05-102604 City of Federal Way Electrical Permit #: 05 - 102604 - 00 - EL
Community Development Services
" P.O.Box9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: GROUP HEALTH FEDERAL WAY MEDICAL CENTER
Project Address: 301 S 320TH sr Parcel Number: 152104 9055
Project Description: one 100-amp service for new steam generator
two 30-amp feeders to new sterilizer
two 20-amp circuits for dishwasher and wall receptacels
Owner Applicant Contractor
GROUP HEALTH COOP&PUGET*GROUP 1 PRIME ELECTRIC INC PRIME ELECTRIC INC
521 WALL ST 13301 SE 26TH ST 13301 SE 26TH ST
SEATTLE WA BELLEVUE WA 98005 BELLEVUE WA 98005
98121-1524 (425)747-5200
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Alt.Serv./Feed 201 amps-600 amps-it 3 Circuits- Commercial 2
IL_
PERMIT EXPIRES November 30,2005.
Permit issued on June 3,2005
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 W. •.
Owner or agent. Date: 6 —61
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THIS CARD IS TO REMAIN ON-SITE i
CITY OF A ' Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102604-00-EL
Owner: GROUP HEALTH COOP & PUGET
Address: 301 S 320TH ST
FEDERAL WAY, WA 98003
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By - Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
B N Date (AiBy Date By`�,tl
'til� Date Q ` d)
.❑ Under-slab groundwork(4295)
Approved
By Date
J-i
OF RECEIVEDQ - _LCZ 1.2-a1 Federal Way PERMIT
COMMUNI7YDEVELOPMENTSERVICES I JM 3 2.X5_
SF MF CO M PL DE EN FP
33325�RLWA ,Wfl7f.PO97X97f PLICATI4N
FEDERAL WAY,WA 94063.97]4 / /
253-435-2607•FAX 253435.2609
www eituolkderaiwaticorn CITY OF FEDERAL WAY
BUILDING DEPT.
The ollowi . is re,uired in ormation-an Inco •lete a••lication will not be acce•ted. Please •rint le•ibl (in in or .
n • PROPERTY INFORMATION
SITE ADDRESS 301 S. 32611+ STEECT SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ — LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desenpnonl
- ■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ik ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work
included on thispermit only)
Cl fee a vip ea v . -T - /ieIA.) Siearr1 9 e acre,7`0,—
(2 3Q 208v 7'7e�S lo nett, S7teM-11 i zcv
(Z) l 20 v 24 &Ay ci re i+s 4 - OGSS h IAJa-s h,ev and ufa G1
recce f.
PROJECT NAME(Name of Business or Owner Last Name)
- • • PEOPLE INFORMATION
PROPERTY NAME/, PRIMARY PHONE
OWNER (l ieot•P !7 GI F tom(ff' — Fet2ER '[ u W 4 %/. C• ( ) -
MAILING ADDRESS CITY, ATE,ZIP
301 s, 320�r�- Sr. vJi4/ W4 cireo3
CONTRACTOR C ANY NAME APPLICANT NAME OFFICE PHONE
F2 I n EL frrz,e 3o v Lei tie/eV (%15 ) 747 -5260
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/5351 aE 2& r4 ST tEVa k4 ( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
2 0 - b C)-1 CI l 7 k -7-B L / / (ff ) W1 5552
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
PR .L >McE .Z134BT. / '3o lgm7
APPLICANT COMPANY NAME APP ICANT NAME OFFICE PHONE
PI PiZ( �S ELE -liZi C <\1016 Co eJeg$ ((ZS )'747 - 5-260
MAILING ADDRESS CITY,STATE,ZIP - CELL PHONE
13361 aro g' 8c we U,ue Ult9 rere4 ) -
RELATIONSHIP TO PROJECT FAX//NUMBER
o Architect 0 Tenant o Agent 0 Other(Describe) Via. )7417 -,565.
CONTACT NAME PRI RY PHONE E-MAIL ADDRESS
, Ztj -& ( 1h$ ) 7q7 - 6200
LENDER 0perCiV,19.27,095:Lenderiiorm%stio '`is = NAME
iMMiT if pn_oject,value ezceeds,45,000,"
MAILING ADDRESS CITY,STATE,ZIP •
•
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
1
WATER SERVICE PROVIDER ❑LAKERAVEN ❑ HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAIEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
4
ELECTRICAL PERMIT INFORMATION
r RESIDENTIAL COMMERCIAL
/1
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or FeeEach Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) 0 to 100 amp(� $113.50 ( Z )$69.50
❑ 101-200 amp
❑ Detached outbuilding or garage 141.00 89.00
`���'��
(Inspected with service) $44.00
0 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
0 801 - 1000 amp 486.50 203.50
k NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 530.50 283.00
Service Feeder _
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 264.50
❑ 601 - 1000 amp _ 398.50
Service or Feeder ❑ over 1000 amp 443.50
LI Oto 200 amp $87.00
❑ 201 -600 amp 141.00 A( Z #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
1 ❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
LI 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
/1 ❑ # ❑ #of Signs
(First-$52ofThermostats
.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System
El Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
❑ Voice CablingCabling (for modified submittals)
❑ Data
❑
Automation Fee on all Permits $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2 16.00) •Per WAC 296-46-910(5)(b$&
1
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED
SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF - TOTAL SF
**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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commera9) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or rub/show<rcombo) SHOWERS WATER CLOSETS croikt) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom sinks( 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 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 relian • the city,including its officers and employees, upon the accuracy of the information supplied to the city as a part of 11
this application.
NAME/TITLE / — DATE J
(Signature) (Title)
RELATIONS • 0 PROJECT o Owner 0 Agent 0 Contractor ❑ Architect 0 Other
i► iw r. rQrRrr +r .: r+.o
F CE SE-
,w a 7 lDDITION.£ 'o ALTERATION o REPAIR w;a TENANT IMPROVEMENT 'x;
UILDII G SHF`T'T ONLY? �. y a YES' NO . _ BASIC PLAN? "s':z z ;--x .-o YES - :o NO -
�NI1�IG ESIGNATION r :;,. ,.z CHANGE OF USE? ` o YES NO
ADDRESS REQUIgED? r` , YFS p NO _ - UP/SEPA/SII?. . Y; s; } '. a YES .--p',442
&17 �,_.D ^G SES ?NOPr` DEMO-PERMIT,REQUIREIi?, ' ES` - O I 't
Bulletin#100–January,7,2005
0A:2 2 of 4 k\1 Iandouts\Permit Application
AL