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10-101890 Electrical City of Federal Way • ,. .JJ��. Community Development Services I Permit #: 10-101890-00-EL P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 p q Project Name: ST FRANCIS HOSPITAL-NURSERY Project Address: 34515 9TH AVE S Parcel Number: 750451 0020 Project Description: Low-voltage wiring for fire alarm. Owner Applicant Contractor FRANCISCAN HEALTH SYSTEMJANET STEBBINS THOMPSON ELECTRICAL 34515 9TH AVE S SIMPLEX GRINNELL LP CONSTRUCTORS INC SEATTLE WA 98003 9520 10TH AVE S SUITE 100 THOMPECOO8CW(2/16/12) SEATTLE WA 98108 PO BOX 45260 TACOMA WA 98445 • Is Use Educational or Institutional? No Service greater than 1000 Amps? No kgs. • Low Voltage-Burglar Alarm(Cor I PERMIT EXPIRES Saturday, May 7, 2011 Permit Issued on Friday, May 7, 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. Air Owner or agent: •, - j� <i/2 froZf1C(pTi`'Irtiii Date: ...&77//e) FINALEDs zo THIS CARD IS TO AIN ON-SITE ti , .,, CITY OF • Construction In coon Record Federal Way INSPECTION REQU TS: (253)835-3050 PERMIT#: 10-101890-00-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. 0 UFER Ground (4295) 0 Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235) Approved Approved Approved By Date By Date By Date • '0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By�,:Cs.,,_e„. Datetie) _2 By c �h Date r-`—I C—t 0 Final-Electrical(4055) Approved By L. Date 5.7 •/v Rough ElectricalEl Final Electrical Right of Way Approved Approved Approved By Date By Date By Date . ° ctik '► tike � U - JO / CITY DP M © 1 • FederalWaypf.TRai`RICAL =E,�, = T APPLICATION **Most electrical permits may be obtained on-line at www.cityoffederalway.com** klbOlk SITE ADDRESS: 34-f 6/ Ave.. S . SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE door oC • 5 0 Li 5 / _ D 0 a, CD f'(OSP F fe / Ago. I�_. ,.., „-.PRO. AFO ffi � UE .u. T �..a , ... _ PROJECT NAME Re-mode(Tenant or Homeowner Last Name) S+ f-ran is 1105jo i l NurS e y / TG✓rri ii, ,'ia n a 9' /Dane" Jnr t're a/avn-1 ,s s te.rl be`re' PROJECT DESCRIPTION ihSIG./l[c� h 77�o�rt sore Elecfi-64, / alt d�' c- - ,_i5 Detailed description of work to n / be included on this permit only /-1 oSp"'Irv/ • /V u-e-s-Gt,7 /2Lm(Y�/ • £CM , ✓. '444 ,,,A1 rx" (ittnbittritIVI NAME PRIMARY PHONE PROPERTY OWNER FrakcrscaM1 Ne. -/J Sysftv,-1 • l.J ( ) - MAILING ADDRESS E-MAIL /7/7 Soil- -/- AJ " E'fveef CITY STATE ZIP FAX • l acne t t Wf3 981i05 ( ) N - -7 _ PRIMARY PHONE /�10�'1/�S4/4 MOrNCc 'PSO'', �_ r;Ccs I. COP/ fdrj ( 253 53`3-0'1-1i Lie 4'Ca/ MAILING ADDRESSE-MAIL ELECTRICAL PO eoK '15 c 0 CONTRACTOR CITY STATE ZIP FAX Ta c wn cagii5 - WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# iHpMtEO0Os-,Cr,/ L i /• i i2 cQ/ /o ri000f i_ NAME /�� PRIMARY PHONE Si /�l r rnx(Ti-i 61 n tl( ( 206 )a' ( -Igo() APPLICANT MAILING ADDRESS E-MAIL RSaa j0'41 , ve S. S' i fe G/00 asfcllbvrp5@s�.+ Tcxjrr�tricl/•ca�I CITY cee4;74 /� STATE ZIP FAX �( zolp) �G"t/_ /Got) PRIMARYNAME PHONE PROJECT CONTACT Ja ere i �Sfc bbi�s (.206 )2q I I'/!0 8' 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 art of this application. / • SIGNATUREyl : ri� s:/C.J 7C JiHjoLt -/Kh.e If DATE rj/S//O PRINT N 3 i e f ,A-e,bkolnS 33325 8`"Avenue South•PO Box 9718 1 Federal Way♦WA♦98063-9718♦253-835-2607♦fax:253-835-2609 1 www.cityoffederalway.com Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application .w w } �• • • RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL • Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): 0-''100 amp x$132.50 x$ 80.50 FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 r x$103.50 Each additional 500 ft2-$39.00 201- 400 amp x$307.00 x$121.00 NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.00 x$143.50 1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00 0- 200 amp x $132.50 x $ 39.00 801-1000 amp x$565.00 x$236.50 201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50 401-600 amp x $224.00 x $111.50 601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50 Over 800 amp x $410.50 x $307.00 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder lst Service/Feeder Additional Feeders 0- 200 amp x $101.00 0- 200 amp x$132.50 x,$103.50 201 -600 amp x $164.00 201- 600 amp x$307.00 x$121.00 Over 600 amp x $246.50 601-1000 amp x$463.00 x$196.00 Over 1000 amp x$515.50 x$328.50 Added or Altered Circuits 1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits 1-5 circuits$103.50;each additional$8.00 Mast or meter repair $60.50 Mast or meter repair $111.50 • MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder only x '$ 80.50 Plan Review required only for: Service and feeder x $132.50 • New,or alteration to,service of 1,000 amps or greater • Medical/Educational/Institutional Facility $103.50 plus 35%of Permit Fee (Permit Fee x 35%= +$103.50=Plan Review Fee) Plan review for modified submittals $105.50/hour MISCELLANEOUS SERVICE/EQUIPMENT -/ LOW VOLTAGE TEMPORARY SERVICE 53"Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling 0-- 60 amp x $ 71,00 x $ 32.00 ❑ Other 61--100 amp x $ 80.50 x $ 39.00 Area to be served by system: lay 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101 W 200 amp X $103'50 x $ 51.00 201-400 amp _, x $121.00 x $ 60.50 #of Thermostats 401-'600 amp x $164.00 x $ ;80,50 First$60.50;each additional$18.50 Over 600 amp x $184.50 x $ 92.00 FEE CALCULATIONS #of Signs First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated. Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits. • For assistance in calculating fees or completing the 111) Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at Ditch cover/inspection only x$121.00 253-835-2607 33325 8h Avenue South•PO Box 9718•Federal Way•WA•98063-9718•253-835-2607•fax:253-835-2609•www.cityoffederalway.com Bulletin#160-April 9,2010 Page 2 of 2 k:\Handouts\Electrical Permit Application