06-101252City of Federal Way
Community Development Services Electrical Permit #: 06- 101252 -00 -EL
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: HALLMARK MANOR
Project Address: 32300 1ST AVE S Parcel Number: 172104 9073
Project Description: Altering up to (5) circuits for energy retrofit for exit signs
Owner
Applicant
Contractor
HALLMARK CARE CENTER
CAPITAL LIGHTING COMPANY INC
CAPITAL LIGHTING COMPANY INC
ATLANTA GA
287 SW 41ST ST
CAPITLC964RN 12/15/06
31139 -0548
RENTON WA 98055
287 SW 41ST ST
RENTON WA 98055
Additional Permit Information
I hereby certify that the ove information is correct and that the construction on the above described property and
the occupancy and u will i ccor ce with the laws, rules and regulations of the State of Washington
the City of Federal Way. j
Owner or agent: � Date:
ft
THIS CARD IS TO REMAIN ON -SITE
CITY aF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101252 -00 -EL
Owner:
Address: 32300 1 ST AVE S
FEDERAL WAY, WA 98003 -5762
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
®
❑
Service (4235)
❑
Temporary Power (4275)
Feeders /Sub - panels (4045)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ Rough Electrical (4225)
Approved
By Date
❑ Under -slab groundwork (4295)
Approved
By Date
❑ Ceiling Cover (4020)
Approved
By Date
Final - Electrical (4055)
WE
Approved
By Date 3 _a -0
RECEIVED
Q6rai Way. MAR 15 2006
aoeomte,;•ns,&r SNr8 =8 PERMIT SF MF CO EL DE EN FP
-FMUffmU ch
33a25r■AVSNUasoutsr•PO�yyld30F FEDER
5343 -2 wer, X s -MS. W9 UILDING DE' "PPLI CATI O N
?59 dJ5 ?607• /AX ?SJ 335 2609
The, foilocuin_a is required information — an incomplete application wUl not be accented. Pinamp nr4nr
SITE ADDRESS o j C'�%,
SUITE/UNIT # .
ASSESSOR'S TAX /PARCEL #t _
LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
/ e "�a+�aavealor�a►w�ga�a..or�aol
TYPE OF PERMIT I] BUMDDFG . 0 PLUMBING 0 MECHANICAL
<] DEMOLITION `` ELECTRICAL p ENGINEERING. O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descrsption pf work included on this hermit oni W
PROJECT NAME (Name of Business or Owner Last Name)
PROPERTY
OWNER
CONTRACTOR
APPLICANT
7
ess ` 1 L4.1 101 � N. - 35
CITY, ATE, ZIP
�� S . w� �3
APPUCANr NAME
OFFICE PHONE
rat U'Llal
STATE, LL
ZIP _ CE PHONE
WAY BUSINESS UCrEyNSENUMBER
RAIJON `�- q - B L' � /� I DATE FAx NUMBER
CONTynR�ACTOORS REGISTRATION NUMBER (e*pF o[ Bard ngalred �� p�ah apP aH°a) / O
G 11 f' t T L C �TION DATE
- -
�w �®
0 Architect 0: Tenant 0 Agent Other
CONTACT 11
LENDER
EXISTING USX
�oC�l - Ud`ly
)NE
BER
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE i$ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑YES 0 NU FIRE SUPPRESSION SYSTEM PROPOSED%REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRTT7ATF /cirnmrnt
f- ),
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FIRST
EVAPO TIVE COOLERS
LOGS
REFRIG, SYSTEMS
SECOND
FAN
H qDS (commen4.4
WOODSTOVES
THIRD
PLACE INSERTS
RANGt�4
MISC (Describe)
FOURTH
RNACES
GAS WATT FIEATERS
\\
ADDITIONAL FLOORS (DESC BE)
GAS PIPE OUTLETS
DECK(COVERED ?)
GARAGE ❑ CARPORT[] \
NUMBER OF FLOORS
atomea
�sorosso
roru.
DISHWASHERS
SINKS
DRINKING FOUNTAINS
••NEW HOMES ONLY'`• NUMBER OF BEDROOMS ESTIMAT SELLING PRICE $
Indicate number of each type of fixture to be installed or reloiyfa part of this project. Do not include existing fixtures to remain.
