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02-105439 J • C;ty of Federal Way Electrical Permit #:02 - 105439 - 00 - EL Connnunity Levelopment services 33530 1st Way S Federal Way,WA 98003-6210 Ph:253.&1.4000 Fax:253.661.4129 , Inspection request line: 253.835.3050 Project Name: ST FRANCIS MOB SLEEP LAB project Address: 34509 9TH S Parcel Number: 750451 0010 Project Description: ELE- Electrical wiring for four suite sleep lab TI. Add/alter 48 circuits off existing panels. Includes firt alarm wiring. Owner Applicant Contractor ST FRANCIS MED CTR ASSOC BOXWOOD*DARRELL TURNER* EXCEL ELECTRIC OF TACOMA 1717 S J ST 1218 3RD AVE SUITE 1412 5832 S ADAMS SUITE A TACOMA WA 98405-4933 SEATTLE WA 98101 TACOMA WA 98409 (253)475-6950 Electrical Fixtures e, v °`.x s : ' er c� 7i 061Cuantil y Low Voltage Fire Alarm-Commercia 2977 PERMIT EXPIRES August 17,2003. Permit issued on February 18,2003 I hereby certify that the a.• e info ation is correct and that the construction on the above described property and the occupancy and the us! • 1 be a accordance with the laws,rules and regulations of the State of Washington and the City of Federal Way.! ,1, Owner or agent: 'ay Date: dlla/C.J I 3 - 2 ZI — o3 W g lel (b I,7 7a NS- I t9 — /_S° � /� 6 C 3-3/ —V 3 by/I U c.c. ve4z In/ U fi e - i'7J'� c"._... q X03 C0.4`,(1, to Y � c�.�- �M‘ 110) (11 if l/3 c--- 2q `...3 mat Ny Co v e/L (ills l Do ) /{4-GUf / O r v10 �' 93 itt( Cet�rw co'Vel �Cei M ~ 2 �,(J �,70 ee - 6 _ - 7 1/4/Q9Z 'f v a ..--- z ---..y L A RECEIVED TCONSTRUCTION PERMIT APPLICATION � _ C`C 0 4 2002 APPLICATION NUMBER: ©L- 1Q54 -& APPLICATION NUMBER: - CITY OF FEDERAL WAY APPLICATION NUMBER: - - - BUILDING DEPT. **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: 31- 47 qj i9y . .9'0A ASSESSOR'S TAX/PARCEL#: zc D -gs7 - QQ.Q LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH�RATE�PTION IF LENGTHY): • PROJECT INFORMATION TYPE OF PROJECT(This application): o BQILDING o PLUMBING o MECHANICAL o DEMOLITION LECTRICAL o ENGINEERING o FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): /," S' / , S ...-0I )c'/c7 k? S31--, h o/s /01,45' PROJECT NAME: it/ ' j J /S ._ • PEOPLE INFORMATION PROPERTY OWNER: NAME: DAYTIME PHONE: �S f� i-/ �� i (253)5,/ 6.0.- MAILI G ADDRESS(STREET ADDRE CITY,STATE,ZIP): /7/ 7 SD. c� S , z-,,C'-r,A,- Tyless CONTRACTOR: NAME: VE59 6G 1 E�l 6 VCC OF l-G `EDAYTIME PHONE: - MAILING ADDR (STREET ADDRESS;CITY,STATE,ZIP): EVENING PHONE: ( ) CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: FAX NUMBER: ok" CONTRACTO{3'S, T.ION NUMBER: EXPIRATION DATE: JO 1 APPLICANT: NAME: DAYTIME PHONE: ,��7i',,d- , i v�J/`�rh (206)3¢3 -07.3p • MAILING ADDDRRESS(STREET ADDRESS;CITY,STATE,ZIP)' �J �//yyj� EVENING PHONE: /Z/D 01 e 514 lb ,i!// ✓ / �!//O) (z M)3�-A � RELATI SHIP TO PROJECT: FAX RCHITECT o TENANT o OTHER(DESCRIBE): VP )3 -0Z4/ E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: o PROPERTY OWNER Q.I'APPLICANT o CONTRACTOR S,,' ///& t v*k# t'* �y • DETAILED BUILDING INFORMATION �- �j� EXISTING USE: 'OP /Far '-v ISTING BUILDING ASSESSED/APPRAISED VALUATION $ =D,f•!