07-101557 City of Federal Way
Community Development Services Electrical Permit #: 07-101557-00-EL'
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: Wire 65 KW radiographic generator for x-ray
Owner Applicant Contractor
AUBURN REGIONAL MEDICAL CENTER MAPLECREST ELECTRIC MAPLECREST ELECTRIC
INC PO BOX 1165 MAPLECE170JA(1/31/07)
202 N DIVISION KENT WA 98035 PO BOX 1165
AUBURN WA 98003
KENT WA 98035
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1
PERMIT EXPIRES Saturday, September 22, 2007
Permit Issued on Monday, March 26, 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: 2 , = ,lam Date: 9,_
, THIS CARD IS TO REMAIN ON-SITE•
CITY
OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-101557-00-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.
❑ Ditch cover (4030) it. Pool Bonding (4195)
Slab/Concrete Floor(4255) ❑ Approved
Approved to place concrete Approved
By Date By
Date By Date
Service ❑ Feeders/Sub-panels(4045)
❑ Temporary Power (4275) ❑ ( ) Approved
Approved Approved
By Date By i 4235
Date By Date
❑ Ceiling Cover(4020) Final-Electrical(4055)
Rough Electrical (4225) ❑ g ( ) ❑
Approved Approved Approved
By Date By 0,`F;a.:-.: Date yI — -. ,By c• Date .14— i 1...
❑ Under-slab groundwork(4295)
Approved
By Date
Ahh, CITY OF r ' Building Division
33325 Eighth Avenue South
� Federal Way
PO 18
+ Fedderal eral Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: l 4 rl 3 3 1-ET #: o c S u
n(+ia.J�-]�Yt• . cam �'Y�� r.11
IF YOU HAVE ANY QUESTIONS CALL (253) 835-
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL /253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
4
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
F
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ReceivE� .
GI:'/eF O2 — ± c) ' 5 ��
Federal Way BAR 2 s 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME�PL DE EN FP
33325 8,“AVENUE SOUTH•Po 9718 8 L I CATION
531E 607•FAX 153-035?609 I ,`-1 F F EwD1E A .1,D / /
wlLUl.dt ofeIemAfM4eala yV��p1N
The following is re• fired information-an inco •lete a•plication will not be accepted. PIease •rint legibly in ink)or type.
■ PROPERTY INFORMATION
SITE ADDRESS /'//,3 - 0 _7 ye-, L J t.i s t F - /6 ( SUITE/UNIT N
ASSESSOR'S TAX/PARCEL# / P 2 9 _.6"-- [ CI / LOT SIZE(sf)
1 LEGAL DESCRIPTION(e.g.Acme Estates,Lot I)
! • (Attach separate page for lengthy legal description)
■...PROJECT INFORMATION . .. :,..
TYPE OF PERMIT O BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ifLELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Lk e_ 65" ( /Oa etc 61 I-. )� <ey Fo[F_ X-x',47
PROJECT NAME(Name of Business or Owner Last Name) (�le 64 J// /4I L., /-lT(ip
NI PEOPLE INFORMATION
PROPERTY . NAME // pO'- 1 �f�-�^ ry/ r� r PRIMARY PHONE
OWNER NigL/C''u 0 i&v&JCIC. /'f/ d/Cc.L .i53 )5S'3 -1
MAILING ADDRESS CITY,STATE,ZIP,,'" l
--G2 AtG D'c)/ci �Ubt-A LE-q*
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
PO APLC,11 'e i ( . E 74 (� )t72 - y wL-
MAILING ADDRESS /J CITY, ATE,ZIP CELL PHONE
Pc.)OF FEDERAL�Y BUSINESS LICENSE NUMBER ] EXPIRATION DATE is (*--- C
AX NUMBER 75o -Q3
I9_- a-? List. EL B L e // 'Q7 (,�s'c),&7 6S6y
CONTRACTORS REGISTRATION NUMBER loopy of ea:d:aquirmt with....eh application! EXPIRATION DATE•T i 4=) At L -7_ r1 / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
€ ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME - PRIMARY PHONE E-MAIL ADDRESS
ti 9�c /Atti (�QS'3.)- ?7t - 5`7/z
LENDER riN J,.( AO %m9*. +- -r 'adN .1 i-00r: ,.x. NAME
MMUWOADDUSS CITY,STATE,ZIP PHONE
( ) -
., • . .
t ■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? D YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES D NO
WATER SERVICE PROVIDER D LAKEHAVEN D HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
WTROO pROTOeN TOTAL YS7+_45AS.d ETi ,< =. .,,`. " ::
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
": FIXTURES ;
Indicate number of each type offixture 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(oran/Shower Comb.) SHOWERS WATER CLOSETS(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE HIBBS
LAYS mataroomsaxes) 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 Unending 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/TITLE &�4= ed-c,' 0 r'u �-L DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT C) Owner o Agent ❑ Contractor ❑Architect CI Other
efil■liqk (*f
y 14 Jai 54 1
Vetle. 'r)i c1
nnlletin#100—January I.2006 Page 2 of 4 k\Handouts\Pernlit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE.
❑ Single Family Square Feet �y Service or Feeder Each Add'n
(First 1300 fta-$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
❑ 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
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00
❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ o 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 Residential/MuUH-Famtly $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 System(s) 1•r 2500 1t2-$63.00; .
Each add'n 2500 ft2-16.50( •Per WAC 296-46-910(5)'bMlf&if)
•
Bulletin ill nn-January I 7AIIF " Pan.1 ofd Ir11-Ianrinnte\Prrrriit Annliratinn