10-102298City Federal way
Applicant
of
Community Development Services
3
P.O. Box 9718
ALLCITY TELCOM INC
Federal Way, WA 98063 -9718
415 SUMMIT AVE N
Ph: (253) 835 -2607 Fax: (253) 835 -2609
FEDERAL WAY WA 98003
0 Electrical
Permit #: 10- 102298 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: HIGHLINE THERAPY SERVICES
Project Address: 1010 S 336TH ST Suite 112
Project Description: Low voltage for telephone and data wiring.
Parcel Number: 9265010010
Owner
Applicant
Contractor
OMNI PROPERTIES
ALLCITY TELCOM INC
ALLCITY TELCOM INC
909 SW 336TH ST SUITE 103
415 SUMMIT AVE N
ALLCIT1997CZ (2/9/11)
FEDERAL WAY WA 98003
KENT WA 98031
415 SUMMIT AVE N
KENT WA 98031
Is Use Educational or Institutional ? .......................No
Low Voltage - Other (Commercial: 1
Service greater than 1000 Amps ? ...........................No
PERMIT EXPIRES Thursday, June 2, 2011
Permit Issued on Wednesday, June 2, 2010
I hereby certify that the above information is correct and that the construction on the a
the occupancy and the use will be in accordance with the laws, rules and regulations
and the City of Federal Way.
Owner or agent:
Firs, rD
Date: b -f--1 V
• THIS CARD IS TO IN ON -SITE
CWT OF Construction Ins ction Record
Federal Way INSPECTION REQU TS: (253) 835 -3050
PERMIT #: 10- 102298 -00 -EL Address: 1010 S 336TH ST Suite 112
Owner: OMNI PROPERTIES 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.
Final - Electrical (4055)
Approved
By Date
❑
UFER Ground (4295)
Ditch cover (4030)
[3
Slab /Concrete Floor (4255)
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By Date
❑
Pool Bonding (4195)
Temporary Power (4275)
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Feeders /Sub - panels (4045)
Rough Electrical (4225)
Ceiling Cover (4020)
Approved
Approved
Approved
By
Date
By
Date
By
Date 1 U
Final - Electrical (4055)
Approved
By Date
❑
Rough Electrical
Approved
Final Electrical
Approved
Right of Way
Approved
By
Date
By
Date
By
Date
CITY OF
Federal yyiW1u,3 ELECTRICAL
AMIT APPLICATION
CI°1� CDS
* *Most electrical permits may be obtained on -line at www.cityoffederalway.com **
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 authorised 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 apart of this application.
SIGNATURE: J DATE V l y
PRINT NAME: J� M < /d 2w'J/Ji jV
33325 a 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 1 of 2 kMandoutsTlectrical Permit Application
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SITE ADDRESS: U J 3 S c TU 1 -C / Z
SUITS /UMT /SPACE i
ASSESSOR'S TAR /PARCEL #
CURRENT /PROPOSED USE
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PROJECT NAME
(Tenant or Homeowner Last Name)
( Ise ) t) S
C!L. r lew s'
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
.
NAME ,
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PRIMARY PHONE
PROPERTY OWNER
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MAILING ADDRESS
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CITY
STATE
ZIP
FAX
NAME
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(206)1770 - 3�L3
MAILING ADDRESS
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EMAIL
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CONTRACTOR
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WA STATE CONTRACTOR'S LICENSE N
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EXPIRATION DATE
FEDERAL WAY BUSINESS LICENSE #
NAME
PRIMARY PHONE
APPLICANT
( ) -
MAILING ADDRESS
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CITY
STATE
ZIP
FAX
PROJECT CONTACT
NAME ��
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PRIMARY PHONE
(2 W) �, 7a - 3 23
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 authorised 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 apart of this application.
SIGNATURE: J DATE V l y
PRINT NAME: J� M < /d 2w'J/Ji jV
33325 a 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 1 of 2 kMandoutsTlectrical Permit Application
Adk � . . .
RESIDENTLIff
C MERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
(including attached garage):
Ist 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
1s1 Service /Feeder
131 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 351/6 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
❑
111 Service /Feeder Additional Feeders
Security Alarm System
Voice /Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
Other
61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
1at 2,500 ft2- $71.00; each additional 2,500 W - $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 80' Avenue South ♦ PO Box 9718 ♦ Federal Way ♦ WA 1 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