/, WA� PROPOSED USE: �`�I e-00004/v -..*2/e----. PROPOSED VALUATION FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? • ES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED:Ke‘ 0 NO eiLF.,!/, mr WATER SERVICE PROVIDER: S KEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER: c%KEHAVEN o HIGHLINE o 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: • 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) WOODSTOVE(S) BOILER(S) FIREPLACE INSERT(S) RANGE(S) MISC.( ) COMPRESSOR(S) FURNACE(S) DUCT(S) GAS PIPE OUTLET(S) HEAT SOURCE: 0 ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINALS) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) o ELECTRIC o 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 su••lied to the city as a part of this application. -// NAME/TITLE: �`��IcWAIr l DATE: 4.1 y� o PROPERTY OWNERAPPLICANT o CONTRACTOR a0 4 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 Fixtures $21.00+{ X$7.00/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) IN ELECTRICAL TABLE B NEW RESIDENTIAL SERVICES MOBILE HOMES MISC EQUIPMENT/TEMP SERVICES _Single Family _Service or feeder only S4' #of Thermostats • -t-$33.50;add-n-$10.50ea) (First 1300 ft2-$67.00;Each add'n 501 •--$21.50) _Service and feeder 2.25 /#of Low volta,It burglar slams Square Feet: First 2500 ft2-$38.7 . h drkn 2500 ft2-$10.50 _Each outbuilding or garage.. $28.00 MOBILE HOME/RV PARK Square Feet: Si 1-i-' (Inspected with service _#of service or feeders *Per WAL296.46-910(5)(b)(i&ii) _Each outbuilding o ..rage $44.25 (First service/feed. .44.25;Add.n service/ _#of Signs(First sign-$33.50;addrn sign (Inspected sep• ely) feeder-$28• ch) $16.00 each) _Progress inspection per 2 hr $33.50 _Swimming pool,hot tub,spa 67.00 Yard Pole meter loops 44.25 NEW MULTI-FAMILY COMMERCIAL/INDUSTRIAL ERCIAL/INDUSTRIAL (Includes three units or more) I Altered Service or Feeders Service eeder Amps Service or •dd'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 $72.2 $44.25 _601 -1000 254.50 _401 -600 amp 123. - 61.50 _101 -200 8'. 5 56.25 over 1000 282.75 _601 -800 amp I :.00 84.25 _201-400 .9.00 67.00 of circuits _Over 800 amp . 25.25 169.00 _401-600 .. 197.00 78.75 ( -5 circuits-$56.25;Addrn circuits,$5 ea) ALTERED SINGLE/M I FAMILY _601 -800 254.50 107.25 . (When inspected s .•rately from the services.) _801 -1000 310.75 129.75 Temporary Service 1 Service or Feed- _Over 1000... 339.00 181.00 _0 to 60 $38.75 _0 to 200 a . $61.50 _Over 600 .Its surcharge 56.25 _61 -100 44.25 _201-6 r 0 amp 89.75 _Mast o eter repair 61.50 _101 -200 56.25 _ov- .00 amp 135.25 _201-400 67.00 _ •st or meter repair 33.50 401-600 89.75 #of circuits over 600 97.75 (1-4 circuits-$44.25;Addm 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.1 plan review for. .er submissions is$67.00/hr. FIXTURE DESCRIPTION A) I FIXTURE FEE FROM TABLE B(B) I NUMBER OF UNITS(C) TOTAL D iv ;_SD t . - NFvr7 43 13&_ _ . - dr . /J '! 2 TOTAL COLUMN(D): qZ.75 sasn(D) 3 Estimated Permit Fee: (12) • f li Oim ted Pemit F from line 12 /�`•� /C Estimated Plan Review Fee: $56.25+ 3 . X.35=(13) ✓ /. J • DEMOLITION