08-100752 w ' 4110 •
City of Federal Way lectrical Permit #: 08-100752-00-E L
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: VIRGINIA MASON "' ' �`'
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: Connection of 100-amp temporary generator for emergency power.
Owner Applicant Contractor `
VIRGINIA MASON CLINIC MAPLECREST ELECTRIC MAPLECREST ELECTRIC
1100 9TH AVE PO BOX 1165 MAPLECE170JA(1/31/09)
SEATTLE WA 98101-2756 KENT WA 98035 PO BOX 1165
KENT WA 98035
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Temp.Serv. 101 amps-200 amps 1
r
PERMIT EXPIRES Monday, February 9, 2009 ,
Permit�ed Friday,- bru r r 151 08.
I herebyrtify that thnLabove i iform- '"�0 "Veto'
s rrect at4 thatthe d "truotion o9 the above,d crit d pr�rty,t nd
the occupancy and the use w be in «®rdannnwi h .rules a ;f,: tt tic is of the State z 11as(Iirl
and the City of Federal Way.
i_ ;
Owner or agent: ---) �%,�-d,c.,.4-2-k__,. Date: L-- ,,��- ‹8
7
• THIS CARD IS TO•MAIN ON-SITE
CITY OF ~ �- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100752-00-EL
Owner: VIRGINIA MASON CLINIC
Address: 33501 1ST WAY S
FEDERAL WAY, WA 98003-6208
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power (4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only _
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date 3 `2. l' 8"
r,,,,,,,, ... ..,s_ . Ag - 4 "1,f) _.7 _5 1-.:
• reideral r, CEIV El!
PER 1V1 I T SF MF CO .M p e L DE EN FP
• COMMUNITY DEVELOPMENT SERVICES
333157AnESOUTH.POBOX
FEDERAL WAY,IVA 983.971 Ee 15 2008AP P LI CATI O N
153.835.1607'FAX 153435.160
wuna d t uoffederahm y.corn
f YrQIzirJ ERAL WAY
The oilo � I orma on-an incomplete application will not be accepted. Please print legibly(in ink)or type.
- 11111 PROPERTY INFORMATION
SITE ADDRESS_-13 570/ PT OC'tl/J SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# _ _- _— —— • LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page/or ICY description)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING • 0 MECHANICAL
. 0 DEMOLITION RSLECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
• 6 61-41‘^1. 14---A)-
Q ' 1 CO g' (L F- O j O /`t• i�
E ti4re es-11 `L' is t.ft_
.7 /
PROJECT.NAME(Name of Business or Owner Last Name) I-4e 4,/d.)/ Ll 7 Q-S :
IN PEOPLE INFORMATION
PROPERTY NAMEPRIMARY PHONE
OWNER l el. /c? . 1 '.%1$Oj.1 tt/EIP LCA.- _ D,L))_CeL ( ' ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
S.01 / � 1.6t so F Li w
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
U ea IP(E C?-R t F44 c ! - t�K /4-€.,�.1 t.,L) (rj)E 7' - 517/Z_
MAILING ADDRESS CITY STATE,ZIP ® CELL PHONE •
PC c //4_5- k' ' j ul4 9Ccls ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER. EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE • E-MAIL ADDRESS
big Pc EJ7 .,.344 01-,?/- 6 ,
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) • -
MAILING ADDRESS CITY,STATE,ZIP -CELLPHONE
( ) -
• RELATIONSHIP TO PROJECT FAX NUMBER
a Architect a Tenant a Agent a Other ( ) -
PROJECT NAME PRIMARY PHONE EMAIL ADDRESS
CONTACT ( ) - _
LENDER NAME Per RCW 19.2.7.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS ' CITY,STATE,ZIP PHONE
( )
R r'DETAILED BUILDING INFORMATION <
• EXI$TING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ • VALUE OF PROPOSED WORK $ _ .
SPRINKLEREI)BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE a TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a PRIVATE(SEPTIC)
. . .::.. .. . ... . . .: . . .
AREA D 3 PTION
•EXIB PROPOSED TOTAL
BASEMENT T' SQ. . SQ.FT. SQ.FT.
•
FIRST
•
SECOND
THIRD
ADDITIONAL FLOORS(DESC •
•
DECK(0 COVERED OR 0 UNCOVERE► )
GARAGE 0 CARPORT 0 _
Minn PR •.so Toru, TOTAL raroar TOTALPaeuaesnar TOTAL
NUMBER OF FLOORS
"NEW HOMES ONLY" . NUMBER OF BEDROOMS STIMATED SELLING PRICE $
■ FJXTURES
•
Indicate number of each type of fixture to be installed o; elocated as part o is project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work$ (A COP;CF BID OR ESTIMATE MUST BE UDRD WITH APPLICATION)
AIR HANDLING UNITS EV:r a RATIVE COOLERS GAS PIPE O• ETS WOODSTOVES
BBQS F S
GAS WATER H TERS MISC(Describe)
BOILERS REPLACE INSERTS HOODS(commerd.Q
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS• REFRIG.SYSTEMS
PLUMBING`
BATHTUBS iorT.b/Show,rCo•••• LAVS(Baehr.=sinks) URINALS MISC(Describe)
DISHWASHERS / . RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Monet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
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 part of this application.
STGNATURE: t' C�- Ct . /'
DATE
Property Owner and/or Authorized Agent
x'.G€K.4} ) 1� �<ti�94 0,ta4 .i
o NEW a ADDITION a ALTERATION. a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES.a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o 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;August 16,2007
Page 2 of 4 . •klHandouts\Pennit Application
j •
ELECTRICAL PERMIT INFORMATION •
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet • Service or Feeder Each Add'n
(First 1300 ftp-$111.00;Each add'n 500 ft2-$35.50) 0 0 to 100 amp $120.50. $74.00
0 Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
0 Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00
0 601-800 amp 423.00 179.00
0 801 -1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 563.00 300.00
• Service Feeder
. 0 Up to 200 amp $120.50 $35.50 0 Over 600 volts surcharge $94.50
• 0 201 400 amp 149.50 74.00 0 Mast or meter repair $102.00
0 401-600 amp 205.00 102.00
CI601-800 amp 262.00 140.50 ALTBRED COMMERCIAL/INDUSTRIAL
O Over 800 amp 37.5.60 . 280.50 Service or Feeders .
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 280.50
Service or Feeder ❑ 601-1000 amp 423.00
❑ 0 to 200 amp $92.50 over 1000 amp 471.00
❑ 201-600 amp 149.50 0 #of circuits to be added/altered
0 over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
O #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
0 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 Resident!ai/Multi•Family $65.00•
0 ii of service or feeders •
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ o-100 amps $74,00
Or 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-•600 amps 149.50
❑ over 600 amps 162.00
• , MISCELLANEOUS SERVICE/EQUIPMENT
•
O #of Thermostats • 0 #of Signs
(First-$55:00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ca)
0 Low Voltage ❑ Swimming pool/hot tub. $111.00
Square Feet to be served by system(s) . • (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00
❑ Security Alarm System • ❑ Additional Plan Review $111.00 hour
El Voice Cabling (for modified submittals) /
❑ Data Cabling
❑ ❑ Automation Fee on all Permits .. $5.00
lit 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)*Per WAC 29646910(51M&ii) • .
•
Bulletin#100-August 16,2007 Page 3 of 4 .laHandouts\Permit•Application