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12-101001 Electrical ty Way Community of&Econ.Federal Dev.Services Permit #: 12-101001-00-EL 33325 8th Ave S Federal Way,WA 983 °° Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax (253)835-2609 -73 1.7 Project Name: INTERNATIONAL FOUNDATION OF MEDICINE Project Address: 505 S 336TH ST Suite 500 Parcel Number: 926480 0270 Project Description: Installation of modular furniture system. Owner Applicant Contractor KIDDER MATHEWS S E S INC S E S INC 1201 Pacific Avenue Suite1400 1402 AUBURN WAY N PMB 371 SESIN**990RA(12/1/13) Tacoma,WA 98402 AUBURN WA 98002 1402 AUBURN WAY N PMB 371 AUBURN WA 98002 Additional Permit Information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Circuits-Commercial 4 PERMIT EXPIRES Saturday, September 1, 2012 Permit Issued on Monday, March 5, 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 e ity of Federal Way. Owner or agent ,l� Date: 3/ /12 ' • THIS CARD IS TEMAIN ON-SITE CITY OF 40A1. Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 12-101001-00-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. O UFER Ground (4295) 0 Ditch cover(4030) E Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date O Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235) Approved Approved Approved By Date By Date By Date O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) 0 Ceiling Cover(4020) Approved Approved Approved By Date By Date By Date 0 Final-Electrical(4055) Approved By Date 3--10 \'fit, El Rough ElectricalEl Final Electrical El Right of Way Approved Approved Approved By Date By Date By Date '''�._► • • - JOLLQ±CITY OP Fed ELECTRICAL RMIT APPLICATION sst electrical permits may be obtained on-line at www.cityo federalway.com** ADDRESS: 5 UIT NIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE X00 9 6y 0 - o6). 7- 0 c. w.Q-yc i ,`t f 5 .r%b°�a �.�"��✓ �� "3'� f � S�,r f � � � � ./�'� Y,FI C�, 3 f PROJECT NAME /� (Tenant or Homeowner Last Name) S//its? V A.GCcfid K' a/CIide �ir5r 7/ ,Rev&/,-,-- -��—,4I i-P ( i w..)-0 frivl k1 4i PROJECT DESCRIPTION Detailed description of work to be included on this permit only NAME PRIMARY PHONE PROPERTY OWNER >�(� E1L� / L C /1Qi �S ( ) MAILING ADDRESS E-MAIL CITY STATE ZIP FAX ( ) NAME - .._.. -.. PRIMARY PHONE 5C5, (-, ( ) V"- 36,15(' MAILING ADDRESS E-MAILELECTRICAL Ae 311- 1,102_441c44-ed ity, N., au tioe_ceircasi-. CONTRACTOR c TY / STATE ZIP( 7 �J FAX /1„��jZ{.�N & 4 �CJ�®L- (`�. 3 )6-2-0 -Q(p 3{ WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE# 9q0 , 1 / 13 Zt9_oZ q00 X23-Ck -t3L- - N E PRIMARY PHONE APPLICANT , ,WOMyC. , e/CO2 (246 ) 7ii- -56O$6 NLING ADDRESS E-MAIL g 31/- I Cb Z fU a/k l/k)/ 4 • Qtoooh,o 6 ca, 5-i nil- C TY STATE Zip FAX PROJECT CONTACT NAME PRIMARY PHONE TioY 4z6/ 4 (1-4,)-01( 3(08 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 application. SIGNATURE: ilierhy/ �..--�'.' DATE -V.5112- PRINT V.5112- PRINT NAME:j1itl T/-lO N Y C..- . g-Z I co/2 33325 8th 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 l RESIDENL POMMERCIAL a NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): rn, r ' �� , , _.. _,.... , ..., <.�....<,. � �� ..408{15 FEES: First 1300 ft2-$122.00; 1;(11 200 amp Each additional 500 ft2-$39.00 NEW MULTIFAMILY (3 units or more) 1st Service/{Feeder Additional Feeders 6 1 ,,,§$00 anii, Xerac'. 4 t 6, 20-400 anip.. .. zt=$164 00 . x $ ',80.50 t` >��' ':.4 ap*r '. <. uw ; .; :2 's .< ®nom. '"$ 00113at? ?, .. 154 ami $21 00 ., x $153,50 " " Quer 6©0•volissurciargep:.. 7041.070-77,074.1"' x. $307:030 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder 1st Service/Feeder Additional Feeders 7Cgni <.o. 1* ._..0. IZ !. ;:$10 201 600 am x ; 1644.00 2O1 .,.,643?arilp. . „ x,$307 OQ,..:'' z;$12 00 Eger 100 1i ,,,, r; x$ 5 5£1 fir„ ;x;$328.50 Added or Altered Circuits " 1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits 4 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 S rvite or feeiler,ortly, ,, x" $" 80-50 Plan Review required only for: • 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 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling ❑ Other 6 100 amp :s $ 8050 $ 39.00 Area to be served by system: �01 Qti`�att21� " �� ,��.,� '; �i• °� � �a��$`.5.1 1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50 4Eao amp $12f-O0. " . ; "60.50 #of Thermostats " First$60.50;each additional$18.50 Over 6Qo;°"'amp $184.50', .�..~£ `"$ 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:\Handouts\Electrical Permit Application