09-104691 Electrical
City of FederaWay Permit #: 09-104691 -00-EL
Community
Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 FILE Inspection Request Line: (253)835-3050
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: Electrical work for Level II Nursery improvements. Includes(4)1/v thermostats.
Owner Analicanii Contractor
FRANCISCAN HEALTH SYSTEM JOHN MESS THOMPSON ELECTRICAL
34515 9TH AVE S ZIMMER GUNSUL FRASCA ARCHITECTS CONSTRUCTORS INC
SEATTLE WA 98003 LLP THOMPECO08CW(2/16/12)
925 4TH AVE SUITE 2400 PO BOX 45260
SEATTLE WA 98104 TACOMA WA 98445
s yrs n
..
Is Use Educational or Institutional Yes Service greater than 1000 Amps9 No
d
Alt.Srvc/Feeder 201-600 amps(( 2 Circuits-Commercial 41 Thermostat 4
PERMIT EXPIRES Saturday, April 30, 2011
Permit Issued on Friday, April 30, 2010
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the -= will be" fa f or;.• e with the laws, rules and regulations of the State of Washington
/ + -••
City of Federal Way.
Owner or agent: F Date: lin/g0/ /D
FINALED
W'30/Ib
THIS CARD IS TO REMAIN ON-SITE • ,
c,t,r S Construction In ction Record
Federal WayINSPECTION RE UE TS: (253)835-3050
PERMIT#: 09-104691-00-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.
El UFER Ground (4295) Ditch cover(4030) Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
Pool Bonding(4195) El Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date B�J�C 5 Date Z 8 _/d By Hate rt_v V - t�
ElFinal-Electrical(4055)
Approved
Bycio;) Date 136.1v
Rough Electrical Final Electrical ❑ Right of Way
Approved Approved Approved
By Date By Date By Date
RECEWED
0 / - 0-ANY__6.
Aga
CRY OF DEC 012009 PERMIT SF MF CO MD PL DE EN FP
Federal Way
COMMUNITY DEVELO€/1 C4S F FE D APPLI CATI O N '( / 5 if°
253-835-2607 FAS 2 09 CDS
riot«y.rtruolIedpialway.rrm. CDS
.....................
SITE ADDRPSS 34515 Ninth Avenue S. , Federal Way, WA 98003
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL#
••
•
NAME OF PROJECTLevel II Nursery - St. Francis Hospital
(Tenant or Homeowner Name)
❑ BUILDING 0 PLUMBING 0 MECHANICAL
TYPE •F PERMIT
❑ DEMOLITI L ELECTRICAL) 0 ENGINEERING 0 FIRE PREVENTION
Remodel existing nursery on Level 2 of Hospital.
PROJECT • Project includes nursery suite and lactation room.
Detailpd description of work to
be incb wiPd on this permit on/y
NAME Chet Zygmunt PRIMARY PHONE
PROPERTY OWNER Franciscan Health System ( )
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
34515 Ninth Avenue S. , Federal Way, WA 98003 ChetZygmunt@fhshealth.or';
OWNER IS ALSO: 0 CONTRACTOR [' APPLICANT PROJECT CONTACT
NAME PRIMARY PHONE
)
CONTRACTOR MAILING ADDRESS,cur,STATE,ZIP FAX
TBD WA STATE CONTRACTOR'S LICENSE N EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE S
/ /
NAME John Mess PRIMARY PHONE
Zimmer Gunsul Frasca Architects, LLP (206 ) 521 _ 3410
APPLICANT
MAILING ADDRESS,CITY,STATE,ZIP john.mess@zgf.com
925 Fourth Avenue, Suite 2400, Seattle WA 98104
PROJECT CONTACT NAME Rick Olson PRIMARY PHONE
(The individual to receive and Franciscan Health System (253 ) 426 _ 6835
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) 1717 South 'J' Street, Tacoma WA 98405 ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
) _ rickolson@fhshealth.org
PROJECT FINANCING NAME ® OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such claim),which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supe +.. .1•r 'A*C[I11D�u
SIGNATURE: I`� DATE //5/47
PRINT NAME: - 144A Z- • MSPS
Bulletin#100-4/21/2009 Page 1 of 4 k:'Handouts\Permit Application
I.
` • • , .
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE BE PROVIDED)
Indicate number of each type offixture to be installed or relocated as part of this project Do no - lude existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE 0 OTHER(Describe)
AIR CONDI LONER FIREPLACE INSERTS HOODS(...•„- )
BOILERS FURNACES HOT W -TANKS loin
COMPRESSORS GAS LOG SETS RE:0"4 GERATION SYST
DUCTING GAS PIPING OODSTOVES
Indirnfo number of each type of f iidwe to be , t,.. • or relocated - part of this project Do not Include existing f ixtu es to remain
BATH-rugs(or hb/Sbower Combo) tO LAVS(Hand sinks) _ TOiLEISWATER PIPING
DISHWASHERS RAINWATER SYSTE URINALS I i6_ OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS rAeo A-5,
DRINKING FOUNTAINS SINKS ties HEATERS(Electric)HOSE BIBB3 SUMPS WAS u : , CHINES -'4:A-4.F1,1,,,:''..,.!
