00-105094City of Federal Way
Community Development Services
33530 1st Way S
Federal Way, WA 98003-6210
M 253 661 4000 F 253 661 4129
Electrical Permit #:00 - 105094 - 00 - EL
Inspection request line: 253.661.4140
X: ' ' (3:30pm cut-off for next day inspections)
Project Name: VIRGINIA MASON
Project Address: 33501 1ST S Parcel Number: 926504 0010
Project Description: ELECTRICAL - Install (5) 3-phase circuits for (4) sterilizers and (1) dishwaher
Owner
Applicant
Contractor
VIRGINIA MASON MED CTR
VIRGINIA MASON CLINIC
SASCO ELECTRIC
1100 NINTH AVENUE
33501 IST WAYS
PO OX 900, MS G3 -FM
FEDERL WAY WA 98003
PO BOX 3887
SEATTLE WA 98111
SEATTLE WA 98124-3887
Electrical Fixtures
Circuits - Commercial 5
PERMIT EXPIRES April 8, 2001, IF NO WORK IS STARTED.
Permit issued on October 10, 2000
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 ' cordance with the laws, rules and regulations of the State of Washington and
the City of Federal Way.
BOwner or agent: Date: l
C4"i !j G BUILDING DIVISION
�33530 First Way South
�� y Federal Way WA 98003
-� 1 � (253) 661-4000
F,i+►-SAY Fax (253) 661-4129
ELECTRICA► uOtONT APPLICATION
* **Federal Way Business License number: EL 0 - D 5(44
Job Address _3 j F +,,54 ci c` 5 D
Job Site Phone Z S3 - - V / 8 R
9135
Parcel No
Lot No
Subdivision Name
Owner/tenant
Mail Address
Phone
}n a 4S o,, fl,. 6,,1�, 4 ,
-3 3 j 0 � , � J 5, �
Electrical Contractor
Address/phone
Electrical contractor license number d)
18815 15 q`', 4 of 4) t, cj"?_ 07je w k
S,+-520 E *- as-(
Expiration Date: /L / 24 b/
C)
a S - 6b6 - R `FOO
Use of Bldg: ❑ SF Res 6LComm ❑ Other ❑ Multi ❑Church/School
Class of Work: ❑ New -,4-AlterationAddition ❑ Repair
Description of work:: o+ 4 54er,,)(Z,erf m--1,4 1 J%-4, Ly
4-- l ofs - 3e
6.
NEW RESIDENTIAL SERVICES
MOBILE HOMES
If service is greater than 200 amp, a
_ Single Family
_ Service or feeder only .... $44.25
plan review is req'd. Fee is 35% of
(First 1300 R2467.00; Each add'„ 500 tl2-$21.50)
_ Service and feeder ...... $72.25
Square Feet:
permit fee +$56.25. Add'1 plan review
_ Each outbuilding or garage . $28.00
MOBILE HOME/RV PARK
for other submissions is $67.00/hr.
(inspected with service)_
# of service or feeders
Each outbuilding or garage ..$44.25
(First service/feeder-544.25; Add'n service/
(Inspected separately)
feeder -$28 each)
MISC EQUIPMENT/TEMP SERVICES
NEW MULTI -FAMILY
COMMERCIAL/INDUSTRIAL
(includes three units or more)
# Of Thermostats (First -$33.50; add'n-$10.50ea)
Service Feeder
Amps Service or Add'n
# of Low voltage fire or burglar alarms
Up to 200 amp $ 72.25 . $ 21.50
Feeder
r
_
_
0 to 100 ..... $72.25 . $ 44.25
First 2500 ft2-$38.75; Each add'n 2500 ft 2-$10.50
_ 201 - 400 amp . 89.75 ... 44.25
_
101-200 89.75 56.25
* Per WAC 296-46-910(5xbxi & ii)
401 - 600 amp 123.25 ... 61.50
- ..... ..
# of Signs (First sign -$33.50; add'n sign
_
601 - 800 amp 158.00 ... 84.25
- 201-400 .... 169.00 .. 67.00
$16.00 each)
_
Over 800 amp .. 225.25 .. 169.00
401-600 .... 197.00 .. 78.75
Progress inspection per 1/2 hr .... $33.50
_
_ 601-800 .... 254.50 107.25
_
Swimming pool, hot tub, spa .... 67.00
_ 801-1000 ... 310.75 129.75
Pole (up to 60 amp) .. 38.75
_ Over 1000 .... 339.00 181.00
-Temporary
Yard Pole meter loops .......... 44.25
_ Over 600 volts surcharge .. 56.25
_
Mast or meter repair ...... 61.50
ALTERED SINGLE/MULTI FAMILY
COMMERCIAL/INDUSTRIAL
Inspections requested before 3:30pm will be
(When inspected separately from the
Altered Service or Feeders
made the following work day, 253.661.4140.
services.)
_ 0 to 200 ................. $ 72.25
_ 201-600 ................ 169.00
I hereby certify that I am the owner (or authorized
Service or Feeder
_ 601-1000 ............... 254.50
agent) of the above named property, or a licensed
0 to 200 am $ 61.50
_ over 1000 282.75
contractor (or firm's authorized agent) and am
_
_ 201 - 600 amp ............... 89.75
5' # of circuits
making the installation or alteration in
over 600 .................. 135.25
(1-5 circuits -$56.25; Add'n circuits, $5 ea)
compliance with all applicable city, county,
_
_ Mast or meter repair .......... 33.50
---------------
and/or state laws.
# of circuits ......................
Temporary Service
_
(14 circuits -$44.25; Add'n circuits $5 ea)
_ 0 to 60 .................. $38.75
Applicant's SignaPu
_ 61-100 .................. 44.25
101-200 ................. 56.25
v
_
_ 201-400 ................. 67.00
401-600 ...... .......... 89.75
Date: /b `/ d -- o� Oct O
_
over 600 .................. 97.75
aS� M.
REVISED IL7M
ei-