14-105283 lb
t electrical
Ctty Federal Way
Community&Econ°Dev°Services :W. r `
Permit #: 14-105283-00-EL 33325 8th Ave S `
Federal Way,wA 98003 Inspection Request Line: (253)835-3050
Ph:(253)835-2$07 Fax:{253)835-2809. ,,w..�.-�
Project Name: SEATTLE CHILDREN'S SOUTH SOUND CLINIC
Project Address: 34920 ENCHANTED PKWY S Parcel Number 219260 0570
Project Description: Electrical work for both phases of addition/tenant improvements.
,
Owner Applicant Contractor
SANDRA MILLER VECA ELECTRIC CO INC VECA ELECTRIC CO INC
SEATTLE CHILDREN'S HOSPITAL PO BOX 80467 VECAECI542MU(10/31/15)
4800 SAND POINT WAY NE SEATTLE WA 98108 PO BOX 80467
SEATTLE WA 98145 SEATTLE WA 98108
Additional Permit Information
Is this an Online or O.T.C.application? No Is Use Educational or Institutional? Yes
Service greater than 999 Amps? Yes
Electrical Fixtures
Add'l New Feeder(s)0-100 amp(C 5 Add')New Feeder(s)201-400 amp 14 New Service:over 1000 amps(Coy 1
PERMIT EXPIRES Monday, May 11, 2015
Permit Issued on Wednesday, November 12, 2014
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.
1 Owner or agent Date: ////0`/
I
..
10
4
DATE ,INSPECT€ P AREA AND TYPE INSPECTION.
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040& THIS CARD IS TO ' • ,i . IN ON-SITE
CITY OF ' Construction Ins . ction Record . ` .
Federal Way INSPECTION REQU TS: (253)835-3050
PERMIT#: 14-105283-00-EL Address: 34920 ENCHANTED PKWY S
Project: SANDRA MILLER FEDERAL WAY, WA 98003
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.
El LIFER Ground(4295) El Ditch cover(4030) - 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date t.F L 3 0 l 1 By Date
•
E Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date . By Date By ItM Date ?, 1 l I i -El •Feeders/Sub-panels(4045) 0 Rough Electrical(4225) Ceiling Cover(4020)
LI Approved Approved Approved
YS Date 3 ,- 1 S .By Date By KAg Date 4 fo I
❑ Final-Electrical(4055)
Approved
By V"" Date $(2i it 5
1
j Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
r---
" i -'A RECEIVED
!Cr 1Q 2014 E C'TRI CAL
1 CITY OF
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER J LI _ I 0 5 C.� 3 _ C/ 11- / 7 -n t
( (1 SUITE/UNIT/SPACE#
SITE ADDRESS: 34920 Enchanted Parkway South, Federal Way, WA 98003
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 1, 109, 314 2 1 9 2 6 0 - 0 5 7 0 Medical Clinic
PROJECT NAME Seattle Children ' s South Sound Clinic
(Tenant or Homeowner Last Name)
THE INTERIOR AND EXTERIOR REHABILITATION OF AN APPROXIMATELY _
37, 000 GSF EXISTING BUILDING INTO A NEW CLINIC FOR SEATTLE
PROJECT DESCRIPTION -CHILDREN'S HOSPITAL. THE PROJECT WILL INCLUDE BUT IS NOT LIMITED
Detailed description of work to TO APPROXIMATELY 30 EXAM ROOMS PROVIDING SPECIALTY AND URGENT _
be included on this permit only
CARE CLINIC FUNCTIONS,REHABILITATION, INFUSION,RADIOLOGY, LAB AND
PHARMACY SERVICES.
NAME PRIMARY PHONE
PROPERTY OWNER Seattle Children ' s ( 206) 818 - 2328
MAILING ADDRESS E-MAIL
4800 Sand Point Way NE barbGownersprojectresources.comw
CITY STATE ZIP FAX
Seattle WA 98105 ( ) -
NAME PRIMARY PHONE
VECA Electric & Technologies ( 20q 436- 5200
MAILING ADDRESS E-MAIL
ELECTRICAL 5614 7th Ave S permits @veca . com
CONTRACTOR CITY STATE ZIP FAX
Seattle WA 98108 ( 206) 763 - 0505
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
VE(PCEC\SL 21\A V D/ 3 I/ I . 20-02:1a00;1 '-00.-BL
,, NAME PRIMARY PHONE
.. Travis Ackerman ( 206) 436- 5200
APPLICANT MAILING ADDRESS E-MAIL
5614 7th Ave S travis.ackerman @veca.com
• CITY STATE ZIP FAX
Seattle " WA 98108 ( 206) 763 - 0505
NAME PRIMARY PHONE
PROJECT CONTACT Travis Ackerman ( 206) 436 - 5200
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. 1
SIGNATURE: a DATE r a/16/19
PRINT NAME7171 ViS 4tner,I.4 it
Bulletin#160—January 1,2013 Page 1 of 2 k:\Handouts\Electrical Permit Application