Loading...
07-101423 Y Community CityoeFederalway Development Services Electrical Permit #: 07-101423-00-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: GROUP HEALTH Project Address: 301 S 320TH ST Parcel Number: 172104 9105 Project Description: Alter circuit for security triggered lighting in pharmacy. Owner Applicant Contractor GROUP HEALTH PRIME ELECTRIC INC PRIME ELECTRIC INC 12501 E MARGINAL WAY S 13301 SE 26TH ST PRIMEEI134BT 1/30/09 TUKWILA WA 98168 BELLEVUE WA 98005 13301 SE 26TH ST BELLEVUE WA 98005 Additional Permit Information Electrical Fixtures Circuits- Commercial t PERMIT EXPIRES Saturday, September 15, 2007 Permit Issued on Monday, March 19, 2007 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 of Federal Way. Owner or agent: `� ---" Date: 5 —191 _©7 - THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-101423-00-EL Owner: GROUP HEALTH Address: 301 S 320TH ST FEDERAL WAY, WA 98003-5200 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) ❑ Service (4235) ❑ 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 By Date By Date By cr__: Date 3-2t-pNI ❑ Under-slab groundwork(4295) Approved By Date RECEIVED / MAR 1 9 2007 0 7 -( O ��3 CITY OF PERMIT Federal Way �ry�'tyyy SF MF CO M' PL DE EN FP COMMUNITY DEVELOPMENT SEMMC'E,�QF PED/�ERAL WAY 9332F D AVENUE SOUTH•63 BOX 9 U)LD(NG DEn PP L I C AT I O 1 / --- - / TO FEDERAL WAY,FAX 98063-260 ~ 253-8352607•FAX 253-835-2fi09 ww w.dl uo ffc deralwa u.com The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. . PROPERTY INFORMATION SITE ADDRESS 72-j....)\ • 32 Si SUITE/UNIT # LOT SIZE (sf) ASSESSOR'S TAX/PARCEL # • - • LEGAL DESCRIPTION (e.g.Acme Estates, Lot I) par (Attach:e t page for tengtfly legal description) IN PROJECT INFORMATION TYPE OF PERMIT CI BUILDING ❑ PLUMBING ❑ MECHANICAL .(] DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description o work i eluded on this permit onlu) 1 S - LA__ — mat N • 4 C- IL-le ' T' ' ._ • A 4L . • PROJECT NAME(Name of Business or Owner Last Name) L/' ^t ikk El PEOPLE INFORMATION PRIMARY PHONE PROPERTY NAME/ �//�l� , ` P I OWNER -�—il [�Y 7��� Q�/�J - E-MAIL ADDRESS • MAILING ADDRESS 1 CITY,STATE,ZIP S. • APPLICANT NAME OFFICE PHONE �.��7�co CONTRACTOR Pjl - A'V c l r! (� �'4 JLXJI.>. �J� ��� FJ`_ CITY,STATE,ZIP CELL PHONE . MAILING ADDRESS / ,ate 'n.,,E NA)^ 98er , ( ) _ ✓✓ED l 24!:). 1S L~ YEXXPII-RA ONDrA"TSE C7.�» FAX NUMBER • • 'CG'C)I�Y/U�OF.FEZDERAL WAY BUSINESS LICENSE NUMBER (/ CONTRACTOR'S RBQI"1 T NUMBER 00'I EXPI I ION E O el E-MAIL ADDRESS COPY of card application � Y^',_ `���� ���T oath cask APPLICANT NAME -OFFICE PHONE APPLICANT c ANY'NAME ( ) _ • � S CITY,STATE,ZIP • - CELL PHONE MA N�O,(A�D/�DRESS(�,� [� ( -1 s.�r t.•��G P ' lUIV IG - _ - IFAX NUMIBER • • RELATIONSHIP TO PROJECT ) - ❑ Architect ❑ Tenant 0 Agent 0 Other ✓y�,� ! PRIMARY Pl-taNE —I E-MAIL ADDRESS 1 CONTACT Na r;" -/y/ rnSS t- G I•(4 V��5�5-t LENDER NAME ( - Per RCW 19.27.095: Lender Information is required(fprefect value exceeds$5,000 • MAILING ADDRESS CITY,STATE,ZIP I PHONE / _ . • • ■ DETAILED BUILDING INFORMATION 1 • • - PROPOSED USE - EXISTING USE . EXISTING ASSESSED/APPRAISED VALUE $ - 'VALUE OF PROPOSED WORK $ ' SPRINKLERED BUILDING? ❑ YES CI NO FIRE.SUPPRESSION SYSTEM PROPOSED/REQUIRED? OYES ❑ NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL BASEMENT SQ. FT. SQ. FT. SQ. FT. FIRST • SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ _ NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING sr — TOTAL PROPOSED Sr TOTAL sr "*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. 4 MECHANICAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES _ BBQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(Commerday COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS for Tab/shower Combo) LAVS(Bathroom shawl URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS Erode) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 b- .de by any person,including the undersigned,and filed against the City'of Federal Way,but only where such claim arises out of the relia he city,Including its officers and employees,upon the accuracy of the Information supplied to the city as a part of this application. NAME/TITLE � (Signature)� '\\ DAVE 37q/V [Tine) RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor ❑ Architect ❑ Othet ❑ NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES o NO BASIC PLAN? 0 YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO • Bulletin#100—January 1,2006 - Page 2 of 4 k\HandoutslPermit Application s s - ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE . Service or Feeder Each Add'n ❑ Single Family-Square Feet ❑ 0 to 100 amp $1.17.00 $71.50 (First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) p . ❑ Detached outbuilding or garage ❑ 101 -200 amp 145.00 9.1.50 . (Inspected with service) $45.50 ❑ 201 -400 amp 272.00 107.50 ❑ Detached outbuilding or garage ❑ 401 -600 amp 317.00 127.00 (Inspected separately) $71.50 ❑ 601 -800 amp 410.00 173.50 ❑ 801 - 1000 amp 500.50 209.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder ❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 ❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00 ❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 254.00 136.00 ❑ Over 800 snip 364.00 272.00 Seruice or Feeders ❑ 0 to 200 amp $117.00 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00 ❑ 601 - 1000 amp 410.00 Service or Feeder ❑ over 1000 amp 456.50 ❑ 0 to 200 amp . $89.50 ❑ 201 -600 amp 145.00 131. #of circuits to be added/altered ❑ over 600 amp 218.50 1-5 circuits-$91.50;Add'n circuits,$7.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW ❑ #of circuits to be added/altered (1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee ❑ Service- 1,000 amps or.greater ❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $63.00 ❑ #of service or feeders (First service/feeder-$71.50;each add'n-$46.50) Commercial,/Industrial Service or Feeder Ampaclty ❑ o- 100 amps $71.50 ❑ 101-200 amps 91.50 ❑ 201-400 amps 107.50 ❑ 401-600 amps 145.00 ❑ over 600 amps 157.00 1 i . MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats ❑ #of Signs (First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n.sign$25.00/ea) ❑ Low Voltage ❑ Swimming pool/hot tub $107.50 Square Feet to be served by systems) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $71.50 ❑ Security Alarm System - • ❑ Additional Plan Review $107.50/hour ❑ Voice Cabling for modified submittals) ❑ Data Cabling Automation Fee on all Permits .. $5.00 1aa 2500 ft2-$63:00; . Each add'n 2500 ft2-16.50) "Per WAC 29646-9IO(50)(i&ii) Bulletin#100-January I,2006 Page 3 of 4 k\Handouts\Permit Application