12-101701�4
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: CORTIVA INSTITUTE
Project Address: 2030 S 314TH ST
E16drical
Permit #: 12- 101701 -00 -EL
Inspection Request Line: (253) 836 -3080
Project Description: Adding/altering (1) circuit to relocate outlet for copier
Parcel Number: 092104 9053
Owner A
ApUllican C
Contractor
HILLSIDE PLAZA ASSOC LLC B
B & G PROPERTY MAINTENANCE LLC B
B & G PROPERTY MAINTENANCE LLC
PO BOX 5003 5
533 A 6TH ST S B
BGPR0GP906M8 (7/28/12)
BELLEVUE WA 98009 K
KIRKLAND WA 98033 5
533 A 6TH ST S
KIRKLAND WA 98033
Is Use Educational or Institutional ? ....................... No
Electrical Fixtures
Circuits - Commercial .................... 1
to
Service greater than 999 Amps? .............................No
PERMIT EXPIRES Sunday, October 14, 2012
Permit Issued on Tuesday, April 17, 2012
1 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.
Owner or accent: � C Jt' --`
Date: q11 7
FINALED -41I41/1Z
THIS CARD IS TMAIN ON -SITE
F � @deial W � Construction In3� ection Record
Way INSPECTION REQUESTS: (253) 835 -3050
PERMIT #: 12- 101701 -00 -EL Address: 2030 S 314TH ST
Project: HILLSIDE PLAZA ASSOC LLC FEDERAL WAY, WA 98003 -5475
Scheduled inspections may be failed if this card is not on -site. DO NOT LOSE THIS WARD 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.
Approved
By Date
n cover
Approved
By Date
Pool Bonding (4195)
Approved
By
Date
❑
Feeders /Sub - panels (4045)
Approved
By
Date
Final - Electrical (4055)
Approved
B
Date
n cover
Approved
By Date
Slab /Concrete Floor (,
Approved to place concrete
By Date
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
Slab /Concrete Floor (,
Approved to place concrete
By Date
Rough Electrical Final Electrical Right of Way
Approved Approved
Approved
By Date By Date
By Date
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
Rough Electrical Final Electrical Right of Way
Approved Approved
Approved
By Date By Date
By Date
1 �� l
Federal Way ELECTRICAL RECEIVED
PERMIT APPLICATION
APR 17 2012
O i ho nhtni »od n »_lino nt www rit- WAMPi" * 1< RAL WAY
I csrt{ jy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cer ft that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certib 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 respone Mlity for compliance with local, state, or federal laws regulating
construction or environmental laws.
I ffurthw agree to hold harmless the city of Federal Way as to any claim /including costs, expenses, and attorneys' fee. incurred in
the investigation and defense of such clainy, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, incheding its utf eers and employees, upon the accuracy of the
injbrmation supplied to the city as a partoof this application.
DATE d/ 7117-
PRINT NAME: c Sv>N
33325 a Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederaiway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 k:\landouts\Electrical Permit Application
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I csrt{ jy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cer ft that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certib 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 respone Mlity for compliance with local, state, or federal laws regulating
construction or environmental laws.
I ffurthw agree to hold harmless the city of Federal Way as to any claim /including costs, expenses, and attorneys' fee. incurred in
the investigation and defense of such clainy, which may be made by any person, including the undersigned, and filed against the city,
but only where such claim arises out of the reliance of the city, incheding its utf eers and employees, upon the accuracy of the
injbrmation supplied to the city as a partoof this application.
DATE d/ 7117-
PRINT NAME: c Sv>N
33325 a Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063-9718 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederaiway.com
Bulletin #160 — April 9, 2010 Page 1 of 2 k:\landouts\Electrical Permit Application
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NEW SINGLE FAMILY RESIDENCE
Total Square Feet
(including attached garage):
FEES: First 1300 ft2 - $122.00;
Each additional 500 ft2 - $39.00
NEW MULTIFAMILY (3 units or more)
1 =1 Service /Feeder Additional Feeders
0 2#H3'a�up
x; ...... .. 0
x $ 39 S3€
20 4oaam
ii $1144 00
s`$103.50
4(31 50Q ampp
x :$224 OQ
x <$111fl
6.01...:...8..0...0 ... .a..m....g ............................................
.................
......x .... ....$....1.5...3...<.5..0 ...
CSQ�r 8430. aup
x <$4113 5(3
x :;$3157 00
ALTERED SINGLE or MULTI FAMILY
lse Servu;e /Feeder
4 2{30 :amp x ' 1Q1 00
201 600np. x $1:64..00
ow 600 amp x $246 54
Added or Altered Circuits... .........
1 -4 circuits $80.50; each additional $8.00
Mast or meter repair $60.50
MANUFACTURED HOMES
$iT�nceorfeed:e:romly x .:$::80;543
.; . . x $ Secand tee,
I32.515
NEW COMMERCIAL
1,t Service/Feeder Additional Feeders
Over Ki71? volts: .. x $103 56
ALTERED COMMERCIAL
1s1. Service /Feeder„_,...... Additional Feeders
p ...21143 artnp
$3X 5fl :
SO
101 ::200 amg:
ii $1144 00
s`$103.50
2f31 400 amp:`
x,$307 f30;.. _
is $121 00
401: -,.600 amp
x;$058 00 :
:
x:.$143 50
_. ........_._...._
.................................................................................................
............ 4 AMP.
601.
..._ ............................ _.... __._..
x $4fx3 04�
...... .... ...._..........
...............................
x $T96 00
801: 100
—x$565 .
T 450
x.$23 50
(leer 1000 amp.
z $616 00;$28
50
Over Ki71? volts: .. x $103 56
ALTERED COMMERCIAL
1s1. Service /Feeder„_,...... Additional Feeders
p ...21143 artnp
$3X 5fl :
$10350 :
2131 : ffi
x $ 8.. 50 . _
$12 i o0
6131 1400 atap
x $44x.3 00
x 19.6 tya
Qver 11Ji00 amp:
x $515 50:::
x:$328 St]
Added or Altered Circuits
1 -5 circuits $103.50; each additional $8.00
Mast or meter repair $111.50
PLAN REVIEW FEES
Plan Review required only for:
• New, or alteration to, service of 1,000 amps or greater
• Medical /Educational /Institutional Facility
$103.50 plus 35% of Permit Fee
(Permit Fee x 35% = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS SERVICE /EQUIPMENT
LOW VOLTAGE
❑ Fire Alarm System
❑ Security Alarm System
❑ Voice /Data Cabling
❑ Other
Area to be served by system:
1-t 2,500 ft2- $71.00; each additional 2,500 ft2 - $18.50
# of Thermostats
First $60.50; each additional $18.50
Yard Pole /meter loops /pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
Ditch cover /inspection only x $121.00
TEMPORARY SERVICE
1st Service/Feeder Additional Feeders
o sa;mg
x $ 7f
x $ 20
£i1 100 amp
x $ 8.. 50 . _
$ 39 00
101 2ofsamp
x $103 50 ..
x $ 51.0.0;
20 i 400 amp
x $121: 00
x $!::60:50
401 6043 amp
'x $169:00
O .
4 ...
.
$ ;92;10
FEE CALCULATIONS
• Fees are determined by the scope of work as indicated.
• A $6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253 -835 -2607
33325 8th Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063 -9718 1253 -835 -2607 1 fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin # 160 – April 9, 2010 Page 2 of 2 UllaudoutsTlectdcal Permit Application