02-101049CityCommunity
Development Services
Bel Way
Community Electrical Permit #: 02 - 101049 - 00 - EL
33530 1st Way S
Federal Way, WA 98003-6210
Ph: 253.661.4000 Fax: 253.661.4129 Inspection request line: 253.835.3050
• Project Name: ST FRANCIS HOSPITAL STERILIZATION
Project Address: 34515 9TH S Parcel Number: 750451 0020
Project Description: ELE - Adding (6) 2'X4' light fixtures, (2) 3 -way switches, (2) duplex's, (1) GFI duplex, (4) 4-Plex's, (3)
Telephone openings, (1) Data opening and relocating, (2) Disconnects in the clean workroom CS -1019.
Adding (4), 120 V. circuits
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
984054933
(206) 436-5200
Electrical Fixtures
Low Voltage -Other Commercial 4
PERMIT EXPIRES September 9, 2002, IF NO WORK IS STARTED.
Permit issued on March 13, 2002
• 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 or agent: Date:
r-114ALED
GGi
11
., . ■ PR03ECTINFORMATION
TYPE OF PROJECT (This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description):&n!� ��� Z 1C ( Vi4 vl'1' /��XYU,C,�S (Z) "
56w1 rAzS ' (z) Du,0CNx'S (L) G -FS ,0 O(Ax (-IIJ 4i/-P40X `r (S)
PROPERTY OWNER:
CONTRACTOR:
APPLICANT:
NAME: DAYTIME PHONE:
1-'4*IC(5eA t 118*6A SY.fwri
MAILING ADDRESS (STRE,ETDRESS; QTY, STATE, ZIP):
J7/7 So— r -s rir gr
NAME:
&Z l�� �.
i
DAYTIME PHONE:
(AY4
ZOO
MAILING ADDRESS (STREET ADDRESS;QTY, STATE, ZIP):
EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS LICENSE NUMBER:
FAX NUMBER:
------------
)763-b5oS
CONTRACTOR'S REGISTRATION NUMBER:
EXPIRATION DATE
(copy of card required)
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT CONTRACTOR O&RA woo a (/4 . C�
ETAILED BUILDING •
EXISTING USE:
PROPOSED USE:
EXISTING BUILDING ASSESSED/APPRAISED VALUATION
PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE_ SUPPRESSION SYSTEM PROPOSED/REQUIRED: ❑ YES
WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE 1❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER: 11 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
**NEW RESIDENTIAL CONSTRUCTION ONLY**
NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
■ PROTECT FLOOR AREAS
FLOOR
EXISTING SQ. FT.
PROPOSED SQ. FT.
TOTAL
BASEMENT
-
AIR HANDLING UNIT(S)
FIRST
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
SECOND
HOOD(S)
WOODSTOVE(S)
BOILERS)
THIRD
RANGE(S)
MISC. (
COMPRESSOR(S)
FOURTH
DUCT(S)
OTHER FLOORS (DESCRIBE)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
DECK
BATHTUB(S)
GARAGE
HOW MANY FLOORS?
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
TOTAL:
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
ITCCI &TMFIZ/CTP,N1kTtlRE ALC
I certify under penalty of perjury that the information furnished 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: 3/8Z ?.caZ
IF
❑ PROPERTY OWNER APPLICANT COCONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33S30 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253661-4000 - FAX: 253661-4129
Indicate number of each type of fixture
MECHANICAL
-
AIR HANDLING UNIT(S)
EVAPORATIVE COOLER(S)
GAS LOG(S)
REFRIG. SYSTEMS)
BBQ(S)
FAN(S)
HOOD(S)
WOODSTOVE(S)
BOILERS)
FIREPLACE INSERTS)
RANGE(S)
MISC. (
COMPRESSOR(S)
FURNACE(S)
DUCT(S)
GAS PIPE OUTLET(S)
HEAT SOURCE:
❑ ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S)
LAVATORY(S)
URINAL(S)
WATER HEATER(S)
DISHWASHER(S)
RAIN WATER SYS.
