12-102647 • • 1le,ctlical
City of Federal Wayi Permit #1324 : 12 -102647-00-E L
Community&Econ.Dev.Services
33325 8th Ave S ) ?.
Federal Way,WA 98003 itazaInspection Request Line:
Ph:(253)835-2607 Fax:(253)835-2609 p G (253)835-3050
Project Name: VIRGINIA MASON CLINIC
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: Low-voltage wiring for modifications to fire alarm system.
Owner Applicant Contractor
VIRGINIA MASON CLINIC SIMPLEX GRINNELL LP SIMPLEX GRINNELL LP
1100 9TH AVE 9520 10TH AVE S SUITE 100 SIMPLL*988BG(1/12/12)
SEATTLE WA 98101-2756 SEATTLE WA 98108 9520 10TH AVE S SUITE 100
SEATTLE WA 98108
Additional Permit Information
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Fire Alarm(Comm( I
PERMIT EXPIRES Saturday, December 8, 2012
Permit Issued on Wednesday, June 13, 2012
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 oragent./ � i'ikti7Grr �;.1na j/ Date: fo�/��a o/Q
0/(11
THIS CARD IS TO MAIN ON-SITE
CITY OF • Construction In ection Record `
Federal WayINSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-102647-00-EL Address: 33501 1ST WAY S
Project: VIRGINIA MASON CLINIC FEDERAL WAY, WA 98003-6208
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.
O UFER Ground (4295) El Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
o Feeders/Sub-panels(4045) c Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
O Final-Electrical(4055)
Approved
By r N" Date d ^L ,_ `�
❑ Rough ElectricalEl Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
• •
CITY OF Id, - 1 0 _6_YI
Federal Way ELECTRICAL
RECEIVED PERMIT APPLICATION
JUN 1 1 2VMost electrical permits may be obtained on-line at www.cityoffederalway.com**
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SITE ADDRESS: 33501 1st Way South
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
1st fl ambulatory, 9 2 6 5 0 4 _ 0 0 1 0
roll "door., �,
Medical Office
d
PROJECT NAME
(Tenant or Homeownerinct Name) Virginia Mason
Add ( 6) smoke sensors, (3) control ZAM, (3) remote relays
PROJECT DESCRIPTION to 1st Floor Ambulatory Surgery Roll Door Additions .
Detailed description of work to
be included on this permit only Joint venture between SimplexGrinnell & Sasco Electric .
SimplexGrinnell to •erform final t Ming of work.
NAME PRIMARY PHONE
PROPERTY OWNER Virginia Mason Clinic ( ) -
MAILING ADDRESS E-MAIL
33501 1st Way S.
CITY STATE ZIP FAX
Federal Way WA 98003 ( ) -
NAME PRIMARY PHONE
Sasco Electric ( 425}806 - 8400
MAILING ADDRESS E-MAIL
ELECTRICAL 16650 Woodinville-Redmond Rd
CONTRACTOR CIT STATE ZIP FAX
Woodinville WA 98072 ( ) _
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
SASCOE*051R6 12/ 26 /13 601677475
NAME PRIMARY PHONE
SimplexGrinnell (206 )291 _ 1400
APPLICANT
MAILING ADDRESS E-MAIL
9520 10th Ave S #100, jastebbinsCsimplexgrinnell .com
CITY STATE ZIP FAX
Seattle WA 98108 ( 206) 291 .1500
NAME PRIMARY PHONE
PROJECT CONTACT Janet Stebbins/SimplexGrinnell ( 206) 291 -1468
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.n
SIGNATURE: '. /d .7-„"" ~I/ DATE 06/11/2012
PRINT N ,,, anet Stebbins for SimplexGrinnell/
33325 8''Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
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• •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1 s Service/Feeder Additional Feeders
0- '100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00 201- 400 amp x$307.00'` x$121.fl0
NEW MULTIFAMILY (3 units or more) 401- 60o 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
15,Service/Feeder Is,Service/Feeder Additional Feeders
0- 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 -600 amp x $164A0 201- ,600 amp x$307.00; x$121.00
Over 600 amp x $246.50 601 y-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
E) Fire Alarm System 1s,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: 5 0 0
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 101-200 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
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated.
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 8th Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607 4 fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application