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12-103443 . r % • 0 Electrical City of Federal Way " Community&Econ.Dev.Services k .x 1 e`" Permit ermit #: 12-103443-00-EL 33325 8th Ave S Ph:(253) Fed835-era2607 WaFax:(253)8A 9800335-2609 p Ins ection Request Line: (253)835-3050 Project Name: VIRGINIA MASON CLINIC-MAMMOGRAPHY Project Address: 33501 1ST WAY S Parcel Number: 926504 0010 Project Description: Replace existing Ultrasound Unit with Mammography Unit.Provide new 225 AMP panel, 45 kVA transformer,extend new branch circuit to mammography room ` Owner Applicant Contractor VIRGINIA MASON CLINIC VIRGINIA MASON CLINIC H&M ELECTRIC INC 1100 9TH AVE 1100 9TH AVE HMELEI*077KR(5/19/13) SEATTLE WA 98101-2756 SEATTLE WA 98101-2756 PO BOX 799 MARYSVILLE WA 98270 Additional Permit Information Is Use Educational or Institutional? Yes Service greater than 999 Amps? No Electrical Fixtures New Service:201-400 amps(Con 1 PERMIT EXPIRES Monday, January 21, 2013 • Permit Issued on Monday, August 20, 2012 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and • -e will be in accordance with the laws, rules and regulations of the State of Washington dis ii 4 nd the City of Federal Way. Owner or age , /71.--e------ Date: rA/20/2___. .S5 J 41 /15/1Z° THIS CARD IS TO MAIN ON-SITE • CITY OF Construction I ection Record ` Federal vvay INSPECTION REQUE TS: (253)835-3050 PERMIT#: 12-103443-00-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. 0 UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) El Rough Electrical(4225) El Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date Final-Electrical(4055) Approved By Date q`\ _`2. ❑ Rough Electrical ElFinal Electrical El Right of Way Approved Approved Approved By Date By Date By Date e ' ° • • , , 4.-N.,N. jz JO44� Fed y® ELECTRICAL JUL 25 21)12PATION (2-- ` 5/ 57 ERMIT APPLICATION C CITY OF FEDERAL WAY Clost electrical Iermits may be obtained on-line at www.ci offederalwa .com** ,I.==,^e- �'' w.%;' #?ItZ '', f. ''',4===,-,== `,.„.:0 , j.t. # ,.......,==.,, x ., ^^ ;,tea �e,«.»... .. SITE ADDRESS: 33501 1st Way S., Federal Way, WA 98003 SUITE/UNIT/SPACE# ASSESSOR'S TAR/PARCEL# CURRENT/PROPOSED USE 9 2 6 5 0 4 - 0 0 1 0 .c.:,n li r. ki. ,"'-`..�. . . :44. �„''s. `-.... , i-:- �l ,-,,,, 8 '44- s .$ .. ._..' F e E; P4, 'PROJECT NAME irginia Mason Medical Center Federal Way Mammography (Tenant or Homeowner Last Name) Replacement of Ultrasound Unit with Mammography Unit PROJECT DESCRIPTION Provide new 225A panel, 45 kVA transformer, extend new feeder from Detailed description of work to be included on this permit only distribution panel, and extend new branch circuit to mammography room. : ';` '' �' `,,, ,=� "� .{ ,' r y ? 3 a 7, 44,4 � r. w vI. __ 5„ ,�. a .-, a _ .. ..... NAME PRIMARY PHONE PROPERTY OWNER Virginia Mason Medical Center (206) 341-0435 MS G G3 FM 1100 Ninth Ave., P.O. Box 900 jeri.pierce@vmmc.org CITY STATE ZIP FAX Seattle WA 98111 (206) 223-6947 •NAME PRIMARY PHONE "To Be Determined" ( ) MAILING ADD S ` �I E-MAIL ELECTRICAL CONTRACTOR CITY ( - PI FAR WA STATE CONTRACTOR'S LICENSE# - EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# Virginia Mason Medical Center (206) 341 043511E APPLICANT - MAILING ADDRESS E-MAIL MS: G3-FM 1100 Ninth Ave., P.O. Box 900 jeri.pierce@vmmc.org ('TTV STATE ZIP FAR Seattle Wq 98111 (206) 223-6947 NAME PRIMARY PHONE PROJECT CONTACT Jeri Pierce (206) 341-0566 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 clai •• a ' es out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to t- - c' as a part of this application. SIGNATURE: IL, � DATE PRINT NAME: L.f_ R. Si A•.i s 3..( . SP- 33325 s-33325 8th 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 RESIDENTIAL CO MERCIAL J k v NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1i Service/Feeder Additional Feeders (including attached garage): 0' ''''''19° °2E30 amp';. .. . x"$ 80.50 FEES: First 1300 ft2-$122.00; 101- 200 amp" x$164.00 x1$103.50 Each additional 500 ft2 -$39.00 201- 400 amp I x$307.00 x$121.00 NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00 x-$143.70 1sT Service/Feeder Additional Feeders 601- 800 amp x$463.00: x$196.00 0- 200 amp' _-x,,1132.50 x $` 39.00 801-1000 amp x$565.00 x$236.50 201'-400 ainp x $164.00 x $ 80.50 Over 1000 amp, x$616.00 ` • x$328.50 401 600 amp x`$24.06 x $111.50 601-800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50 Over 800 amp;. x $4.10.50 x $307.00 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 15 Service/Feeder 1,'Service/Feeder Additional Feeders 0-',200,amp ;x$101.00 0 :200 amp x$132.50 x$103.50 201 -600 amp x $164.00 201 600 amp; x$307.00 x'$121.00 ©yer600 amp x $246.50 601 -1000 amp x$463.00 _x1196.00 Over 1000 amp x$515.50 x$32&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 1; . $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 ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System O Voice/Data Cabling 0`„ amp,,:,?::, : .-jx $=71 00 x $ 32:00 O Other 61_,100 amp x $ "80.50 x $ 39.00 Area to be served by system: 15t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.5010 20o amp_"_ 1,k' `i ff3 50" ' x $'-,�'T.O(f 20 •400 amp, ; ...i. tiLi $121.00 ;`:x $ 60.50 #of Thermostats 4tk; 4 ,-W '_" ;$162F{ First$60.50;each additional$18.50 ,? $ 92.00 Over 600.amp . . x $184.50 FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 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♦fax:253-835-2609 1 www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\1-landouts\Electrical Permit Application