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07-106399 f • City of Federal Way • Electrical 07-106399-00-E L Community Development Services Permit: P.O.Box 9718 , Ph:(253)835-2607FederalWayWA Fax98063-9718(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: ST FRANCIS HOSPITAL ICU/PCU EXPANSION Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: In conjunction with Permit#07-102630 -Phase I electrical work for loading dock addition. **7/23/08-Revised to add (4) circuits and low voltage wiring for heat detection system at 3rd floor ** ` Owner Applicant Contractor FRANCISCAN HEALTH SYSTEM HAMMES COMPANY THOMPSON ELECTRICAL 34515 9TH AVE S 1325 4TH AVE SUITE 1035 CONSTRUCTORS INC SEA FILE WA 98003 SEATTLE WA 98101 THOMPECOO8CW (2/16/08) PO BOX 45260 TACOMA WA 98445 Additional Permit Information Service greater than 1000 Amps? No Electrical Fixtures Circuits-Commercial 4 Low Voltage-Other(Commercial 2,000 New Service/Feeder: 0- 100 amps 3 New Service/Feeder:201 -400 am 10 New Service/Feeder:401 -600 am 1 New Service/Feeder:601 -800 am 1 New Service/Feeder:over 1000 an 1 PERMIT EXPIRES Saturday, November 29, 2008 Permit Issued on Wednesday, November 28, 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: �� �'`// -U m7.0 Date: ?-A3 -DS' City of Federal Way Community Development Services Electrical Peri t #: 07-106399-00-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: ST FRANCIS HOSPITAL ICU/PCU EXPANSJ N Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: Phase 1 consists of loading dock electrical Owner Applicant Contractor FRACISCAN HEALTH SYSTEM-W HAMMES COMPANY THOMPSON ELECTRICAL CONTR INC 1717 S J ST 1325 4TH AVE SUITE 1035 THOMPECOO8CW 2/16/08 TACOMA WA SEATTLE WA 98101 PO BOX 45260 CT E 98405-4933 TACOMA WA 98445 • Additional Permit Information Service greater than 1000 Amps9 No Electrical Fixtures Service/Feeder: 0-100 amps-Con 3 Service/Feeder:201-400 amps-Cc 10 Service/Feeder:401-600 amps-Cc 1 Service/Feeder: 601-800 amps-Ct 1 Service/Feeder: over1000 amps-C 1 PERMIT EXPIRES Saturday, November 22, 2008 Permit Issued on Wednesday, November 28, 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 a d the City of Federal Way. // Owner or agent: _� Date: `ApZ ¢""1T7 DATE INSPECTOR AREA AND TYPE OLNSPECTION j/'?'7 67 Pr°� �'v1/i7-</!-r2- EA,Pc. /2/2 .67 714/d S7/4x e-/-- TiP��c.Sf�.eLSfrV 7 'r �'S j2'l D7 al) /4/1-/N T/1AAt5.C,,,e. S V''a._ l G E I 6 /t/L'Z d /47A/e-/ 1/ Cc3 7-z2-og 14.ezt - fie--ems- c'bkz �b���. ce:c.21 �.� .�a-P. 7-2 2 --dg tom. 4/.4;444 c,)ev d--f (.i1 ii t b��-{lx.k, ak.43 THIS CARD IS TO FMAIN ON-SITE , - CITY OF Community Developme t Inspection Record �' ���* Federal Way IVR INSPECTION REQUEST PHONE #(253) 835-3050 PERMIT #: 07-106399-00-EL Owner: FRACISCAN HEALTH SYSTEM-W Address: 34515 9TH AVE S FEDERAL WAY, WA 98003-6761 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. 0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date — 0 Temporary Power(4275) ❑ Service (4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date ByDate ' .. ❑ UFER Ground (4295) Approved By Date For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date IEE) aof: i�E'' O 1 - 1 6 ` L. a i FederalWay PERMIT •COMMUNITYDEVELOPMENT SERVICES\,il\ 2 8 2007 SF MF CO ME '+I PL DE EN FP 33325 8'r'AVENUE SOUTH•PO BOX 971& " D8E3RAL 526W.Y,FAXWA 25938086335-9-27618 � p L I C AT I O N 1D - --` - uww.cii oj(ederalway.co F Of' -WILLINGen The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. u 5 • PROPERTY INFORMATION SITE ADDRESS 3'7 5/ �'+A �(yQ '.. SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 75- 04I 5 / - O o ek. © LOT SIZE(sf LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION)ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) --k 19A4,50. 1 04-i I ii.. L) pl rox• b .eh p1aa0-) ay.)S''s I CD/- » ec.� �n P,nOlOr- 444 a. vnn r.As.*i i' i 1',a./ ries s 5 PROJECT NAME(Name of Business or Owner Last Name) Sd-• F/YIA4CiS /t71-o C.JO;Ad• • PEOPLE INFORMATION ROPERTY NAME ^ �J _ PRIMARY PHONE WNER 7�ib ,,% �Seatm ITG_R.[� ��,,� MAILING ADD V ,STA ZIP E-MAIL ADDRESS /7/7 So . 