06-102602 .LCIty of Federal WayFILE Electrical Permit #: 06-102602-00-ESL
Dommunity Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: ST.FRANCIS HOSPITAL
Project Address: 34515 9TH AVE S Parcel Number: 750451 0020
Project Description: ALT-changing light fixtures and adding outlets.
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM THOMPSON ELECTRICAL CONSTRUCTORS, THOMPSON ELECTRICAL
1717 S J ST INC. CONSTRUCTORS,INC.
TACOMA WA 98405-4933 PO BOX 45260 THOMPECOO8CW 2/16/08
TACOMA WA 98445 PO BOX 45260
TACOMA WA 98445
•
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 5.00
PERMIT EXPIRES Monday, November 20, 2006
Permit Issued on Wednesday, May 24, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the e will be in accordance with the laws, rules and regulations of the State of Washington
a e City of Federal Way.
Owner or agent: / Date: 06
Ft:�"ABED
ATHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 _
PERMIT#: 06-102602-00-EL
Owner:
Address: 34515 9TH AVE S
FEDERAL WAY, WA 98003-6761
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE THIS CARD.
Inspections are listed as close to sequential order as possible(read left to right,top to bottom). Please schedule inspections as appropriate. Work must not
be covered until it is approved. Check with your inspector if you are unsure about any of the inspections or the inspection sequence On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
o Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ ' al-Electrical(4055)
Approved Approved Approved
By Date By Date y Date 7/....-74
❑ Under-slab groundwork(4295)
Approved
By Date
0 4 A fti ' (art
CITY OF
56 / Q2 6OZ
. Federal Way my x 4 )i, r,, PERMIT SF MF CO ME PL DE EN FP
COMMUNBY DEVELOPMENT SERVICES
33325 S SOUTH•PO BOX 9718 P P LI CATI O N
FEDERAL WAY,WA 9 QF F p Fi ID '�
253-835-2so7•FAx2.53 U(LDWC P -
mmutcittpf(ederaiwao corn
The ,llow y is r-'wired ,tion-an incom'tete , , ,lication will not be acce,ted. Please ,rint , Cin ink)or .p .
1110 PROPERTY INFORMATION
SITE ADDRESS 34545-5- N/h Y.-4 At_. ) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL 0 - LOT SI7\)(
'1... CO--- ..t--4....)LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) CO--- ..t--4....) __ ��""11 }c _.�..-1 (_VkWA. .t &3)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide det•'•• description of work included on this permit only)
n.13 ‘ 100 . 'Vt.
PROJECT NAME(Name of Business or Owner Last Name) 17/'4 i'1 C/S CA c 41 (`F/7 7 i'/' ,.
U PEOPLE INFORMATION
PROPERTYE4�. PRIMARY PHONE
OWNER ('anG%S Ca✓‘ el-ea-14, 5 3- 1^1 ( ) -
MAILING ADDRESS CIY,STATE.ZIP
•CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
iel+•Isor) EJ di trot COn.Sirucioes 2tori 74o.vpsen (253)539- 0999
7IN AD CITY.STATE.ZIP CELL PHONE
. C. oX 9S2.62o %acc,.,-,0. c.Ji9 9' L4/ - (z ,) 47105- 97543
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0-Q L-L O Z 9 ( . ( B L /Z /3/ /ZC{* (Z•53) 537 - 0/a/
CONTRACTOR'S REGISTRATION NUMBER(copy of card requited with each application) EXPIRATION DATE
ztlQit2ECQag_ c (A) Oa/ lS '2rW
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS Cr!'!.STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent o Other(Describe) ( ) -
CONTACTPRIMARY PHONE E-MAIL ADDRESS
SMIX1 h I mesas (2.53) 53`) - 079q
LENDER Per ItCW 19.27.095: Lender information is NAME
required ifproject value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
•PRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE o TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
H723
f
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
. III
BASEMENT FT. SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT'❑
NUMBER OF FLOORS WITI1WG MOM= TOTAL TOTAL WENTWG WTOTALPTIan.
oroIS TOTALS.
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
MR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(common la] WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
III COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS crone] MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS(salvo= Inas) VACUUM BREAKERS ELECTRIC WATER HEATERS
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 authorised by the owner of the above premises to perform the work for which the permit application is made. I further was 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 .•e city,including its ,i p-s and employees,upon the accuracy of the information supplied to the city as a part of
this application. ,
•
NAME/TITLE L' J- .A.���./Lr Ali �. 6% . 0 TE /-- 7 ` c)f'
W (S�iature)- (Title)
RELATIONSHIP TO PROJECT 0 Owner o Agent contractor o Architect ❑ Other
J1FOR OFFICE USE ONLY
o NEW o ADDITION n ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application •
ELECTRICAL PERMIT INFORMATION
IDRESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
U Single Family Square Feet
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
U Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 U 201-400 amp 272.00 107.50
U Detached outbuilding or garage U 401-600 amp 317.00 127.00
(Inspected separately) $71.50 U 601-800 amp 410.00 173.50
U 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
U 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99•00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
U Over 800 amp 364.00 272.00 Service or Feeders
U 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 272.00
U 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
U 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 5 S of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
U Service- 1.000 amps or greater
ill ❑ Mast or meter repair $53.50 U Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
U Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARR Residential/Multi-Family $63.00
U #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Conunercial/Industrial Service or Feeder Ampacity
U 0-100 amps $71.50
U 101-200 amps 91.50
❑ 201-400 amps 107.50
U 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
U Low Voltage U Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
O Fire Alarm System U Yard Pole meter loops $71.50
O Security Alarm System U Additional Plan Review $107.50/hour
0 Voice cabling (for modified submittals)
0 Data CablingEi U Automation Fee on all Permits .. $5.00
al (Per System(s)1.12500 ft2-$63.00;
Each add'n 2500 ft2-16.50)"Per WAC 296-46-910(5)(b)(t&(t)
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application •