09-101559 Electrical
City bf Federal Way
Community Development Services • . - .. Permit #: 09-101559-00-E L
P.O.Box 9718
Federal Way,WA 980639718
Inspection 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: Install enclosure for Low Voltage access control on parking gate(physician's parking)
Owner Applicant Contractor ,
FRANCISCAN HEALTH SYSTEM PROTECTION TECHNOLOGY PROTECTION TECHNOLOGY
34515 9TH AVE S 2891 152ND AVE NE PROTETI159OP(5/31/11)
SEATTLE WA 98003 REDMOND WA 98052 2891 152ND AVE NE
REDMOND WA 98052
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
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Low Voltage-Other(Commercial, 1
PERMIT EXPIRES Wednesday, April 28, 2010
Permit Issued on Tuesday,April 28, 2009
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: y(i-o2--/ Cl cry(/ Date: el' 2 8 01
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FINALED .
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THIS CARD IS T MAIN ON-SITE
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CITY OF Community-Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101559-00-EL
Owner: FRANCISCAN HEALTH SYSTEM
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 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) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Fi 1-Electrical(4055)
,f pproved ,
61 By Date ! �rV! i
.
.I
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIVES /_/ ,. --E-,,?
Fede Way
PER1�/1r
COMMUN17YDEVELOPANDIT SERVICE p R 2 8 2009
SF MF CO ME I PL DE EN FP
333258THAVENUE SOUTH• BOX 9 I C AT I O N TO
FEDERAL WAY,WA 98063-97186 / /
253-835.2173=2
t)F FEDER L
The following is required C J lnhation-an incomplete application will not be accepted. Please print legibly(In SSI or type.
MI PROPERTY INFORMATION
SITE ADDRESS 3 'ICI
I 1 S el — kya . 5 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
MI PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION "pl.ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
=..-i",.. "{-e .1.k, .,.,,,,-_,(0 5 otr-L. ;5;,-,51- ACCT. S Lan Ni•c) ( d)...-,- 1)e:K..11.`F--:.---t-c.
PROJECT NAME(Name of Business or Owner Last Name) ST ` S 5 p,[
1"'
® PEOPLE INFORMATION
PROPERTY ��`` CC c
OWNER N w`^GiSCt� • I`i J S. J 64- *�w^C,5 (Z Y)q2c? - 1/7y
MAILING AD `, E-MAIL ADDRESS
3�Sl � — AJa 5, P
L.�v4-`�
CONTRACTORCOMPANY NAME APPLICANT NAME OFFICE PHONE
hoTE.c`7 ' T7ct4 UA 10 -1%," 05-) 86? - 7778
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
Olb
2.13/1 152— Avg IV E Rra .l'-(oms c1s052 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
DS - /D 3 ssao)7 15-)86-1 - 7.717
CONTRACTOR'S REGISTRATION NUMBER DATE E-MAIL ADDRESS
?R.t7F 1. 'I ()Ic. 53/ /I
APPLICANT COM ANY NAME 11/c %C.-C l two --t- c11414).0,47 APPLI NAME OFFICE PHONE
9 (su„eJ ;( . l 0Is (i( ) 869 --»7B
LING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other (41/1- ) 8 6 aj - 7'71`7
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS art,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ-FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ° raaroaeo meet mretameapar TOTAL PROPOSED sr TOTAL SP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ 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.
MECHAIVICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(cemm
teva
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(or Tub/Shower Comb, LAVS(annum Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS/roa.q
ELECYRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I con the property owner or authorised agent of the property owner.I that to the best of
knowledge,the information submitted in support of this permit application is true and correct.I certify that I will Iy with all applicable
City of Federal Way regulations to the work authorised
P9 by the issuance of a Pernik 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: 4 to ( ()l&j
DATE Z� �
Property Owner and/or Authorized Agent
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN?
a YES a.NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO _ DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application
• 0
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
C3 Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$121.00;Each add'n 500 ft2-$39.00) ❑ 0 to 100 amp $131.50 $80.00
❑ 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00 ❑ 201-400 amp 305.50 120.50
❑ Detached outbuilding or garage(inspected separately) $80.00
L3 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00 L3601-800 amp 460.50 195.00
❑ Swimming pool(inspected separately) $120.50 ❑ 801-1000 amp 562.50 235.50
O Hot tub/spa/sauna(w/service) $51.00 ❑ Over 1000 am613.00 327.00
1.3 Hot tub/spa/sauna(inspected separately) $80.00 p
0 Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
Service Feeder (Does not include circuits.)
U UpService or Feeders
to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50
0 201-400 amp 163.00 80.00
0 201-600 amp 305.50
❑ 401-600 amp 223.00 111.00
L3 601 - 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50
CI over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'ncircuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
L3Service 1,000 amps or greater
la 201-600 amp 163.00
L3Medical/Educational/Institutional Facility
❑ over 600 amp 245.50
❑ Additional plan review for
❑ #of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES 0 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00
❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00
O 201-400 amp 120.00 60.50
MOBILE HOME/RV PARR ❑ 401-600 amp 163.50 80.00
0 #of service or feeders 0 Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
Cl #of Thermostats
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
pi Low Voltagerr (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s).3 Beek 0 Yard Pole/meter loops/pedestal $80.00
o Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
0 Security Alarm System
p VoCabling U Ditch cover/inspection only $120.50
Data Cabling f
Acet 0 c...
est) Co"-kro 1 .„aRe... i (Le- . s-F.21n/
is 2500 m-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 it2-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Pemrit Application