07-106895 City of Federal Way Electrical Permit #: 07-106895-00-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: FEDERAL WAY ORTHOPEDIC ASSOCIATES
Project Address: 34612 6TH AVE S Suite 300 Parcel Number: 926480 0010
Project Description: Installation of L/V wiring for fire alarm system.
Owner Applicant Contractor
FWASC,LLC SY ELECTRIC CO SY ELECTRIC CO
PO BOX 890 16605 SE 34TH ST SYELEL*95400 9/20/09
BLACK DIAMOND WA 98010 BELLEVUE WA 98008 16605 SE 34TH ST
BELLEVUE WA 98008
Additional Permit Information
Service greater than 1000 Amps No
Electrical Fixtures
Low Voltage Fire Alarm-Comme: 4,936
PERMIT EXPIRES Saturday, December 20, 2008
Permit Issued on Wednesday, December 26, 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 e in.acc dance with the laws, rules and regulations at the State of Washington
/i ` and the City of Federal Way.
Owner or agent:/'i \/ Y Date: ' �2 G to-7 v
F/4//'/tvG��
THIS CARD IS TO REMAIN ON-SITE '
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106895-00-EL
Owner: FWASC, LLC
Address: 34612 6TH AVE S Suite 300
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
By Date By L-ttc,�...k Date -xi. By Date
,
❑ UFER Ground (4295) N
Approved
By Date
1
i
•
•
For inspector reference only_
❑ Rough Electrical ❑ FINAL-Electrical
Approved
Approved-LD By Date By Date /• / °c'
RECEIVED
Fear _ FqC
Federal Way PERMIT
COMMUNITY DEVELOPMENT SER SC, 2 6 2007 SF MF CO ME J, PL DE EN FP PO 3332FEat AVENUE
WA ,SOUTH
BOX APPLICATION
FEDERAL WAY,WA 98063-9718 y-/,fir} �
ass-sss aso7•enxzs3iobF FEDERAL W / /
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
A • PROPERTY INFORMATION
SITE ADDRESS_ 3 k 6,1'2- /�� Awe S..fir- o^ SUITE/UNIT#_ - C)C)
ASSESSOR'S TAX/PARCEL# -/_J- 2- (rq 'l ®- ) ` ) , 0 LOT SIZE(Si)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) '
(Attach separate page for lengthy legal descriplere
■ PROJECT INFORMATION
TYPE OF PERMIT U BUILDING U PLUMBING U MECHANICAL
U DEMOLITION Iii..ELECTRICAL U ENGINEERING U FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only)
(-OL ) VOL G-W whit/04- eo(L F( 9-e 111-(J /I.\ Sys-r 4.
PROJECT NAME(Name of Business or Owner Last Name) 8 b 8fLik L W "TV 04-1-1-f 0 1 0J 1 e- AS.QC.
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER Ft )A S L' . ( ) -
MAILING ADDRESS ) CITY,STATE,ZIP 19ol V E-MAIL ADDRESS
?0 IS Ox 090 gt.nu,- '01/0"0",t / kik
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
SY 0-EC.-1(Lkc L cc . /.,0 V,Reso (Y .r )r.2L - 607 4
MAILING ADDRESS / CRY,STATE,ZIP CELL PHONE
/13 CIO sLT 3. Sr ,*/03 iselc a w>4 S'g�� (206 )))s -E3s-o7
COY OF FEDERAL WAY BUSINESS LICEN9 NUMBER EXPIRATION DATE FAX NUMBER
ao- Ui- !0 S-S-19 00- B t_ (z/3 i /055 (4)-s )s-co- - 79G 6
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
syest.¢z_ 4 asyw
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5V et z_ r-tC LLc, ( ) -
MAILING ADDRESS CITY.STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect U Tenant o Agent C Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT G+�a-'r i (lob ) 8i ) - 3s-68
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? RYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES C NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE U TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER U LAKEHAVEN U HIGHLINE ❑ PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
"*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 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)CommCms)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or nb/Sbowor Combo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS mile)
ELECTRIC WATER HEATERS SINKS _ WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulati•ns pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the owner' i-sponsibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to ho harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defe /of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim a /out of the relic of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as a part of "isa.-
SIGNATURE: DATE � 2-4(r /0
Property Owner and/or Authorized Agent
F.
�'H,4a1' r.11 11r tl., a nab I
❑NEW ❑ADDITION ❑ALTERATION c 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? o YES ❑NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? ❑YES ❑NO
Bulletin#100-August 16,2007 Page 2 of 4 k\Handouts\Permit Application
M
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 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 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
❑ 0to200amp $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/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
LI 101-200 amps 94.50
LI 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
x (Fir(First-$55.00;add'n-$17.00/ea)
st sign-$55.00;add'n sign$26.00/ea)
Low Voltage y93 6 ❑ Swimming pool/hot tub $111.00
are Feet to be served by systems) (Includes additional circuit,If required)
Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System LI Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
18 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) Per WAC 296-46910(511&1(1&W
Bulletin#100-August 16,2007 Page 3 of 4 ktHandouts\Permit Application