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07-100256
rt let ` City of Federal Way Community Development Services Electrical Permit #: 07-100256-00-EL 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: HOME FITNESS Project Address: 35105 ENCHANTED PKWY S Suite G104 Parcel Number: 185295 0040 Project Description: Add 3 outlets. • Owner Applicant Contractor OPUS NORTHWEST LLC EB ELECTRIC EB ELECTRIC OPUS NORTHWEST LLC PO BOX 70041 EBELEEI966LQ 6/18/2008 915 118TH AVE SE SUITE 300 BELLEVUE WA 98007 PO BOX 70041 BELLEVUE WA 98005 BELLEVUE WA 98007 Additional Permit Information Electrical Fixtures Circuits- Commercial. 2 PERMIT EXPIRES Monday, July 16, 2007 Permit Issued on Wednesday January 17,200 I hereby certify that the above information is correct and that the construction on the above described property the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington / Ad and - City.of Federal Way. Owner or agent: Date: / / 7- Zoe)? rt) 10,04.• THIS CARD IS TO REMAIN ON-SITE . A CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 . PERMIT#: 07-100256-00-EL Owner: OPUS NORTHWEST LLC Address: 35105 ENCHANTED PKWY S Suite G104 FEDERAL WAY, WA 98003 This card is part of your required inspection document& 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) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date j ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) I Approved Approved Approved B47 Date //��4 By Date B Date/ '!/ ❑ Under-slab groundwork(4295) Approved By Date Federal Way RECEIVED d T7 ( _o a z L_� PERMIT ' COAAMUNDY DEVELOPMENT SERVICES SF MF CO ME PL DE EN FP 3332m AV E MAEYSWT N•06X71 1 7 ZUOAPPLI•CATION T° .253.835-2607•FAX 253-835•2609 www.Ofi/oNmleralwau.com CITY OF FEDERAL WAY The following is regg ypiblylDapibtt-an incomplete application Will not be accepted. Please print legibly(in ink)or. type. S PROPERTY INFORMATION SITE ADDRESS -34 /6) / yw14 •i a IC s ems'c SUITE/UNIT# G-.I D/ SESSOR'S TAX/PARCEL# ( P S Z °I SI- U 0 `f d LOT:SIZE(s) LEGAL DESCRIPTION(e.g.Acme Estates,Lot I) • (Muth Wanda Pagel'ar lenOtAV 1474 d»aiPOnn) I. PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑,FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 1l 3 o rt2-ts. PROJECT NAME(Name of Business or Owner Last Name) MO✓Y) e /r- IMIL,C.s 5 • • PEOPLE INFORMATION PROPERTY NAME _ PRIMARY PHONE OWNER O 1 LL j ' 1�, LU ( ) - MAILING ADDRESS CRY,STATE,ZIP q�•�S E-MAIL ADDRESS 5-/-5. q //ff woe �►1 e_vu_i_ wti- +CONTRACTOR COMPANY NAME APPLICANT NAME I OFFICE PHONE )3 /SF. /wci2.-(......_ (-vzsr xao- 706 MAI4ING ADDR S Cly� , O,STATE,ZIP ' 7 CELL PHONE HC, I!ox. 7o0 1-l ( . I°Sc-L1C\LL. ,..L.,r4- izoci Zs3---ZIoi-C CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FM NUMBER _ i (r e / 20,-7 ( Z.13) 53/ -/ZZY CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS of yard»qd..d :with a e nPplleetMn 4. / J L )-i �. � / 6 /I' c; V / I Q /© APPLICANT COMPANY ME APPLICANT NAME OFFICE PHONE MAILING AD ESS VY - CITY,STATE,ZIP - CELL PHONE _ RELATIONSHIP TO PROJECT FAX NUMBER D Architect O Tenant ❑Agent ❑ Other ( PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( LENDER _____jgmdF Per RCW 19.27.095: c_ Lender Information is required if project value exceeds$5,000 MAILING ADDRESS - CITY,STATE,ZIP PHONE m ( _ II DETAILED BUILDING INFORMATION M EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? D YES