10-102900 • Electrical
x City of Federal Way .{{�� t
Community Develop.O.Boxment9718 Services Permit tt. 10-1029��=00- �
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Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax.(253)835-2609 Inspection Request Line: (253) 835-3050
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Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Replacing(4) like for like elevator disconnects.
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL
34515 9TH AVE S INC CONSTRUCTORS INC
FEDERAL WAY WA 98003 PO BOX 45260 THOMPECO08CW(2/16/12)
TACOMA WA 98445 PO BOX 45260
TACOMA WA 98445
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Is Use Educational or Institutional? No Service greater than 999 Amps No
Yg ,(1? ,,�"�.,
Alt. Srvc/Feeder 0 to 200 amps(C 4
PERMIT EXPIRES Friday, July 8,2011
Permit Issued on Thursday, July 8, 2010
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.
,.r
Owner or agent: Date: .�—�--1�
IfiZi/t;1
THIS CARD IS TO MAIN ON-SITE
CITY OF nstructin Federal Way • CoINSPECTION QIUE TS:2503 835-3050 n r(�
PERMIT#: 10-102900-00-EL Address: 34515 9TH AVE S
Owner: FRANCISCAN HEALTH SYSTEM FEDERAL WAY, WA 98003-6761
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
0 Pool Bonding(4195) 0 Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By C��../— Date p,._1_1 a') , By Date By Date
❑ Final-Electrical(4055)
Approved
By 0, (shy ( Date 61—17--t
El Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
' CITY.;" • it_ - / O& CI0
Federal way /�,� - ,.� PE RM IT
0
/ COMMUNITY DEVELOPMENT SERVICES SF MF CO M 0 PL DE EN FP
33325 8''"AVENUE SOUGH•1'O BOX 9718 � �CATI O N � T°
EDERAL WAY,WA 98063-9718 �� ((��� / /
W;835 2607 FAX 253 835 2609
www.ciiuoffederalwa,�.c , 8
The following is equir)/f I ation-EM incomplete application will not be accepted. Please print legibly(in ink)or type.
A i • PROPERTY INFORMATION
SITE ADDRESS_ 3 i4S t S /V I J ry j'ik 0 e S SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - , t LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) S `Ci A 1 S 6C)4 i`C�&
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESC'iiivo:N(provide de !• • r.- O work included on this`rperm . .r
A
j r' 1 .S' [w_.o I I n e €mak`C�} QC&1 o f
Yel . etL i n (4- (= re uc J d,--1-- ctryu-Leci--s
q , 1,1)...4.-rtztj
PROJECT NAME(Name of Business or Owner Last Name) }' lC 4 S
• PEOPLE INFORMATION
ROPERTY E ( / PRIMARY PHONE
AMER
j
•WNER rcukctsela/I 4`2 Ott+k Sr t. wt (2c3) 174-" ?/oo
MAILING ADDRESSC ,STATE,ZIP E-MAIL ADDRESS
1/
CONTRACTOR COMPANY NAME I " APPLICANT NAME OFFICE PHONE
_-(�1AD.Ih tit h-, 'rcC ct ( �ttvk4i Lesa(1 ( 2531 3 9— d�9 9.
L 0 . . S x 41-S-2—6 6 Tara. i WA `tVeNr
CELL PHONE
-97zQ
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
0/— /02,96 / — O06L 12--3/ 2•o /0 (zs3)-'z�3 0228
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
1-146WI PE(-oo Z('. 2/6 -- Z
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
.4141E /4 c i4 Acyti. ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant o Agent Other eOil t'a G.'C) .^ ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME ,Ir /`�/ Per RCW 19.27.095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) —
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
XISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• •
ELECTRICAL PERMIT INFORMATION
• RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVIC
CI Single Family Square Feet Service or Feeder Each ..'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) '❑ 0 to 100 amp $120.50 4.00,
❑ 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 375.50 280.501�j Service or Feeders r1 )41/0 to 200 amp/ $120 .50 1
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
U 0 to 200 amp $92.50
❑ 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
0
(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 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
❑ 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)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
. ❑ Voice Cabling (for modified submittals)
0 Data Cabling ❑ Automation Fee on all Permits $5.00
la 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(5)(b)(i&10
Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Pernut Application