09-101479 Electrical
City of Federal toy -
CommunityPC3.O.evelopmentServices
Box9718 Permit #: 09-101479-00-EL •
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050
Project Name: NATURAL HEALTH CENTER
Project Address: 33650 6TH AVE S SUITE 100 Parcel Number: 926480 0210
Project Description: Relocate lighting and remove and relocate receptacles **ADD conduit for future
installation of low-voltage wiring.**
Owner Applicant Contractor
SUNLIFE ASSURANCE CO OF CANADA CITY ELECTRIC INC OF TACOMA CITY ELECTRIC INC OF TACOMA
121 SW MORRISON ST SUITE 200 2919 S ALASKA CITYEIT461BA (5/1/10)
PORTLAND OR 98101 TACOMA WA 98409 2919 S ALASKA
TACOMA WA 98409
7
Is Use Educational or Institutional No Service greater than 1000 Amps? No
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Alt.Srvc!Feeder 0 to 200 amps(C 1 Low Voltage-Other(Commercial. 1
PERMIT EXPIRES Wednesday, April 21, 2010
Permit Issued on Tuesday,April 21, 2009
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 City of Federal Way.
Owner or agent: Date: —/0//o '
- /T/°1
•
- City of Federal Way •
Elecrhal
Community Development Services Permit #: 09-101479-00-EL•
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: NATURAL HEALTH CENTER - Q.
Project Address: 33650 6TH AVE S SUITE 100 Parcel Number: 926480 0210
Project Description: Relocate lighting and remove and relocate receptacles
Owner Applicant Contractor
SUNLIFE ASSURANCE CO OF CANADA CITY ELECTRIC INC OF TACOMA CITY ELECTRIC INC OF TACOMA
121 SW MORRISON ST SUITE 200 2919 S ALASKA CITYEIT461BA (5/1/10)
PORTLAND OR 98101 TACOMA WA 98409 2919 S ALASKA
TACOMA WA 98409
Is Use Educational or Institutional No Service greater than 1000 Amps? No
2'aa ✓� l w �� to £ 9p
n'i / 6� ?�m .�� z
Alt.Srvc/Feeder 0 to 200 amps(C 1
PERMIT EXPIRES Wednesday, April 21, 2010
Permit Issued on Tuesday, April 21, 2009
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 City of Federal Way.
Owner or agent: .,;, /1‘1 Date: Si-?7 C'
THIS CARD IS TO MAIN ON-SITE
CITY OF Community Develop nt Inspection Record'
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050.
PERMIT#: 09-101479-00-EL
Owner: SUNLIFE ASSURANCE CO OF CANADA
Address: 33650 6TH AVE S SUITE. 100
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
(/'D
By Date By Date 57 67 By Date "g '4:7
❑ Final-Electrical(4055)
Approved
By Date ko
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
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PRIMAL WAY,WA 83-9718 CATION
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253.835 26OT PAX 25353.835-2609 11�� lAL /
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The,)°orlowirte u��itt�`i
on-an incomplete application will not be accepted. Please print legibly(in ink)or type.
■' PROPERTY INFORItIATION
SITE ADDRESS__3_36....5__P____ 6 Vit F SCAlf k f
ASSESSOR'S TAX/PARCEL# Q (7
SUITE/
T 0"�---
�. -'�- �d - 0 � -I-- 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page far lengthy legal desmptlan)
II PROJECT INFORMATION 1
TYPE OF PERMIT
0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit or,y)
IL ei6C/4.1--�
��jj /rf�.�-nr ray
PROJECT NAME(Name of Business or Owner Last Name) `` !I
LIGt'tuY�►� -C 4- L.
li• PEOPLE INTOR idTIOP3
PROPERTY NAME
OWNER PRIMARY PHONE
MAILING ADDRESS
CITY,STATE,ZIP E-MAIL ADDRESS _
CONTRACTOR COM ANY NAME 1
` -
�. �{ t� �T l ! ^ � APPLICANT I OFFICE PHONE
M
MAILINt}ADDRESS �i„ /it'dC tipU/>� (.253) 6A-7 _2ss'
gQ'q S A(�skg CITY,STATE,ZIP CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICEN— S ER "to wi a 9 o it _
EXPIRATION DATE FAX NUMBER
c0 ,.. OR'S-REGISTRATION NUMBER.. / ✓ ZOO �/�S� �/Z� �O
TION DATE E-MAIL ADDRESS
_CTYFiryi2 ed (00
APPLICANT COMPANY NAME
APPLICANT NAME OFFICE PHONE
MAILING ADDRESS
CrTY,STATE,ZIP CELL PHONE -
RELATIONSHIP TO PROJECT _
' CIArchitect ❑Tenant 0 Agent a Other FAX NUMBER
PROJECT NAME --_
CONTACT PRIMARY PHONE E-MAIL ADDRESS
LENDER -1,11W---------------Per
ENDERNAME
PerRCW 29.27095:
MA1L[NO ADDRESS Lender ingfor nation is required if project value exceeds$5,000
CITY,STATE,ZIP PHONE
If _
it DETAILED BUILDIiIG INFORMATIOI
EXISTING USE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE
VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED DP
WATER SERVICE PROVIDER o LAKEHAVEN a HIGHLINE a TACOMA 0 PRIVATEE(WELL) ❑ YES 0 NO
SEWER SERVICE PROVIDER a LAKEHAVEN O 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(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
=SING PROPOSED TOTAL TOTAL SlOSTINO Sr TOTAL PROPOSED Sr TOTAL sr
NUMBER OF FLOORS _
**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(commeruss
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(arTub/sbsw rcombo) LAVS(BauuoomSiuuks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crones
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
_ HOSE BIBBS SUMPS —
SIGNATURE
I certify under penalty of perjury that I ant 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 regulations pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility for compliance with local,state,or federal laws regulating construction or environmental d in the
1 further agree to hold harmless the City of Federal'Way as to any claim(including costs, expenses, and attorneys'fees
investiation and defense of such claim), which may be made by any person, including the undersigned, and filed against the city,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.
SIGNATURE: ;jC'C C 7
DATE /Z/ C>C�
Prope Owner and/or Authorized Agent
NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? D YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? CI YES 0 NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
•
ELECTRICAL PERMIT INFORMATION::
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet ❑ 0 to100 $125.50 $76.50
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) amp
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
❑ 801- 1000 amp 536.50 224,50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201-400 amp 155.50 76.50 ® Mast or meter repair $106.00
❑ 401-600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
O 601-800 amp 272.00 145.50
O Over 800 amp 389.50 291.00 Service or Feeders
C7 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 291.00
❑ 601- 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑.0 to 200 amp $96.00
❑ 201 -600 amp 155.50 0 #of circuits to be added/altered
❑
over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
COMMERCIAL/INDUSTRIAL.PLAN REVIEW
e
(1-4 circuits-$76.50;A
❑ #of circuits to Add'n circuits 7.5added/altered$7.50/es) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
-
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARI{ Residential/MuItt-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each addle-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits $5.50
0
1•t 2500 ft2-$67.50;
Each add'n 2500 fts-$17.50) *Per WAC 296'46.91013)(6)(i&u)
Rulletin#100-January 1,2008 Page 3 of 4 k\iandouts\Permit Application