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08-105575City of Federal Way Community Development Services P.O. Box 9718 Federal Way, WA 98063 -9718 Ph: (253) 835 -2607 Fax: (253) 835 -2609 Eleefricai Permit #: 08- 105575 -00 -EL Inspection Request Line: (253) 835 -3050 Project Name: GROUP HEALTH CLINIC - CLUSTER D Project Address: 301 S 320TH ST Parcel Number: 172104 9105 Project Description: Installation of (1) 20 AMP, 3PH circuit for new HVAC equipment to connect to (9) equipment connections with motor rated switches. Install (1) 20 AMP ,1PH circuit for new wall heater. Owner Applicant Contractor GROUP HEALTH ASTOR ELECTRIC ASTOR ELECTRIC 12501 E MARGINAL WAY S UNIT AS 2739 152ND AVE NE ASTOREL93IBU (1/31/09) TUKWILA WA 98168 -2560 REDMOND WA 98052 2739 152ND AVE NE REDMOND WA 98052 Service greater than 1000 Amps ? ...........................No I hereby certify the occupancy rrect and that the construction on the above described property an � e with the laws, rules and regulations of the State of Washington he City of Federal Way. FINALED STA 9 we] Ala/ THIS CARD IS TO JVAIN ON -SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050 PERMIT #: 08- 105575 -00 -EL Owner: GROUP HEALTH Address: 301S 320TH ST FEDERAL WAY, WA 98003 -5200 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. ❑ UFER Ground (4295) Ditch cover (4030) ❑ Slab /Concrete Floor (4255) Approved Approved Approved to place concrete By Date By Date By Date ❑ ❑ ❑ Pool Bonding (4195) Temporary Power (4275) . Service (4235) Approved Approved Approved By Date By Date By Date ❑ ❑ ❑ Feeders /Sub - panels (4045) Rough Electrical (4225) Ceiling Cover (4020) Approved Approved Approved By Date By Date By Date 1,i ' 3,07 ❑ Final - Electrical (4055) Approved By Date Z ' 3 For rector reference only 0 Rough Electrical O FINAL - Electrical Appmved Approved By Date By . Date • * CRY OP .uYv:, - Federa ��D PERMIT — — — i — + — — COMMUNI7YDEVELOPMENTSERVICES SF MF CO M EL L DE EN FP 3332 ,_EAVENUESOUTH•POI(.jQa(��TI s 008 APPLICATION FEDERAL WA 7 9806 � q�/ 253 - 835 -2607• FAX 253 - 835.2609 The,�TTn!'�i'jj'a',�r//(''_.�g3r 5lk ingQ fegfif;Pl bk"-oWA incomplete application will not be accepted. Please print legibly 0n. ink) or type. SITE ADDRESS. 320th ..0 ( S 3 2 U` - f S7— SUITE /UNIT x ASSESSOR'S TAX /PARCEL # 1 7 21 0491 0$ __ LOT SIZE (sfi LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate page for lengthy legal description) PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION E ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this Permit onlul Install (1) 20A 3PH circuit for new HVAC equipment Make (9) equipment connections with Motor Rated Switches Install (1) 20A 1 PH circuit for new wall heater PROJECT NAME (Name of Business or Owner Last Name) Group Health C�y'S PEOPLE •• • PROPERTY OWNER CONTRACTOR t� APPLICANT PROJECT CONTACT LENDER NAME] PRIMARY PHONE - MAILING ADDRESS CITY, STATE, ZIP E -MAIL ADDRESS Astor Electric Derek Little (`i 15) a S _ 01 $� MAILING ADDRESS2739 1 52nd Ave NE CITY, STATE, ZIP CELL WA 98 CELL PHONE (4,�-S) 8 (.y- S 1 S),_ CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER 20 -07- 106216 -00 -131- 12 -31 -2008 (4 15) 15 (o=13 .1-- bu 1 -31 -09 ( @asbovelcchri�•coM COMPANY NAME Astor Electric APPLICANT NAME Derek Little OFFICE PHONE (y 2,S) ;�, 5 b : 2q 6,i( MAILING ADDRESS 2739 152nd Ave NE CITY, STATE. ZIP Redmond, WA 980a CELL PHONE ( S) q (, y - 51 92 RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ othercontractor (y 2 5) 2 5 (. - 13 z _ NAME PRIMARY PHONE E -MAIL ADDPM Derek Little ( ) 425 256 -2988 L n a s f I I e