07-105691I r
Clty'D Federal Way Electrical Permit #• 07-105691-00-EL
community+,Development Services •
P.O. Box 9718
Federal Way, WA 98063-9718
RL (253) 835-2601 Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: AUBURN REGIONAL MEDICAL CENT
Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090
Project Description: Add (1) circuit for vacuum pump and alter of (1) circuit for two exit signs.
Owner
Applicant
Contractor
OPUS NORTHWEST LLC
MAPLECREST ELECTRIC
MAPLECREST ELECTRIC
915 118TH AVE SE SUITE 300
PO BOX 1165
MAPLECE170JA (1/31/09)
BELLEVUE WA 98005
KENT WA 98035
PO BOX 1165
KENT WA 98035
Additional Permit Information
Service greater than 1000 Amps? .......................... No
9
- % THIS CARD IS TO REMAIN ON-SITE ' -
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105691 -00 -EL
Owner: OPUS NORTHWEST LLC
Address: 1413 S 348TH ST Suite L104
FEDERAL WAY, WA 98003
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/,0,3/-<::5Z
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date D.1, a
an RECEIVED —� - 2
r-adera I W, Ay
comwm"DEVS60PABMrwvOET j 5 2007 1 RRMIT SF MF CO ME4T PL DE EN 1♦P
399Y5dtft�mAVM=
diuoircdmN • PO BOX 9
71d
FEDBAWAY,
WA98069.9778
75M35•2607-FAK::: "(:) x 1EO ERAL
P LI C AT I O N
BUILDING DEPT.
The following is required information -an incomplete application will not be accepted. Please print.kgibiy (in ink) or type.
SITE ADDRESS SUITE/UNIT # Lj— --
ASSESSOR'S TAX/PARCEL it Z Cl - ( `� o LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION VL ,ECTRICAL O ENGINEERIINiG ❑ FDRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detaiied descrotion of work included on this a it only)
LAI, St!/\CL -An 9 •(2-/ A—Ae el, �— '/)A_ 1J11 1) 11IIJA� /, l.vt
PROJECT. NAME (Name of Business or Owner Last Nam el LJe 6 EIC' T L G J� /�-V�✓ ►�h i.,� . 7 -C/
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXIOTING USE
NAME
`._
ci '00( t
PRIMARY PHONE
( I ) -
MAILING ADDRESS CITY, STATE, ZIP
E-MAIL ADDRESS
I
CELL PHONE
COMPANY NAME
APPLICANTNA
OFFICE PHONE
OFFICE PHONE
CITY, STATE, ZIP
CELL PHONE
o_
_
00 ADDRESS/
� AT ,ZIP � C.LY
PHONE _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER .
EXPIRATIO DATE
FAX NUMBER
CO CTOR'S REGISTRATION NUXKZR
XXPMATION DATE
E-MAIL ADDRESS
COMPANY AME
'
APPLICANT NAME
OFFICE PHONE
MAILING DRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E MAI, ADDRESS
NAME
Per RCW 19.97 095:
Lender tgformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
i
AREA DESCRIPTION
BASEMENT
.EXISTING
SQ. FT.
a REPAIR a TENANT IMPROVEMENT
PROPOSED
SQ. FT,
TOTAL
80. FT.
FIRST
a YES
o NO
ZONING DESIGNATION
SECOND
CHANGE OF USE?
a YES
a NO
THIRD.
a YES a NO
IIP/SEPA/SU?
a YES
ADDITIONAL FLOORS (DESCRIBE)
PLATTED LOT?
a YES o NO
DEMO PERBUT REQUIRED?
DECK (❑ COVERED OR O UNCOVERED?)
a NO•
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
i1O o
mom..
7O7At
roru a�osran•sr
rare ma ossssr
"T'"Ar
••NEW HOMES ONLY'• . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fudure to be installed or relocated as part of this project. Do not include existing fudures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PLUMBING
BATHTUBS �ornb/ebovarComDo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS ( stoke
RAINWATER SYST
SHOWERS
SINKS
SUMPS
OAS PIPE OUTLETS
GAS WATER HEATERS
HOODS pouwma.q
RANGES
REMO. SYSTEMS'
URINALS
VACUUM BREAKERS
WATER CLOSETS (r.&q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certVy under penalty of perjury that I am the property owner or authorised agent of the property owner. I cerci jy that to the best of my
knowledge, the information submitted to support of this permit application is true and correct. I eertyg that I will comply with all applicable
City of Federal Way regulations pertaining to the work authorised 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 ciaimh which may be made by any person, including the undersigned, and flied 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 apart of this application. )
SIGNATURE: IC LA J'1 DATE
Property Owner and/or Authorized Agent
o NEW a ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY?
o YES. a NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
a YES
a NO
NEW ADDRESS REQUIRED?
a YES a NO
IIP/SEPA/SU?
a YES
ONO
PLATTED LOT?
a YES o NO
DEMO PERBUT REQUIRED?
a YES
a NO•
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . Mandouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ftz- $111.00; Each addh 500 ft' - $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY
(three units or more)
❑ 0 to 200 amp
Service
Feeder
❑ up to 200 amp
$120.50
$ 35.50
❑ 201 - 400 amp
149.50
74.00
0 401 - 600 amp
205,00
102.00
❑ 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Addh circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50. $ 74.00
❑ 101- 200 amp 149.50 94.50
❑
201 -
400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
0 601- 800 amp 423.00 179.00
❑ 801-1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Servick or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
Z# of circuits to be lidded/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 3594 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑
Service or Feeder
❑ 0 to 200 amp
$92.50.
❑ 201 -'600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Addh circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50. $ 74.00
❑ 101- 200 amp 149.50 94.50
❑
201 -
400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
0 601- 800 amp 423.00 179.00
❑ 801-1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Servick or Feeders
❑ 0 to 200 amp $120.50
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
Z# of circuits to be lidded/altered
(1-5 circuits - $94.50; Addh circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 3594 of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
❑
Residentla(/Muiti-Faintly $65.00
# of service or feeders
(First service/feeder-$74.00; each addh -$48.00)
CommerciaWndustrial Service or Feeder Ampacity
❑ 0 -100 amps $ 74,00
❑ 1.01- 200 amps 94.50
❑ 201- 400 amps 111.00
❑ 401-•600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ # of Signs
(First -$55:00; addh-$17.00/ea) (First sign -$55.00; add n sign $26.00/ea)
❑ Low Voltage
Square Feet to be served by system(s) 11
Square pool/hot tub. ................ $111.00
Rncludaa aem dditional circuit, if required)
13 'security Alarm system 13 Fire Alarm' m system ❑ Yard Pole meter loops ....... :............. $74.00
Additional Plan Review
13 Voice Cabling ❑ Ad$111.00/hour
❑ Data Cabling (for modified submittals)
❑ ❑ Automation Fee on all Permits .. $5.00
1■t 2500 "S.00;
Each add% 2500 ft2-17.00) •fbr WAC296469]0(5)(b)fl& N)
Bulletin #100 -August 16, 2007 Page 3.of4k\Handouts\Petmit�Application