09-101646 • 41 Electrical
City of FederaWay • Permit #: 09-101646-00-EL
Community Development Services
P.O.Box 9718FILE
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
Project Address: 33650 6TH AVE S SUITE 100 Parcel Number: 926480 0210
Project Description: Installation of low-voltage telephone system.
Owner Applicant Contractor ,
SUNLIFE ASSURANCE CO OF CANADA WARNER TELECOM GROUP LLC WARNER TELECOM GROUP LLC
121 SW MORRISON ST SUITE 200 665 STRANDER BLVD WARNETG998MH(7/8/10)
PORTLAND OR 98101 TUKWILA WA 98188 665 STRANDER BLVD
TUKWILA WA 98188
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Is Use Educational or Institutional? No Service greater than 1000 Amps? No
4' \ ' ,. ��$.S; A 3 /,J \ f� `t'`'� �. �'T� �"GH y1 ,�.Z g !t Ste/'/�y 3 1 .yi C:. '"'d3 1`
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Low Voltage-Other(Commercial, ,,,1
PERMIT EXPIRES Wednesday, May 5, 2010
Permit Issued on Tuesday, May 5, 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 wilt be • c ®S'e'an with the laws, rules and regulations of the State of Washington
�/ an the City of Federal Way.
.. c/ JS_ 07
Owner or agent: Date:
FL!\ ALED (e/2P/4177
THIS CARD IS TO EMAIN ON-SITE
CITY OF ommunity DevelopnT nt Inspection Record
p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101646-00-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 maybe failed if this card is not on-site. p0 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) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— ❑ Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date 5,,•L--<:sq
❑ Final-Electrical(4055)
Approved
Bk—j-2? Date 3..05-1
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
e REcEiv12:1-)
`m`OP
• S�n �� IT F CO 4111'L DE EN FP
Federal Way MAY 0 5 ?. .:p
COMMUNITY DEVELOPMENT s Co � til Priti5'-
ATION
ass s3sa6m•Fnxass
•
SITE ADDRESS
33 CI, 0 1-6 A 14 S . 4/h4 7 ifii
SUITE/INIT# ZONING ASSESSOR'S TAX/PARCEL t
I 51— ft-Kg 67o _62
NAME OF PROJECT
(Tenant or Homeowner Name) N ica cell it
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION j$ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
PROJECT DPESC oof work to L-OVf V o 1,111�t.E_ V 41(-E. d- ' -c-)n
be included on this permit only
NAME PRIMARY PHONE
PROPERTY OWNER 1//t4f- // Cein 7.64' ( ) -
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: o CONTRACTOR 0 APPLICAIIT 0 PROJECT CONTACT
NAME PRIMARY PHONE
D►ti, VP ')' - 2akl
CONTRACTOR MAILING ADDRESS,CITY,STATE,Z
EIR
WA STATE CONTRACTOR'S LICENSE ATION DATE FEDERAL WAY BUSINESS LICENSE
6vw �G—I 1 �r
NAME PRIMARY PHONE
APPLICANT _L[Lt! ,� ec , 2of, 00
MAILING ADDRESS,CITY,STATE,ZIP
b S' S1' 4-h0eGt- fat vD 7)/4„,(4 YJ'/. 11/11013ffilli
PROJECT CONTACT NAME PRIMARY PHONE
(The individual to receive and -
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP =Mall
concerning this application)
ALTERNAIX coIFIACT NAME: PRIMARY PHONE E-MAIL
PROJECT FINANCING NAIL
0 OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19,7.095) -
I ce t4fy under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge,the in formation submitted in support of this permit application is true and correct.I certtj that I will comply
with all applicable City of Federal Wag regulations pertaining to the work authorized by the issuance of a permit I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such c -• which may be mads by any person,including the undersigned,and filed against the
city,but only where such claim arises, reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city as jeoe'7 I application g
SIGNATURE: / DATE 5-5-- 63,
PRINT NAME: .i 1-6-„se J
Bulletin#100—4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
„L
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existingffixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(Gas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
s
' �� -�`� -,mow
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
BATHTUBS(orTrb/Shower Combo) LAVS(Head Make) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS . URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Bithm/utaity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL ,
r
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OP EXISTIIIG IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
AREA DESCRIPTION(in square feet) EXISTING PROPOS 1 TOTAL FOR OFFICE USE
4 �``a i,2 . gl.. llali, ;i:i 33 ,u 3i 3 3qa i bj a�i
FIRST FLOOR(or Mobile Home)
zg S 7Ti 44 a 3
ig
COVERED ENTRY
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GARAGE 0 CARPORT 0
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ICIOSTMO
Area Totals P`� TOTAL
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ESTIMATED SELLING PRICE$ I #OF BEDROOMS
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AREA DESCRIPTION Construction #of
Occupancy Group(s) h,a Stories Additional Information
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ADDITION
AREA DESCRIPTIONptipaill
Occupancy Groups) #°f
- Stories Additional Information
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417,W1:;20'''''''''''''' 13 �'
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TENANT AREA ONLY
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Bulletin#100–4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
• ELECTRICAL 4111
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1' Service/Feeder Additional Feeders
(including attached garage): 50 __.....x*$city
FEES: First 1300 ft2-$121.00; 101- 200 amp x$163.00 x$103.00
Each additional 500 ft2-$39.00 201
a*1.09000. ,,�,,,,, x$12 •50
NEW MULTIFAMILY (3 units or more) x$142.50
1"Service/Feeder Additional Feeders 5 t
0 200,-":!'3 i '.., $131;50 a9.00801-1000 amp x$562.50 x$235.50
21111 400 amp x $163.00. x `► 80.(1(1 &',. ,-, I x
46 ! x $223.00, __x '$111.00
601 p800 map x $2$:5 5Q x $152.50
601 Over 600 volts surcharge x$103.00
,iii , -
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1 Service/Feeder Additional Feeders
10 Service/Feeder Additional Feeders
.:.0- veli. x:$104:50 "$ 39 00 $131 50 X,4103.00
201 -600 amp x $163.00 x ;$ 80.00 201- 600 amp; x$30550 x$142-50
,,.,� '$24550 ",.X. $111.00 50
61}1 :1;:. ... x 5,
Over 1000 amp. x$513.00 x$327.00
Added or Altered Circuits
(1-4 circuits$80.00;each additional$8.00) Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 $103.00 plus 35%of Permit Fee;Plan Review required for:
Service and feeder'; x $131-50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1 a Service/Feeder Additional Feeders
o Security Alarm System
Voice/Data Cabling 3)-(1
0- 1� 4 „x ,1 , .. x
Other
served by system: _ p V 0 61 100 amp $ 80 00 • x $ 39.00
Area 1K 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50) x 51 O R
201--400 amp _x $120.00 '. x $ 60.50
#of Thermostats }( 600 x $1650 1t;$ 80.00
First$60.50;each additional$18.50
Over 600 atop :._;x $18300 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
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Bulletin#100-4/17/2009 Page 3 of 4 k:\Handouts\Permit Application