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11-103423 • ' Electrical City of Federal Way Permit Development Services Permit #: 11-103423-00-EL P Q. Box 9718 Federal Way,WA 98063-9718 - as Ph:(253)835-2607 Fax(253)835-26094 Inspection Request Line: (253)835-3050 t i llama LIR Project Name: HALLMARK MANOR Project Address: 32300 1ST AVE S Parcel Number: 172104 9073 Project Description: Alter circuit for relocation of freestanding sign and repair of damaged conduit/wiring for parking lot lighting. Owner Anolicant Contractor HALLMARK CARE CENTER JENSEN DEVELOPMENT INC HIGH COUNTRY ELECTRIC 3001 KEITH ST NW 3522 ACADEMY DR SE CONSTRUCTION INC CLEVELAND,TN 37312 AUBURN WA 98092 HIGHCEC982K1(7/30/12) 4251 S NATCHES CT UNIT M ENGLEWOOD CO 80110 • l forrnatt©i Is Use Lducational or Institutional? No Service greater than 999 Amps? No :iN ,4;-' �� a Circtlit ., nercial 1 PERMIT EXPIRES Wednesday,August-22, 2012 Pernliit issiled+ n Tuesday, August 23,2011k 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. 4 Owner or agent: r r` "t C,C4 �: l Date: 2 3- _xy/ Fiu\; � - ufofii . - II THIS CARD IS TO MAIN ON-SITE CITY OF Construction In ection Record Federal Way INSPECTION REQUE TS: (253) 835-3050 PERMIT#: 11-103423-00-EL Address: 32300 1ST AVE S Project: HALLMARK CARE CENTER FEDERAL WAY, WA 98003-5762 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) 0 Ditch cover(4030) ❑ Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date Bya CS Date ID — 19 _11 By Date• , , El Pool Bonding(4195) 0 Temporary Power(4275) 'El Service(4235) Approved Approved Approved By Date By Date By Date El Feeders/Sub-panels(4045) El Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical (4055) Approved By(b Date ii—.3f)—/// `' Rough Electrical Final Electrical El Right of Way ElApproved ElRough Approved By Date By Date By Date 4111Sta.......,‘ CITY OF "' IF Federal Way • 3_ ELECTRICAL EEI PERMIT APPLICATION*i_ - 1( of AUG 2 3 'j°.' Thc i WAY **Most electrical permits may be obtained on-line at www c i .4t a 1 ERA ,.:F�m, , II,4'1' 4 �' r � �r .. z� "� � Rs9''A.��r 1Es �� s a�sa � SITE ADDRESS: �,, 3 S S SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# he_ CURRENT/PROPOSED USE 7 d ( 0 10 PROJECT NAME iii (Tenant or Homeowner Last Name) ( (i Ill a4r U--- aiA-. PROJECT DESCRIPTION i! I n F c S VV ` Detailed description of work to / be included on this permit only - ft L nA/l Cirk,d_, L) ___,_fr. . h;� , NAME , PRIMARY PHONE PROPERTY OWNER F(C4- L I Mal, (WC (fr, ( ) - MAILING ADDRESS E-MAIL _ Pc 7)-3 S L'd _ CITY 3T TE ZIP FAX Ay.„,(6,(4,... �t 3/f39 ( ) - NAME el '�� C � � ( ) PRIMARY PHONE P. r it MAILING ADDRESS gk--- / E-MAIL AL ONTRACTOR CITY TATE ZIP FAX 755 4 WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# '- fire%rtir4 NAME PRIMARY PHONE APPLICANT ( 2444? `` ( ) MAILING ADD S EMAIL CITY STATE ZIP FAX '1//^I T/J/,/`� ( ) - NAME IIl/G' "t/- ✓_ , PRIMARY PHONE PROJECT CONTACT ( ) 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. 1 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 application. SIGNATURE `` ---A--s.__________ DATE ) 3I— -)C ff PRINT NAME: r ,if t I -f C.C..GC 1. 33325 8ih Avenue South•Federal Way•WA♦98003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENTIS /IMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet1st Service/Feeder Additional Feeders (including attached garage): 0 .100p x;$13 .50 . x$ 80.50 FEES: First 1300 ft2-$122.00; 101- 200;amp x$164.00 x$103.50 Each additional 500 ft2-$39.00 261 400 amp : yx,-`"$:307 O0. =" x$121.50 NEW MULTIFAMILY (3 units or more) 401- 600 amp. ." X$358.00 x$143.50 8Q0;amp x$46 1st Service/Feeder Additional Feeders 6016 00 "^' `''"x$196.fX3 0-';200:ainp x„$182;50 < x $ 30.00 801-1000 amp x$565.00 x$236.50 201 -400 amp x $164.00 x $ 80.50 C)ver'"1000 amp x,$616©0 x$328.50 441.: 600°"annp x $224.00 x $111.50 601 -800 amp. ? x $287.00 x $153.50 Over 600 volts surcharge " x$103.50 0000 Ov r.80t1 ampi :.,,. ...,4rx.,4.1050 :, x . $307.00 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder Additional Feeders 1st Service/Feeder p„yy 32 p " " x.$103,50 x;$101.(30 0 420(?atu x41.3 5 _, 201 atm x..-$164.00 201 600 amp x$307.00 x$121.00 600 (Jver 600 axstg'. ? `,$246.50 601-1000 amp 'y ' -- x,$463 00" x$196.00 Over..1000 amp f x$515.50 x$328.50 Added or Altered Circuits 1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits 1-5 circuits$103.50;each additional$8.00 Mast or meter repair $60.50 Mast or meter repair $111.50 MANUFACTURED HOMES PLAN REVIEW FEES Service or feeder only x $ 80.50 Plan Review required only for: $erviceankfeedeF .., rv;x" .$132.50 • New,or alteration to,service of 1,000 amps or greater • Medical/Educational/Institutional Facility $103.50 plus 35%of Permit Fee (Permit Fee x 35%_ +$103.50=Plan Review Fee) Plan review for modified submittals $105.50/hour MISCELLANEOUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE o Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ElVoice/Data Cabling . O., 60'47:15''' " X $ „ ,, ,,x,=""$ 32.00 ❑ Other Area to be served by system: 61,- 100 amp x $ 80.50 $ 39.00 1;01 200=amp`°. : x• $103.50 ,,, x $'51.00 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 201-400 amp x $121.00 _`x $ 60.50 #of Thermostats 441',, 60(3.a?pp x ,$1600 4, " .. x°`$ 80.50 First$60.50;each additional$18.50 Over 600 amp x $184.50 x $ 92.00 FEE CALCULATIONS Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated. Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added topall ermits. Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the application form,contact the Permit Center at 253-835-2607 33325 8ih Avenue South 1 Federal Way♦WA♦98003-6325♦253-835-2607 1 fax:253-835-2609 1 www.cityoffederalway.com Bulletin#160-January 1,2011 Page 2 of 2 k:\Handouts\Electrical Permit Application