16-101316 •
• • Electr 'cal
City of Federal Way
Community&Econ.Dev.Services Permit #: 16-101316-00-EL
33325 8th Ave S
Federal Way,WA 98003
Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: VIRGINIA MASON CLINIC
Project Address: 33501 1ST WAY S Parcel Number: 926504 0010
Project Description: Modify existing 400 amp panel to accomodate new x-ray machine and associated equipment
Owner Applicant Contractor
VIRGINIA MASON CLINIC DOUGLAS MCNUTT SASCO ELECTRIC
1100 9TH AVE S SALUS ARCHITECTURE INC SASCOE*051R6(12/26/17)
SEATTLE WA 98101-2756 1402 3RD AVE SUITE 200 PO BOX 3887
SEATTLE WA 98101 SEATTLE WA 98124-3887
Additional Permit Information
Electrical Work Valuation9 44000.00 Is this an Online or O.T.C.application? No
Is Use Educational or Institutional? No Service greater than 999 Amps? No
Electrical Fixtures
Alt. Srvc/Feeder 201-600 amps(( 1
• PERMIT EXPIRES Tuesday, April 18, 2017
Permit Issued on Monday, April 18, 2016
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th willbe in accordance with the laws, rules and regulations of the State of Washington
and the t,cif Fe?leral Way.
Owner or age
(-41:1;C Date: AA6,
illi
CITY OF `"` Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 16-101316-00-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.
El UFER Ground (4295) ❑ Ditch cover(4030) ❑ 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
.
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date 8i,-- Date 4_zq_ By Date (1 1 LIG
.Cl Final-Electrical(4055) '
Approved
B7 Date S _ 13— �c
Rough ElectricalEl Final Electrical El Right of Way
Approved Approved Approved
1
By Date By Date By Date
maim
igur
CITY OF MAR 1 5 2016
EeECTRICAL
Federal Way CITY OF FEDERAL WAY PERMIT APPLICATION
CDS
PERMIT NUMBER 1 _ ( 0 I � I (...0 L /1311
SI INIT/S' - #
SITE ADDRESS: 33501 1st Way S, Federal Way, WA 98003 oi3o
PROJECT VALUATION ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
$ 44,000 9 2 6 5 0 4 - 0 0 1 0 MEDICb tdDeuTAi. occt
PROJECT NAME FEDERAL WAY X-RAY ROOM
(Tenant or Homeowner Last Name)
REMODEL EXISTING SPACE TENANT SPACE TO ACCOMMODATE
PROJECT DESCRIPTION
X-RAYy�MACHINE.��-�, {� ���-y y q�j
Detailed description of work to %''l L'Y( f`y L-YI�'l7 G 1' GICs A} ACCOH (l O 1 I C:
be included on this permit only A x 41-/,/
RPN p
(;z/Li(, d r A ecl r1�1A ; L,)
NAME PRIMARY PHONE
PROPERTY OWNER Virgina Mason ( 206) 341-1-650
MAILING ADDRESS E-MAIL
22501 1st Way S Sonya.warner@virginamason.org
CITY STATE ZIP FAX
Federal Way Wa 98003 ( ) -
NAME PRIMARY PHONE
• ( )
ADDRESS E-MAIL
ELECTRICAL
CONTRACTOR FAX
NOT SELECTED YET ( )
WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FED -• . :USINESS LICENSE#
NAME PRIMARY PHONE
APPLICANT Douglas Mcnutt ( 206)652-0-722
MAILING ADDRESS E-MAIL
1402 3rd Ave, Suite 200 douglas.mcnutt@sauls.archi
C TY STATE ZIP FAX
Seattle Wa 98101 ( 206) 652-0720
NAME PRIMARY PHONE
PROJECT CONTACT Douglas Mcnutt ( 206) 652-0722
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 ap lication.
SIGNATURE: 803 DATE 02/22/2016
PRINT NAME: Douglas Mcnutt
Bulletin#160—January I,2013 Page 1 of 2 k:AHandouts\Electrical Permit Applicatio+),