D NO . •.' SUPPRESSION SYSTEM PROPOSED/REQUIRED? D YES U NO WATER SERVICE PROVIDER D LAKEHAVE a HIG s E ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER D LAKEHA -N D HIGHLIN: ❑PRIVATE(SEPTIC) PRIJE e e ' • 'l . AREA DESCRIPTION EXISTING PROPOSED TOTAL. SQ;FT. SQ. FT. SQ.FT. . BASEMENT FIRST . . • SECOND ' i' THIRD f/ ADDITIONAL FLOORS(DE5CRIB DECK(0 COVERED OR 0 UNCOVER . GARAGE 0 CARPORT 0 . i •NUMBER OF FLOORS I memo en. •-m I TOTAL Teau.s�mrosr mTALMOAesasr Tanwsr **NEW HOMES ONLY''* NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ .. —► ■ FIXTURES • . Indicate number of each type of fixture • be installed or relocated as.•• of this project, Do not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE e BE INCLUDED WITH APPLICATION) AIR HANDUN ITS EVAPORATIVE COOLERS GAS •E OUTLETS WOODSTOVES BBQS FANS .OAS WA R HEATERS MISC(Describe) BOI S - FIREPLACE INSERTS HOODS(c.. .ep MPRESSORS FURNACES RANGES ' . au . . - GAS LOG SETS • REFRIO.SYSTEMS - • PLUMBING BATHTUBS lor Tub/Shower Combo) LAVS(B.throomsinke) URINALS MISC(Describe) DISHWASHERS - RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS _______ WATER CLOSETS(miles - - . ELECTRIC WATER HEATERS SINKS WASHING MACHINES • HOSE BIBBS SUMPS • SIGNATURE • I certify muter.penalty of perjury that the information furnished by me is true.and correct to the best of my knowledge, and further, that I am authorised 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 flied against the City of Federal Way,but only where such claim arises out of the reliance of the city,includi . is officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �J • NAME/TITLE Ill DATE /—/!'7-- Zei 7 .. (S ature) I (Title) ' RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other D NEW D ADDITION o ALTERATION o REPAIR D_TENANT IMPROVEMENT. - • BUILDING SHELL ONLY? o YES D NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? a YES o NO NEW ADDRESS REQUIRED? D YES D NO UP/SEPA/SU? D YES D NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES D NO • Bulletin#100—January 152007 Page 2 of 4 k11-landouts\Permil Application . • L. = ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50 (Inspected with service) ; $47.00 ❑ 201-400 amp 280.00 111.00 ❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00 (Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00 ❑ 801 - 1000 amp 516.50 216.00 NEW MULTI-FAMILY(three units or more) ❑ 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 ❑ Over 800 amp 375.50 280.50 Service or Feeders ❑ 0 to 200 amp $120.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50 ❑ s - IC' amp 423.00 Service or Feeder iii over. 000 1 p 471.00 ❑ 0 to 200 amp $92.50 1 ❑ 201 -600 amp 149.50 la- # .. circuits to be added/altered ❑ over 600 amp .:225..50 (1- nits-$94.50;Add'n circuits,$7.00/ea) 1:1 #of circuits to be added/altered • 0 =-CIAL/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/ca) ❑ Low Voltage ❑ Swimming pool/hot tub $111.00 Square Feet to be served by system(s) Oncludee additional circuit,if required) • ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarni System ❑ Additional Plan Review $1 I• our ❑ Voice Cabling (fo odified submittals) ❑ Data Cabling ❑ IW�Automation Fee on all Permits .. $5.00 Pa 2500(0-$65.00; Each add'n 2500 ft2{17.00) •Per WAC296-46-9r0f5fibl(i 6 is , Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application '