07-100509 L.
City of Federal Way Electrical Permit #: 07-100509-00-
` Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609
Project Name: AUBURN REGIONAL MEDICAL CENTER
Parcel Number: 185295 0090
Project Address: 1413 S 348TH ST Suite L104
Project Description: Alter(3)200-amp panels for tenant improvements.
Owner
Applicant Contractor
AUBURN REGIONAL MEDICAL CENTER MAPLE CREST ELECTRIC INC MAPLE CREST ELEC
(TR I C
INC PO BOX 1165
KENT WA 98035 PO BOX 1165
202 N DIVISION KENT WA 98035
AUBURN WA A 9 98 8003 '
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 3
PERMIT EXPIRES Sunday, July 29, 2007
Permit Issued on Tuesday, January 30, 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 ith th laws, rules and regulations of the State of Washington
n the City
Owner or agent: .g" —1 Date: /' z ` `"
•
DATE %INSPECTOR C AREA AND TYPE OF INSPECT ON
r.)
• . _ r
THIS CARD IS TO REMAIN ON-SITE
CITY OF _' `.' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100509-00-EL
Owner: AUBURN REGIONAL MEDICAL CENTER INC
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 By1tc> Date .2,_7,3_c'7 By Date
❑ Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels (4045)
Approved Approved Approved
By Date By Date Bye Dates 'c?,_
Rough Electrical (4225) El Ceiling Cover(4020) '❑ Final-Electrical(4055)
Approved Approved Approved
B D ate (6 —07 . By j(y Date -3—z;—0'7 Bye Se i Date
❑ Under-slab groundwork(4295)
Approved
By Date
�b� . RECEIVED.
amt ee � JAN 3 0 2007 07 _ / C/0 •5 c_
M'eIeral Way PE L I- 4D L WAY SF MF CO ME PL DE EN FP
- coMMUNnDEVELOPMEATSERVICES ND DEPT..:
999258mRAI,AMUR
WY,WA f.Pa971<97Ie APPLICATION tD / ` .• /
FEDERAL WAY,WA 98063.9718
�tC 253-8354607•FAX 253-8352609
Fnum.atuolkdertdway.com
The ollowin• is •aired information—an incom•late a' •lication will not be acce•ted. Please •rtnt legibly in in or •e.
M PROPERTY INFORMATION
SITE ADDRESS J y�� 5 0 t 9414.'1-
"s` .! SUITE/UNITY �''/6
ASSESSOR'S TAX/PARCEL Y 18 t 9 5 - Q q b
LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for bngllry legal desaiPtl^rt)
■ PROJECT INFORMATION '
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION NLELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT D CRIPTION (Provide detailed description of work include on this ermit on( ^ e O�
Lin P e 4 , L�f GCE 2Q "" tAD L�i/ l ._7
1 ek:th.. /t L. 1.)v‘
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PROJECT NAME(Name of Business or Owner Last Name) _ t. _ .1, ��L /''
PEOPLE INFORMATION
PROPERTY NAME. - PRIMARY PHONE -
OWNER ( IM
MAILING ADSR CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
?b C/�/�- , t aka .fiP'o3S ( tb)73t. -t3 y$
OF
CITY FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 --7 Si-1 C2 5 6 4 -B L ° a% /07 s3 3?2 -6s(y
CONTRACTORS REGISTRATION NUMBER(copy of card malted with each application( EXPIRATION DATE
6s 9 fe_ I< e. 1 Q 1 & C U/ /Cr7
APPLICANT COMPANY NAME%!;/��• — 1 C�'/ y APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME n el4 i)k_^ f A/t_* (3 PRIMARY 3). 7 (i,�1� EMAIL ADDRESS
LENDER 3 ¢•,. . Jt .ac r�,..;'sr s .r-' =•tied i NAME
MAILING ADDRESS CITY,STATE,ZIP I PHONE _
(
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES C NO
WATER SERVICE PROVIDER ❑ LABEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
-
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS =am
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include
existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial) WOODSTOVES
BOILERS - FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(orhb/Shower Combo) SHOWERS WATER CLOSETS(roues MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS)Bathroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 to the city as a part of
this application.
NAME/TITLEbJ • i • ' DATE
(Signature) (Title)
'"
RELATIONSHIP TO PROJECT 0 Owner ❑Agent contractor ❑ Architect ❑Other
a Its �
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ELECTRICAL PERMIT"INFORMATION'
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
ID Single Family Square Feet
(First 1300 R2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401 -600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601 -800 amp 410.00 173.50
I ❑ 801 - 1000,amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
i ❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
1 ❑ 401 -600 amp 198.50 99.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
i ❑ Over 800 amp 364.00 272.00 Service or Feeders
U 1a 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES .
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentiai/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50; add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
❑ -
(Per Systems) la 2500 f12-$63.00;
Each add'n 2500 ft2-16.50) •Per WAC296-46-910(5)(6)fta0 .
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