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09-100341
Electrical City of Federal Way 410 • Q Community Development Services Permit #: 09-100341 -00-EL P.O.Box 9718 Federal Way,WA 98063-9718 Inspection Request Line: (2 53)(253)835-2607 Fax:(253)835-2609 p q 835-3050 Project Name: HALLMARK MANOR Project Address: 32300 1ST AVE S Parcel Number: 172104 9073 Project Description: Low voltage wiring for fire alarm system. Owner Applicant Contractor HALLMARK CARE CENTER SAFETY TEAM INC SAFETY TEAM INC PO BOX 723548 670 S LUCILE ST SAFETTI110RG (11/1/10) ATLANTA GA 31139-0548 SEATTLE WA 98108 670 S LUCILE ST SEATTLE WA 98108 Addi '� Pei 4 1171' 1 Service greater than 1000 Amps? No 5,, , ,,,,,,,‘ \ :, . -,,its..:,:e .4%,,,,/ ,.,:‘`,*Ni:Zf';',',:*-(-107; .1i.-Itnw s'a..''''''t4 '/' :' Electrical Fixtu Low Voltage-Fire Alarm(Comm( 1 PERMIT EXPIRES Tuesday, January 26, 2010 Permit Issued on Monday, January 26, 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. � l IZ.b C: Owner or agent: l Date: r o 2- -41k, THIS CARD IS TOMAIN ON-SITE CITY OF tommunitY Development Inspectionection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 09-100341-00-EL Owner: HALLMARK CARE CENTER Address: 32300 1ST AVE S FEDERAL WAY, WA 98003-5762 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. • ❑ 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 ❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date ❑ Final-Electrical(4055) Approved By Date 2 '2--67 • For inspector reference only 0 Rough Electrical 0 • FINAL-Electrical Approved Approved By Date By Date III crcr of EV V D L 'i l I _to V (( 1 Federal Way PERMIT / COMMUNITY DEVELOPMENT SERVICES 6 7'C SF MF CO M ,q EL 'L DE EN FP 3332587"AVENUE SOUTH•PO BOX 9718 JAN 2 AQPP ATION `� FEDERAL WAY.WA 98063-9718 L TD 253 835-2607•FAX 253-835-2609 hj " / www.ci(yoJIederalwa 1TY C FEDERAL. The following is required infor►('12l lith -an incomplete application will not be accept.. Please print legibly(in ink)or type. � , p. PROPERTY INFORMATION SITE ADDRESS 3 .. ^� `ST I N.— -i SUITE/UNIT# ASSESSOR'S TAX/PARCEL# l 1 01 ( 0 V- q 0 7-- 3 LOT SIZE(sf3 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description/ • PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ['ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM P OJECT DESCRIPTION(Provide detailed description of work include o this permit only) `_ ! I�:\.,i 6 ' (00111% Ne ( (�\ (z) 1.L3 -1 A 4(,) - El. LIN,L l � 1M '—Nv '_c' / RL= s (w m) . Rkic.; Lh t c sfivo -Nilo (:, m00fic_ - 1-k�� TO . T- 3c)( WO" TO P-- tc1N th LLL"i c 1 L�( c ixot1.x_ PROJECT NAME(Name of Business or Owner Last Name) ,A(\l._t iv may` m itQ • PEOPLE INFORMATION PROPERTY NAME /�/► y�fl C PRIMARY PHONE t OWNER _ h.��1 HT1 m ,t Irl L i2 �7`E/� (2-v3 ) .`/J'i-1 -'31_4T 1 j230 ADDRESS%` ✓I ,_L' S GITYI `./U.\uL �1 9J 2 C,t)L ADDT�ESS `.' CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE iNK:�RQsKiiti -y:A Nnt rJ'� STE.;.4 M L) lb L -- iy Si MAILING CITY, CELL PHONE 610 L.tr'C( _ c cl -t 'V ( CITY OF FEDELWAYBUSINESSLICENSE 1XPIT © NUMBER a ` jt0 `l400g iyL3 ( q ( IAA- - pqq CONTRACTOR'S REGISTRATION NUMBER ERP1RAT DATE E-MAIL ADDRESS . >f APPLICANT COM,PANY AME J ' APP CANT AME OFFICEPHONE Th-k- rE1( S -N (n)\.i (20 )I440 LING ADDRESS CITY.S TE ZIP,,.. -, CELL PHONE 7C ( i�\d'c..�ui= ST— S L �iL� t��1 L y ( ) - RELATIONSHI TO PROJECT FAX NUMBER ❑Architect 0 Tenant ❑Agent 0 Other (`- )762 -k-1 c PROJECT NAM-� n PRIMARY PHONE E-MAIL ADDRESS CONTACT ►l��mss\ (\k (Z6.