3'Sd' "ac ,im-6J0 . 1$4/0' CONTRACTOR �OMPANY NAME APPLICANT NAME OFFICE PHONE �hIN c 1 efe ' G RESS CITY,es STS90�t .-,. ., �as3)53i -t' i ELL PHONE /56. Sb. /cxcA Si-. � ria Gib. i eri 94/ (253 )le:16' - 5'`/3 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 40 -off 1,2:k. 944 -0,0- Bw 4. . i 2- - ;^ (,253). 39 o/0/ NTRACTOR'SSTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS L3170/7//akZ1/ 0X A') 2 —moo APPLICANT COMPANY NAME M APPLICANT NAME OFFICE PHONE s c 6 es Ca,tir ce. tut/ (zo6.) .11., qc, y - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 25-" 54 Ave. 3 fc /o3S See164.(-,1a.• Di/o/ Late) A(I ct -1/og2 LATIONSHIP TO PROJECT /� FAX NUMBER ❑ Architect 0 Tenant of agent 0 Other ( )„•.Y - .7/20/ PROJECT NAME PRIMARYNPHONE//�/ E-MAIL ADDRESS CONTACT 'i Co.)j t; l%)' '1'/ - -er eft deoitaI/tOAi& mita .0 $. LENDER NAME Per RCw9 1 .27.095: nder ormation is 1:Cq-uired if project ratite ex eds$5, 0 MAILIN D CITY,STA ZIP = _ PHONE ( ) - • DETAILED BUILDING INFORMATION EXISTING USE -- 'ROPOSED USE •EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVE ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) 9 a 90176 • PROJECT FLOOR AREAS • AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ.FT. SQ. FT. •SEMENT FIRST r SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(D COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL SXISTTNG SF TOTAL PROPOSED SF TOTAL SF NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMA .D SELLING PRICE $ MI 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 ESTIMA • ST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLS'' GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS PLACE I ' RTS HOODS(Commercial) COMPRESSORS FU RANGES DUCTS GAS ,*G r REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Com.. LAVS(Bathroom Sinks) N, URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOU AINS SHOWERS WATER CLOSM-s(Toile) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE 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. SIGNATURE DATE /r "' � Property Owner and/or Authorized Agent FOR OFFICE USE ONLY ❑NEW ADDITION o ALTERATION ❑REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑ YES o NO •EW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? a YES ❑NO PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100-August 16,2007 Page 2 of 4 k\Handouts\Permit Application 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) .3 clif 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50 (Inspected with service) $47.00 /ba 201-400 amp 280.00 111.00 ❑ Detached outbuilding or garage @ 4 401-600 amp 327.00 131.00 (Inspected separately) $74.00 p Ifs 601-800 amp 423.00 179.00 U 801 - 1000 amp 516.50 216.00 NEW MULTI-FAMILY(three units or more) ( NI 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 U 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 U 201 -600 amp 280.50 ❑ 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 ❑ 0 to 200 amp $92.50 U 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) Li #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW 0 (1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee U Service- 1,000 amps or greater ❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES U Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $65.00 ❑ #of service or feeders (First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity U 0- 100 amps $74.00 ❑ 101 -200 amps 94.50 ❑ 201 -400 amps 111.00 U 401 -600 amps 149.50 U over 600 amps 162.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats U #of Signs (First-$55.00; add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) U Low Voltage U Swimming pool/hot tub $111.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $74.00 ❑ Security Alarm System U Additional Plan Review $111.00/hour • 0 Voice Cabling (for modified submittals) ❑ Data Cabling El Automation Fee on all Permits $5.00 1st 2500 ft2-$65.00; Each add'n 2500 ft2-17.00).Per WAC 296-46-91 0(5)(b)(i&ii) Bulletin#100-August 16,2007 Page 3 of 4 k'Handouts\Permit Application