10-100118Erectrical
City of Federal Way
Community Development Services Permit #. 10-1001 18-00-E L
P.O. Box 9718
Federal Way, WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: AUBURN REGIONAL MEDICAL AT WALMART
Project Address: 34520 16TH AVE S Parcel Number: 212104 9010
Project Description: Low -voltage voice/data cabling.
Owner
AUBURN REGIONAL MEDICAL GROUP
Aoolicant
ADVANCED COMPUTER
Contractor
ADVANCED COMPUTER
21220 SR 140 E
COMMUNICATIONS
COMMUNICATIONS
BONNEY LAKE WA 98391
4227 MERIDIAN S SUITE C-6
ADVANCC994M4 (7/24/11)
PUYALLUP WA 98373
4227 MERIDIAN S SUITE C-6
PUYALLUP WA 98373
Additiiona! Permit Information
Is Use Educational or Institutional? ....................... No Service greater than 1000 Amps? ........................... No
-IRIMP ,
Electrical Fixtures
Low Vottage - Other (Commercial 11
PERMIT EXPIRES Wednesday, January 12, 2011
Permit Issued on Tuesday, January 12, 2010
hereby certify that the above informatson 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
'0;
thCity of Federal Way.
Owner or agent __ Cate: / "42 -149
FIK''LED
CITY OF 40'&
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO nEMAIN ON-SITE
Construction Inc ection Record
INSPECTION REQU.E TS: (253) 835-3050
10 -100118 -00 -EL Address: 34520 16TH AVE S
AUBURN REGIONAL MEDICAL GR FEDERAL WAY, WA 98003-6841
Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE 1111SARD. 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.
Final - Electrical (4055)
Approved
By Date k— -z
ElApproved
UFER Ground (4295)
❑
Ditch cover (4030)
❑
Slab/Concrete Floor (4255)
E] Service (4235)
Approved
Approved
Approved
Date
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date k— -z
ElApproved
Pool Bonding (4195)
❑
Temporary Power (4275)
E] Service (4235)
By
Approved
By
Date
Approved
By
Approved
By
Date
By
Date
By Date
E]
E:] Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
B(S Date — l Z—ZDV ct
Final - Electrical (4055)
Approved
By Date k— -z
ElApproved
Rough Electrical
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
RECE1"$VRM1T
Federal Way
COMMUNITY DEVELOMFNT SERVICES JANIAPPLICATION
253-835-2607- FAX 253-8352609
040 ALan(as"m
1TV nE 6MERAI WAY
-/(2- - -Z 0 -Z /-E
S1, AF CO ME?r7EL PL - DE EN FP
------- ------------
01 I MR? U, M.
SITE ADDRESS
SUITE/UNIT # ZONING ASSESSOR'S TAX/PARCEL #
WIN
M19 Is
NAME OF PROJECT
(Tenant or Homeowner Name)
0 BUILDING 0 PLUMBING ENECR&NICAL
TYPE OF PERMIT
0 DEMOLITIO!�ELI�CTRICAL 0 ENGINEERING 0 FIRE PREVENTION
.
ti I'/- Y A,
3ROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
7�
rc
NAME PRIMARY PHONE
PROPERTY OWNER
MAILING ADDRESS, C=, STATZ, ZIP
E-MAIL
CONTRACTOR APPLICANT PROJECT CONTACT
OWNER IS ALSO:
NAME
PRIMARY PHONE
CONTRACTOR
MAILING ADDRESS, CITY, STATE, ZIP ms 7
FAX
5, &Y2WZ,0Z4-,--,,4& k"A
V'a )ezzz
*A STATE CONTRACTOR'S LICENSE #
EXPIRA(TION DATE
FEDERAL WAY BUSINESS LICENSE
( I II I /c
NAME
PRIMARY PHONE
APPLICANT
MAILING ADDRESS, CITY, STATE, ZIP
FAX
PROJECT CONTACT
HANE
RIMARr PHONE
(The individual to receive and47
lVeWl?
MAILING ADDRESS, CITY, STATE, ZIP
FAX
respond to all correspondence
concerning this application)
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E-MAIL
PROJECT FINANCING
NAME
OWNER -FINANCED
'Required for projects with
MAILING ADDRESS, CITY,
PRIMARY PHONE
value of $5, 000 or more
(RCW19.27.095)
I certqy under penalty of perjury that I am the property owner or authorized agent of the property owner. IT certVy that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. r certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
Ifurther 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 filled against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information -vupp - ication.
city
to the city as apart qf*L"'PPI
PRINT
Bulletin #100 -January 1, 2010
Page I of 4
k:\HandoutsXPennit Application
ELECTRICAL
RESIDENTIAL
x $ 71:00
COMMERCIAL
61 - 100amp
NEW SINGLE FAMILY RESIDENCE
x $ 39.00
NEW COMMERCIAL
Total Square Feet
x $ 51.00
1" Service/Feeder
Additional Feeders
(including attached garage):
;:.:0• - 100 amp
x $132.5Q
x $ 80.50
FEES: First 1300 ft2 - $122.00;
101- 200 amp
4$:164:00
x $10.3.50
Each additional 500 ft2 - $39.00
201- 400 amp
401• W 609 snip.x:
x:$.307.00
$358 00
x $121:00
it $113;,50
NEW MULTIFAMILY (3 units or more)
13° Service/Feeder Additional Feeders
601 - 80.0 amp
x$463;0.0..
x $196:00
0 - 200 amp - x $132.50 x $ 39:0.0.
801 .- 1000 amp
. ::; .. x $565.00:
x:$236:50
201 -AW nip - x: $164.00: x $ 80:50
Over 1000 amp
X:$6:16.00
x $328.50
401 - 6.00 amp x $224:00 x $111.50
601 - 800 Aid x- $287 00::: : x $153:50
Over 60.0 volts surcharge
x $103..50
Over 800 -amp _ _ x $410.50 x $307.00
ALTERED COMMERCIAL
ALTERED SINGLE or MULTI FAMILY
1s' Service/Feeder Additional Feeders
0 -- 200: amp
1s' Service/Feeder
x $1:32.50
Additional Feeders
x:$10:3.50
.0 - 200amp x.: $10'1:00 x 39.00
201 - 600 amp x :$164:00 x $ 80:5.0
201- 600 amp
x $307 00:
x $121::00
Over 600 amp -x $246.50 x $111.50
601 - 1.000 amp
x$463:00
x. $196.00
Over 1000. amp
x $5:1:5:50
x:$328.50
Added or Altered Circuits... .........
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 0
$103.50 plus 35% of Permit Fee; Plan Review required for:
Service and feeder x $132.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice/Data Cabling
Area, to be s by sys m:
a00 fra-$71.00; each additio ,
# of Thermostats
First $60.50; each additional $18.50
# of signs
First $60.50; each additional $28.50
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover/inspection only __ x $121.00
1s' Service/Feeder Additional Feeders
0 - 60 amp
x $ 71:00
x $ 32.00
61 - 100amp
x $ 80.50
x $ 39.00
101 - 200 amp
x $103.50
x $ 51.00
201 - 400 amp
x: $121,00
x $ 60.50
401 - 600 amp
x $164:.00
x $ 80.50
Over 600 amp
x: $184.50
x $ 92.00
**NOTE: an automation fee of $6.00 will be charged
on all permits**
For fixtures or fees not listed contact the Permit Center at
253-835-2607
Bulletin #100 -January 1, 2010 Page 3 of 4 k:\Handouts\Permit Application