22-104708City of Federal Way
Community Development Dep[.
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835-2607 Fax: (253)'835-2609
Project Name: FRED HUTCH CANCER CENTER RESEARCH TRAII FP
Project Address: 2141 S 314TH ST
Project Description: Installation of generator to power research trailer.
Owner
CITY OF FEDERAL WAY
33325 8TH AVE S
FEDERAL WAY WA 98023
Applicant
OLIVER MADAYAGFRED HUTCH
CANCER CENTER
1100 FAIRVIEW AVE N E5-1 10
SEATTLE WA 98109
Additional Permit Information
Is this an Online or O.T.C. application? .................. Yes
Electrical Fixtures
New Service: 0 - 100 amps (C( I
Electrical
Permit #:22-104708-00-EL
Inspection Request Line: (253) 835-3050
PERMIT EXPIRES Wednesday, 19 April, 2023
Permit Issued on Friday, October 21, 2022
Parcel Number: 092104 9017
Contractor
N C POWER SYSTEMS CO
NCPOWCP852DF (3/19/23)
17035 W VALLEY HWY
TUKWILA WA 98188
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:
d
Date:
_4%�
CITY OF
Federal Way
THIS CARD IS TO REMAIN ON -SITE
Construction Inspection Record
INSPECTION REQUESTS: (253) 835-3050
PERMIT #: 22 104708 00 Address:
2141 S 314TH ST
Project: CITY OF FEDERAL WAY
FEDERAL WAY WA 98003-5621
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.
0
UFER Ground (4295) Ditch cover (4030)
0 Slab/Concrete Floor (4255)
Approved Approved
Approved to place concrete
By
Date By Date
By Date
0
Pool Bonding (4195) Ll Temporary Power (4275)
0 Service (4235)
Approved Approved
Approved
By
Date By Date
By Date
0
Feeders/Sub-panels (4045) E] Rough Electrical (4225)
0 Ceiling Cover (4020)
Approved Approved
Approved
By
Date By Date
By Date
1U Final - Electrical (4055)
By.t!Z
Approved
Date /_�Q
Rough Electrical
Final Electrical
El
Right of Way
Approved
Approved
Approved
13 y
Date
By
Date
By
Date
Federal Way
Building Division
33325 Eighth Avenue South
Federal Way, WA 98003-6325
Phone 253-835-2607 Fax 253-835-2609
CORRECTION NOTICE
ADDRESS: �7�t J 3�/ s� PERMIT#:2.2
IF YOU HAVE QUESTIONS CALL
(253) 835
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS. NOTE: ELECTRICAL CORRECTIONS ARE REQUIRED TO BE MADE WITHIN 15 DAYS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
RECEIVED
PERMIT APPLICATION
CITY OF - -`-= --=``
OCT 2 0 2022 PERMIT CENTER + 33325 81h Avenue South + Federal Way, WA 98003-6325
Federal Way
253-835-2607 + FAX 253-835-2609 + permitcenterCcityoffederalway.com
CITY OF FEDERAL WAY
OOMMUNRY DEVELOPMENT
PERMIT NUMBER a A _ d -7 a 9_ 6
TARGET DATE
SITE ADDRESS
SUITE/UNIT#
2141 S 314th Street Federal Way, WA 98003
PROJECT VALUATION
ZONING ASSESSOR'S TAX/PARCEL#
$ 1000
8575000020 -
TYPE OF PERMIT
4BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ❑ ENGINEERING ❑ FIRE PREVENTION
NAME OF PROJECT
Fred Hutch Research Trailer 2
(Electrical Permit for the generator and connection
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
NAME
PRIMARY PHONE
City of Federal Way
253-835-7000
PROPERTY OWNER
MAILING ADDRESS
E-MAIL
33325 8th Avenue South
www.cityoffederalway.com
CITY
Federal Way
STATE
WA
ZIP
98003
NAME
PHONE
N C POWER SYSTEMS CO
800-562-4735
MAILING ADDRESS
17035 W VALLEY HWY
CONTRACTOR
CITY STATE
ZIP
FAX
Tukwila WA
98188
WA STATE CONTRACTOR'S LICENSE #
EXPIRATION DATE
UBI #
601 983 250
NAME
PRIMARY PHONE
Fred Hutch Cancer Center
See Project Contact
APPLICANT
MAILING ADDRESS
1100 Fairview Ave N
E-MAIL
See Project Contact
CITY
STATE
ZIP
FAX
Seattle
WA
98109
NAME
PRIMARY PHONE
PROJECT CONTACT
Oliver Madayag
425-269-9353
MAILING ADDRESS
1100 Fairview Ave. N., Mail Stop E5-110
E-MAIL
omadayag@fredhutch.org
(The individual to receive and
respond to all correspondence
CITY STATE ZIP
Seattle I WA 198109
FAX
concerning this application)
PROJECT FINANCING
NAME
® OWNER -FINANCED
When ualue 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 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 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 claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE: DATE
PRINT NAME: Oliver Madavag
Bulletin #100 — February 19, 2020 Page 1 of 2 k:\Handouts\Permit Application
VALUE OF MECHANICAL WORK
MECHANICAL PERMIT
Indicate how many of each type o fixture to be installed or relocated as part of this project. Do not include existing Lxtures 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
DUCTING GAS PIPING WOODSTOVES
PLUMBING PERMIT
Indicate how many o each type of
rixture to be installed or relocated as
part of this project. Do not include existing fixtures to remain.
BATHTUBS (or Tub/shower Combo)
LAVS (Hand 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 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?
n Yes ❑ No
PROPOSED FIRE SUPPRESSION SYSTEM?
n Yes n 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 ❑ CARPORT ❑
OTHER (describe)
Area Totals
EXISTING
PROPOSED
TOTAL
"NEW HOMES ONLY"
ESTIMATED SELLING PRICE $
1 # OF BEDROOMS
COMMERCIAL - NEW/ADDITION
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of
Stories
Additional Information
NEW BUILDING
ADDITION
COMMERCIAL - REMODEUTENANT IMPROVEMENTS
AREA DESCRIPTION
Area in
Square Feet
Occupancy Group(s)
Construction
a
# of Additional Information
Stories
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
T--T
Bulletin #100 — February 19, 2020 Page 2 of 2 k:\Handouts\Permit Application