05-104125 City of Federal Way ' Electrical Permit #: 05 - 104125 - 00 - EL
Community Development Services -
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:( 53)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-3050
Project Name: ST FRANCIS-OUTPATIENT ONCOLOGY
Project Address: 34515 9TH,SAParcel Number: 750451 0020
Project Description: Voice/data cabling
Owner Applicant Contractor
FRANCISCAN HEALTH SYSTEM INTRACOMMUNICATION NTWK SYS INC INTRACOMMUNICATION NTWK SYS INC
1717 S J ST 4922 N PEARL ST 4922 N PEARL ST
TACOMA WA 98405-4933 TACOMA WA 98407 TACOMA WA 98407
(253)761-0418
Electrical Fixtures
Description, Quantity;, Description Quantity Description Quantity
Low Voltage-Other Commercial 11 2992
1
PERMIT EXPIRES February 12,2006.
Permit issued on August 16,2005
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 thelaws,rules and regulations of the State of Washington and
the City of Federal Way.
Owner or agen. Date: /--,Ly le.. 2 ei'e "
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-104125-00-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.
O Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ 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) in Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
11
By Date By !, Date I'5 0� By 11, Date \--Lkz_zkiers'
❑ Under-slab groundwork(4295)
Approved
By Date
A 6 LI los tel Z'-
Federal Way ECE�VEt Oi- _I .QL // 2"
y PERMIP
COMMUNITY DEVELOPMENT SERVICES SF MF COM EL L DE EN FP
33325 8Th AVENUE SOUTH•PO BOX 9718 P''
FEDERAL WAY,WA 98063-9718 A P P L I C AT I®� : - TD / /
253-835-2607•FAX 253.835-2609
www.dt uofede ral way.com
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The ollowl • is re,uired in ormation-an inco •lete a••Iiicat O k FEDERAL,fi WAY
t@I�II IuB1td1&�flitPaace•ted. Please •rint le•ibi 'n i or • .
■ PROPERTY INFORMATION
SITE ADDRESS 2 954 / - - • .v'i6U1 JovV, SUITE/UNIT# O /
ASSESSOR'S TAX/PARCEL# _ _ ftLOT SIZE ND /G10 sir:
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
r _
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
(-6444,4,it✓l. co--4 It g-c.- (J .th/4 CWidi ,
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
.� -_ . ✓o:c,t - '/j,7'i
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 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
❑ 801 - 1000 amp 486.50 203.50
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
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #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
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
1 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
❑ 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
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
❑ Low Voltage 'J ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) 31 1 L (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
0 Voice Cabling (for modified submittals)
I Q Data Cabling ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1.12500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 29646-910(5)(6)(&ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Penmit Application