Loading...
04-100837 City of y Development Services Federal Way Community Electrical Permit #:04 - 100837 - 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 WOMEN'S HEALTH CENTER Project Address: 34515 9TH& A'Ve 5 Parcel Number: 750451 0020 Project Description: Installation 8 thermostats for hospital women's health center Owner Applicant Contractor Hospital Bsp StFrancis VALLEY ELECTRIC CO OF MT VERN VALLEY ELECTRIC CO OF MT VERN 2002 ADV DEP PD 5282869 3001 OLD HWY 99 S 3001 OLD HWY 99 S. MOUNT VERNON WA 98273 MOUNT VERNON WA 98273 (425)483-6869 Electrical Fixtures Description Quantity Description Quantity Description Quantity Thermostat 8 PERMIT EXPIRES September 7,2004. Permit issued on March 11,2004 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. Owr.nr or agent: C� _ Date: 3/11 ./b Li C../S z ix)c4 @wee_ o� \D-1 \01.1 rbL an oA 1\a-tak°A (\e,x3e_ 3r-z fl \a-AtA MAR 117-"4 CONSTRUCTION PERMIT APPLICATION Y OF r-)k.%r CITI� � l Federal F�oERA�'wNI APPLICATION NUMBER:OA = L 3,a) 1)11Way G,jY Sof OF NG 054• APPLICATION NUMBER: 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. • PROPERTY INFORMATION SITE ADDRESS: 34/S75- 7r`J6' . .Su.fW ASSESSOR'S TAX/PARCEL#: LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION Ar ELECTRICAL ❑ ENGINEERINGG ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): -1.er14,-,4-41"‘ o 4 44 c '- - ---i Zs . l/E# 41,5-7 Cowi( v'- (4-rr3‘6 - 4yd- /1y7. a.r.s / PROJECT NAME: VD 44 L--'+•S #e.4r!//`4 ev4.- '/ y- ,e‘1iySiir /ar�r <<� • PROJECT INFORMATION V PROPERTY OWNER: NAME: DAYTIME PHONE: 5ie e:s t /5,09,i � ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): 3/S/S 7 m'7.- ,1c . �Sa �•/ �c�c..�/ G4/7 (✓,f 7Pod 3 CONTRACTOR: NAME: DAYTIME PHONE: (/!/ �D,, ( ) y-‘co� MAILING ADDRESS REET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: -Iva/ O/ �/�4..'� 79 S�-� /*/(/mlid•. 2?)2 3 ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: a- o -tea - L Q ,/ 7 - © a (360) (i,?- ?7yv CONTRACTOR'S REGISTRATION NUMBER: � EXPIRATIONTIDATE: (copy of card required) (/ k L L L £ C 1 Y L AC!y $ l / l 0 APPLICANT: NAME: DAYTIME PHONE: 7 ( ) MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) RELATIONSHIP TO PROJECT: FAX NUMBER: 0 ARCHITECT ❑TENANT ❑ OTHER(DESCRIBE): ( ) E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: 0 PROPERTY OWNER o APPLICANT CONTRACTOR ,/ • PROJECT INFORMATION EXISTING USE: 14 .#44,( EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ PROPOSED USE: /T'l3pi PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED: o YES ❑ NO WATER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: o LAKEHAVEN ❑ HIGHLINE ❑ 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 3 p O• 3 O 3PO• FOURTH OTHER FLOORS(DESCRIBE) DECK GARAGE HOW MANY FLOORS? TOTAL: 3 90• 3 Po • Qcr ■ 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) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( TOVE(S) 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 0 GAS DRINKING FOUNTAIN(S) 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 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: v"✓/ •— t� DATE: 3 .:9 ❑ PROPERTY OWNER ❑ APPLICANT ,ONTRACTOR FOR OFFICE USE ONLY: ❑NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR ❑TENANT IMPROVEMENT CENSUS CODE: LOT SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? ❑YES ❑ NO SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? ❑YES ❑ NO PLATTED LOT? ❑YES ❑ NO CHANGE OF USE? ❑YES ❑ NO COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•PO BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129 www.c:tvofederalway.corn • ■ ELECTRICAL • TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family Service or feeder only . . $57 00 _#of Thermostats(First-$43 00,add'n-$13 00ea) (First 1300 ft2-$85 50,Each add'n 500 ft2-$27 50) _Service and feeder $93 00 _#of Low voltage fire or burglar alarms Square Feet First 2500 ft2-$50.00,Each add'n 2500 ft2-$13 00 _Each outbuilding or garage . $35 50 MOBILE HOME/RV PARK Square Feet (Inspected with service) _#of service or feeders *Per WAC 296-46-910(5)(b)(i&n) _Each outbuilding or garage .. . $57 00 (First service/feeder-$57.00,Add'n service/ _#of Signs(First sign-$43 00,add'n sign (Inspected separately) feeder-$37 each) $20 00 each) _Swimming pool,hot tub,spa ... $85 50 _Yard Pole meter loops . $57 00 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL COMMERCIAL/INDUSTRIAL (Includes three units or more) Altered Service or Feeders Service Feeder Amps Service or Add'n _0 to 200 .$ 93 00 _Up to 200 amp . . . $ 93 00 . $ 27 50 Feeder _201-600 . . . 216.50 _201-400 amp. . .115 50 57.00 _0 to 100 . . . . $ 93 00. .$ 57 00 _601-1000 ... . . . 326 50 _401-600 amp .. . 158.50 . 78 50 _101-200 .. 115.50 . .72 50 _over 1000. .. . . . . 363 00 _601-800 amp 202 50 . 108 50 _201-400 216 50 . 85 50 _#of circuits _Over 800 amp . . ..289 50 . . 216 50 _401-600. . 252 50 101 00 (1-5 circuits-$72 50,Add=n circuits,$6 ea) ALTERED SINGLE/MULTI FAMILY _601-800 . .. . . 326 50. 138 00 (When inspected separately from the services) _801-1000.. 399 00 . 166 50 TEMPORARY SERVICE Service or Feeder _Over 1000 434 50 232 00 Residential/Multi-Family/Commercial/Industrial _0 to 200 amp . $ 71 50 _Over 600 volts surcharge 72 50 _0-100 ... . $ 57 00 _201-600 amp . .. 115.50 _Mast or meter repair . . . . 78 50 _101-200 . . 72 50 _over 600 amp. .. . .. . .. .. 174 00 _201-400 . 85 50 _Mast or meter repair . ..... . 43 00 _401-600 . . . . . 115 50 _4 of circuits _over 600 .... 125 00 (1-4 circuits-$57 00,Add'n circuits$6 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+$72.50 Add=1 plan review for other submissions is$85 50/hr FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D) r 114.4,4/ !/1 7 fi S/ TOTAL COLUMN(D): I /3 y Total Column(D) Estimated Permit Fee: (12) /13 Estimated Permit Fee from line 12 Estimated Plan Review Fee: $72.50+( X.35)=(13) ■ DEMOLITION Estimated Permit Fee: (14) Bond Amount:(15) ■ ENGINEERING Estimated Permit Fee:(16) 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) ,e/3/y Bulletin#100—December 23,2002 dri