09-102664 • IlectFieal
City of Federal Way_ 0' 1110Q
Community Development Services Permit #: 09-102664-00-E L
P.O.Box 9718
Federal Way,WA 98063-9718 ri` ' >,a Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 ,, , >
Project Name: FEDERAL WAY MEDICAL CENTER
Project Address: 30809 1ST AVE S Parcel Number: 072104 9244
Project Description: Disconnect/reconnect power for(11)replacement RTUs.
Owner Applicant Contractor ,
FEDERAL WAY MEDICAL CENTER RUUD ELECTRIC RUUD ELECTRIC
30809 1ST AVE S P O BOX 1030 RUUDEEI955L8(6/29/11)
FEDERAL WAY WA SUMNER WA 98390 P 0 BOX 1030
98003-4090 SUMNER WA 98390
€ e ,4ddititkrl�PerrrlltkInft�r�xto* ,,
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
x otrical Fixture �9
Circuits-Commercial . ,11
PERMIT EXPIRES Wednesday, July 14, 2010
Permit Issued coil Tuesday, July 14, 2009
I hereby certify that the above information is correct and that the construction on the above described property arid
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.
l L/_C .
Owner or agent: Date:
r, THIS CARD IS TO REMAIN ON-SITE
CITY Or
,..:' • - Construction In tion Record
WayFederal INSPECTION RE U (253)835-3050
PERMIT#: 09-102664-00-EL Address: 30809 1ST AVE S
Owner: FEDERAL WAY MEDICAL CENTER FEDERAL WAY,WA 98003-4090
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) 0 Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) El Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
_ Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055) .
Approved
Bye 1A.,,,_1' Date ce "a.A__bqi
•
•
•
•
•
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
•
By Date By Date
�ECE D _
cin or .2 o.2& 6 Y . •
c r it y JUL 1 4 2009 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 8Ta AVENUE SOUTH•PO BOX 9718 //�� j'�����
FEDERAL WAY,WA 7 F FE D EfY- B I C AT I ON TD
253www.607•FAX 53 - L L If�l//�� �''' +� 7 / i l,� /o g
www.citwlfedera u.am CDS " '•�
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 36)a0? 166 R1,1- SO, SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 0 7 .2 / O ,' - 1 .2 4/ q LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach aeparata page Jbr lengthy legal de+oiptlan)
IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION )(ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onig)
) i's 4.0 0ec:it 4 -26) 0.(7»eCZ 1/ ` cao r )3? Tu C kap /�c.It
7iiwp5 J
PROJECT NAME(Name of Business or Owner Last Name) / C t. a."4:L. M c.d.. d ei„, r'
Ze
al PEOPLE INFORMATION
PROPERTY NAME 1 / 1 J / l PRIMARY PHONE
OWNER �erld( ( We& /7/e_A LJ L -yi LC r (253 )837. -,20 3°
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
3090c, I5r<gli- S a red, "L4.)c�l/ cmc. 78 3
CONTRACTOR CO NY NAME APPLICANT NO; OFFICE PHONE
KLcud �er��r L. (fit'.k )c.uu� (,.?53) ,3 -O/$o
IWAII4NG ADDRESS CITY,STATE,ZIP CELL PHONE
0, `13ci) A°36 SeAWine f leak, %A3YO V53) 1,9/ - ) 29
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
eT ( 0l01iI 053 )66,3 -o,iis-
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
Ru th tFT7ssLS 6 -.19- it R,f.uo�,<di.�iL nC.&
Cr-0'1,. Gatrn
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
`Ame CS (ernZr4c ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect ❑Tenant a Agent IS Other E/cc2.• ( vl L• ( )
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT gIL:k -71-4 IAD (e`l 6'3) / 9/ - /9 '9
LENDER NAME / / Per RCW 19.27.095:
/�L ' Lender information is required if project value exceeds$5,000
MAILING ADDRESS / CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES CI NO
WATER SERVICE:PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA Cl PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
• SECOND •
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
•
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS snaarsea rsoPOSED TOTAL TOTAL EXISTING el TOTAL PROPOHso IT TOTAL el
•
*VIEW 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$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
•
BOILERS FIREPLACE INSERTS HOODS(co'mard q
COMPRESSORS FURNACES RANGES
DUCTS. • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS Or Tub/ShorerCombo) LAVS(teehra=Sink') URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crates •
•
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorised 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 authorised 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 app
- C
SIGNATURE: - DATE •
Properly Authorized Agent
a NEW o ADDITION . o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
iLECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) 0 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage 0 101-200 amp 155.50 98.00
• (Inspected with service) $48.50 F 0 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage 0 401-600 amp 339.50 136.00
(Inspected separately) $76.50 0 601-800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201-400 amp 155.50 76.50 0 Mast or meter repair $106.00
❑ 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 '601-800 amp 272.00 145.50
❑ Over 800 amp 389:50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
❑ 201-600 amp 155.50 ❑ iC #of circuits to be added/altered
❑
over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 0 Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/dfuitl-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commereial/1•ndustrfai Service or Feeder Ampacity
❑
o-loo amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;addh-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea) •
❑ Low Voltage U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
❑ Security Alarm System 0 Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
0 Data Cabling ❑ Automation Fee on all Permits $5.50
❑
la 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)•Per WAC 296.46-910(5)(6J(i&ii)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application