09-102417•
City of Federal Way •
Contractor
Community Development Services
,j P.O. Box 9718
Federal Way, WA 98063 -9718
MERIDIAN SECURITY & ELECTRIC
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: WOLF CHIROPRACTIC
Project Address: 1010 S 336TH ST UNIT 102
Project Description: Low - voltage wiring for fire alarm system.
r
i Electrical
Permit #: 09- 102417 -00 -EL
Inspection Request Line: (253) 835 -3050
Parcel Number: 926501 0010
caner
Annlicant
Contractor
OMNI PROPERTIES INC
MERIDIAN SECURITY & ELECTRIC
MERIDIAN SECURITY & ELECTRIC
909 S 336TH ST SUITE 103
PO BOX 7171
MERIDSE022D5 (3/25/10)
FEDERAL WAY WA 98003 -6311
KENT WA 98042
PO BOX 7171
KENT WA 98042
Is Use Educational or Institutional ? .......................No
Service greater than 1000 Amps ? ...........................No
CITY OF
Federal Way
THIS CARD IS TO R MAIN ON -SITE
Construction In ction Record.
INSPECTION REQUE TS: (253) 835 -3050 ,
PERMIT #: 09- 102417 -00 -EL Address: 1010 S 336TH ST UNIT 102
Owner: OMNI PROPERTIES -INC 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.
Q
UFER Ground (4 95)
Pool Bonding (4195)
Ditch cover (4030)
By
Slab /Concrete Floor (4255)
Approved
Date
Approved
Approved to place concrete
By
Date
By
Date
By
Date
E]
Temporary Power (4275)
Pool Bonding (4195)
Approved
By
Approved
By
Date
Rough Electrical (4225)
Approved
By
Feeders /Sub - panels (4045)
Approved
By
Date
Final - Electrical (4055)
Approved
By
Date
E]
Temporary Power (4275)
Approved
By
Date
Rough Electrical (4225)
Approved
By
Date "A—by—!4
Service (4235)
Approved
By Date
Ceiling Cover (4020)
Approved
By 7, S. Date *7 — 0 -V
For infector reference only
❑ Rough Electrical ❑ FINAL -Electrical
Approved Approved
By Date By Date
CITYOF ° C tED -0 /
Federal way PERMIT 1 --((
COMMUNITY DEVELOPMENT SERVICES JUN 2 5 SF MF CO ME EL L DE EN FP
33325 D AVENUE SOUTH • 63 BOX 9718 A P LI CATI O N
FEDERAL WAY, WA 98063 -9718
253 - 835 -2607• FAX 253 -8� �I
,� OF FEDERAL
The following is required inforr( DS- an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY INFO R MATION
SITE ADDRESS 1010 J 3JiC �'�// S j� `-� SUITE /UNIT # 10 G-
ASSESSOR'S TAR /PARCEL # 9 lf3 - 00 to LOT SIZE (sffl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Att=h separate page for lengthy legal de- riptord
PROJECT • •
TYPE OF PERMIT ❑ BUILDING ❑ UMBING ❑ MECHANICAL ������cccccc
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description, work laded on this permit onlu)
/" /56 Srti KQ75 1, Alt-1247-5, 4,J Fv i l ;4v4-'0 d- V- 5v.a L- 13L-V t C0 S
nn b i n LC F=
PROJECT NAME (Name of Business or Owner Last
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
NAME
PRIMARY PHONE
MAA N f9/lv1-2c - ,en S
I ( ) -
MAILING ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CELL PHONE
L 4WA UA -
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
APPLICANT
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE, ZIP
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
PROJECT
CONTACT
I kAME
PRIMARY PHONE
E -MAIL ADDRESS
LENDER
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
EXISTING USE
EXISTING ASSESSED /APPRAISED VALUE $.
SPRINKLERED BUILDING?
PROPOSED USE
VALUE OF PROPOSED WORK $ /
YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
S . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FIRST
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
SECOND
HOODS (cm,mo —lap
COMPRESSORS
FURNACES
THIRD
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EKWUM
PROPOSED
TOTAL
T11TALE1G8T1Nr8
TOTAL PROPOSED SF
TOTALSr
* *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.