MECUAMC11L
Value of Mechanical Work $
AIR HANDLING UNITS
EVAPO TIVE COOLERS
LOGS
REFRIG, SYSTEMS
BBQS
FAN
H qDS (commen4.4
WOODSTOVES
BOILERS
PLACE INSERTS
RANGt�4
MISC (Describe)
COMPRESSORS
RNACES
GAS WATT FIEATERS
\\
DUCTS
GAS PIPE OUTLETS
PLUMBING
BATHTUBS lornb /sho"rCombo)
SHOWERS
WATER CLOSETS rro
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS
SUMPS
RAINWATER SYST
WASHING MACHIN
URINALS
HOSE BIBBS
LAVS (Bathroom
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert(fy under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and jurther, that I
am authorized by the owner of the above promises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federa ay as to any claim (including costs, expenses, and attorneys, fees incurred in the investigation and defense of
such claim/, which may be a e by any person, including the undersigned, and filed against the City of Federal Way, but only wh s such claim
arises out of the reliance j t ty, inclu n its o csrs ands toys s, upon the accuracy of the information suppli to the as a part of
this application.
NAME /TITLE
DATE
aturc) tTl�t
RELATIONSHIP TO ROJECT O Owner ❑ Agent o Contractor O Architect P Other
r'
.:. ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $107.50; Each add 500 W- $34.50)
❑ Detached outbuilding or garage
(Inspected with service) $45.50
❑ Detached outbuilding or garage
(Inspected separately) $71.50
NEW MULTI- FAMILY
(three units or more)
❑ 0 to 200 amp
Service
Feeder
❑ Up to 200 amp
$117.00
$ 34.50
❑ 201 - 400 amp
145.00
71.50
❑ 401 - 600 amp
198.50
99.00
❑ 601 - 800 amp
254.00
136.00
❑ Over 800 amp
364.00
272.00
ALTERED SINgkUMULTI FAM17.Y
❑ # of circuits to be added /altered
(1 -4 circuits - $71.50; Add'n circuits $7.00 /ea)
❑ Mast or meter repair $53.50
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
COMMERCIAL
NEW COMMERCIAL/INDUSTRW. SERVICE
❑ 0 to 100 amp
❑ 101.- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601 - 800 amp
❑ 801 - 1000. amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$117.00
Service or Feeder
❑ 0 to 200 amp
$ 89.50
❑ 201 - 600 amp
145.00
❑ over 600 amp
218.50
❑ # of circuits to be added /altered
(1 -4 circuits - $71.50; Add'n circuits $7.00 /ea)
❑ Mast or meter repair $53.50
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
COMMERCIAL
NEW COMMERCIAL/INDUSTRW. SERVICE
❑ 0 to 100 amp
❑ 101.- 200 amp
❑ 201- 400 amp
❑ 401- 600 amp
❑ 601 - 800 amp
❑ 801 - 1000. amp
❑ Over 1000 amp
Service or Feeder Each Add'n
$117.00
$ 71.50
145.00
91.50
272.00
107.50
317.00
127.00
410.00
173.50
500.50
209.50
546.00
291.00
❑ Over 600 volts surcharge $91.50X
❑ Mast or meter repair $99.00
ALTERED COMMERCIALANDUSTRIAL
Service or Feeders
❑ 0 to 200 amp $117.00
❑ 201 600 amp 272.00
❑ 601 - .1000 amp 410.00
❑ over 1000 amp 456.50
# of circuits to be added/ altered
( -5 circuits - $91.50; Addb circuits, $7.00 /ea)
COMMERCIAL /INDUfflMj L PLAN REVIEW
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
TEMPORARY SERVICE
MOBILE HOME /RV PARK
❑
ResidentiaWulti Fam1W
$63.00
# of service or feeders
(First service /feeder - $71.50; each add)a - $46.50)
ComntarciaWndustrial Service or Feeder Ampacity
❑ 0 -100 amps
$ 71.50
❑ 101- 200 amps
91.50
❑ 201- 400 amps
107.50
❑ 401- 600 amps
145.00
❑ over 600 amps
157.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First - $53.50; add'n- $16.50 /ea)
❑ Low Voltage
Square Feet to be served by system(s)
❑ Fire Alarm system
❑ Security Alarm system
❑ Voice Cabling
0 Data Cabling
(Per Systed(s) In 2500 ft2- $63.00;
Each addb 2500 ft2- 16.501 -Per WAC 29646.910i5)ibf(i d ii)
❑ # of Signs
(First sign - $53.50; add'n sign. $25.00 /ea)
❑ Swimming pool /hot tub ................ $107..50
(Includes additional circuit, if required)
❑ Yard Pole meter loops ..................... $71.50
❑ Additional Plan Review $107.50 /hour
(for modified submittals)
Automation Fee on all Permits .. $5.(Yoy