02-101278 City or Federal Way Electrical Permit #:02 - 101278 - 00 - EL
Community Development Services
iii *33530 l st 'ay S
Federal Way,WA 98003-6210
Ph:253 661.4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: VIRGINIA MASON
Project Address: 33501 1ST S Parcel Number: 926504 0010
Project Description: ELE-Wiring for fire alarm for addition
Owner Applicant Contractor
VIRGINIA MASON MED CTR MCMULLEN ELECTRIC INC MCMULLEN ELECTRIC INC
1100 NINTH AVENUE 203 W STEWART 203 W STEWART
PO OX 900,MS G3-FM PUYALLUP WA 98371 PUYALLUP WA 98371
SEATTLE WA 98111 (253)845-7593
Electrical Fixtures
1:, :f''Description '- ,-Qqatitydescription-.. " :':-' Quantity , . • Description'°. ;.::-Atifiatiantityj
Low Voltage Fire Alarm-Commercia 1620
PERMIT EXPIRES September 23,2002,IF NO WORK IS STARTED.
Permit issued on March 27,2002
II)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 Wa • /e /
Owner or agent: Date:347442..
/ /
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�•°f J CONSTRUCTION PERMIT APPLICATION
� �- RECEIVED
APPLICATION NUMBER: 0 2.4-s
APPLICATION NUMBER: - -
MAR 2 7 2002 APPLICATION NUMBER: - -
**Tte-fIl IIff inbmtirfticformation-Please print(in ink)or type**
Please note: Electrical, Fir Ve9gIrrbQ§sPtems and Engineering permits may require a separate application.
• • PROPERTY INFORMATION
SITE ADDRESS: 33501 - First Ave. S. ASSESSOR'S TAX/PARCEL#: -
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
■ PROJECT INFORMATION
TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION
Ca ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): Addiny Fire Alarm Conduit - 1 ('20
PROJECT NAME: Virginia Mason
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: DAYTIME PHONE:
Virginia Mason (253 )838 - 2400 I
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP):
i 33501 First Ave. S.
CONTRACTOR: NAME: DAYTIME PHONE:
McMullen Electric, Inc. (253 ) 845 - 7593
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
203 West Stewart (253 )845 - 7593
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER: FAX NUMBER:
19 90 - 10 1 $ 5 / - Q 0_,BL (253 ) 840 - 0529
CONTRACTOR'S REGISTRATION NUMBER: EXPIRATION DATE:
(copy of card required) MC M ULE I 5 2 9 B F 02 / 28 / 03
APPLICANT: NAME: DAYTIME PHONE:
McMullen Electric, Inc. (253 ) 845 - 7593
MAIUNG ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE:
203 West Stewart Puyallup, WA 98371 (253 ) 845 - 759.3
RELATIONSHIP TO PROJECT: FAX NUMBER:
❑ ARCHITECT ❑ TENANT ❑ OTHER(DESCRIBE): ( 253 ) 840 - 0529
E-MAIL ADDRESS:
CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT GI CONTRACTOR
■ DETAILED BUILDING INFORMATION
EXISTING USE: EXISTING BUILDING ASSESSED/APPRAISED VALUATION $
PROPOSED USE: PROPOSED VALUATION FOR IMPROVEMENTS: $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ' ❑ NO
WATER SERVICE PROVIDER: ❑ LAKEHAVEN Cl HIGHLINE ❑TACOMA El PRIVATE(WELL)
SEWER SERVICE PROVIDER: 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)
**NEW RESIDENTIAL CONSTRUCTION ONLY**
r ► INUMBER 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)
DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC ❑ GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATERS)
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.( )
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(including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which may be made by any person,induding the undersigned,and filed against the City of
Federal Way,but nl where such claim arises out of the reliance of the city,induding its officers and a ployees,upon the accuracy
of the informatio s plied to the city as a p of 's application.
�j
NAME/TI �p
,.(��,�►.., DATE: �' �c./04-11". I�
TL .�
❑ PROPERTY OWNER 0 APPLICANT 0 CO TRACTOR
FOR OFFICE USE ONLY:
❑ NEW ❑ ADDITION 0 ALTERATION ❑ REPAIR 0 TENANT IMPROVEMENT
CENSUS CODE: , LOT SIZE:
ZONING DESIGNATION : BUILDING SHELL ONLY? 0 YES 0 NO
COMP PLAN DESIGNATION BASIC PLAN? 0 YES 0 NO
SECTION TOWNSHIP RANGE NEW ADDRESS REQUIRED? 0 YES 0 NO
PLATTED LOT? 0 YES 0 NO CHANGE OF USE? 0 YES 0 NO
COMMUNITY DEVELOPMENT SERVICES•33530 FIRST WAY SOUTH•P.O.BOX 9718•FEDERAL WAY,WA 98063-9718•253-661-4000•FAX:253-661-4129
4. •
• ELECTRICAL so
TABLE B t •
• NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES
_Single Family_ Service or feeder only $44.25 _#of Thermostats(First-$33.50;add'n-$10.50ca)
(First 1300 ft-$67.00;Each add'n 500 ft2-$21 S0) _Service and feeder $72 25 _#of Low voltage fire or burglar alarms
Square Feet: First 2500 11e-$38.75;Each add'n 2500 ft2-$10.50
_Each outhuildingor garage . S28 00 MOBILE HOME/RV PARK Square Feet.
(Inspected with service) _#of service or feeders • Per WAC 296-46-910(5)(b)(i R ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Add'n scrvicc/ _#of Signs(First sign-$33.50;add'n sign
(Inspected separately) feeder-$28 each) $16.00 each)
_Progress inspection per 1 hr. $33.50
_Swimming pool,hot tub,spa. 67.00
_Yard Pole meter loops 44.25
X Per clan review $43.50
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 $72.25
_Up to 200 amp $72.25 $21.50 Feeder _201-600 169.00
' _201-400 amp 89.75 44.25 _0 to 100 $72.25 $44.25 _601-1000 254.50
_401-600 amp 123.25 61.50 _l 01-200 89.75 56.25 _over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 _#of circuits
_Ovcr 800 amp 225.25 169.00 _401-600 197.00 78.75 (1-5 circuits-$56.25;Add'n circuits.$5 ea)
ALTERED SINGLE/MULTI FAMILY _601-800 254.50 107.25
(When inspected separately from the services.) _801-1000 310.75........129.75 Temporary Service
Service or Feeder _Over 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp S 61.50 _Over 600 volts surcharge 56.25 _61 -100 44.25
_201-600 amp 89.75 _Mast or meter repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
' _Mast or meter repair 33.50 _401-600 89.75
_N of circuits _over 600 97.75
(1-4 circuits-$44.25;Add'n circuits$5 ea)
- If service is greater than 200 amp,a plan review is req'd.Fee is 35%of permit fee+$56.25.Add'I plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B(B) NUMBER OF UNITS(C) TOTAL(D)
TOTAL COLUMN(D):
Total Column(D)
Estimated Permit Fee: (12)
Estimated Permit Fee from Fine 12
Estimated Plan Review Fee: $56.25+ 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)
Bulletin#100-January 3,2001