09-102667R
Eiertr'ical
City of Federal Wayy ,{{,�� �+�+
Community Development Services r� Permit 1T. 09- 102667 00 -EL
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 835 -2607 Fax: (253) 835 -2609 P q
Project Name: WOLF CHIROPRACTIC
Project Address: 1010 S 336TH ST UNIT 102 Parcel Number: 926501 0010
Project Description: Installation of panel only.
Owne
Awfican t
Contractor
OMNI PROPERTIES INC
CONNECTIONS NORTHWEST
CONNECTIONS NORTHWEST
909 S 336TH ST SUITE 103
1305 S MADISON ST
CONNEN *006LH (06/08/10)
FEDERAL WAY WA 98003 -6311
TACOMA WA 98405
1305 S MADISON ST
Low uee - Other (Commercial 1
TACOMA WA 98405
Is Use Educational or Institutional ? .......................No
Service greater than 1000 Amps ? ...........................No
Owner or agent: tl Date: —7- ° `'I
FINALED
Low uee - Other (Commercial 1
Owner or agent: tl Date: —7- ° `'I
FINALED
cirr of
Federal Way
THIS CARD IS TO EMAIN ON -SITE
4 Construction I ection Record
INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 09- 102667 -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.
❑
UFER Ground (4295)
Ditch cover (4030)
El
Slab /Concrete Floor (4255)
Approved
Approved
Approved
By
Approved to place concrete
By
Date
By
Date
By
Date
Pool Bonding (4195)
Approved
By Date
Feeders /Sub - panels (4045)
Approved
By Date
Final - Electrical (4055)
Approved
By Date
For inctor reference only
— - —.
O Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By, Date
Temporary Power (4275)
E
Service (4235)
Approved
Approved
By
Date
By
Date
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
By
Date
By
Date
For inctor reference only
— - —.
O Rough Electrical 0 FINAL - Electrical
Approved Approved
By Date By, Date
NAME OF PROJECT
/Tenant or Romeourner Name) K (.0 J L F 6 I' I)' P r a G-t i C
TYPE OF PERMIT BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION
PROJECT DESCRIPTION L PuwcG- DOW ry 19a4 a, `cA Np t
Detailed description of work to
be included on this permit only
I cert(jy under penalty of perjury t hat I am the property owner or authorised agent of the property owner. I cent b that to the
best of my knowledge, the information submitted in support of this permit application is true and correck 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 when 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 11a part of this application.
SIGNATURE: l l Q DATE
PRINT NAME: _ R v b et -t H � A r z .
Bulletin #100 — 4/17/2009 Page 1 of 4 k -.\Handouts\Permit Application
NAME �
PRLIAAY PHONE
PROPERTY OWNER
( ) -
MAni NG ADDRESS, CrrY, STATE, ZIP
F MAIL
OWNER IS ALSO:
[] CONTRACTOR APPLICANT PROJECT CONTACT
NAME
PRROKARY PHONE
/VF (: c7 JK S /UUU t►\l� -lS
_
MAnJNG ADDRESS, CITY, STATE, ZIP
0,5 So /\,k A 12 iS3/v T %-Ac(- A.,q wA 9ego-5
FAX
-
CONTRACTOR
WA STATE CONTRACTOR'S LICENSE i
EXPIRATION DATE
FEDERAL WAY SUSDIESS LICENSE
C01VA(E tq & ou(wl- �
OG /O$ /;Z"�!u
APPLICANT
NAME
-I )q/' Z A
PRIMARY PHONE
Pa� 05L -=i S 3 fo
MAILING ADDRESS, CITY, STATE, ZIP
FAX
13v SO A& s o T
-
PROJECT CONTACT
NAME
PRIMARY PHONE
(The individual to receive and
I YdA���
-
respond to all Correspondence
MAmme ADD , STATE, ZIP
FAX
concerning this application)
_
ALTERNATE CONTACT NAME:
PRIMARY PHONE
E MAII.
PROJECT FINANCING
0 OWNER- FUUNCED
Required for projects with
value of $5, 000 or more
MAUJNG ADDRESS, CITY, STATE, ZIP
PRO(ARY PHONE
(RCW 19.27.095)
r 1 _
I cert(jy under penalty of perjury t hat I am the property owner or authorised agent of the property owner. I cent b that to the
best of my knowledge, the information submitted in support of this permit application is true and correck 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 when 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 11a part of this application.
