07-101513 City of Federal Way Electrical Permit #: 07-101513-00-EL
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 p a
Project Name: AUBURN REGIONAL MEDICAL CENTER
Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090
Project Description: Install IN nurse call system for restrooms
Owner Applicant Contractor
AUBURN REGIONAL MEDICAL CENTER FIRE COM NW LLC FIRE COM NW LLC
INC PO BOX 3932 FIRECNL988NR 8/19/08
202 N DIVISION SEATTLE WA 98124 PO BOX 3932
AUBURN WA 98003 SEATTLE WA 98124
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 3,000
PERMIT EXPIRES Tuesday, September 18, 2007
Permit Issued on Thursday, March 22, 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
and the City of Federal Way.
Owner or agent: F— " Date: 3 4 /1-51
c c1
•
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414466, THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101513-00-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 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
By Date By ' Date . --n-07 By(�;� Date . _2_,32.--41.?
❑ Under-slab groundwork(4295)
Approved
By Date
Federal Way ,A � 2 2oa1 PERMIT �� - L � � �t�
' COMMUNDYDEVELOPMERTSERVICES.4' SF MF CO ME PL DE EN FP
33325 FEDR.L WAY, AI806397BOX 9"8 'LICATION
r / /
253-835-2607.FAX -260 ((�( OF 1NG
www.cif uolTederdwau.rom Bu\�O
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
Ip IN PROPERTY INFORMATION /
SITE ADDRESS 1e1 13 34 O e1- 8`4' O� `1 SUITE/UNIT# `1 o4
ASSESSOR'S TAX/PARCEL# / Z. 5 C' / S — 0 0 1 v LOT SIZE(gf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach sepora.e Poge for h■■thy legal desntptt,n
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
Ins 'k AurSe cal Sv lern for reCitrooM�
PROJECT NAME(Name of Business or Owner Last Name) (Jr5.eY)i- ea n-
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER , r(A15(Jj {'G�ir;4L CET .1- e- ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
F■ote Co+N N (253 1 a,5 - 3olb
G ADDRESS CRY,S ZIP CELL PHONE
`tax 3` EP- StaR4 9 i)2 (2S3 )0 2013 -14b'4
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( ) Z1S - 3oL5
COPT of and CONTRACTOR'S REGISTRATION NUMBER EXPIRAIT DATE E-MAIL ADDRESS
with application b rl 2E CAQ L 1 Y`S IQ 2 $1 01043 F,rY Coo-A W® Co,-"c.A1-1,►.e--
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Fvt26 Cora NJ KAI S COi A•e.f 61s3 )375 -30p,
MAILING ADDRESS CITY,ST ZIP CELL PHONE
to L3,0 31 3� Ale, w4 161 (dc3 ) as3 - '144
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect D Tenant ID Agent %Other EC._ (fl) ) gds - 3< 5
PROJECT NAME PRIMARY PHONE / E-MAIL ADDRESS
CONTACT kL2tS CIA AQ-r (?S3 ) ad3 - 141' Kris.conAtr®Co'+ .$ •n0
LENDER NAME Per RCW 19.27.095:
Lender information is required 4f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
U DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPEUNKLERED BUILDING? D YES D NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES 0 NO
WATER SERVICE PROVIDER D LAKEHAVEN ❑ HIGHLINE ❑ TACOMA D PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
IN PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
• SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
=wow PROPOSED TOTAL TOTAL taro SP TOTAL PROPOSED SF TOTALS?
NUMBER OF FLOORS
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
Vab IP of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSIUVES
BBgS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUG IS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(orTub/Shower Combo) LAYS(Bathroom soma) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(toned
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information/crashed by me is true and correct to the best of my knowledge,and further. that I
ant 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 ji/ed 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.
,�7
NAME/TITLE DATE 3/�O7U
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent ontractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION ❑ALTERATION ❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES ❑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 ❑NO DEMO PERMIT REQUIRED? o YES ❑NO
• ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(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 ❑ 201-400 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 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 262.00 140.50
❑ 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
Service Feeder ❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92.50 U over 1000 amp 471.00
❑ 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 PARR Resi dent a/Multi-Family $65.00
❑ #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)
7/...ftioqw Voltage ❑ Swimming pool/hot tub $111.00
uare Feet to be served by system(s) 30C(7 (Includes additional circuit,if required)
❑ Fire Mann System ❑ Yard Pole meter loops $74.00
❑ Security Mann System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
❑ D to Cabling (for modified submittals)
/ t-10 QSG- CAi-i_ ❑ Automation Fee on all Permits .. $5.00
1.2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) *Per WAC 296-46-910(5)(b)(t&u)