12-100334 f • ,, Electrical
City of Federal Way • • r
Community&Econ.Dev.Services Permit #: 12-100334-00-EL
33325 8th Ave S
Federal Way,WA 98003
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
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Project Name: INTERNATIONAL FOUNDATION OF MEDICINE
Project Address: 505 S 336TH ST Suite 500 Parcel Number: 926480 0270
Project Description: Installing L/V wiring for ethernet network
Owner Applicant Contractor
KIDDER MATHEWS APPLIED TECHNICAL SYSTEMS INC APPLIED TECHNICAL SYSTEMS INC
1201 Pacific Avenue Suite1400 6024 SW JEAN RD SUITE E-200 APPLITS066KD(5/4/12)
Tacoma,WA 98402 LAKE OSWEGO OR 97035 6024 SW JEAN RD SUITE E-200
LAKE OSWEGO OR 97035
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Is Use Educational or Institutional? No Service greater than 999 Amps? No
e M-44 0 = C
Low Voltage-Other(Commercial; 1
PERMIT EXPIRES Monday, July 23, 2012
Permit Issued on Wednesday, January 25, 2012
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: --------- ...---; Date: / 7-5�-/2
Fi R:14,, D a4a/gz
;4110,.411k. THIS CARD IS TO REMAIN ON-SITE
,
CITY of . ..,
0 Construction I ection Record
Federal Way INSPECTION REQUETS: (253)835-3050
PERMIT #: 12-100334-00-EL Address: 505 S 336TH ST Suite 500
Project: KIDDER MATHEWS - ' FEDERAL WAY, WA 98003
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 Rough Electrical (4225) El Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By Bye G� Date z— �i Z._ S Date z '
�, Date ,� t
❑ Rough Electrical El Final ElectricalEl Right of Way
Approved Approved Approved
By Date By Date By Date
, 14k, - 0 0 3
CITY OF
Fede ""^ "T JVEEJLECTRICAL
JAN 2 5 PERMIT APPLICATION
CINFED
-* sziVir 11J nits may be obtained on-line at www.cityo ederalwa com**
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SITE ADDRESS: �-�� i
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# (� CURRENT/PROPOSED USE
PROJECT NAMA,(Tenant or Homeowner Last Name) f� /01/4 :10#-‘, n / /�'0 f G.40011;( 4001/e0
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PROJECT DESCRIPTION ` e
Detailed description of work to
be included on this permit only
PRIMARY PHONE
PROPERTY OWNER ���...(((`••• �!"l• /G7-,4, t 1/-(05 3)?j3- 2,6
MAILING ADDRESS
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CITY STATE ZIP FAX
` 4 h 1/ '73— es3)9.3 - 6.766
PRIMARY PHONE
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MAILI G ADDRESS E-MAIL
ELECTRICAL /!s /�L,y c•-. •
CONTRACTOR CITY r STATE ZI FAX
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WA STATE CO RACTOR'S LICCENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
---- ------ ----- I/, ._` .tel� ,U
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PRIMARY PHONE
APPLICANT " - H - ) ,3 - G��I C
MAILING ADDRESS E-MAIL
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STATE ZIP FAX
9� 7? 4.eol 52c /S V 7
PROJECT CONTACT / PRIMARY PHONE
r�e4 /`'?appal (2.0 ) 3/ t
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
ail 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 application.
SIGNATURE: DATE /A---/e.
PRINT NAME: / c(�r(f
33325 8th Avenue South♦Federal Way♦WA♦98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January I,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application
. - RESIDENT [. •MMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): ,.._ 1n
FEES: First 1300 ft2-$122.00;
Each additional 500 ft2-$39.00 m15e, I2:1.00
NEW MULTIFAMILY (3 units or more) X$35 ot3: 143.5€
40i 640,amg.,r
1st Service/Feeder Additional Feeders 6Gf2€ ailt., , N 'x 4 3 aft x,.$W0
BH O,- - i. .`:0141AtC.A,.., ? , ;$A(*) BQI , L000 amp' X 565 f30 :' . . $236.50
201"-400 auig x:$164M0 x $,80.50 ,r
00opZapfat4t5 00 x.:a f... i:+ f
601 ;:800 a np ? `$287.00 k $153.50 over;600 volts:surcharge x$103.50
, .!$®0z.r z,, , a 0 007 OQ
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
:14:00: 172141g1: � • , v $201 00 ti xAienn x.$182= ' WP „ '$103:50
20`1. 500 amp X $164.00
201 ...fi00. ►p x;$307 0 ....' x$1.21.00
y�
4�€yam Est z WsTI n lni a t xit r
e
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
Set ee2Q�r de ,c n1y $ 80.50 Plan Review required only for:
$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
❑ Fire Alarm System st
Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling
Other
Area to be served by system: W04,644-9; p $ 80.50 i $ 39..00
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201--400 amp ' - _., '$121).00,'!'- :. . . .` ;$ 60.5b
#of Thermostats �''5 '
401600 axp w. A1�=� 1: � f�.�� '
First$60.50;each additional$18.50
(firer 600,amp . .;;_„OO i x. $184..50 .,. ? *$ 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 to all permits.
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 8'"Avenue South•Federal Way♦WA•98003-6325♦253-835-2607•fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 k:\Flandouts\Electrical Permit Application