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08-105109
' Electrical City of Federal Way • Q Community Development Services Permit #: 08-105109-00-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: FOUNDATION HOUSE Project Address: 32290 1ST AVE S Parcel Number: 172104 9039 Project Description: Add/alter up to(5)circuits for outlets,lights&switches. Owner Applicant Contractor BROOKDALE SENIOR LIVING DOUGS ELECTRIC DOUGS ELECTRIC 6737 W WASHINGTON ST SUITE 2300 20208 NE 116TH ST DOUGSE*006BQ(1/18/10) MILWAUKEE WI 53214 REDMOND WA 98052 20208 NE 116TH ST REDMOND WA 98052 foo .< Additional' a* • Service greater than 1000 Amps? No � �" ��y� �s�� a v„ „-"1-4:41r a�ga'� �u EI T4; r Circuits- Multi-family 5 PERMIT EXPIRES Wednesday, October 28, 2009 Permit Issued on Tuesday, October 28, 2008 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: v Date: /O ?7 THIS CARD IS TO•MAIN ON-SITE CITY OF 'D- `CommunitY Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-105109-00-EL Owner: BROOKDALE SENIOR LIVING Address: 32290 1ST AVE S 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 UFER Ground (4295) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date — 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service (4235) Approved Approved Approved By Date By Date By Date O Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Approved Approved Approved By Date By Date `!143 .6.7e5 By Date , -),, O Final-Electrical(4055) Approved By , ' Date • • For inspector reference only 0 Rough Electrical 0 FINAL-Electrical Approved Approved • By Date By Date ct 28 08 10: 05a p• 1 5 ,. ,. M •L DE EN FP TSE FEDERAL tVA'i,IVAF9.3063-9778�?y APPLICATION 253-8352607•FAX 253-8352609ortiArmiram_ The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION J S'f.-' ` SITE ADDRESS 1 2'1-TO t /- ✓ SUITE/UNIT l - ASSESSOR'S TAX/PARCEL# - LOT SIZE is') LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) elgac4 sepmale page for 2,444 4/legal deaertpl oN • PROJECT INFORMATION TYPE OF PERMIT ❑BUII,DING ❑ PLUMBING ❑ MECHANICAL 0 DEMOLITION '1(ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PR T DESCRIPTION (Provide detailed des tion of work included on this mitt or1L dc PROJECT NAME(Name of Business or Owner Last Name) "r©"A c/ li Civi Q • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE p OWNER F C"VI 6/4 °► 1 S-( ( S3)o S� -O` `�'J MAILING ADDRESS DY,STATE,ZIP E-MAIL ADDRESS -fit ill t cr..) crkx'✓'� CONTRACTOR ANY NAME UCANr NAME OFFICE PHONE uc- IjhC- fr'i� `V''''1/4<1,/f/e ./wets,/ ( "l 7*7 - 71/4F/ , MAILING ADDRESS ,STZIP CELL PHONE .u_c'- .tom ►I� -Si- l64Pri.Cc,l-% ' -O5' (tf2 1 9W - s 91. CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EP TION DATE FAX NUMBER �u.)t 4.- 1C t'� 612 V(2)—) / - (-Hoy R'S REGISTRATION E%PLRATI ON DATE E-MAIL ADDRESS tibl -5 ' 00(4, PC?? /--/d-, go/( 11, t9i se ccfr/t 0 h 6-61/4/.1,/z4, APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE C ) - MAILING ADDRESS CITY.STATE.ZIP CELL PHONE ( ) - RELATIONSHIP TO PROJECT FAX NUMBER 0 Architect o Tenant 0 Agent ❑ Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT j v� v- I 1hl ( 1 3 su - /7-F-1 _ LENDER NAME a ' Per RCW 19.27.095: Y\ Lender information is required(f project value exceeds$5,000 MAILING ADDRESS MY,STATE,ZIP PHONE ( ) - ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $_ SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 ILIGHLINE ❑ PRIVATE(SEPTIC) Oct 28 08 10: 05a p . 2 is PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED ` TOTAL 1 Sq.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND TfIIRD ADDITIONAL FLOORS(DESCRIBE) DECK(Li COVERED OR ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS ATO`° PROPOS® TOTAL TOTAL saST!0sr TOTAL PROPOssnss rorALsr "*NEW HOMES ONLY" NUMBb,R OF BEDROOMS ESTIMATED SELLING PRICE $ I. FIXTURES Indicate number of each type offixture to be installed or relocated as port of this project. Do not include existing fixtures to remain_ MECHANICAL Value of Mechanical Work$ (A COPY OF BID OR ESST7MAIE MUST BE INCLUDED WITH APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS _ WOODSTOVES I3BQS FANS GAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INSERTS HOODS(cominerdml COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or'Nbishawr.roa,e LAYS(BathroomURINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS cn,nt 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 sumer.I cert(fy 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 responsiliilltyfor compliance with local,state,orfederal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Way as to any claim(including casts, 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, 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 thiss appplication422:4441/71 SIGNATURE: 1) DATE /0 Z Property Owner and/or Authorized Agent FOR.OFFICE USE ONLY NEW ❑ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? YES 0 NO ZONING DESIGNATION CHANGE OF USE? a YES a NO NEW ADDRESS REQUIRED? a YES n NO LTP/SEPA/SU? a YES a NO PLATTED LOT? n YES n NO DEMO PERMIT REQUIRED? n YES a NO Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application Oct 28 08 10: 05a • • P • 3 . . ELECTRICAL PERMIT INFORMATION :cc:DERESIDENTIALService COMMERCIAL M NEW RESIDENTIAL SCE NEW COMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square or Feeder Each Add'n (First 1300 ft2-$115.50:Each add'n 500 its-$37.00) ❑ 0 to 100 amp $125.50 $76.50 ❑ 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 U Mast or meter repair $106.00 ❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 -800 amp 272.00 145.50 ❑ Over 800 amp 389.50 291.00 Service or Feeders ❑ Oto 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑ over 1000 amp 489.00 ❑ 0 to 200 amp $96.00 I� $� ❑ 201 -600 amp 155.50 E #of circuits to be added/altered ❑ over 600 amp 234.00 (1-5 circuits-$98.00:Add'n circuits,$7.50/ea) ❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$76.50:Add'n circuits$7.50/ea) $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 PARK Residential/Multi-Family $67.50 ❑ 4 of service or feeders (First service/feeder-$76.50:each add'n-$50.00) Commer+cial/Industriai Service or Feeder Arapacity ❑ 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 ❑ Yard Pole meter loops $76.50 ❑ Security Alarm System ❑ Additional Plan Review $1 15.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling U Automation Fee on all Permits .. $5.50 1a 2500 ft2-567.50: Each add'n 2500 1t.-$17.50)•Per WAC 29646-920(511b!(t&IL) Bulletin 4100-January 1,2008 Page 3 of 4 k\landouts\Permit Application