12-104110City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S � • ` ` � I,<
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Permit #: 12- 104110 -00 -EL
Project Name: GROUP HEALTH CLINIC - IT ROOM UPGRADE
Project Address: 301 S 320TH ST
Project Description: Install (1) 0 -100 amp and (2) additional feeders
Inspection Request Line: (253) 835 -3050
Parcel Number: 172104 9105
Owner
Agplicant
Contractor
GROUP HEALTH COOP
PRIME ELECTRIC INC
PRIME ELECTRIC INC
12501 E MARGINAL WAY S
13301 SE 26TH ST
PRIMEEI134BT (1/30113)
TUKWILA WA 98168
BELLEVUE WA 98005
13301 SE 26TH ST
BELLEVUE WA 98005
Additional' Permi# Information
Is Use Educational or Institutional ? ....................... No Service greater than 999 Amps? ............................. No
New Service: 0 -100 amps (Comm 1 Add l New Feeders) 0 -100 amp (C 2
PERMIT EXPIRES Wednesday, March 6, 2013
Permit Issued on Friday, September 7, 2012
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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: ��"� �rr� �%rr Date:
0/.8
City of Federal Way
Community & Econ. Dev. Services
33325 8th Ave S
Federal Way, WA 98003
Ph: (253) 835 -2607 Fax: (253) 835 -2609
0 . - ;Electrical
Permit #: 12- 1041'10 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: GROUP HEALTH CLINIC - IT ROOM UPGRADE
Project Address: 301 S 320TH ST
Project Description: Install (1) 0 -100 amp and (2) additional feeders
Parcel Number: 172104 9105
Owner
ApRlican
Contractor
GROUP HEALTH COOP
PRIME ELECTRIC INC
PRIME ELECTRIC INC
12501 E MARGINAL WAY S
13301 SE 26TH ST
PRIMEEI134BT (1/30113)
TUKWILA WA 98168
BELLEVUE WA 98005
13301 SE 26TH ST
BELLEVUE WA 98005
Additional Permit lnforlmation
Is Use Educational or Institutional ? .......................No Service greater than 999 Amps? ............................. No
Alt. Srvc / Feeder 0 to 200 amps (C 3
PERMIT EXPIRES Wednesday, March 6, 2013
Permit Issued on Friday, September 7, 2012
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 accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:- Ct/-74-17-
THIS CARD IS TO MAIN ON -SITE _z
cam. ov = C6nstruction In ection Record '
Federal Way INSPECTION REQUE TS: (253) 835 -3050
PERMIT #: 12- 104110 -00 -EL Address: 301 S 320TH ST
Project: GROUP HEALTH COOP FEDERAL WAY, WA 98003 -5200
Scheduled inspections maybe 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 ( 295)
Ditch cover (4030)
Temporary Power (4275)
Slab /Concrete Floor (4255)
Service (4235)
Approved
Approved
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
Right of Way
Approved
Approved
Date
Approved
Date
Approved
By
Date
By
Date
By
Date
Feeders /Sub - panels (4045)
Rough Electrical (4225)
C]
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date _ 1 L
By
Date
Final - Electrical (4055)
Approved
By
Date
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
�. 12--104110 cirY of — — — — — — —
Feddt *W® ELECTRICAL
SEP 0 7 2012 PERMIT APPLICATION 17,97,50
CITY OF F
k& �Wrical hermits may be obtained on -line at www.citvoffederalway.com **
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PROJECT NAME
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
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PROPERTY OWNER
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FEDERAL WAY BUSINESS LICENSE #
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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 taws 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 the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as a part of this application.
SIGNATURE:
PRINT NAME:
JZ
33325 8" Avenue South ♦ Federal Way 1 WA ♦ 98003 -6325 ♦ 253- 835 -2607 ♦ fax: 253 - 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 — January 1, 2011 Page I of 2 kAHandouts0ectrical Permit Application
7•
0
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
1st Service/Feeder A ditional Feeders
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ftz - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ftz - $39.00
201 - 400 amp , x $307.00 ' x $12:1.00
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. r 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 < $410.56 _ x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1st Service /Feeder
1st ServiceJFeeder 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 `e' . _ 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$5% _ + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
NUSCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
0 Security Alarm System
1 s Service /Feeder Additional Feeders
❑ Voice /Data Cabling
0 - 60 amp x $ 71.00 > x $ 32.00
❑ Other
Area to be served by system:
61 - 100 amp x $ 80.50 x $ 39.00
1st 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
V
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
Yard Pole /meter loops /pedestal x $ 80.50
_
. Fees are determined by the scope of work as indicated.
Portable Generator (transfer equipment)_ x $101.00
a A $6.00 Automation Fee will be added to all permits.
Ditch cover /inspection only _ x $121.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
253 - 835 -2607
33325 8" Avenue South ♦ Federal Way 1 WA # 98003 -6325 ♦ 253 - 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityoffederalway.com
Bulletin #160 - January 1, 2011 Page 2 of 2 k: lHandoutsTlectrical Permit Application