PROJECT VALUATION WATER�v SEWER PURVEYOR VALVE • v r lk@E.OVEI[LIITS
$ $
EX/SYD PR :,
EVIOU8 USE LOT.. '.(In Square Peet) EXISTING SIRE SPRINK ER SYSTEM? PROPOSED)IRB SUPPRESSION SYSTEM?
G/
)(Yes❑ No ❑Yes No
e
.
aq e w ,
ARBA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
t.•
FIRST FLOOR(or Mobile Home)
.01',..v :itl, gw ":.': '`;MI ilk4 k\\� Ski
COVERED ENTRY
x
GARAGE 0 CARPORT 0
SainING PROMS=
Area Totals '
is,,i, ?.,4AR.tea..�.. t,,..., tol l• * �;< ,:',-.'t., 12 t'N k:ii,
ESTIMATED SELLING PRICE$ #OF BEDROOMS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Groups) TSS Stories Additional Information
: a� "t� v e n , „, HA 2 n 'itl� ,Ngg ' ,,,'�J r 3 �,v''', \�, I sv x` a\ ' r .4
',t <*' \ a,a m ,fG� ,,,1,4,,,,:,,,,,,,I,,4* \ 7k6"..' \��'� 3 :; s-„ baa et i�•- f
ADDITIOR. g } D
AREA DESCRIPTION Area Construction #of Additional Information
in Square Feet Occupancy Group(s) TYPe Stories
01,. ..-.., , s,,, �. :,:. �, .... . i�:r_ ,- ,,. i ..'. s ,,a .:... .:a. �..e. .,. R-.y ‘;\ `\\�,�.,��:?\\- ,. \ .... .>F,ea�
'0044,,..,,n
TENANT AREA ONLY I, 1 6t? I 2 , I4o P!T> _. ! A
,,„, \\a :, L scx � .,. ':,'aur; t''' �,`a+iF 4-��
Bulletin#100—4/21/2009 Page 2 of 4 k:\l-IandoutsTerniit Application
, , • ;.1
• ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1=�Service Feeder Additional Feeders
(including attached garage):
FEES: First 1300 ft2-$121.00: 301- 200 amp x$163.00 x.$103:00
Each additional 500 ftr-$39.00
201 400 dip ,.:11;,,„i;$595,---- :40.7:%1',,:,,. .r.,, $12050
NEW MULTIFAMILY (3 units or more) 401„7._600 ,X$35800, .
1=r service/Feeder Additional Feeders G)1 -� � i v 4.44--$8,''...° x S.
< $ltd
® ,f?00 a 11 101, 0 �...P eV, ?0
801-1000 sin?.: ...... x$562.50 ▪x$235:50
201-;400,amp ._x $163£00 -x,,,,-$ 80.00 1 p x�$613QQ e/At ?.� • $32700
601,
01-.800 amp" '„_ ;x $285.50 x $15250 ,.
Over 600volts sttt
ieharge, `: : . �`. `:x$103:00.
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
lu Service Feeder AdditiortaiFeeders 1st Service Feeder Additional.
I007.74 t e ,,,i:? , c a 0,,i ,2 � pi,.,::... Amit C�ll3150 x . , $l03 00
201 600 amp , x$305,80, 4'$142.5 0
201 600 amp` x $163.00 x $ 80.00 4w�_
.OManIlh,,,..,. ;A-,244470 : -1R-,S1-4119C
Over.1000'amp= x$513.00 x$327.00
CD
Added or Altered Circuits 1 f
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits _-"5 3" I'
1-5 circuits$103.00;each additional$8.00 t 0 3 '�
Mast or meter repair $60.50
Mast or meter repair $111.00 3 1,
MANUFACTURED HOMES PLAN REVIEW FEES -5S-�f7 4��3 bS
,,,,,,,,,,9„;„3„.„-->,-.
Service or feeder only x $ 80 00 q
$103.00 plus 35%of Permit Fee;Plan Review requ d for: l I
Services t+$f ,:, ,, . o,-----,,,-:s..7:-; „,,,,,s=50,
10
• New,or alteration to,service of 1.000 amps or ater
• Medical/Educational/Institutional Facility
Plan review for modified submittals $120.5 our
s ' •US SERVICE/EQUIPAIiENT
LOW VOLTAGE" TEMPORARY SERVICE
XtFire Alarm 1't Serutee/Feeder Addedonal Feeders
Security Alarm Sys t• �•
❑ Voice/Data cab _.: ' o ,60 amp x $ 71 r i $ $2 00
Other ./s' p ,,,$_80:,02, $ 39.E �0
1 100 am x
atobe *' yam: /
500 ft ..•each additiona12,500 ft2-$18.50 "*''''.7-411-
x' iOs5J& $ 51 D4
- 201 400 amp 4 x 412000 4 $ 60 50
of Thermostats 4fl1' 600;ampe'v ; it169z0 �� x,,i$ 81 fJ0
60.50;each additional$18.50
fiver 600,amp ,_ $183.00 X $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50
253-835-2607
Bulletin#100-4121/2009 Page 3 of 4 k:\Handouts Application