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02-103050
City of Federal Way Community Development Services Electrical Permit #:02 - 103050 - 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-Electrical for TI build out of the outpatient imaging area in the garden level of the Ambulatory Services addition. This review is expedited. Owner Applicant Contractor ST FRANCIS MEDICAL ST FRANCIS MEDICAL VECA ELECTRIC CO INC 1717 S J ST 1717 SJ ST PO BOX 80467 TACOMA WA TACOMA WA SEATTLE WA 98108 98405-4933 98405-4933 (206)436-5200 Electrical Fixtures Description pt, l pi, ."f Quantity] . "''Descriptiiin Alt.Serv./Feed 201 amps-6001I 2 to amps-Co' 1 fir" to N. ter PERMIT EXPIRES February 15,2003,IF NO WORK IS STARTED. lirPermit issued on August 19,2002 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. O--) Owner or agent: '- Date: g. / • , . I I - 3-cv-z_ ( p��-',�� .-��CcAit City of Federal Way Electrical Permit#:02 - 103050 - 00 - EL Community 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 Project Name: ST FRANCIS HOSPITAL-AMBULATORY SERVICES BUILDING Project Address: 34515 9TH S Parcel Number: 750451 0020 Project Description: ELE-Electrical for TI build out of the outpatient imaging area in the garden level of the Ambulatory Services addition. This review is expedited. Owner Applicant Contractor ST FRANCIS MEDICAL ST FRANCIS MEDICAL VECA ELECTRIC CO INC 1717SJST 1717SJST POBOX 80467 TACOMA WA TACOMA WA SEATTLE WA 98108 98405-4933 98405-4933 (206)436-5200 Electrical Fixtures pqq, '* •",Y€ `i o`.1.4.-.. 'i;1`.;r ''` 't ',41,., ' :{{ ; . . 7t1r7,14Ord h :+ ii! ilj�x»•2'.tyt' :t'.ti l Alt.Serv./Feed 201 amps-600 amps-I 2 Alt.Serv./Feeder up to 200 amps-C 1 PERMIT EXPIRES February 15,2003,IF NO WORK IS STARTED. Permit issued on August 19,2002 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: l 2—\C� --�� f"ln� ( 4p r&- J — -� 64() t tiJ :°F . CONSTRUCTION PERMIT APPLICATION VV L RECEIVED APPLICATION NUMBER: 02 - L©ao ( - eL FRY II 11 1 8 Z�02 APPLICATION NUMBER: - - ` APPLICATION NUMBER: • **The following9cRikritEaBIRAttWAyPlease print(in ink)or type** UILDING DEPT.. Please note: Electrical,Fire Prevention Systems an Engineering permits may require a separate application. • PROPERTY INFORMATION _ SITE ADDRESS: ' 45 6 ci /4V SO. CI8003 ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ' • PROJECT INFORMATION • TYPE OF PROJECT(This application): 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION XELECTRICAL 0 ENGIINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): tlj , rwcitm (DA TI • • PROJECT NAME: �'f' FirtlAttit. • PEOPLE INFORMATION 11 Ili II PROPERTY OWNER:• NAME: DAYTIME PHONE: F/*7Cis�n) A SYl(�m (,253)51t -6 3 MAILING ADDRESS(STREET ADD r 3 r L 1 2 /4 � h 5 /7/7 Sov V CONTRACTOR: NAME: DAYTIME PHONE: V -CTS tLEZ-7/4 c, QAo )y3(0. -900 MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: 5(o I'( '744 Avg S S0 WA. cr t3 t 68 (Z, )>yx. -SZao CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: / FAX NUMBER: - - ( ) - CONTRACrOR'S REGISTRATION NUMBER: EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: DAYTIME PHONE: VE7,A Lle.-r,ti c (Za6 )(0(, -5-zerc) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: S(o lei- -74-Lx A- S SLS T7 (AA . 9&o& (1060-)e/.76 - 5Zo'O RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT 0 TENANT igOTHER(DESCRIBE): (,M MAMA(' ( ) - E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER APPLICANT ❑ CONTRACTOR Aihrge,.