11-103912 Electrical
City of Federal Way •
Permit #: 11-103912-00-EL
Community Development Services �
P.O.Box 9718 9 7
is
Federal Way,WA 98063-9718 ;a�
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: MEDICAL IMAGING ON FIRST
Project Address: 33915 1ST WAY S Suite 130 Parcel Number: 926504 0150
Project Description: Low voltage wiring for addition to existing system.
Owner Applicant Contractor
ESM BUILDING LLC WASHINGTON ALARM INC WASHINGTON ALARM INC
320 106th Avenue NE Unit 100 1253 S JACKSON ST WASHIAI282C3(12/5/11)
Bellevue,WA 98004-5791 SEATTLE WA 98144 1253 S JACKSON ST
SEATTLE WA 98144
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Is Use Educational or Institutional' No Service greater than 999 Amps9 No
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Low Voltage-Fire Alarm(Comm( I
PERMIT EXPIRES Wednesday, September 26, 2012
Permit Issued on Tuesday, September 27, 2011
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 ac - -nce with the laws, rules and regulations of the State of Washington
an. -sa . -:eral Way.
Owner or agent: - Date: ' /2-7 / 1 1
to/4/it
. THIS CARD IS TO REMAIN ON-SITE
CITY OF - 0 Construction IrOection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT #: 11-103912-00-EL Address: 33915 1ST WAY S Suite 130
Project: ESM BUILDING LLC FEDERAL WAY, WA 98003
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.
❑ UFER Ground (4295) El Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
El Pool Bonding (4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
El Final-Electrical(4055)
Approved
By � � Date \<IL-•A_` 1
CI Rough Electrical CI Final ElectricalCI Right of Way
Approved Approved Approved
By Date By Date By Date
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Federal VlI °f' G�cos ELECTRICAL
PERMIT APPLICATION
**Most electrical permits may be obtained on-line at www.cir'offederalway.coin**
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SITE ADDRESS: 33915 /* Wal
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SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE
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PROJECT NAME
or Homeowner Last Name) "Vip '�`c" ,,( t S
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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NAME PRIMARY PHONE
PROPERTY OWNER am f orlefin ' LLc_ ( ) -
MAILING ADDRESS ✓ E-MAIL
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STATE ��(�c��-( ( ) FAX
NAME PRIMARY PHONE
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MAILING ADDRESS �,� 1 E-MAIL� �
ELECTRICAL (a5- CD. JC `f 5&1 '� c i 410jhA WnIc,Gtm•c
CONTRACTOR CITY secitle TA ZIP C6 v, L4 FAx'
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WA S ATE Cfle 1C 'LICENQE. 5 ��EXPIRATION DATEFEDERAL WAY BUSINESS LICENSE
NAME /M�/-V`y�'-'T�t�1_ �1'�^(7\I'/QVl' PRIMARY PHONE
APPLICANT •pn Aa[ (600)(M- 3,98`c
MAILING ADDRESSn �` �` ( E-MAIL
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CITY ki'� Y`l ZIP ^J-{ (0)�J 99 R-(
NAME �`U�(` PRIMARY PHONE 1
PROJECT CONTACT RG� A„ ( ( ) -1�1r, �
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I 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.
I further 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 filed against the city,
but only where such claim arises out of ,,,,,--reliance of.the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a •..-'.7f this up, '-.tion.
SIGNATURE: DATE I / Z-71l I '
PRINT NAME: ` .-- -
33325 8°'Avenue South•PO Box 9718 1 Federal Way♦WA♦98063-9718♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—April 9,2010 Page 1 of 2 k:\Handouts\Electrical Permit Application
• •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): I s`Service/Feeder Additional Feeders
0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2 $39.00 201- 400 amp x$307.00 x$121.00
NEW MULTIFAMILY (3 units or more) 401 600 amp x$358.00 x$143.50
1st Service/Feeder Additional Feeders 601- 800 amp x$463.00 x$196.00
0 200 amp x $132.50 x $ 39.00 801- 1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 amp x $224.00 x $111.50
601 800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 s Service/Feeder I st Service/Feeder Additional Feeders
0 200 amp x $101.00 0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 201 - 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 601- 1000 amp x$463.00 x$196.00
Over 1000 amp x$515.50 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 Plan Review required only for:
Service and feeder x $132.50 • 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 TEMPORARY SERVICE
Fire Alarm System
lsc Service/Feeder Additional Feeders
Security Alarm System
O Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
O Other ��j{7 i 61- 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1s,2,500 ft2-$71.00:each additional 2,500 ft2-$18.50 101-200 amp X $103.50 x $ 51.00
201-400 amp x $121.00 x $ 60.50
#of Thermostats 401-600 amp x $164.00 x $ 80.50
First$60.50;each additional$18.50
Over 600 amp x $184.50 x $ 92.00
#of Signs FEE CALCULATIONS
First$60.50;each additional$28.50 • Fees are determined by the scope of work as indicated.
Yard Pole/meter loops/pedestal x$ 80.50 • A$6.00 Automation Fee will be added to all permits.
• For assistance in calculating fees or completing the
Portable Generator(transfer equipment) x$101.00 application form,contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
33325 8d Avenue South♦PO Box 9718•Federal Way♦WA♦98063-9718♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160-April 9,2010 Page 2 of 2 k:\I-Iandouts\Electrical Permit Application