fe c-4yi C. C.fl I`1 NAME Per RCW 19.27.095: Lender irl ormation is required (f project value exceeds $5,000 MAILING ADDRESS CITY. STATE, ZIP PHONE EXISTING USE medical clinic PROPOSED USE same EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $101000 SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) ❑ NO PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING FT. PROPOSED SQ. FT. TOTAL SQ.FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES SECOND GAS LOG SETS REFRIG. SYSTEMS o NO THIRD ❑ YES ❑ NO UP /SEPA /SU? ADDITIONAL FLOORS (DESCRIBE) o NO PLATTED LOT? ❑ YES o NO DECK (❑ COVERED OR ❑ UNCOVERED ?) DEMO PERMIT REQUIRED? o YES o NO GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS zXW120 PnOPOSM TOTAL TOrALMOSTV108F BO TorAr.FnoFOSSF TorecsF "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $. (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WrM APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS BATHTUBS (or Tub /Shower Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS LAVS (Bathroom Sinks) URINALS MISC (Describe) RAINWATER SYST VACUUM BREAKERS SHOWERS WATER CLOSETS rrotleU SINKS WASHING MACHINES SUMPS I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cerft that to the best of mg 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 al Way as to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of s7n e et ), which may be i by any person, including the undersigned and filed against the city, but only where such ciaim�attses -o{ t o e reliance of the city, inclu its officers and employees, upon the accuracy of the irl%ormation supplied to the city as a pa f this ay ion. / SIGNATURE: Owner and /or Authorized o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑ NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? ❑ YES ❑ NO UP /SEPA /SU? o YES o NO PLATTED LOT? ❑ YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Permit Application 0 ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIALANDUSTRIAL 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 ❑ 601 - 800 amp 423.00 179.00 ❑ 801 - 1000 amp 516.50 216.00 NEW MULTI- FAMILY (three units or more) ❑ Over 1000 amp 563.00 300.00 Service Feeder ❑ Up to 200 amp $120.50 $ 35.50 ❑ Over 600 volts surcharge $94.50 ❑ 201 - 400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 ❑ 401 - 600 amp 205.00 102.00 ALTERED COMMERCIAL /INDUSTRIAL ❑ 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 El 201 - 600 amp 149.50 �,�� .AA wl �_ �# of circuits to be added /altered ❑ over 600 amp 225.50 ( 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 ❑ Mast or meter repair $55.00 ❑ Medical /Educational /Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBELE HOME /RV PARK ResidentiallMuiti- Family $65.00 ❑ # of service or feeders (First service /feeder- $74.00; each add'n - $48.00) CommercialAndustrial Service or Feeder Ampacity ❑ 0 -100 amps $ 74.00 ❑ 101 - 200 amps 94.50 ❑ 201 - 400 amps 111.00 ❑ 401 - 600 amps 149.50 ❑ over 600 amps 162.00 MISCELLANEOUS SERVICE /EQUIPMENT Q of Thermostats ❑ # of Signs (First $55.00; add'n - $17.00 /ea) (First sign- $55.00; add'n sign $26.00 /ea) w Voltage ❑ Swimming pool /hot tub ................ $111.00 Square Feet to be served by system(s) (Includes additional circuit, if required) ❑ Fire Alarm System ❑ Yard Pole meter loops ..................... $74.00 ❑ Security Alarm System ❑ Additional Plan Review $111.00 /hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 Pt 2500 ft2- $65.00; Each add'n 2500 ft2- 17.00) ' Per WAC 296-46-91 0(5)1h)(1 & W Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application