07-101999 a r r
City Dof evelopment Services Federal y
Community D Electrical Permit #• 07-101999-00-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: OH'S FAMILY CHIROPRACTIC CENTER,PS
Project Address: 1520 S DASH POINT RD Parcel Number: 052104 9158
Project Description: Adding up to 5 circuits for new X-ray equipment,developer,washer and dryer.
Owner Applicant Contractor
OH'S PROPERTIES LLC OHS PROPERTIES LLC OH'S PROPERTIES LLC
2936 S 381ST WAY 2936 S 381ST WAY 2936 S 381ST WAY
AUBURN WA 98001 AUBURN WA 98001 AUBURN WA 98001
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 5
PERMIT EXPIRES Saturday, October 13, 2007
Permit Issued on Monday, April 16, 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 the Ci of Federal Way.
Owner or agent: Date: /
FINALED
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community D
u y evelopment Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101999-00-EL .
Owner: OH'S PROPERTIES LLC
Address: 1520 S DASH POINT RD
FEDERAL WAY, WA 98003-3753
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) ❑ Fin -Electrical (4055)
Approved Approved Approved
By G 7 Date q--v.0-07 By Date By (6-`7 Date -/L�O�
❑ Under-slab groundwork(4295)
Approved
By Date
Building Division
CITY OF 33325 Eighth Avenue South
ol Federa I Way • Fe Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS: \ S 2S � 'p (� a.�, �� � #:
fl \ g99- .14.
is Lo 41,41,11_ 4,47.X 944
co0anS , 0 M yc(kM4r
IF YOU HAVE ANY QUESTIONS CALL (253) 835- a,1. 121
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE-INSPECTION. SEE BACK OF CARD
FOR DETAILS.
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
! .. -1111
tl
Federal Way RECEIVEDPERMIT
SF MF CO M De PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258'TMAVENUE 50l1TH•PO BOX 9718 APPLICATION OTC/'
FEDERAL WAY,WA 98 063-9 718 APR 1 6 U f C /
253-835-2607•FAX 253-835-2609 1
11.g■o orWlkele■NI,vALttmm
CITY
The following is requireEluf � omplete application will not be accepted. Please print legibly(in ink)or type.
J
• PROPERTY INFORMATION
SITE ADDRESS_ I SS R 0 S• r 1s h n `I/ ' may, SUITE/UNIT#_ B
I
ASSESSOR'S TAX/PARCEL# 0 =J a t o 4- - ci I 5 LOT SIZE(sj) 135 5 I
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pageJdr lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION CELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
By adding 4aircuit it) (ices nbciat-P X— 'ay E pmer ,
X- Ray de up Inpwr , Welsher and clryr .
PROJECT NAME(Name of Business or Owner Last Name) 011 M.DA f ly Ch.(l oI rtxtc. Ceni r , -P5
• PEOPLE INFORMATION
NAME Oh PRIMARY PHONE
OWNER
PROPERTY Oh o ' sL L--L-.0 ( Z53) 3515 - 53gei
MAILING ADDRESS CITY,STATE.ZIP E-MAIL ADDRESS
2.413 6 s. B ISt cloy Auburn tOA gool drefttoh @grnail•coin
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
self- j k oh (a63) 946 - 44048'
MAILING ADDRESS CITY,STATEZIP CELL PHONE
2-43(o S. 39'IS- cOgy AIJbuJ'n WA 98001 ( 2.93) 350 - S389
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/J!fl ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
COPY of card required
with each application x)1 fl
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
Self' Chang ik oh ( as 4(o - (148
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
2436 S • 32 LOW.' Aciburr) oft 98'001 ( Zs3) . 50 - S381
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other ( Z$3) CM" - 44 10
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( )
U DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES )(NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? c YES ❑ NO
WATER SERVICE PROVIDER KLAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER iLAKEHAVEN ❑ HIGHLINE El PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
ET®TwO PROPOS® TOTAL TOTAL=SSTS°St TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indirate number of each type of fixture to be installed or relocated as part of this project Do not include existing fixtures to remain.
MECHANICAL
Vain of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLBIS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Comme,clall
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG Shib REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Mb/Shower Combo) LAVS(Bathroom slnkel URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Tolle)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I cert(fy 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 41/4/ C7
*nature) (Title)
RELATIONSHIP TO • OJECT ❑ Owner ❑Agent ❑ Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
a NEW a ADDITION ii ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? !YES a NO BASIC PLAN? ❑YES a NO
ZONING DESIGNATION CHANGE OF USE? ❑YES a NO
NEW ADDRESS REQUIRED? ❑YES a NO UP/SEPA/SU? ❑YES a NO
PLATTED LOT? ❑YES c NO DEMO PERMIT REQUIRED? ❑YES a NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
J
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
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ O to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ $ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50:Add'n circuits,$7.00/eal
❑ #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 serv1ce/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)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1•,2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(51 @I(i&W
Bulletin#100-April 2,2007 Page 3 of 4 k\llandouts\Permit Application