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07-100231 Cay of Federal way Electrical Permit #: 07-100231 -01 -EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: EMILY SABBAGH MEDICAL OFFICE BUILDING Project Address: 34630 11TH AVE S Parcel Number: 215470 0100 Project Description: Install new lighting fixtures,(4) floor recepticles,(4) phone lines,(14+/-)general purpose recepticles and (1) air compressor circuit. ***Revised 3/12/07-to include L/V for alarm system***** Owner Applicant Contractor EMILY M SABBAGH A&C ELECTRIC A&C ELECTRIC 34630 11TH AVE S SUITE 100 44925 281ST AVE SE ALELE**994BB (1/5/09) FEDERAL WAY WA 98003 ENUMCLAW WA 98022 44925 281ST AVE SE ENUMCLAW WA 98022 Additional Permit Information Electrical Fixtures Circuits- Commercial 8 Low Voltage-Other Commercial.. 988 PERMIT EXPIRES Saturday, September 8, 2007 Permit Issued on Monday, March 12, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and theuse will be in a ordance with the laws, rules and regulations of the State of Washington and the City of Federal Way. C - ti Owner or agent: �.�-- �, -�� Date: J ) Z_ () Fle IP•■ " °evederalway Electrical Permit #: 07-100231-00-EL Community Development Services • P.O.Box 9718 4°:31 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax (253)835-2609 a Inspection Request Line: (253)835-3050 Want Project Name: EMILY SABBAGH MEDICAL OFFICE BUILDING Project Address: 34630 11TH AVE S Parcel Number: 215470 0100 Project Description: Install new lighting fixtures,(4) floor recepticles,(4) phone lines,(14+/-)general purpose recepticles and (1)air compressor circuit. Owner Applicant Contractor EMILY M SABBAGH A&C ELECTRIC 309 2ND ST SE UNIT 100 44925 281ST AVE SE AUBURN WA 98002-5543 ENUMCLAW WA 98022 • Additional Permit Information Electrical Fixtures Circuits-,.Commercial 8 Tow Voltage-Other Commercial.. 978 PIIIT EXPIRES Sunday, July 15, 2007 -Permit,Issued on Tuesday, January 16,2007 I hereby certify that the above nformation is correct and that the construction n tt a abovedescribed property and the occupancy and the use will be in . •ante with the laws, rules andgulations of the State ofWashington nd the City of Federal Way. Owner or agent: ( ( Date: 1/1 G O • THIS CARD IS TO REMAIN ON-SITE .- • CITY OF Community Development'Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-100231-00-EL Owner: EMILY M SABBAGH Address: 34630 11TH AVE S FEDERAL WAY, WA 98003-6711 This card is part of your required inspection documents. 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. ❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power (4275) 0 Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved iti By VA: Date ' r� D'l By Date Bert S Date J?—Ze7-07 • ❑ Under-slab groundwork(4295) Approved By Date an'OF 0 . — 1 0 0 2_..,3 " ',3 '� • Federal Way RECEIVED PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO ME 0 PL DE EN FP 33324;;"AVENUE SOUTH•:080(9 1 MEDERAL WAY,WA 983 9778 �N 1 6 20c P P L I C AT I O N TO / - / 253-835-2607•FAX 253-835-2609 TVWW.cilyu federnhcray.Con, CITY Ott F ER WAY The following is regal fi erce n-an incomplete application will not be accepted. Please print legibly(in ink)or type. - S PROPERTY INFORMATION SITE ADDRESS /3 /1 6 3P I (T}(" (IC? ..) SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 2 ( S `4 b - O t 0 'O LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) • (Attach separate page for lengthy legal description) IN PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION 18r ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlq) Lio51Vr-t-L. L,c.., rr /b te? 1--i XX'c��Sc 14.1 f/- Ce)e;-Y•1 Q v i2 paw Q - TA-e.l 5 1 �) [ pa ,-- /11,144U,r 2.0A./29a I,/ PROJECT NAME(Name of Business or Owner Last Name) 6 oc.c 1-1— ,6-2 C49-4-c_ , PEOPLE INFORMATION PROPERTY NAME - PRIMARY PHONE OWNER El"t c•) SkJ3b44 4*1- ( ) - M1GL DD U 1Ii /pie 3 CITY, �A�E,ZIP � E-MAIL ADDRESS kNiti CONTRACTOR COMP NY N MADE` APPLICANT NAME OFFICE PHONE ��__ �►G et, - t-w G►t1¢-1, ?tom (' ,€)) �z;]ie �" MAILING ADDRESS �� }S`,t'(Y,STATE,ZIP CELL PHONE/ 9 CITY OFFFI Z6 A2-1IN k LICENSE NUMBER [� NU aL-EXPIRATION q tozz (2-�NUMBER J 1O - 272 61 COPY of card required CONTRACTORS REGISTRATION NUMBER (RATION DATE E-MAIL ADDRESS „� with each application I_ > ,e�LG 9l.c I-1 t �V ( 's� -6"j G kiroa s�'4(=s- APPLICANT COM NY ME APPLICANT NAME I OFFICE PHONE �.t �;� �t� G t-!'12e 5 ��q-(...wer lt.