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02-101951Project Name: ST FRANCIS HOSPITAL Project Address: 34515 9TH S Project Description: ELE - Small TI in Central Sterile. Addition of 3-4 plex dedicated add 1 light switch, add smoke detector, add 1 horn/strobe, andA Owner ST FRANCIS MEDICAL 1717 S J ST TACOMA WA 98405-4933 Circuits - Commercia • I hereb the oc� the City Owner Applicant VECA ELECTRIC CO INC PO BOX 80467 SEATTLE WA 98108 Parcel er: 7504 020 04 ptacies dd 3 dup receptacles, 'w a t. t fix s ontractor E TRIC CO INC CATTLE CATTLE WA 98108 (206) 430W00 n 115� P IT SNovember 11, 2002, IF NO WORK IS STARTED. lay 15, 2002 ruction on the above described property and Id regulations of the State of Washington and Cz - 0 Dater /!5, J ` City of Der�f�ay Electrical Permit #:02 -101951 - 00 - EL Communityty Development Services 33530 1st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050 MW Project Name: ST FRANCIS HOSPITAL Project Address: 34515 9TH S Project Description: ELE - Small TI in Central Sterile. Addition of 3-4 plex dedicated add 1 light switch, add smoke detector, add 1 horn/strobe, andA Owner ST FRANCIS MEDICAL 1717 S J ST TACOMA WA 98405-4933 Circuits - Commercia • I hereb the oc� the City Owner Applicant VECA ELECTRIC CO INC PO BOX 80467 SEATTLE WA 98108 Parcel er: 7504 020 04 ptacies dd 3 dup receptacles, 'w a t. t fix s ontractor E TRIC CO INC CATTLE CATTLE WA 98108 (206) 430W00 n 115� P IT SNovember 11, 2002, IF NO WORK IS STARTED. lay 15, 2002 ruction on the above described property and Id regulations of the State of Washington and Cz - 0 Dater /!5, J City of Federal Way Community Development Services 33530 1 st Way S Federal Way, WA 98003-6210 Ph: 253.661.4000 Fax: 253.661.4129 Project Name: ST FRANCIS HOSPITAL Electrical Permit #:02 - 101951 - 00 - EL Inspection request line: 253.835.3050 Project Address: 34515 9TH S Parcel Number: 750451 0020 Project Description: ELE - Small TI in Central Sterile. Addition of 3-4 plex dedicated receptacles, add 3 duplex receptacles, add 1 light switch, add smoke detector, add 1 horn/strobe, & add 4 wall mt. light fixtures. ALSO, gutting physical therapy area & running wire to supply power to central supply clean linen area & office areas. Owner Applicant Contractor ST FRANCIS MEDICAL VECA ELECTRIC CO INC VECA ELECTRIC CO INC 1717 S J ST PO BOX 80467 PO BOX 80467 TACOMA WA SEATTLE WA 98108 SEATTLE WA 98108 98405-4933 (206) 436-5200 Electrical Fixtures Circuits - Commercial 5 -- ----- --- --- ---1 PERMIT EXPIRES May 13, 2003, IF NO WORK IS STARTED. Permit issued on May 15, 2002 1 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 or agent: Date: ,Zz z4 7- b D— 12.0 "y ft "n u S /Y'V'V"V 8 j— 0—C)3 C,��G��J Ca vee V, 2-13— O3 W 4Cl 6,0 V te'/z 0 CONSTRUCTION PERMIT APPLICATION - ooEr�cr-�... RECEIVED }} :'•{f• ;%;::( {(iii::;is:,#is::ii#{}}}':,"{:;::::ii':,i ilii{r{i' :$r...}.,.;•.;+;<?#,t#.:w.:•}:•x:::.:•�::.�;;;;}:#;;•:;i>{;;¢::`3?fig:<;?:•:::�:.: MAY 1 3 2002 * eYfQro Vm4wo information — Plesse print (in ink) or type** BUILDING DEPT. require a separatesPP application. Please note: Electrical, Fire Prevention Systems and Engineering permits may req ill PROPERTY INFORMATION SITE ADDRESS: 3 AlS/ S CIA &6- �+ • ASSESSOR'S TAX/PARCEL #: — — — — — — — — — — LEGAL DESCRIPTION OF SUBJECT PROPERTY (ATTACH SEPARATE DESCRIPTION IF LENGTHY): ■ PROJECT INFORMATION TYPE OF PROJECT (This application): o BUILDING o PLUMBING o MECHANICAL o DEMOLITION XELECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM t PROJECT DESCRIPTION (Provide detailed description): PROJECT NAME: sr, slat" OWNER: CONTRACTOR: APPLICANT: NAME: DAYTIME PHONE: G!S'6*0 Sys -Airy 3 LING ADDRESS (STREET ; CITY, STATE, ZIP): /?