07-101226 •
City of Federal Way Electrical Permit #: 07-101226-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: AUBURN REGIONAL MEDICAL CENTER
Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090
Project Description: Installation of L/V wiring for network and phone.
Owner Applicant Contractor
OPUS NORTHWEST LLC ADVANCED COMPUTER ADVANCED COMPUTER
OPUS NORTHWEST LLC COMMUNICATIONS COMMUNICATIONS
915 118TH AVE SE SUITE 300 4227 MERIDIAN S SUITE C-6 ADVANCC994M4 7/24/2007
BELLEVUE WA 98005 PUYALLUP WA 98373 4227 MERIDIAN S SUITE C-6
PUYALLUP WA 98373
Additional Permit Information
Electrical Fixtures
Low Voltage- Other Commercial.. 3,000
PERMIT EXPIRES Monday, September 3, 2007
Permit Issued on Wednesday, March 7, 2007
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
d the City of Federal Way. �r
Owner or agent: .Are.:/ 41 AO%tom Date: 7/40
6r
THIS CARD IS TO REMAIN ON-SITE
CDT IT Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101226-00-EL
Owner: OPUS NORTHWEST LLC
Address: 1413 S 348TH ST Suite L104
FEDERAL WAY, WA 98003
This card is part of your required inspection documents. 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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover (4020) 0 Final-Electrical(4055)
Approved Approved Approved
Byz.<Gf Date y mil— el Bylc5 Date 3 ,3,,z,-c. 'f By Cc* i Date -'- _a
❑ Under-slab groundwork(4295)
Approved
By Date
e. -
,� RECEIVED ��- 1 , ( 2: Z
Federal Way PERMIT —
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME 0) PL DE EN FP
333458ERAL AVENUE SOUTH•PoBOX9718MAR 0 i k°iPLI CATION
FEDERAL WAY,WA 98063-9718 TD
.253-835.2607•FAX 253.835.2609 "--
- fir_._
wuw,ciNuffederolwnu.cont CITY O� F FEDERAL WAY
The following is re uire•331r o(r nCatTon!Ta.n incomplete application will not be accepted. Please print legibly in ink)or
.l� 9 4 P PP P P 9 y( � type.
S PROPERTY INFORMATION I " q
SITE ADDRESS /7 r 7 SUITE/UNIT#
1 ASSESSOR'S TAX/PARCEL# 1, g 2 .4 ,c---- - V 0 et C LOT SIZE(4)LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 194714//1./ (/I ,Q O MM b---29 9 . ( 9,0 fC,'1.
(Mud,•mdnin Pnsn/ar Inneft logni d4v+amr
IN PROJECT INFORMATION
TYPE OF PERMIT D BUILDING O PLUMBING 0 MECHANICAL
❑ DEMOLITION )ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Ni=fiwed, - -- AID 4-)c-- L(2,A.et)4. o4 (0 i .#, c .
PROJECT NAME(Name of Business or Owner Last Name) 14-4/4.0 t.--,---../ (1.---..---C c""L-4: t't'--N C•-4.. ..'
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER • ( )
MAILING ADDRESS - CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME • • . , APPLICANT NAME ' OFFICE PHONE
/94'') k1c—:29 /s i (1%,11//rr. 0-41 117/4n / S (0033 )f54/7- fad
MAILING ADDRESS STATE,ZIP CELL PHONE
• /2, 7 /1/640/#011 5, l�r ��i° / - a37) (� )25 -3 es z
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
) 17/' -'g875/
CONTRACT OR SREGISTRATION NUMBER . EXPIRATION DATE E-MAIL ADDRESS
COPY of card sequined
with ee application 1(v i/ ( /l e q/3E ,/.2._/off- i9ee,V p 4i.i.:m&weid
45, 'C
APPLICANT COMPANY NAME / I 16,- APPLICANT NAME (OFFICE i ONE - .
MAILING ADDRESS - CITY,STATE,ZIP CELL PHONE
• ( ) -
RELATIONSHIP TOPROJECT FAX NUMBER
I7 Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS •
CONTACT :T//y1 n'ff/'2,q.) 1244 )7ff- f
LENDER NAME Per RCW 19.27.096:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS .7," CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE • \ PROPOSED USE •
EXISTING ASSESSED/APPRAISED VALUE $ \ ALUE OF PROPOSED WORK $
� ..
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN -IIIGHLINE I I TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN k" ❑ HIGHLINE _ ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
i ,
THIRD �
�,
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT 0 .
j
NUMBER OF FLOORS
EXISTING PROPOSED TOTAL y Y TOTAL LUSTING St TOTAL PAOPOSEDSF TOTALS,
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
e
r
i
SI FIXTURES
j
Indicate number of each type of fixture to be i>stalled or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $ (A COPY OP BID OR ESTIMATE MUST BE INCLUDED-M TH APPLICATION) i
AIR HANDLING UNITS EVAPRATIVE COOLERS GAS-PIPE OUTLETS WOODSTOVES
i
BBQS FANS �� GAS WATER HEATERS MISC(Describe)
BOILERS - FIREPLACE INSLR15 HOODS(co=e,dRq
COMPRESSORS FURNACES ,;�, RANGES
DL/CTS,. ,: GAS LOG SETS REFRIG. SYSTEMS ,
PLUMBING ,
BATHTUBS 0,ThbishoaerCombo) LAV,.$/B.thoomSink.) URINALS MISC(Describe(
DISHWASHERS . .14 INWATERSYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS truiley -
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS �:, -SUMPS
SIGNATURE
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 flied against the City of Federal Way,but only where such claim
arises out of the reliance of the city,includingits officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME TITL() 7/7 ' , �j / ^-�
/ ._..--aturc) / ..� G. // (Title)
" DATE /
RELATION TO PROJECT Owner ❑ Agent 1 Contractor ❑ Architect O Other
a NEW ❑ADDITION o ALTERATION a REPAIR >TENANT IMPROVEMENT.
BUILDING SHELL-ONLY? o YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? - o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
!
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? a YES o NO
•
•
Bulletin#100—January 1,2007 Page 2 of 4 - k\Handouts\Permil Application
R
• if
.` ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) , $47.00 ❑ 20.1-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
. ❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over.1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
. ❑ over 600 amp .:225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-,$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1;000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00 •
❑ Service and feeder $120.50
TEMPORARY SERVICE
•
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ it of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder.Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201 -400 amps 111.00
❑ 401 -600 amps 149.50
❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT . .
• ❑ # of Thermostats ❑ # of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
ow Voltage +� / ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) 3L.�L7 (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm system ❑ Additional Plan Review $111.00/hour
• Voice Cabling (for modified submittals)
data Cabling
❑ automation Fee on all Permits $5.00
1•,2500 ft2-$65.00; --��`` Q
Each add'n 2500 ft2117.00) •Per WAC796 9 6-910(5)(b)fi a ii)
Bulletin#100-January I,2007 . Page 3of4, k\Handouts\PermitApplication