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02-102538 I I A , I City or Federal Community Development ServicesElectrical Permit #:02 - 102538 - 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-AMBULATORY SERVICES BUILDING Project Address: 34515 9TH S Parcel Number: 750451 0020 Project Description: ELE-Installing Voice&Data communication cabling for new 3-story 62492 sqft building Owner Applicant Contractor ST FRANCIS MEDICAL INTRACOMMUNICATION NTWK SYS IN*R INTRACOMMUNICATION NTWK SYS IN*R 1717 Si ST 4922 PEARL ST 4922 PEARL ST TACOMA WA TACOMA WA 98407 TACOMA WA 98407 98405-4933 (253)761-0418 Electrical Fixtures Description J IQuatttitji 'lv :°Description _Quantity) Description jQuantity Low Voltage-Other Commercial 624927 PERMIT EXPIRES December 15,2002,IF NO WORK IS STARTED. Permit issued on June 18,2002 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 accord.+ce ith the law , les and regulations of the State of Washington and the City of Federal y. Owner or ag ,t: , (/ � 4/1 Date: �G • r , City of Federal Way CCommunity DeveloparentServices Electrical Permit#:02 - 102538 - 00 - EL � r 335301st Way S Federal Way,WA 98003-6210 Ph:253.661.4000 Fax:253.661.4129 a Inspection request line: 253.835.3050 • Project Name: ST FRANCIS HOSPITAL-AMBULATORY SERVICES BUILDING Project Address: 34515 9TH S Parcel Number: 750451 0020 Project Description: ELE-Installing Voice&Data communication cabling for new 3-story 62492 sqft building Owner Applicant Contractor ST FRANCIS MEDICAL INTRACOMMUNICATION NTWK SYS INC INTRACOMMUNICATION NTWK SYS INC 1717 S J ST 4922 N PEARL ST 4922 N PEARL ST TACOMA WA TACOMA WA 98407 TACOMA WA 98407 98405-4933 (253)761-0418 Electrical Fixtures .................ire [ :........................... . � .::.:::::::::::.�::..............'�.. 1�.:::::::.:...... .........�... .� .................................1�!.................. ? Low Voltage-Other Commercial 62492 PERMIT EXPIRES December 15,2002,IF NO WORK IS STARTED. Permit issued on June 18,2002 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: 2-56A- Or/L C-eo'e,lit- S c'e_4.-i ple-4. tC) — vz- -€J C\---7\Cf7 RECEIVED «*Y« = CONSTRUCTION PERMIT APPLICATION � Erbt4 1 8 2002 APPLICATION NUMBER: Q�- L 0g532- [ t. FEDERAL\NW G� pF APPLICATION NUMBER: BUILD DEPT• APPLICATION NUMBER: **The following is required information-Please print(in ink)or type** Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. u • PROPERTY INFORMATION SITE ADDRESS:341 S/3 / Sft IFS'4)7 ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION/ IF E/NGT_HY): �Cc/;✓f fPCTwC;3 /(Ls7-Sp &f Oc.tpc,Tie.✓71.n,7 ■ PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING o PLUMBING o MECHANICAL ❑ DEMOLITION )(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT D5 CCRIPTION(Provide detail description): '.✓/ .. , !/ C- PROJECT NAME:„S 64(4"/'G/,S ®fi1i. 4.€;'_-,t ,�7I4• , • PEOPLE INFORMATION NAME' DAYTIME PHONE: / i-t/Ye Coe, PROPERTY OWNER: / ` tU%( ( ) � es � eA- ,P MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): CONTRACTOR: NAME. DAYTIME PHONE: rN S.Z U253)W I1 .REET� CITY, EVENINGMAILING -cif ///-c . ?P a 7- ( s3PHONE:71 t7/84 CITY OF FEDE AY BUSINESS LICENSE NUMBER: FAX NUMBER: 20 -0/ co©iS3 - cho - Q/ 03-1)$7S -o/g` CONTRACTO ' ISTRATION NUMBER: `r�,/ EXPIRATION DATE: (copy of card required) 27Y7€,-" f✓O`er' (t, / 0/ / 0 V APPLICANT: NAME DAYTIME PHONE: CO9v way MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ARCHITECT ❑TENANT o OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER o APPLICANT CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES 0 NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) ,D, 4 sJy vEcn-C ) ce RArea P /- 9 / P w t **NEW RESIDENTIAL CONSTRUCTION ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ • PROJECT FLOOR AREAS 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 INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: ❑ ELECTRIC o GAS PLUMBING BATHTUB(S) LAVATORY(S) - URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) 0 ELECTRIC ❑GAS DRINKING FOUNTAIN(S) SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTORS) SUMP(S) • DISCLAIMER/SIGNATURE BLOCK 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 aty of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred in the investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such daim arises out of the rel -nce of the city,including its officers and employees,upon the accuracy of the information plied to the c . part of this a•• tion.or NAME/ : // ` G / 4 . DATE: -1 9 -0 Z- o PROPER OWN-R o APPLICANT o CO RACTOR FOR OFFICE USE ONLY: o NEW 0 ADDITION o ALTERATION 0 REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? o YES ❑NO COMP PLAN DESIGNATION BASIC PLAN? o YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO PLATTED LOT? o YES ❑NO CHANGE OF USE? ❑YES a NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.citvoffederalway.com • ■ ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only $50.00 _#of Thermostats(First-$37.50;add'n-$11.50ea) (First 1300 ft2-$75.00;Each add'n 500 ft2-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: • First 2500 112-$43.50;Each add'n 2500 112-$11.50 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: 7t a940'0 (Inspected with service) _#of service or feeders 'Per WAC 296-46-910(5)(b)(i&ii) 1 _Each outbuilding or garage $50.00 (First service/feeder-$50.00,Add'n service/ _#of Signs(First sign-$37.50;add'n sign (Inspected separately) feeder-$32 each) $17.50 each) _Swimming pool,hot tub,spa $75.00 _Yard Pole meter loops $50.00 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 $ 81.00 $ 24.00 Feeder _201-600 189.00 _201-400 amp 101.00 50.00 _0 to 100 $ 81.00 $ 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 94.50 _201-400 189.00 75.00 _#of circuits _Over 800 amp 252.50 189.00 _401-600 220.50 88.50 (1-5 circuits-$63.50;Add'n circuits,$5 ca) ALTERED SINGLE/MULTI FAMILY _601-800 284.50 120.50 (When inspected separately from the services.) _801-1000 348.00 145.50 TEMPORARY SERVICE Service or Feeder _Over 1000 379.00 202.50 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp $ 68.50 _Over 600 volts surcharge 63.50 _0-100 $ 50.00 _201-600 amp 101.00 _Mast or meter repair 68.50 _10-200 63.50 _over 600 amp 1 51.50 _201-400 75.00 _Mast or meter repair 37.50 _401-600 101.00 #of circuits _over 600 109.00 (1-4 circuits-$50.00;Add'n circuits$5 ea) If a new or altered commercial service is 200 amps or greater,or a new or altered residential service is greater than 400 amps,a plan review is required.Fee is 35%of permit fee+$63.50.Add'I plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) .NUMBER OF UNITS(C) TOTAL(D) TOTAL COLUMN(D): _ 70 /0 6 i Total Column(D) Estimated Permit Fee: (12) Estimated Permit Fee from line 12 Estimated Plan Review Fee: $63.50+( X.35)=(13) IN DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) • ENGINEERING Estimated Permit Fee:(16) r Bond Amount: (17) ■ OTHER FEES Mitigation Fee:(18) (20) (22) ` SBCC Surcharge:(19) (21) (23) Total(Pages one&Two): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19,2002