SIGNATURE: l l Q DATE
PRINT NAME: _ R v b et -t H � A r z .
Bulletin #100 — 4/17/2009 Page 1 of 4 k -.\Handouts\Permit Application
■
a
Indicate number of each type offixture
to be installed or relocated as part
of this project, Do not include existingfixtures to remain.
AIR HANDLING UNITS
FANS
GAS PIPE OUTLETS OTHER (Describe)
AIR CONDITIONER
FIREPLACE INSERTS
HOODS pomm.r io
BOILERS
FURNACES
HOT WATER TANKS (c..I
COMPRESSORS
GAS LOG SETS
REFRIGERATION SYST
DUCTING
GAS PIPING
WOODSTOVES
Indicate number of each type of
re to be installed or relocated as part of this project. Do not include existin
factures to remain.
BATHTUBS J"Tub /Show C.bu)
LAVS piaod sin"
TOILETS
WATER PIPING
DISHWASHERS
RAINWATER SYSTEMS
URINALS
OTHER (Describe)
DRAINS
SHOWERS
VACUUM BREAKERS
DRINKING FOUNTAINS
SINKS pateh. /ubutA
WATER HEATERS (Eleehie)
HOSE BIBBS
SUMPS
WASHING MACHINES
TO1!AFirXREB
v Bulletin #100-4/17/2009 Page 2 of 4 k:\Handouts\Pennit Application
ELECTRICAL is
RESIDENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
1- Service /Feeder Additional Feeders
(including attached garage):
FEES: First 1300 ftz - $121.00;
101- 200 amp x $163.fl0 x $103.00
Each additional 500 ft2 - $39.00
201 - 40,0 amp ?c $3i15r 6d,F ,° $120.50
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $3Sfr,00 x $142.50
1 =1 Service /Feeder Additional Feeders
60-1-, 800 amp ,lr? x $l 95.Q0
0 = 200 Amp . ; , ',39':00
801- 1000 arrtp x$562.50 x$235.50
201 = 400 amp x $163.00: x $ 80.00
Over 1006, amp
401 - 600 amp x -.bO x $111.00
601 - 800 amp $152,50
Over 600 volts surcharge ; -.x$103.00
Over '800amp $305.50
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1n Serui a /Feeder Additional Feeders
1" Service/Feeder Additional Feeders
0 - 200 amp x, %1u50 x` $103.00
0 X0.00
201-600 amp $163.00 x $ ;' 80.00
201 - 600 amp x $3065 50 x $142.50
Aver 6011 atdg x �+ryk1 ',, .$1l I.00
6(11 1"'Q01'a1rip x 4 a61 x$235.5(1
Over 10Q0 amp x $5Ll3LL x $327.00
Added or Altered Circuits,
1-4 circuits $80.00; each additional $8.00
Added or Altered Circuits
1 -5 circuits $103.00; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.00
$103.00 plus 35% of Permit Fee; Plan Review required for:
Service and fe� $11:50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical /Educational /Institutional Facility
Plan review for modified submittals $120.50 /hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
❑ Fire Alarm System
la Service /Feeder Additional Feeders
❑ Security Alarm System
Voice /Data Cabling
❑ Other
61 - 100 amp ,;; ' 39.00
Area to be served by system:
101= 2f1f1 amp ' .: $iO3:5f1 ', : -1,00
1•t 2,500 ft�- $71.00, each additional 2,500 ft2- $18.50
201 - 400 amp it $120.:00 rc $ 60.50
# of Thermostats
401 - 600,,amp. x $I63:S0 -, - " x $ ,60.60
First $60.50; each additional $18.50
Ov00 amp 6 x $ 02.00
# of signs
**NOTE: an automation fee of $6.00 will be charged
First $60.50; each additional $28.50
on all permits**
Yard Pole /meter loops /pedestal x $ 80.00
Portable Generator (transfer equipment) x $100.50
For fixtures or fees not listed contact the Permit Center at
Ditch cover /inspection only x $120.50
253- 835 -2607
Bulletin # 100 - 4/21/2009 Page 3 of 4 k:\Handouts\Permit Application