}) fli'L - r- U LENDER NAME Per RCW 19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY.STATE.ZIP PHONE ( ) El DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES 0 NO 'ii,IRE,SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIG 0 TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER ❑ LAKErEN ❑ HIGHLINE 0 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 ❑UNCOVERED?) GARAGE ❑ CARPORT ❑ 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 offixture 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(Commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom Sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSE lb(roue) 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 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 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 city, including its officers and employees, upon the accuracy of the information supplied to the city as a part of this applicat SIGNATURE: DATE /2( / o9 Pro erty Owner and/or Authorized Agent FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application • ELECTRICAL PERMIT INFORMATION *NOTE: an automation fee of$6.00 will be charged for all permits. RESIDENTIAL COMMERCIAL• NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE CI Family Square Feet Service or Feeder Each Add'n (First 1300 ft-$121.00:Each add'n 500 ft2-$39.00) ❑ 0 to 100 amp $131.50 $80.00 ❑ 101-200 amp 163.00 103.00 ❑ Detached outbuilding or garage(w/service) $51.00 ❑ 201 400 amp 305.50 120.50 ❑ Detached outbuilding or garage(inspected separately) $80.00 ❑ 401 600 amp 356.00 142.50 ❑ Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00 ❑ Swimming pool(inspected separately) $120.50 ❑ 801 - 1000 amp 562.50 235.50 ❑ Hot tub/spa/sauna(w/service) $51.00 CI Over 1000 amp 613.00 327.00 ❑ Hot tub/spa/sauna(inspected separately) $80.00 Cl Septic pumping system(w/service) $51.00 ❑ Over 600 volts surcharge $103.00 ❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00 ALTERED COMMERCIAL/INDUSTRIAL NEW MULTI-FAMILY(three units or more) (Does not include circuits.) Service Feeder Service or Feeders ❑ Up to 200 amp $131.50 $39.00 ❑ 0 to 200 amp $131.50 ❑ 201 -400 amp 163.00 80.00 ❑ 201 -600 amp 305.50 ❑ 401 -600 amp 223.00 111.00 ❑ 601 - 1000 amp 460.50 ❑ 601 -800 amp 285.50 152.50 CI over 1000 amp 513.00 ❑ Over 800 amp 408.50 305.50 ❑ #of circuits to be added/altered ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits.$8.00/ea) Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW CI 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee CI 201 600 amp 163.00 CI Service- 1,000 amps or greater CI Medical/Educational/Institutional Facility CI over 600 amp 245.50 ❑ Additional plan review for ❑ #of circuits to be added/altered modified submittals $115.00/per hour (1-4 circuits-$80.00;Add'n circuits$8.00/ea) ❑ Mast or meter repair $60.50 TEMPORARY SERVICE Service or Feeder Each Add'n MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00 ❑ Service or feeder only $80.00 ❑ 61-100 amp 80.00 39.00 ❑ Service and feeder $131.50 ❑ 101-200 amp 103.50 51.00 ❑ 201-400 amp 120.00 60.50 MOBILE HOME/RV PARK ❑ 401-600 amp 163.50 80.00 ❑ #of service or feeders ❑ Over 600 amp 183.00 92.00 (First service/feeder-$80.00;each add'n-$52.50) MISCELLANEOUS SERVICE/EQUIPMENT ❑ #of Thermostats (First-$60.50;add'n-$18.50/ea) j CI #of Signs CI Low Voltage La�� y�" `2. (First sign-$60.50;add'n sign$28.50/ea) Square Feet to be served by system(s) 12Cu\O .1-r LI Yard Pole/meter loops/pedestal $80.00 ❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50 ❑ Security Alarm System ❑ Ditch cover/inspection only $120.50 ❑ Voice Cabling ❑(Data Cabling ,` \-1400,..) L') V L' Fic 1 t Z. 1,,2500 ft2-$71.00; ) For fees not listed,contact the Permit Center at Each add'n 2500 ft2-$18.50) 253-835-2607 Bulletin#100-January 1,2009 Page 3 of 4 k\.I-Iandouts\Permit Application