01-102597 •
City of Federal Way Electrical Permit #:01 - 102597 - 00 - EL
Conununity Development Semces
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: ST FRANCIS H SPITALS -AMBULATORY SERVICES BUILDING
Project Address: 34515 9TH �t/1 /../9 E G -0S_ D ttrl y� Parcel Number: 750451 0020
Project Description: ELE-Electrical work for new building
Owner Applicant Contractor
ST FRANCIS MEDICAL CALLISON ARCHITECTURE VECA ELECTRIC CO INC
1717 S J ST 1420 5TH AVE,SUITE 2400 PO BOX 80467
TACOMA WA SEATT WA 98101 SEATTLE WA 98108
98405-4933 (206)436-5200
Electrical Fixtures
Description x ''.,` ,' Quantity Description 1Quantt 11, '', Description (Quantity
Service/Feeder:over1000 amps-Corn 1
PERMIT EXPIRES May 13,2002,IF NO WORK IS STARTED.
Permit issued on November 14,2001
Si 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 Way. j�
Owner or agent: _ ;, ,—� Date: ( f /. 01
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' -ham D
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affa = CONSTRUCTION PERMIT APPLICATION
FI - '-R E •C Er p V E D APPLICATION NUMBER: O/ - /4 Z S j'Z -O O-EL
APPLICATION NUMBER: - -
JON 2 ' 7101 APPLICATION NUMBER: - _ e - _
**The tollowing.i;,re u re`d ip1ormation-Please print(in Ink)or type**
Lii1Y U�rcu�� rt vN
Please note: Electrical,Fire bl IiithM 41114&ems and Engineering permits may require a separate application.
4e-44-57
/J, Gj i1 AVE-OPERTY INFORMATION (' �^ ? t,00 SITE ADDRESS: 7"I 5 /c 1 T I- i V v S• ASSESSOR'S TAX/PARCEL#: 7J O 4 J 4 -0D!/V GO
LEGAL DESCRIPTION OF SUBJECT PROPERTY(ATTACH SEPARATE DESCRIPTION IF LENGTHY):
• PROJECT INFORMATION
TYPE OF PROJECT tills application): ❑BUILDING a PLUMBING a MECHANICAL ❑DEMOLITION
a ELECTRICAL a Et•G)NFERING a FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description): 0 'Ati/i" i L1aErAr -
I < - / i ' n/ i- ► .. ibl
I . I; . �a i i .♦ Si. . _�.. /. ,. �.-4/ .0. t. i
/ 1 Zia r /1-4.-p) ctii-o.• 6
PROJECT NAME: 7r pli-440. //t1)5,217)-(..., 47/,6116A1PFil Se-rt'/ • f GI/tP/N6
■ PEOPLE INFORMATION
PROPERTY OWNER: NAME: I r Ic (-iv 5,7 DAYTIME PHONE: -
MAIUNG ADDRESS(STREET ADDRESS;CiTYY,STATE,ZIP):
`f
3#-c75 q71 5ffl41Ai y 7,f4603
CONTRACTOR: NAME:V ,'czt lfy_✓i cari c..., DAYTIME PHONE:) -
,
MAILING ADDRESS(STREET ADDRESS;CITY,STATE,ZIP): I EVENING PHONE:
QTY OF FEDERAL WAY BUSINESS UCENSE NUMBER: ' , I , - FAX NU )R.
- I c — ` )) C
CONTRACTORS REGISTRATION NUMBER: EXPIRATIOON DAT'•
-i - - - •.„. _ v / /
DAYTIME
APPLICANT: NAME ANK PtCITJ GA- - 14cON 4 41 y Cf1 (206PHONE:
�3 -'f
1-6
MAIUNG ADDRESS(STREET ADDRESS; STATE,ZIP): EVENING PHONE: ?E.Z('54 f
(�26 570 Alit: #.-2/11460 .%� lJLC--, W/' ?P/b/ ( ) - i./T
A/ARCHITECT
LL ((ATIONSHIP TO PROJECT: FAX NUMBER: ,
❑TENANT ❑OTHER(DESCRIBE): p() 61-3 CT" 2-5--
E-MAIL ADDRESS:
- '/-
CONTACT PERSON FOR THIS PROJECT: a PROPERTY OWNER a APPLICANT a CONTRACTOR z�►N( (,,4 4 5.,"%e•
(rie.i
EXISTING USE: 7f/IrAl EXISTING BUILDING ASSESSED/APPRAISED VALUATION $ ,` i 6.13/LIQ�
PROPOSED USE: C r 10. 5/AXgeket PROPOSED VALUATION FOR IMPROVEMENTS: $ '7 (1-6- , Ofro
SPRINKLERED BUILDING? a 1ES. a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIREI ES a NO
1 • I
WATER SERVICE PROVIDER: 4/LAKEHAVEN o HIGHLINE a TACOMA o PRIVATE(WELL)
SEWER SERVICE PROVIDER: !!!it LAKEHAVEN a 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 '2 `1 'f 2 , s'71
34 r 3-1.2.-
FIRST rb 3 60 19 3-24 ? 6 t 1
SECOND Z;) r 1 17 '7r cilf' + / A i l
THIRD
FOURTH I ( l i b (-6. ( 7
rq
10
OTHER FLOORS(DESCRIBE)
ii
DECK
GARAGE
HOW MANY FLOORS?
