07-102480 1.0•.
City of Federal Way Electrical Permit #: 07-102480-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: AUBURN REGIONAL MEDICAL CENTER
Project Address: 1413 S 348TH ST Suite L104 Parcel Number: 185295 0090
Project Description: Installation of intrusion alarm
Owner Applicant Contractor
OPUS NORTHWEST LLC A D T SECURITY SERVICES INC A D T SECURITY SERVICES INC
915 118TH AVE SE SUITE 300 11824 NORTHCREEK PKWY N SUITE 105 ADTSESI032O5 9/25/07
BELLEVUE WA 98005 BOTHELL WA 98055-2910 11824 NORTHCREEK PKWY N SUITE 105
BOTHELL WA 98055-291Q
Additional Permit Information
Electrical Fixtures
Low Voltage Burglar Alarm -Con 5,000
PERMIT EXPIRES Wednesday, October 31, 2007
Permit Issued on Friday,May 4, 2007• .
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 Washington
and the City of Federal Way.
Owner or agent: _ - Date: 5—3
V ,SL,0r
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102480-00-EL
Owner: OPUS NORTHWEST LLC
Address: 1413 S 348TH ST Suite L104
FEDERAL WAY, WA 98003
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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
_ ❑ Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By�,�q , _ I Date S_1e3Aim
•
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
CITY OFr,_� 0 — -� 0 z
` 0
Federal Way
COMMUNI7YDEVELOPMENTSERVCES �EI� PERMIT SF MF CO ME� PL DE EN FP
33325 8Th AVENUE SOUTH•PO BOX 9718 •
?FEDER53-83R 5A
6WAY07•,FAXWA Z 53835 98063.-971 26 A p p L I C A T I O N TD
www.citrloffederaiwau.com AY 0 L� 200 - ���`�
. The following ilk .tilifieffrilitrWAVAiran incomplete application will not be accepted. Please print legibly(in ink)or type.
t, ► 9 •
L 0 PROPERTY INFORMATION
'
SITE ADDRESS 14i% 3'48 8 71 SUITE/WT.4 1 D4
ASSESSOR'S TAX/PARCEL# ( a 5 c
2 / 5-- C 0 r0 LOT SIZE(sn
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal description)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
iF.)S w-c- 5Ez4404ry SyitA
PROJECT NAME(Name of Business or Owner Last Name) 1'1161 12-i. 9-11e61t 41-. U Ci rP
• PEOPLE INFORMATION
PROPERTY NAME �/ • PRIMARY PHONE
c&
OWNER f-t .A WA, LN 44173 ( ) -
hikk MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
(Zbil30-4 S r 3W tel ., LA- O
78O .
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
� � � �� G3c c ( �.-S �-- 11 b
MAILING ADDRESS CITY,STAT ,ZIP CELL PHONE
l t°ea* N• (AAAAL Atom N *IR(oS• Psi •.1U► w 4- 4rsot/ ( ) -
1CITY OF FEDERAL WAY BUSINESS` LICENSE NUMBER EXPIRATION DATE FAX NUMBER
,\
/c '` k /.o J~S �- isc... ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of eard'requlred
with each apIleatfoa Pi-DrSE Sr-c g a- Q-2.4- •O 4
APPLICANT'' COMPANY NAME � ^ APPLICANT NAME OFFICE PHONE
5/1441t
.45 /�«l/11 7t/�- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant o Agent 0 Other ( ) -
i
PROJECTNAMETa�I.- PRIMARY PHONE E-MAIL ADDRESS
CONTACT 5time 4, +/T4i• ( ) -
LENDER NAME Per RCW 19.27.095:
/VA-. _ Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE 1
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ 4900 •Teo
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
. WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT • '
FIRST
•
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE) •
DECK•(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
•
NUMBER OF FLOORS COSMO PROPOSED TOTAL TOTAL zasraro Sr TOTAL PROPOSED SP' TOTAL LP
•
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
•
MECHANICAL
Value of Mechanical Work$' (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
MR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(comme,ci
COMPRESSORS FURNACES RANGES
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS losTub/Shower combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 aOree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation acid 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 supplied to the"city as a part of
this application.
NAME/TITLE S1 - �� • DATE
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent , ontractor 0 Architect o Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? a YES n NO
ZONING DESIGNATION CHANGE OF USE? o.YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES o NO ' DEMO PERMIT REQUIRED? ti YES o NO
Bulletin#100—April 2,2007 . Page 2 of4 k\Handouts\Permit Application
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-'$111.00;Each add'n 500 ft2-$35;50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00.
❑ Detached outbuilding or garage• ❑ 401-600 amp '327.00 131.00
(Inspected separately) $74.00 0 601-800 amp 423.00 179.00
•
• 0 801 - 1000 amp 516.50. 216.00 •
I NEW MULTI-FAMILY(three units•or more) 0 Over 1000 amp 563.00 300.00
I Service Feeder
❑ Up to 200 amp $120.50 $35.50 • ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 0 Mast or meter repair $102.00
• 401._600 amp 205.00 102.00 • ALTERED COMMERCIAL%INDUSTRIAL
0 601 -800 amp 262.00 140.50
•
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ 41 of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94,50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
1 ❑ Mast or meter repair $55.00 • ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $I20.50
TEMPORARY SERVICE
MOBILE.HOME/RV PARK Residentia
1/MuiH•Family $65.00
❑ # of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
O 0- 100 amps $74.00
❑ 101-200 amps 94.50
0 201-400 amps 111.00
❑ 401-600 amps 149.50
O over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by systems) 2.00 (Includes additional circuit,if required)
❑ Fire Alarm System ❑Yard Pole meter loops $74.00
A Security Alarm System
0 Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
. ❑ ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n.2500 ft2-•17.00)"Per WAC 295-46-910(5)(b)(i&ii)
•
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application