/7 5,0Vrs7fi-d-s�T Ti�tr-o�� Gni qct yo 5 NAME: ECIC i5Lt rlm DAYTIME PHONE: ( ) 436 - szov MAILING ADDRESS (STREET ADDRESS; QTY, STATE, P): �j 56 s (� D5 EVENING PHONE: �✓ 400 (ZQ ) -S0400 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE: / / (coPY of card required) — — — — — — — — o ARCHITECT o TENANT }POTHER ( )43(o- '40#1000763 43(► - ;I000763 - CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR V/Qj�.6tJID0�O�J. YSGl4� ill DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ 41S- ROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $PRINKLERED BUILDING? o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑YES ❑ NO WATER SERVICE PROVIDER: o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE (WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN 0 HIGHLINE o PRIVATE (SEPTIC) **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: ; FLOOR EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL BASEMENT FIRST SECOND THIRD FOURTH OTHER FLOORS (DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: FIXTURES Indicate number of each type of fixture MECHANICAL AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG. SYSTEM(S) BBQ(S) FAN(S) HOOD(S) WOODSTOVE(S) BOILER(S) FIREPLACE INSERTS) RANGE(S) MISC. ( ] COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: o ELECTRIC o GAS • BATHTUB(S) DISHWASHER(S) DRINKING FOUNTAIN(S) GAS PIPE OUTLET(S) INTERCEPTOR(S) PLUMBING LAVATORY(S) RAIN WATER SYS. SHOWER(S) SINK(S) SUMP(S) URINAL(S) VACUUM BREAKER(S) WASH MACHINE OUTLET WATER CLOSET(S) ]iSCLAIMER/SIGNATURE BLC WATER HEATERS) o ELECTRIC o GAS MISC. ( I certify under penalty of perjury that the Information fumished by me Is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application Is made. 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 of Federal Way, 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. NAME/TITLE: ` DATE: L _ o PROPERTY OWNER XAP CANT X CONTRACTOR v.:::: {i:: {:::?.::{•}..:... :.�....:..y.,�.�n.ui:: J::::.:..:::{:{:!•Ji:{-.:v::n{�}.;::�:}':.}�v.::,{titi::•:{i:{?:{Li n:!.J�vv:: :•}:{: ;:::i{i{{ji ti!{•}{4::.n::::::?{:{:.i::i..!.,:.}..; :...:.n::ii ?'1rTi.:ia...... i:;;:i tii 2:!I}:? .................... ,... .Ess!....is. :•:?:.... ;.. ii:`:: :;; :I �] r:J:J: �ii::'h ii iiiiiiJiiii{ii?ii};4;�':•ii:•{i.:.•:::iii:'viiii::�>:;i:6:::??i?:;:;?:; ♦???iii:%:•i::4:•i iiiiii ii iiiiii$iii::�>iiiiiiiii:^::::::•}Jii J:•}J?Ji:i?ii:•:•i::: -: .::: Y�::Yi.ViiE?{•:!{P'?;i{;{??{r{{?:.?!{?•:;.:!-:{{;!{?h:;!{ivi:!??{?!{{{4:{{?i•:??•J:{{{???{{?{ :{:ya'.�.: .. i::::?:::: }.iY.irr]?{?4i:{?� {i{{?{i!:{i{{iy?i: ?•.: .......................:...:......:..;.;v.........:r::::::: :::r..;; ........:..: x: �.:::::::: ��:::::: w.................;..v!!?{n::{{'+.!ii?i{-l•:Y.!{n}•{n:yrG:4}ii:::{e:{:.?-:{u...... J.. .. • •••••..•• iiii.iii?iiiiiiiii}?i{iiiii{iiiiiiiiiiiiii iiii?iiii{ •?: : :: ••`•••••.y�l i!:{{{•: �jJ� :•:4:>.!•i'-r4:{={!{ri'?!{{?{:{�:5.:q!: {{:{: ;{{:.:,•. : ::••��-?'! ?•i $iiiiiii::ii::iiiiii: <s;,...:::::.,;,.i::::,?:<! :!:?.::::r,:•.::6{!>€1`R:::f ............... y.4........ :•i:•iii?:.ii};i??;•:.�? ir•i:•iiJiiiii iiii:-iii::•i:• :,::.� +. :iiii•:::; •S?ii fi/••.. iii.7{.•{Ji.:ti'i:�1ii/•:i>i?!„'+t,Y:::n:v: :.: :::,•n::::•.: �.+.::v::::n: •....:.'�T.QTS[.,�...�.ti�.tiv::�..i:;.:>j%:i i:•i�i i'i::}}}]:::.:.�.,•:.,_�....:..-..-...1•..'P�......Si.•'...: z,Y. ..} .................... •v::::,•:::n}v::::::::{ni':::::::: x:::::::{: {::: ntv:::{ ......;.....;;{?ti^i'•}�{{{: .*:•: w•: {::{ !i :::........ .. :h:?i:•\• �':i J"•. `••}:..... {{••. �:•{'{}:•ri}:�: is>135•'.tii v::.. i• ::i.YF4i::�.•........�r��,t,,.,,�,,.,....�.+.:�:•..':�T.7::?::•:+:.:.:.:.. is:.........:i�:...... :.:..............::...:... ( ii iii;J•iii'ii{<;ji;:•iv:•itiiiiiiiii?{r ;i.�;;iiii:-::i ii;i;:: :.�:: v: {•.,{•: •.v:�..;:::::.v'•r}: ii iT :.,: �; .....,?:::.?iei :••:: ^':rJi J}:�:::•::.?;•,}, •i: ii:::::::::::{:n..•.; •.:::: {::;J:•JJJi.-: {ii iiiii ...{.. 1y��. :: I�:�1 :.:..:-i??ii:.`l�: v:::::.�i•i}:•J??:?:•U?}iiii}i::•J:^:•i:^:•iii??iii$: �.{'.