(,( Q V. ■ DETAILED BUILDING INFORMATION 1 EXISTING USE: - EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ Y • PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:0 YES 0 NO WATER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) **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: • 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) 1 DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GIBS • PLUMBING a BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHERS) RAIN WATER SYS. VACUUM BREAKER(S) - -❑ ELECTRIC 0 GAS DRINKING FOUNTAINS) _ SHOWER(S) WASH MACHINE OUTLET GAS PIPE OUTLET(S) SINK(S) WATER CLOSET(S) MISC.( ) INTERCEPTOR(S) 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 City of Federal Way as to any daim(induding 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 reliance of the city,induding its officers and employees,upon the accuracy of the information. pplied to the city - a part of this application. NAME/TITLE: a C I __ _ „„,..r ... J • 3 V :t I c.. a DATE: �i�/Atli ❑ PROPERTY OWNER I❑ APPLICANT ❑ CONTRACTOR r -FOR OFFICE3USE"ONLY:'; rigi (VEIN ❑;ADISAIOPl;r =` ❑ALTERATION 4, ,0411e,-1-404.40iTENANTiIMPROVEN1ENT,.4i_611;:-:: NSUSrCODE �F .. -:;y&.v, - f'_ Fz -_,_ _ :: - . - r _ , --�..4 , r g :, : 0 ,_ .: z,==.-.,. .L;..-*� ' B�UILDI G;S ELL. 'YYES tLNO' `- y - �.EGllON O= ��=-�011YNS�IIP �'•GES - � N =ADD' '�QUIREb7 '�'�a_��*.NO �T'TEtb�7.,�.'fi❑ ES��pn-�!I�O,Y-=fo:----z ziANGeOwSE?.M 7�-.l.,❑,XES��:=�I�aNO`Ffix-F++q? rr... COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718.253-661-4000•FAX:253-661-4129 www.dtvoffederalway.00m Construction Permit Fee Calculation Sheet *******PLEASE NOTE: ALL FEES MUST_BE VERIFIED BY CITY STAFF PRIOR TO ACCEPTANCE OF PAYMENT. CHECKS FOR INCORRECT AMOUNTS WILL NOT BE ACCEPTED!******* Building,mechanical,and fire prevention system fees are based on the following schedule. ' TABLE A TOTAL VALUATION FEE FACTOR (1)$1.00 to$500.00 (1)$26.00 (2)$501.00 to$2,000.00 (2)$26.00 for the first$500.00 plus$3.50 for each addition/$100,00 or fraction thereof,to and including $2,000.00 (3)$2,001.00 to$25,000.00 (3)$78.50 for the first$2,000.00 plus$15.50 for each additional$1.000.00 or fraction thereof,to and including$25,000.00 (4)$25,001.00 to$50,000.00 (4)$435.00 for the first$25,000.00 plus$11.00 for each additional$1.000.00 or fraction thereof,to and including$50,000.00. (5)$50,001.00 to$100,000.00 (5)$710.00 for the first$50,000.00 plus$8.00 for each additional 31,000.00 or fraction thereof,to and including$100,000.00. (6)$100,001.00 to$500,000.00 (6)$1,110.00 for the first$100,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to and including$500,000.00 (7)$500,001.00 to$1,000,000.00 (7)$3,510.00 for the fist$500,000.00 plus$5.50 for each additional 31.000.00 or fraction thereof,to and including$1,000,000.00. (8)$1,000,001.00 and up (8)$6,260.00 for the first$1,000,000.00 plus$4.00 for each additional$1,000.00 or fraction thereof. Bold number is the base fee for the specified increment Italicized underlined number/s the fee_aeradditional specified increment PLUS: Add 65 percent of the base building permit fee for plan review fee. I j Add 25 percent of the base mechanical permit fee for mechanical plan review fee. Add 15 percent of the base building permit fee for Fire District#39 surcharge,commercial only. Add$4.50 for WA State Building Code Council,plus$2.00 