09-104983 Electrical
.a
City of Federal Way .//��
Community Development Services Pe• rmit It #: 09-104983-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 FILEInspection Request Line: (253)
Ph.(253)835-2607 Fax (253)835-2609 p q 835-3050
Project Name: ST FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: ALT-Disconnect an existing medical CT Scanner from normal power and connect to
emergency power.Demolish(2)existing normal feeders and provide an "Emergency Off'
push button to control the scanner.
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM THOMPSON ELECTRICAL CONSTRUCTORS THOMPSON ELECTRICAL
34515 9TH AVE S INC CONSTRUCTORS INC
SEATTLE WA 98003 PO BOX 45260 THOMPEC008CW(2/16/10)
TACOMA WA 98445 PO BOX 45260
TACOMA WA 98445
•
Is Use Educational or Institutional" Yes Service greater than 1000 Amps9 No
Alt. Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Wednesday, January 5, 2011
Permit Issued on Tuesday,January 5, 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.
Owner or agent: / Date: / 0
FINALED
• THIS CARD IS TO ' '1 • IN ON-SITE .
CITY
°FConstruction Ins • ction Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 09-104983-00-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
•
❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
0 Final-Electrical(4055)
Approved
B Date //— V
0 Rough Electrical Final Electrical
El
Right of Way
Approved Approved Approved
By Date By Date By Date
• • Loziq
alvoF SF MF CO ME PL DE% ECEIVEUPERMIT
COMMUNITY DEVELOPMENT SERVICES - ' P LI CAT I O Nom/` / I
253-835-2607•FAX 253-835-2609D E 2 . 2 t
w ww.atuoffederalway.corn
�, � " :
SITE ADD' '
St. Francis Hospital, 3451 ti'+., venue South, Federal Way,Washington 98003
SUITE/UNIT# ZONING ASSESSOR'S TAX/PARCEL# S -
NAME OF PROJECT CT Scanner Feeder Upgrade
(Tenant or Homeowner Name)
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION X ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
—Disconnect an existing medical CT Scanner from normal power and connect to emergency
PROJECT DESCRIPTION power. Demolish two existing normal feeders.
Detailed description of work to
be included on this permit only Provide an"Emergency Off'pushbutton to control the scanner.
F °
NAME PRIMARY PHONE
PROPERTY OWNER Franciscan Health System, Mr. Chet Zygmunt (253)944-4111
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
34515 Ninth Avenue South, Federal Way,Washington 98003 ChetZygmunt@fhshealth.org
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
Thompson Electrical Constructors, Mr. Stan Thompson (253)539-0999
CONTRACTOR MAILING ADDRESS,CITY,STATE,ZIP FAX
150 100th Street South,Tacoma Washington 98444 (253)539-0101
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
THOMPECOO8CW 02/16/2010 01-102961-OOBL
NAME PRIMARY PHONE
APPLICANT Coffman Engineers, Christopher J. Barker, P.E. (206)521-0736
MAILING ADDRESS,CITY,STATE,ZIP FAX
1601 Fifth Avenue, Suite 900, Seattle Washington 98101-1620 (206)624-377
PROJECT CONTACT NAME PRIMARY PHONE
SAME AS APPLICANT
(The individual to receive and )
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
Coffman Engineers, Chris Maloney (206)521-0730 maloney@coffman.com
PROJECT FINANCING NAME X 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 towner.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 de ease of s h claim), which may be made by any person, including the undersigned, and filed against the
city, but only wher su,, c aim aris out of the reliance of the city, including its officers and employees, upon the accuracy of the
information sup, A to P • ity a rt of this application.
1
SIGNATURE: IV i / DATE I212'Z 07
PRINT NAME: GHRd
Bulletin#100-4/21/2009 Page 1 of 4 k:\Handouts\Perntit Application
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• ELECTRICAL
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): Erin 6- - ,,76
FEES: First 1300 ft2-$121.00; 101- 200 axnp' x$163.00, " x$103.00
Each additional 500 ft2-$39.00 201,- 406 Apr afIt SPT,, l 0 ._ -$120.50
NEW MULTIFAMILY (3 units or more) 401- 6001 amp x$356.00 x$142,5(?
1st Service/Feeder Additional Feeders 6i I''h r,0>, .§;qt. , x= q ,d „: ',400',
d1 s.� O "11 m .ri l t .':' *i�6
V $t'tl-1000 amp x$562.50 r _ x$235,50
201-400 amp x $163.00. , ':' 'x ,$ 80.00 �0 0 1 .. G'
�`�2f1{}t?axxi � _.'� x.'.� ... iJ®(�N �1',,,,.. x_$32 .04
1:'
600' -<_ .IS I,,t, *22300 s a: 1 , !i
601-804 amp x $285.50.,., x ',$152.50 4 qr 600 volts surchat a x$103.00
over " i-8-:,,;:ft x $4088- 7;a.
",ii-M-305-50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders ,
st Service/Feeder Additional Feeders
tl!II µyd, 0";10011,1, =..,.F x.$103,00
-0 $2,,tr,fr1 H :,- 1.60:6C#
201-600 snip xc $163.00 x '$.;80.00 201- 60(:),7. x$305,50 '( . x$142.50
F 4. - 41 604476;41:'1'47' IPF ; arm: x$235.50
Over 1000 amp x$513,00 ` " x$327.00
Added or Altered Circuits
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 0
$103.00 plus 35%of Permit Fee;Plan Review required for:
k dfeeder.. . 4, al I'y,11',` "W
0 New,or alteration to,service of 1,000 amps or greater
X Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling t o f0 tUli?- -X, 00 . '" X'-$ 32.00
❑ Other 61 100 amp 'dI 14�' $ 8701:00 x $ 39 00
Area to be served by system: p
diYte®�i� ���Pra��� *.r�� -1G0 �a xa1
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 "' `"
201-400 amp: 01" 44 $120.00., ! x $.60:50
#of Thermostats 441.-600 amp x $163.50 �o1 � 4.„, '30.00
First$60.50;each additional$18.50
Over 600;amp x $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#100-4/21/2009 Page 3 of 4 k:\Handouts\Permit Application