•.•...:�..........{•••�•T+•+iiii iiii???ii?Ji:is �...............:.�.. ... :i'iii iiiiiiii:3iii.... COMMUNITY DEVELOPMENT SERVICES • 33S30 FIRST WAY SOUTH • PO BOX 9718 • FEDERAL WAY, WA 98063-9718 •2S3-661-4000 • FAX: 2S3-661-4129 www eeeral McRm CABLE B )NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES Single Family _Service or feeder only .... ....._............. SSO.00 _ # of 7bermostsis (First 437.50; sdd'n-$11.50ea _ (First •1300 le475.00; Illa& add'a $00 f -$24.00) Service and feeder.. » .. 581.(10 _ # oflow ow voltage fire or burglar alarms S9wro g Fast 2500 8�-543.50; Each add'n 2500 W.$11.50 Each outbuilding or garage .......... _ ...............$31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) # of se vice or feeders • Per WAC 29646-910(5)(bxi A it) Each outbuilding or garage ...... .:_ ...................$50:00 _ (Fust saviodfmderS50.00; Add'n swvied _ # ofSigm (Fast sign -537.50; add'n sign _ (Inspected separately) feeder -$33 each) $17.50 earb) _ Swimming pool, hot tub, spa ..... ........ .:. $75.00 _ Yard Pole meter loops...........................550.00 NEW MULTI -FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _ 0 to 200 ... ............. ............. _.................. $ 81.00 Up to 200 amp ...............5 81.00..................$ 24.60 Feeder _ 201-600 .. . ................................ . .......... 189-00 _ 201- 400 amp..................101.00......................50.00 _ 0 to 100........................... $ 91.00--...$ 50.00 _ 601-1000 ... »._.................................. »..284.50 _ 401- 600 amp .................. 138.00.._: ........... ...... 68.50 _ 101-200 _..... .................. 101.00............ 63.50_ over 1000................................................317.00 _ 601- 800 amp .... ......... :....176.50...._.....»._....94.30 201- 400................_..... 189.00 ............ 75.00 � # of circuits _ _ Over 800 amp...................252.50....................189.00 _ _ 401-600 ...................... . . 220.50............ 88.50 (1-5 cvwits463.50; Add'n circuits, $5 ea) ALTERED SINGLE/MULTI FAMILY _ 601-800 ......................... 294.50 ......... 120.50 (When inspected separately Rom the services.) _ 801.1000.._ ................... 348.00..»......145.50 TEMPORARY SERVICE Service or Feeder _ Over 1000 ........................ 379.00 .......... 202.50 Residential/Multi-Family/Commerci&lndustiial 0 to 200 amp..................................................S 68.50 _ Over 600 volts surcharge ... :...... ......... .. 63.50 _ 0-100 .. .... .................... .................... S 50.00 _ 201- 600 amp ..................................................101.00 — Mast or meter repair................................ 68.50 _ 101-200 .................................................. 63.50 _ over 600 amp ........................... _...................... 151.50 _ 201-400 ............................. . ................... 75.00 _ Mast or meter repair..........................................37.50 _ 401-600 .............. . ........... . .................... 101-00 _ # of circuits _ over 600 ................ .................. ............... 109.00 _ (14 circuits -550.00; Add'n circuits $5 es) It a new or anem Commercial Service is LW amps or grcaror, W a new Of auaea resruonuai X"VILM 13 51oaac. Uw �v a.uFn, a F—A — 3 -permit fee +563:50. Add'1 plan review for other submissions is $75.00/he Tatal Column (0) Estimated Permit Fee: (12) Fsdrnated Pwmit Fee from Parc 12 Estimated Plan Review Fee: $63.50+( X .35) _ (13) DU40LITION Estimated Permit Fee: (14) Bond Amount: (15) 0 ENGINEERING Estimated Permit Fee: (16) Bond Amount: (17) 1 Mitigation Fee: (18) (20) (22) SBCC Surcharge: (19) (21) (23) • Total (Pam one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(ln+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin # 100 — February 19, 2002