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01-103795 City of Federal Way .aw• Electrical Permit #:01 - 103795 - 00 - EL Community Development Services 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: VIRGINIA MASON Project Address: 33501 1ST S.Way S Parcel Number: 926504 0010 Project Description: ELE-Adding 3 additional 0-200 amp feeders. 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 ©ASC�l f 1 ,F ,+,_1 " nti Descr tion,., r r.m iri ; .� ������- (1 tr i 4i� dq � {� �.-,iu�Pa +qui:�Uc'�CI�E�! D�SCCI��1"�17 •. �:�QUafltlt)!, Alt.Serv./Feeder up to 200 amps-Co 3 PERMIT EXPIRES May 19,2002,IF NO WORK IS STARTED. Permit issued on November 20,2001 •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 . Owner or agent: /e �� / Date: ii 9b6( / l /2-(3-a t 2:4 C.c.L,.tir a �r - ' C (--• tit v L � C a ve,e ? K "FOP- if v A-c a Al SLAB i- f e tk-.9 2. L/,-L( cavCIL o xceir CRsi wetIlj BAttaDaM/ etss ,NyRM-40 (4-'4 u C v-z2 0`� T L, W C , ` SGL A'lZ — — — D 22 Coyv-*c,<LAA^.S \n <�,.I- crrJwk Sv 51444ac 3—�—oz C e;lm.Z k as -,k-i1a,, tz - - - °7— C�: �' C - km.l watt, o 3— q- c2 uVAc__cvYt L< `2 3 - -- OZ F;hal Arat) �TS , - 0° O�J it ,..r . , . _,_ ___ . , coNsTRucI ION PERMIT APPLICATION VV f=lY ._ y APPLICATION NUMBER: 0 1 - L1237-15- Oa a. APPLICATION NUMBER: — ``� �� APPLICATION NUMBER: _ _ _ — _ _ +Lt s r ,, VtItW fn4toi0Irg is required information-Please print(in ink)or type** I31..! iaLr'ii\j iJi_k- T. Please note: Electrical,Fire Prevention Systems and Engineering permits may require a separate application. V 'PROPERTY INFORMATION SITE ADDRESS: 3550( /sr ray ay S ASSESSOR'S TAX/PARCEL#: - LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY): ., 1 PROTECT INFORMATION TYPE OF PROJECT(This application): ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description): ���,c :,,Ip V ( /$ , i S• ) 10 12Airkt "'pat, A1PA 48 0 V .704 48oV , 44 01/) I- 1,d 2081/ O)& d ,r (A n,rA„e lean r. •PROJECT NAME: V I Ve`n I• ' (N AQ i ■� PEOPLE INFORMATION PROPERTY OWNER: NAME; ` / { DAYTIME PHONE: HAM ADD (STREETIADDRESS•CITY,Sr ,ZIP 335®l f i z�r Aa WLÀ CONTRACTOR: NAME: /� /) DAYTIME PHONE: _ MAILING ADDRESS(•% ST �ADDRESS; ATE,Z[P) TJ� EVENING PHONE: Li), s ( ) - CTIY FEDERAL WAY BUSINESS LICENSE NUMBER: � — �© � � � � — �y. FAX NUMBER: _ CO CTOR'S REGISTRATION NUMBER: L{ EXPIRATION DATE: (copy of card required) / / APPLICANT: NAME: �n �t DAYTIME PHONE s AI CM chi,La) S'EC'i2 lc, ---r11771 ri%c.to. (2S-3) XV,"-737_? MAILING ADDRESS(STREET ADDRESS;CIT1,STATE,ZIP):1. � EVENING PHONE:�� - ��� 203 to, �► v `J t RELATIONSHIP TO PROJECT: FAX NUMBER: ❑ ARCHITECT ❑ TENANT OTHER(DESCRI ): ( ) - / E-MAIL ADDRESS: CONTACT PERSON FOR THIS PROJECT: ❑ PROPERTY OWNER ❑ APPLICANT ❑ CONTRACTOR ■ DETAILED BUILDING INFORMATION EXISTING USE: EXISTING BUILDING ASSESSED/AP• •i•ISED VALUATION $ PROPOSED USE: PROPOSED VALU• ' •N FOR IMPROVEMENTS: $ SPRINKLERED BUILDING? ❑ YES ❑ e • SUPPRESSION SYSTEM PROPOSED/REQUIRED:❑ YES ❑ NO WATER SERVICE PROVIDER: ❑ LAKEHAVEN ❑ G' - E ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER: 0 LAKEHAVE i, 0 HIGHUNE 83 •• ATE(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: ❑ ELECTRIC 0 GAS PLUMBING BATHTUB(S) LAVATORY(S) URINAL(S) WATER HEATER(S) DISHWASHER(S) RAIN WATER SYS. VACUUM BREAKER(S) ❑ 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 a to any daim(induding 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 onl where such claim arises out of the reliance of the city,induding its officers and employees,upon the accuracy of the information s ied to the city as a part of this application. �q NAME/TITLE: ( a.�DATE: 7 a ( v ❑ PROPERTY OWNER ❑ APPLICANT ❑ CC,NTRACTOR FOR OFFICE USE ONLY: 0 NEW D ADDITION ❑'ALTERATION 0 REPAIR ❑:TENANT IMPROVEMENT CENSUS CODE: - LOT.SIZE: ZONING DESIGNATION: BUILDING SHELL ONLY? 0 YES ❑ NO COMP PLAN DESIGNATION BASIC PLAN? -..'❑YES 0'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