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07-106850
• City of Federal Way Electrical Per It #: 07-106850-00-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 PEDIATRIC CLINIC =f3 Project Address: 32124 1ST AVE S Suite 300 Parcel Number: 926450 0060 Project Description: Installing new L/V data cabling Owner Applicant Contractor GAIL ALLEN PROPERTIES LLC DIAMOND COMMUNICATION DIAMOND COMMUNICATION 13707 16TH AVE SW 24830 SE 224TH ST DIAMOCI988OJ 9/11/08 SEATTLE WA 98166 MAPLE VALLEY WA 98038 24830 SE 224TH ST MAPLE VALLEY WA 98038 Additional Permit Information Service greater than 1000 Amps? No Electrical Fixtures Low Voltage-Other Commercial.. 1,590 PERMIT EXPIRES Sunday, December 14, 2008 • Permit Issued on Thursday, December 20, 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 City of Federal Way. Owner or agent: /6e..//6e.././(14--,--61 77/?L az----ti /..)-,)0 L Date: -0 7 ��01oik . Om In THIS CARD IS TO ' MAIN ON-SITE • CITY OF 3 ommunity Developm it Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07-106850-00-EL Owner: GAIL ALLEN PROPERTIES LLC Address: 32124 1ST 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. O 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) 0 F' Electrical(4055) Approved Approved Approved By Date By Date/'3162 (e Date7--/frefo ❑ UFER Ground (4295) Approved By Date For inspector reference only _ ❑ Rough Electrical ❑ FINAL-Electrical Approved Approved By Date By Date I RECEIVEr' _ - CITY Of„V'-V - - ( D Lz -s-o Federal Way DEC 2 0 2007 PERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO ME E@I PL DE EN FP 33325 AVENUE SOUTH•P3 BOX 9778 +►„APPLICATION I C AT I O N �-/ FEDERAL WAY,WA 98063-97itQY OF FEDERA TD / / 253-835-2607•FAX 253-835 99ntNhMf(e a-tj/+pi, BUILDING The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS 3�I y I �7 UC c JC ` . d r( �)GL1 SUITE/UNIT# 3 ASSESSOR'S TAX/PARCEL# —— — - LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION y�ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit onto) ,1 Yl�, 4-cr..1,lC4 lO,1\ C ( (flYYlU:Vl lCLd-i0✓1 C-00,0ki✓ , PROJECT NAME(Name of Business or Owner Last Name) � 1-e C1 L>rid�� - cat(.l � (CQir i C l� i l C_ II PEOPLE INFORMATION PROPERTY NAME Mit_ Q� PRIMARY PHONE OWNER ^'/�Q /}/� ( 7"1 Ii it v ( ) MAILING / /�`'.� �V"V' {( CITY,STATE,ZIP E-MAIL ADDRESS Ftl / ' CONTRACTORCOMPANY NAME APPLICANT NAME OFFICE PHONE �i Ci f16MLd COWNVYI(.ltrl i CGI,'{-'0 5 (LIZ )L-t _ MAILING AD�pN�ESS CITY,STATE,ZIP CELL PHONE - v Y y( Qto Nabur� i ll)!4 ��1 ( ) - CI1Y OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER aC•-n5-- 1 C 5 75 7— r.,-6L (t/2s) L/13 -390(4 CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS jr oc=9 g'`'DY. ©9/i//200 APPLICANT COMPANY NAME yy APPLICANT NAME OFFICE PHONE 1 .Actin illi C-Orne l vii i cca ton`i, Ute, (Li2 . ) '1 - 1 - IDO O MAILING ADDRESS CrlY,STATE,ZIPCELL PHONE PC) Gox 6100,(-4-t Lon a g)zs_ ( ) - RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑Tenant o Agent o Other (12 5 ) 1-l1 3 - 390"/ PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT LCtlma,r lac'Lade--L-/ ( 5 ) q3 -((C)CFiS la ma ri Qxicarnovuttowitt-1ica 140r� ,.AP• 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? o YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o TACOMA o PRIVATE(WELL) SEWER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC) 6,--) 9a9o/7. • 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 0 CARPORT El 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(commerdm COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo( LAVS(Bathroom Sinks( URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CIOSHIS(Two 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 Wayregulations 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 claim), whic may be made by any person, including the undersigned, and filed against the city, but only where such claim arcs- o , of the eliance of he city, 1 luding its officers and employees, upon the accuracy of the ' ormation supplied to the city as a part oft a.plicat £ / 12- 2,„SIGNATURE: / , // DATE PryieryVS erand'orA . ed Agent FOR OFFICE USE ONLY / ❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? o YES ❑NO NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—August 16,2007 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 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 O 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 U 201 -600 amp 280.50 U 601 - 1000 amp 423.00 Service or Feeder ❑ over 1000 amp 471.00 ❑ 0 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/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 ❑ 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 U #of Signs (First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) Low Voltage U Swimming pool/hot tub $111.00 )01Low Feet to be served by system(s) 2 )6'6 (Includes additional circuit,if required) ❑ Fire Alarm System U Yard Pole meter loops $74.00 ❑ Security Alarm System ❑ Additional Plan Review $111.00/hour XVoice Cabling (for modified submittals) Data Cabling ❑ Automation Fee on all Permits .. $5.00 13 14t 2500 ft2-$65.00; Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(50)(t&Ii Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application