10-104187 E1ectl ical
City of FeWay Permit #: 10-104187-00-EL
CommunityDevelopment
ment Services
P,O.Box 9798018
Federal Way,WA 63-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
i-
Project Name: SPENCER BA TRON CHIROPRACTIC
Project Address: 1010 S 336TH ST Suite 120 Parcel Number: 926501 0010
Project Description: Low voltage for fire alarm system
•
Owner ADnlicant 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 KENT WA 98042 PO BOX 7171
yk�;` � KENT WA 98042
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Is Use Educational or Institutional? No Service greater than 999 Amps? No
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Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Tuesday, October 4, 2011
Permit Issued on Monday, October 4, 2010
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: f Date: /0— JO
THIS CARD IS TO REMAIN ON-SITE , _,
CITY OP � �' Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253) 835-3050
PERMIT#: 10-104187-00-EL Address: 1010 S 336TH ST Suite 120
Owner: OMNI PROPERTIES INC Federal Way, WA 98003-6385
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.
El UFER Ground (4295) Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) ❑ Temporary Power(4275) El Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date/e , 7,/d By(4i;), Date !d 1o/C
O Final-Electrical(4055)
Approved
Bya;), Date 0.,2212r
!
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PINAL!I
Rough Electrical Final Electrical ❑ Right of Way
❑ Approved ElApproved Approved
_ By Date By Date By Date
Federal Way
camw NmMSLOP.M WSERVICES
253- 835.2607 FAX 253 -835 -2609
• PERMIT MF CO ME PL DE Eli FP
APPLICATI �Zc—c—lrr lC
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SITE ADDRESS C T
SUITE /UNIT #
10 10 S 3 Gt" 5+ CI l 4 z6.3
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PRO.IECT VALUATION
$ a
ZONING
ASSESSOR'S TAX/
-2 ►ti1� Q -0
TYPE OF PERMIT
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ❑ ENGINEERING �r FIRE PREVENTION
NAME OF PROJECT
(/Tenant Name /Homeowner Last Name)
39QACev- ,r a n G h r 1 o 2ra r-4- 1'C.
Lair vvi
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
NAME t
Dm n /'D -e i E
PRMIARY PHONE
G 0 S ?301, 5 /03
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PHONE
ADDRESS t
go X 71-71
EMAIL
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CONTRACTOR
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FAX
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WA SPATE 7RrA S LI S
D��S
EXPIRATION DATE
FEDERAL WAY WSINESS LICENSE #
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2oob /oalsSao
NAME
PSONE
APPLICANT
MAULING ADDRESS
E-NAM
CITY
STATE
ZIP
FAX
PROJECT
Co-+ kct✓ r 1`-s
P
4P3% (72-L
(The individual o receive nd
respond to all correspondence
KAD:IXG ADDRESS
concerning this application)
Cv
CITY
STATE
ZIP
FAX
ALTERNATE CONT NAME:.
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P80NE
F-MAIL
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PROJECT FINANCING
1A
[3 OWNER - FINANCED
Required value of $5, 000 or more
(RCW 19.27095)
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MAILING AIWRESS, CITY, STATE, ZIP
PHONE
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 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 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.
L
DATE 1a �--�0
SIGNATURE: (�"r
PRINT NAME: J" (O' y1 ( cLert' S
Bulletin #100 -April 14, 2010 Page 1 of 3 kAHandoutsTermit Application
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. ,
RESIDENTLO
C MERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet I
(including attached garage): 1
I st Service /Feeder Additional Feeders
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307.00 x $121.00
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 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 $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
Ist Service /Feeder
111 Service /Feeder 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 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 35% = + $103.50 = Plan Review Fee)
Plan review for modified submittals $105.50 /hour
MISCELLANEOUS
SERVICE/ EQUIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
Fire Alarm System
11t Service /Feeder Additional Feeders
❑ Security Alarm System
❑ Voice /Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other �^ 2 3 l
A
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
lat 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
Over 600 amp x $184.50 x $ 92.00
FEE CALCULATIONS
# of Signs
First $60.50; each additional $28.50
• Fees are determined by the scope of work as indicated.
Yard Pole /meter loops /pedestal x $ 80.50
• A $6.00 Automation Fee will be added to all permits.
Portable Generator (transfer equipment) x $101.00
• For assistance in calculating fees or completing the
application form, contact the Permit Center at
Ditch cover /inspection only x $121.00
253 - 835 -2607
33325 8" Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA ♦ 98063 -9718 ♦ 253- 835 -2607 ♦ fax: 253- 835 -2609 ♦ www.cityofFederalway.com
Bulletin #160 - April 9, 2010 Page 2 of 2 k:\Handouts \Electrical Permit Application