TOTAL: ` b- vi'-z- L( s- V i('
Indicate number of each type of fixture
/ MECHANICAL
!/ AIR HANDLING UNIT(S) EVAPORATIVE COOLER(S) GAS LOG(S) REFRIG.SYSTEM(S)
BBQ(S) 4 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 )(GAS
PLUMBING
BATHTUB(S) LAVATORY(S) URINAL(S) Z 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) r 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(induding costs,expenses,and attorneys'fees incurred in the
investigation and defense of such daim),which may be made by any person,including the undersigned,and filed against the City of
Federal Way,but only where such daim arises out of the reliance of the dty,induding its officers and employees,upon the accuracy
of the informatio upplied to the city as a part of this application.
NAME/TITLE: VnZilk DATE:
b' -40 I
o PROPERTY 97NE 4PPLICANT o CONTRACTOR
• 1
PROPOSED VALUATION: l/b j
FEE FACTOR FROM TABLE A:Number: / (a)Base Fee: *6I-^ �/ t (%
,� (b)Additional Increment Fee: 1 d
Estimated Permit Fee: (6) -v, '• e
Estimated Plan Review Fee: (7) 3� . L 5-
■ PLUMBING
Base 000+( Number X$7.00/fixture)= ��
$2 (8)Estimated Permit Fee
mated Permit
L-1 X .65= ;411. 0 ) (9)Estimated Plan Review Fee
Miscellaneous Fixture Charge:(10)
Sub Total(Page one): U - s) 1 +(2 +(3)+(4+(5)+(6)+7+ 8 +9 + 10 = 11
• ELECTRICAL
TABLE B
NEW RESIDENTIAL SERVICES MOBILE HOMES f,ISC EQUIPMENT/TEMP SERVICES
_Single Family _Service or feeder only._. $44.25 _# f Thermostats(First-$33.50;add n-$10.50ea)
(First 1300 ft-$67.00;Each add'n 500 ft-$21.50) _Service and feeder .... $72.25 _#of Low voltage fire or burglar alarms
Cry=,arr:Feet: Fust 2500 ft2538.75;Each tdor.t 2400 ft-510.50
_Each outbuilding or garage $28.00 MOBILE HOME/RV PARK Square Feet:
(Inspected with service) _#of service or feeders •Per WAC 296-46-910(5)(bxi&ii)
_Each outbuilding or garage $44.25 (First service/feeder-$44.25;Addm service/ _#of Signs(First sign-533.50;add=n sign
(Inspected separately) feeder-$28 each) $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 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 _051-1000 254.50
_401-600 amp 123.25 61.50 _101-200 89.75 56.25 ^, over 1000 282.75
_601-800 amp 158.00 84.25 _201-400 169.00 67.00 #of circuits
_Over 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 1-800 254.50 107.25
(When inspected separately from the services.) 01-1000 310.75 129.75 Temporary Service
Service or Feeds Ova 1000 339.00 181.00 _0 to 60 $38.75
_0 to 200 amp $61.50 _Over 600 volts surcharge 56.25 _61-100 44.25
_201-600 amp 89.75 _Mast or meta repair 61.50 _101-200 56.25
_over 600 amp 135.25 _201-400 67.00
_Mast or meta repair 33.50 _401-600 89.75
_#of circuits _over 600 97.75
(1-4 circuits-$44.25;Addax circuits$5 ea)
If service is greater than 200 amp,a plan review is req-d.Fee is 35%of permit fee+556.25.Add.1 plan review for other submissions is$67.00/hr.
FIXTURE DESCRIPTION(A) FIXTURE FEE FROM TABLE B:(B) NUMBER OF UNITS(C)` - TOTAL,(D)
4- 1,1oN E �°P- SNc--�,c -t- (-
173' ‘I I 331
TOTAL COLUMN(D): 3 31
Total Column(D)
Estimated Permit Fee: (12) /
Estimated Permit Fee from rine 12 2 3 t
Estimated Plan Review Fee: $56.25+ 0 X.35=(13) 7
• DEMOLITION - \
- �� • OCrieP/'e)
43 (f. '- -`'