per unit for duplex&above. **Electrical,plumbing,and mechanical fees are calculated separately** - - ■ BUILDING PROPOSED VALUATION: FEE FACTOR FROM TABLE A: Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (1) Estimated Plan Review Fee: (2) Estimated FW Fire Department Surcharge: (3) (COMMERCIAL ONLY) ■ MECHANICAL PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (4) Estimated Plan Review Fee: (5) In FIRE PREVENTION SYSTEM PROPOSED VALUATION: FEE FACTOR FROM TABLE A:Number: (a)Base Fee: (b)Additional Increment Fee: Estimated Permit Fee: (6) Estimated Plan Review Fee: (7) -■ PLUMBING Base Fee Number of PoAutes • . $22.50+{ X$8.00/fixture)= (8)Estimated Permit Fee • Estimated Permit Fee X .65= (9)Estimated Plan Review Fee Miscellaneous Fixture Charge:(10) Sub Total(Page one): Line(s)(1)+(2)+(3)+(4)+(5)+(6)+(7)+(8)+(9)+(10)= (11) ■ ELECI.JCAL 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-511.50 (First 1300 ft2-$75.00;Each add'n 500 ft'-$24.00) _Service and feeder $81.00 _#of Low voltage fire or burglar alarms Square Feet: First 2500 ft2-543.50;Each add'n 2500 ft2-511.5 _Each outbuilding or garage $31.00 MOBILE HOME/RV PARK Square Feet: (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&ii) _Each outbuilding or garage $50.00 (First service/feeder-550.00;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 $ 50.11 _601-1000 284.50 _401-600 amp 138.00 68.50 T 101-200 101.00 _over 1000 317.00 _601-800 amp 176.50 94.50 A.201-400 89.111 .11 _#of circuits _Over 800 amp 252.50 189.00 401-600 220.50 88.50 (I-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 _20I-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 t _#of circuits _over 600 109.00 1 (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+563.50.Add'l plan review for other submissions is$75.00/hr. FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE BIB) r -NUMBER OF UNITS(C) TOTAL D TOTAL COLUMN(D): ATotal Column(D) \ �a Estimated Permit Fee: (12) `^ t Estimated Plan Review Fee: $63.50+( X.35)=(13) '�J ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) ■ ENGINEERING Estimated Permit Fee:(16) I Bond Amount: (17) • OTHER FEES J 1= Mitigation Fee:(18) (20) (22) SBCC Surcharge:(19) (21) (23) 110 • Total (Pages one&Tyro): Line(s)(11)+(12)+(13)+(14)+(15)+(16)+(17)+(18)+(19)+(20)+(21)+(22)+(23)= (24) Bulletin#100-February 19,2002 • IG ( PROPERTY ) LEGAL DESCRIPTION SITE TRACTS A. B. C-1 , E. D-2, F AND X, PARCEL C-1 AND LOT 1-A OF ST. FRANCIS HOSPITAL. A BINDING SITE PLAN, RECORDED UNDER RECORDING NUMBER 9604110564, RECORDS OF KING COUNTY, WASHINGTON; TOGETHER WITH THE WEST HALF OF THE EAST HALF OF THE SOUTHWEST QUARTER OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SECTION 20. TOWNSHIP 21 NORTH. RANGE 4 EAST. WILLAMETTE MERIDIAN. IN KING COUNTY. WASHINGTON; EXCEPT THE EAST 40 FEET OF THE SOUTH 00 FEET OF THE NORTH 300 FEET; AND EXCEPT THE SOUTH 375 FEET OF THE REMAINDER; AND THE NORTH 100 FEET OF THE EAST HALF OF THE SOUTH HALF OF THE EAST HALF OF THE WEST HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 20; TOGETHER WITH AN EASEMENT FOR INGRESS. EGRESS AND UTILITIES PURPOSES OVER. UNDER AND ACROSS THE WEST 20 FEET OF THE SOUTH HALF OF THE WEST HALF OF THE EAST HALF OF THE NORTHEAST QUARTER OF THE SOUTHWEST QUARTER OF SAID SECTION 20; EXCEPT COUNTY ROAD. Sm • SITUATE IN THE CITY OF FEDERAL' WAY. KING COUNTY. WASHINGTON g �Sw f33 533,1 "..51 NEW H. PARKING NE1 SEF (111• 'NOF