- (3eo) V2-5- -7c 0S— MAILING ILL 41 9 ADDRESS_2.)! ZO , Ave 6_ CITY J STATE,.otc.C..i _, CELL PHONE V -2_72f RELATIONSHIP TO PROJECT C• a'f tv, r V \\(FAX NIIMBEERR`'•/` ❑ Architect ❑ Tenant ❑Agent 0 Other - 11 a-a (3‘0 ) 9z-r- 359 g PROJECT NAME/,II � PRIMARY PHONE E-MAIL ADDRESS / CONTACT 1/1 A'll-• /�... ?fr I1J (2 0(..) 77w- 7.5-10 LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( I 1 • -DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE • EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • AREA DESCRIPTION•n,a.�_.��_..,,,,,.,�r,,,,,._,.,.y. n,,�,�,,.,_...EXISTING PROPOSED TOTAL.�..,,,.,..a SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(❑COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ EXISTING PROPOSED TOTAL TOTAL EXISTING Sr TOTAL PROPOSED Sr TOTAL Sr NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ • FIXTURES 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 Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUS BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIV: COOLERS GAS PIPE OUTLETS WOO,DSTOVES BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSE' HOODS(commercial) COMPRESSORS FURNACES RANGES DUCTS; GAS LOG SETS REFRIG.SYSTEMS PLUMBING • BATHTUBS(or Tub/Shower combo) LAVS(Bathroo, Sinks( URINALS MISC(Describe) DISHWASHERS RAINWAT. ' SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOW^'S WATER CLOSETS(Toilet) ELECTRIC WATER HEATERS SIN . WASHING MACHINES l HOSE BIBS SU PS • SIGNATURE I certify Under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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. • NAME/TITLE `/—'"/ DATE I Yco D 7 (Signature (Title) - RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent ❑ Contractor ❑ Architect ❑ Other ❑NEW a ADDITION ❑ALTERATION a REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100–January 1,2007 Page 2 of 4 k\Handouts\Permit Application 1 I -- ELECTRICAL PERMIT INFORMATION ` - RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage CI -200 amp 149.50 94.50 (Inspected with service) ❑ Detached outbuilding or garage $47.00 ❑ 201-400 amp 280.00 111.00 LI 401 -600 amp 327.00 131.00 (Inspected separately) $74.00 ❑ 601 -800 amp 423.00 179.00 CI 1000 amp 516.50 216.00 NEW MULTI-FAMILY(three units or more) CI Over 1000 amp 563.00 300.00 Service Feeder ❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50 ❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00 ❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 262.00 140.50 It ❑ Over 800 amp - 375.50 280.50 Service or Feeders 1 ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50 ❑ 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 ❑ 0 to 200 amp $92.50 ❑ 201 -600 amp 149.50 iiit #of circuits to be added altered ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) . ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee ❑ Service- 1;000 amps or greater ❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES • ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $65.00 ❑ #of service or feeders (First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0- 100 amps $74.00 ❑ 101 -200 amps 94.50 ❑ 201-400 amps 111.00 ❑ 401-600 amps 149.50 ❑ over 600 amps - 162.00 MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) plow Voltage c,� ❑ Swimming pool/hot tub $111.00 Square Feet to be served by system(s) " V (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarm System ❑ Additional Plan Review $1 11.00/hour Voice Cabling for modified submittals) Data Cabling ❑ Automation Fee on all Permits .. $5.00 1.2500 ft9-$65.00; Each add'n 2500 ft2 17.00) •Per WAC 296-46-910(50)(i&ii) Bulletin#100-January I,2007 Page 3 of 4 k\Handouts\Permit Application