VACUUM BREAKER(S)
❑ ELECTRIC ❑ GAS
DRINKING FOUNTAIN(S)
SHOWER(S)
WASH MACHINE OUTLET
GAS PIPE OUTLET(S)
SINKS)
WATER CLOSET(S)
MISC. ( )
INTERCEPTORS)
SUMP(S)
ITCCI &TMFIZ/CTP,N1kTtlRE ALC
I certify under penalty of perjury that the information furnished 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: 3/8Z ?.caZ
IF
❑ PROPERTY OWNER APPLICANT COCONTRACTOR
COMMUNITY DEVELOPMENT SERVICES - 33S30 FIRST WAY SOUTH - PO BOX 9718 - FEDERAL WAY, WA 98063-9718 - 253661-4000 - FAX: 253661-4129
■ ELECTRICAL
TABLE B
DENTIAL SERVICES
MOBILE HOMES
MISC EQUIPMENT/TEMP SERVICES
Family
_ Service or feeder only ......................... $48.00
# of Thermostats (First -$36.00; add'n-SI 1,00ca)
300 ftp -$72.00; Each add'n 500 fe-$23.00)
Service and feeder ............................... $78.00
# of Low voltage fire or burglar alarms
et:First
F
_
_
2500 fe-$42.00; Each add'n 2500 ft' -$11.00
utbuildingorgarage...........................$30.00
MOBILE HOME/RV PARK
Square Feet:
ed with service)
# of service or feeders
• Per WAC 296-46-9I0(5)(b)(i & ii)
autbuilding or garage ........................... $48.00
(First service/feeder-$48.00; Add'n service/
_ # of Signs (First sign -$36.00; add'n sign
(Inspected separately)
feeder -$31 each)
$17.00 each)
Swimming pool, hot tub, spa.................72.00
_ Yard Pole meter loops ...........................48.00
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
COMMERCIAL/INDUSTRIAL
(Includes three units or more)
Altered Service or Feeders
Service Feeder
Amps Service or Add'n
_ 0 to 200 ..............................................$ 78.00
Up to 200 amp .............. $ 78.00 ................ $ 23.00
Feeder
-201-600 .............................................. 182.00
_
201 - 400 amp .................. 97.00 .................... 48.00
_0 to 100 .........................$ 78.00....... $ 48.00
-601-1000 ............................................ 274.0,0
_
600 amp ................ 133.00 .................... 66.00
101-200 .......................... 97.00 ........... 61.00
over 1000.............................................305.00
_401-
_ 601 - 800 amp ................ 170.00.................... 91.00
_
_ 201-400 ........................ 182.00 ............ 72.00
# of circuits
800 amp ................. 243.00.................. 182.00
_ 401-600 ........................ 212.00 ........... 85.00
(-5 circuits -$61.00; Add'n circuits, $5 ea)
_Over
ALTERED SINGLE/MULTI FAMILY
_ 601-800 ........................ 274.00......... 116.00
(When inspected separately from the services.)
_ 801-1000 ...................... 335.00......... 140.00
TEMPORARY SERVICE
Service or Feeder
-Over 1000 ...................... 365.00......... 195.00
Residential/Multi-Family/Commercial/Industiral
0 to 200 amp ................................................ $ 66.00
_ Over 600 volts surcharge ...................... 61.00
_ 0-100 .................................................... 48.00
_
_ 201- 600 amp ................................................ 97.00
_ Mast or meter repair .............................. 66.00
_ 101-200 ................................................ 61.00
-over 600 amp ................................................ 146.00
_ 201-400 ................................................ 72.00
_ Ma4t or meter repair......................................1. 36.00
_ 401-600 . . ............................................. 97.00
_ # of circuits
_ over 600 ...............................................105.00
(14 circuits -$48.00; Add'n circuits $5 ea)
If service is greater titan 200 amp, a plan review is req'd. Fee is 35% of permit fee +$61.00. Add'I plan review for other submissions is $72.00/hr.
Total Column (D)
Estimated Permit Fee: (12)
Estimated Permit Fee from fine 12
Estimated Plan Review Fee: $56.25 + X .35 = (13)
_ - ■ DEMOLITION
Estimated Permit Fee:
Bond Amount: (15) _
Estimated Permit Fee: (16)
Bond Amount: (17)
>.■ OTHER FEES --
77
Mitigation Fee: (18) (20) (22)
SBCC Surcharge: (19)
TOtal (Pages one &Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23) = (24
alletin #100 - August 20, 2001