NLI�S�EB��°�'PROVED SPRIOR�O��!��.uS�EG��'ION�� Aq u�� _ . . ��. � � � �� ( ) FRAMING/FIRESTOPPING — 7 " �/ G �� O'S�1Y�UST�E.AppROV��,��r��i��s { �P.�?c,a�%s�E�oc�t� � .0�...�� . _ ., : ,. _ ( ) INSULATION: Floors Walls Attic e . �. (\_�� - n = � O�MT3' ��E��`� �RIC?R�TU G�HEET�t()CK" ," �� ' �� \� _r Rt . __ .� . _ n _ __ »+.--nr , .wa. � .,+...a-.��r�T .eutN.X..i 1.»x 3_. ,-..c.:Z4.s�a:_. _u�'�.� r . . . � . , �a.�'a' '°a�,'(R a`, ....} ( ) WALLBOARD NAILING ( ) SUSPENDED CEILING �. ..-.�Sfi B,� _��O,��D ��W..U��'Q�� "€� �:� .�.��E:[L�N'G�LE �'.��..r , .�.. ..., ( ) ELECTRICAL FINAL �l ' L Q�" d / ,� ( ) PLANNING FINAL ( ) PUBLIC WORKS FINAL ( ) FIRE FINAL �.� ��. _ w��,. ,.<��Mi�ST�BE APPROY�D'�'`�O ��' �� .�� -�� "�: �� .. _ _ _ - . ( ) BUILDING FINAL � ^' 2 �� . O � C l�r/ _ � ��- f �� x�-��-.� � ,�� - �� ,��:�.� ..P� ; '�`$I�'B[��D; (�,�� (� °�� : � �P�P. U� � �U ��c� .��.tt,_. �� ` � �. �, � �� _ � � ��a