07-101763 City of Federal Way ,
Community Development Services Electrical Permit #.. 07-101763-00-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: CAPITAL SQUARE
Project Address: 728 S 320TH ST Suite A Parcel Number: 082104 9050
Project Description: Provide power & lighting for tenant improvement on dental clinic
Owner Applicant Contractor
CAPITAL SQUARE ASSOCIATES PWR CONSULTANTS PWR CONSULTANTS
31919- 1ST AVE S 6910 ROOSEVELT WAY NE PMB 202 PWRCOC1997QF(11/06/2007)
SEATTLE WA 98115 6910 ROOSEVELT WAY NE PMB 202
FEDERAL WAY WA 98003 SEATTLE WA 98115
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 15
PERMIT EXPIRES Sunday, September 30, 2007
Permit Issued on Tuesday, April 3, 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 wi be in accordance with the laws, rules and regulations of the State of Washington
nd the City of Federal Way.
Owner or agent: Date: �-r
�p —
C=.'") e. W �-f
` THIS CARD IS TO REMAIN ON-SITE
-
A OF , - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101763-00-EL
Owner: CAPITAL SQUARE ASSOCIATES
Address: 728 S 320TH ST Suite A
FEDERAL WAY, WA 98003
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
B Date 17 ti7 By 5 Date 6--(e)--07 By< ps . J Date ki_[ $"10''l
.❑ Under-slab groundwork(4295)
Approved
By Date
` CITY OF Building 2Eighth Division
��.. Federal Way • Federal Eighth Avenue South
PO Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: `1. Z$ So Sao #: O •-I. - I. o I 1 tcs 3- tr- 1
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IF YOU HAVE ANY QUESTIONS CALL (253) 835- 2t, 2'1
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
to s- l S - t,II .— -
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
' t G�,v .O
CITY OF /®O -
Feder Ways QR 0 v 1 Py O� I
P k_� PERMIT
COMMUNITY DEVELOPMENT SERVICES OV -(, SF MF CO ME EI PL DE EN FP
33325 FEDERAL AY.WA 93-83 BOX � !(o o PPLI CATI O N
FEDERAL WAY,WA 98063-971 B Q` L NG 3p
253-835-2607*FAX 253-835- ``,�
L135,FWMIIeQeril11138.11 V
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
�Q MI PROPERTY INFORMATION ORMATION
SITE ADDRESS 7Re 5• 3� ^.j.1- I $u(rE A SUITE/UNIT# A-
ASSESSOR'S TAX/PARCEL# (� S 1 (' it - q 0 5 0 LOT SIZE(sj) 54...g80
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,ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
'(>atv IDE Di9L&f e q- /-I c -7 4/4 Fon -r-tM41K imPovaffeer plcAfixt, Ci./.UIL
PROJECT NAME(Name of Business or Owner Last Name) Ca_ S�j ,tAVv l..X_ I
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER CAP Imt. �dCLUPJ2, LL-C.- ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
'BLUR. CO/ 0 1474107 RIA-IuQ La, Rote (silt ) 44'6 - 4670
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(4410 Rceviemt7 AyAIE,Po 0 ,2.0-1 5 177E/1 - 9�N5 ( 364 ) 698 - 0566
CITY OF FEDERAL WAY BUST S LICENSE NUMBER EXPIRATION DATE FAX NUMBER
COPY of card required CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-�ADDRESS
-
-�� .PP��.tlea pwrfte yalw•Le*--
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
17041. bf'7Mlirj 1`1' k+ LP GW I ROHWZ- (mil,) 50 697O
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(0204 ) 948 - 6595
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other S015 4A TVACV -- ( 224 ) gyp -(9 979
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT MAke_ I-k)srak/ (?d ) 235 - g3µ7
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION c�,.�
EXISTING USE 0F �
t( j �
PROPOSED USE e(1)17F-1. CUAl(.-
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ le)LVC)
SPRINKLERED BUILDING? ❑ YES 9L NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO -
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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 EZISTflO I PROPOSED I TOTAL =SWIM sr TOTAL PROPOSED sr
TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include e s
ting fixtures to remain.
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(Commercla))
COMPRESSORS FURNACES
RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or mb/Shower Combo) LAYS)Bathroom SRI.) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
ELECTRIC WATER HEATERS (Toilet)
SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I
am ti
authorized under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
certify
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 cl aim(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. /;/�//�;/�/�(y�/ ^�
NAME/TITLE 'l Yom" _ ELI I DEIV T DATE ' / `O 7
aturel
(Title)
RELATIONSHIP TO PROJECT ❑ Owner o Agent ❑ Contractor ❑ Architect ❑ Other 506 69/0724,-.1r#1---
I:FOR OFFICE USE ONLY
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-January 1,2007 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 IF-$111.00;Each add'n 500 ft%-$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
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
Service or Feeder ❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 201 -600 amp 149.50
15 #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/Educallonal/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
LI 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
'rst-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
G w Voltage q 0/� ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) 2.1(9 (Includes additional circuit,if required)
Fire Alarm System ❑ Yard Pole meter loops $74.00
0,-< urity Alarm System ❑ Additional Plan Review
abling $111.00/hour
IN/Voice
g Data Cabling (for modified submittals)
( ❑ di Automation Fee on all Permits .. $5.00
10 2500 ft=-$65.00;
Each add'n 2500 ft2-17.001•Per WAG 296-46-910(0(0(1A.0
Bulletin#100-January 1,2007 Page 3 of 4 k111andouts\Permit Application