MECHANICAL
URINALS MISC (Describe)
RAINWATER SYST
Value of Mechanical Work $
(A COPY OF BID OR ESTIMATE MUST BE WCLUDED WITH APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (cm,mo —lap
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub /Shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAYS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (rotlet)
SINKS
WASHING MACHINES
SUMPS
I certify under penalty of perjury that 1 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 laim), which may be made by any person, including the undersigned, and filed against the city, but only
where such clad arise out of th� reliance of the city, including its ofcers and employees, upon the accuracy of the irtformation supplied to
the city as th' ppiicati . n
I SIGNATURE: DATE ~ Z J P1
operty Owner and /or Authorized Agent
❑ NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO BASIC PLAN? ❑ YES ONO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP /SEPA /SU? o YES ❑ NO
PLATTED LOT? o YES ❑ NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin #100 —January 1, 2009 Page 2 of 4 k\Handouts\Permit Application
s
*NOTE: an automation fee of
•
will be charged for all permits.
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $121.00; Each add'n 500 ft2 - $39.00)
❑ 0 to 100 amp $131.50 $ 80.00
❑ Detached outbuilding or garage (w/ service )
$51.00
L] 101 - 200 amp 163.00 103.00
.........................
❑ Detached outbuilding or garage (inspected separately)
$80.00
❑ 201 - 400 amp 305.50 120.50
.........
❑ Stvllcllrling pool (w /service)
$80.00
❑ 401 - 600 amp 356.00 142.50
........................
"'". ....... "'. " " ""
❑ Swimming pool (inspected separately)
$120.50
❑ 601 - 800 amp 460.50 195.00
...............................
❑ Hot tub /spa /sauna (w /service)
$51.00
L] 801 - 1000 amp 562.50 235.50
........... ...............................
❑ Hot tub /spa /sauna (inspected separately) ..........................
$80.00
❑Over 1000 amp 613.00 327.00
❑ Septic pumping system (w /service) ...... ...............................
$51.00
❑ Over 600 volts surcharge $103.00
❑ Septic pumping system (inspected separately ) .....................
$80.00
❑ Mast or meter repair $111.00
NEW MULTI- FAMILY (three units or more)
ALTERED COMMERCIAL /INDUSTRIAL
Service Feeder
(Does not include circuits.)
❑ Up to 200 amp $131.50 $ 39.00
Service or Feeders
❑ 0 to 200 amp $131.50
❑ 201 - 400 amp 163.00 80.00
❑ 201 - 600 amp 305.50
❑ 401 - 600 amp 223.00 111.00
❑ 601 - 1000 amp 460.50
❑ 601 - 800 amp 285.50 152.50
❑over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ # of circuits to be added /altered
ALTERED SINGLE /MULTI FAMILY
(1 -5 circuits - $103.00; Add'n circuits, $8.00 /ea)
Service or Feeder
COMMERCIAL /INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50
$103.00 plus 35% of Permit Fee
❑ 201 - 600 amp 163.00
❑ Service - 1,000 amps or greater
❑ over 600 amp 245.50
❑ Medical /Educational /Institutional Facility
❑ Additional plan review for
❑ # of circuits to be added /altered
modified submittals $115.00 /per hour
(1 -4 circuits - $80.00; Add'n circuits $8.00 /ea)
❑ Mast or meter repair $60.50
TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES
❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00
❑ 61 - 100 amp 80.00 39.00
❑ Service and feeder $131.50
❑ 101 - 200 amp 103.50 51.00
❑ 201 - 400 amp 120.00 60.50
MOBILE HOME /RV PARK
❑ 401 - 600 amp 163.50 80.00
❑ # of service or feeders
❑ Over 600 amp 183.00 92.00
(First service /feeder - $80.00; each add'n - $52.50)
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
(First - $60.50; add'n - $18.50 /ea)
❑ # of Signs
Low Voltage
(First sign - $60.50; add'n sign $28.50/ea)
Feet to be served by system(s) 3, e00
❑ Yard Pole /meter loops /pedestal ....................$80.00
Nuare
Fire Alarm System
❑ Portable Generator (transfer equipment) ......$100.50
❑ Security Alarm System
❑ Ditch cover/inspection onl y ........................$ 120.50
El Voice Cabling
❑ Data Cabling
❑
ls! 2500 ft2- $71.00;
For fees not listed contact the Permit Center at
�
Each add'n 2500 ft2 - $18.50)
253 -835 -2607
Bulletin #100 -January 1, 2009 Page 3 of 4 k\Handouts\Permit Application
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