08-101907 ^ City of Federal Way 110 ,
Community DevelopmentBox Services
9718 Electrical Permit,: 08-101907-00-E L
Federal WP.O.ay,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Lin-' 53)835-3050
Project Name: POLE FITNESS
Project Address: 29100 PACIFIC HWY S SUITE 3-4 " '' _ cel Nu : 042 - 9073
Project Description: Cover exposed wires and remove some romex wiring.
Owner Applicant tractor
BEATRICE RHODES BEATRICE RHODES TRICE RHODES
1000 TOWN CTR NE 1000 TOWN CTR NE 1000 TOWN CTR NE
TACOMA WA TACOMA WACQMA WA
98422-1193 984 -1193 fro422-1193•
,
Additional Per fo io tel:,
Service greater than 1000 Amps?
4‘
ali s
Circuits- Commercial
XPIRES Friday, April 17, 2009
Permit Issued on Tuesday,April 22, 2008
I hereb ify that the ve in ation is correct and that the construction on the above described property and
. the y and the will be in accordance with the laws rules and regulationsthe Stat of a •
and the City of Federal Way. See Stat
O r agent: See Ap1'��cati n Date:
APR 2 2 2008
',APR 2 2 2008
F//VA Z-/ O
THIS CARD IS TfREMAIN ON-SITE
CITY OF .; ,a,< -..,
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-101907-00-EL
Owner: BEATRICE RHODES
Address: 29100 PACIFIC HWY S SUITE 3-4
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) 0 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
❑ Feeders/Sub-panels(4045) 0 Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date
•
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date 5 •` 'Q�
cmr of LECEIERMIT
C ''/— i 1) _i _A __,
aoMMUNI7YDEVELOPMENTSERVICES SF MF CO M �E PL DE EN FP
33125 D AVE UBSOUT 'POBOX97APR 2 2 APPLICATION
FEDERAL WAY,WA 98063-9718 ,2Q Tp
253-835-2607.FAX 253-835-2609
_—,
w—iti-frederrr OF FEDE(�,� 'AI ,
The following is required , .r 1 ftoW -d(rl!tflcbmplete application Will not be accepted. Please print legibly(in ink)or type.
eib
Q,I (^ • PROPERTY INFORMATION
Ir
SITE ADDRESS `lO O TO .CL C� -1, S 1 '5 1( - SUITE/UNIT# 4
ASSESSOR'S TAX/PARCEL# ,_- _ __ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pa'.for M^gdw irSrd de.aiptlan,
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION KELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
(L) V2-cc A cry, _
PROJECT NAME(Name of Business or Owner Last Name) 901e— "(1--6 S S
• PEOPLE INFORMATION
PROPERTY NAME
QQ AA__ J c PRIMARY PHONE
OWNER L2A �Y�-L'CJ�e_ ) '"IZ.-�;I IZt - oc16
MAILIfADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
(515L,mitis rt C-e vi_\T E 'tit c rt,‘, cl8q
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
5
MAILING ADDRESS CITY,STATE,ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY-NAME APPLICANT NAME OFFICE PHONE
ca t,s NY-4-r-- ( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant O Agent ❑ Other ( ) _
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT (., ..-Y e1--21 ( ) _
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? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ. FT. SQ.FT. SQ.FT.
BASEMENT
i
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE) '-,
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
Rk
NUMBER OF FLOORS Qe7I O PROPOS=D '/ TOTAL. sr TOTAL PROPOS=D Al TOTAL Al
•
**NEW HOMES ONLY** NUMBER OF BEDROOMS/ ESTIMATED SELLING PRICE $ .
• FIXTURES
Indicate number of each type of fixture to be installed or relocate part of this project. Do not include existing fixtures to remain.
MECHANICAL ...
Value of Mechanical Work$ (A COPY OF BID OR TIMATE MUST BE INCLUDED WITHAPPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLER _r_ GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
•
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES ' RANGES
DUCTS. • GAS LOG SETS / REFRIG.SYSTEMS
PLUMBING /
BATHTUBS(Drub/shower
Combo) LAVS(s f Sinks) URINALS MISC(Describe)
DISHWASHERS RAINW ER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHO ERS WATER CLOSETS(Totleq •
ELECTRIC WATER HEATERS S KS WASHING MACHINES
HOSE BIBBS / UMPS
SIGNATURE •
I cert{fy under penalty of perjury that I am the property owner or authorised 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 authorised 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), 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 ci , including its officers and employees,upon the accuracy of the information supplied to
the city as a part of this ap Seaton.
-- .. y,_,
SIGNATURE: u.A
i.
DATE k•
Property Owner an /or Authorized Agent
•
•
a NEW a ADDITION o ALTERATION a REPAIR a,TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? • a.YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
,,,LECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage 0 101-200 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
O 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) 0 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
0 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 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
❑ 201 -600 amp 155.50 ❑ 5 #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 Residentia
1/112uIti-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commerciat/Industrial Service or Feeder Ampacity
O 0-100 amps $76.50
❑ 101-200 amps 98.00
O 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)
0 Fire Alarm system 0 Yard Pole meter loops $76.50
❑ Security Alarm System 0 Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.50
In 2500 R2-$67.50;
Each add'n 2500 ft2-$17.50)*Per WAC 296.46.910(5)16)(1&li)
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Pertnit Application