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12-103768 Electrical City of Federal Wayw � Community&Econ.Dev.Services f: s i; Permit #: 12-103768-00-EL 33325 8th Ave S ' Federal Way,WA 98003 Inspection Request Line: (253)835-3050 Ph:(253)835-2607 Fax:(253)835-2609 p Q Project Name: DIGESTIVE HEALTH SPECIALISTS Project Address: 33915 1ST WAY S Unit 200 Parcel Number: 926504 0150 Project Description: Relocation of(9)low-voltage thermostats • Owner Applicant Contractor DIGESTIVE HEALTH SERVICES HEATTRANSFER CO(GENERAL) HEATTRANSFER CO(GENERAL) 34503 9TH AVE UNIT 130 PO BOX 1268 HEATT**206Q0(9/11/13) FEDERAL WAY WA 98003 CARNATION WA 98014 PO BOX 1268 CARNATION WA 98014 Additional Permit information Is Use Educational or Institutional? No Service greater than 999 Amps? No Electrical Fixtures Thermostat 9 PERMIT EXPIRES Monday, February 11, 2013 Permit Issued on Wednesday, August 15, 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: (5 ✓ / 2- • THIS CARD IS TO REMAIN ON-SITE Construction Inspection Record Federal Way INSPECTION REQUESTS: (253)835-3050 PERMIT#: 12-103768-00-EL Address: 33915 1ST WAY S Unit 200 Project: DIGESTIVE HEALTH SERVICES 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. UFER Ground (4295) El Ditch cover(4030) Slab/Concrete Floor(4255) Approved Approved Approved to place concrete By Date By Date By Date . . . O Pool Bonding(4195) 0 Temporary Power(4275) ,El Service(4235) Approved Approved Approved By Date By Date By Date 0 Feeders/Sub-panels(4045) El Rough Electrical(4225) • 0 Ceiling Cover(4020) Approved Approved Approved `By Date Date_gl_/ ... By Date O Fina❑ l-Electrical(4055) Approved ‘ IS.----L.5 Date\O_ I —'?� E l Rough ElectricalEl Final Electrical CI Right of Way Approved Approved Approved By Date By Date By Date CITY OF I - /o31L FekILEE't11V6Y ELECTRICAL AUG 15 2012 PERMIT APPLICATION CITY OF FEDERAM Yelectrical permits may be obtained on-line at www.cityo ederalway.com** �n, sR°�y' , ` e�m � � � .. SITE ADDRESS: 3 3 oil 5 1St U/ �/ S 0 (✓`'01 SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# CURRENT/PROPOSED USE ,,.._ ,.,,;,,,,r.,,„ :.,;,,.i.�,.hf��;3f. ,�r'1.r! �i..a :I6s,.k.. .w. �,.„,G �:�.,. �ar�c�,�fi r.�. ,.,.�,� �s�✓.^�:�a; .�'d A„sa.»3:_ �,,.63,,.....,..,,.,c ,.�.ca,,,,_,„i� ,_:,,,,�.z�e.l`�`.,..f�.w.. PROJECT NAME . -} 'l (Tenant or Homeowner Last Name) t lr �S/ % V - fl t'o LYk Sp�C i yt I Ct"f f e/oc�art-6 Cor rr�� s P©,:: V I GA PROJECT DESCRIPTION / - Detailed description of work to be included on this permit only ,s%£” i< - ` cH may ,e�x$ ,;rreft, »M�,x. ,.K.�F. + .�: u :dxr�,,, .�, ':,f ,., t ,��v'a:�l.. , 2�' ,.. '.�.; NAME PRIMARY PHONE PROPERTY OWNER Gun ,4 nC )14(4 (tte, 1-T 7 ( ) - MAILING ADDRESS E-MAIL 5 r Jo 01:Nt'401. (foil b CITY STATE ZIP FAX ° 11/1_ vv; 6;7P1 ( ) - NAME ._.. -_ -_ PRIMARY PHONE h '0 11 404F4 t' (b17c;) 8785- 3 MAILINA ADDRESS E-MAIL ELECTRICAL '1 t ex 1268 Il ePt 17g5F 1 PA%A.Koh CONTRACTOR CITY STATE ZIP FAX 64X 6 /rales W4. /VI (4/z ) - l sirs" WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDEIAL WAY BUSINESS LICENSE# NAME -.- ---PRIMARY PHONE APPLICANT Gy�e/v : n�?�' - ( -1l- ) g S �t1 MAILING ADD S E-MAIL CITY - STATE ZIP FAX i:� C OiCi/ ft'0� (•✓, q8 O"1 (yam ) 3 3- G S tiS NAME PRIMARY PHONE PROJECT CONTACT tei` c h o ie. (1-13" Ms" - 3Z 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: //// DATE g � ry PRINT NAME: 1 G ft/h ' H v1 01 4 33325 8'h Avenue South♦Federal Way•WA♦98003-6325 1 253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com Bulletin#160—January 1,2011 Page 1 of 2 k:\Handouts\Electrical Permit Application RESIDENTIAL COMMERCIAL NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL Total Square Feet 1st Service/Feeder Additional Feeders (including attached garage): 0 100 am17: t .;x=$132.50", :` .., x$ 80.50 FEES: First 1300 ft2-$122.00; 101- 20(}amp ;' x$164.00 `x$103:50 Each additional 500 ft2-$39.00 2G1,•'-,400 P, x 307.00 -"x$121:00 NEW MULTIFAMILY (3 units or more) 401- 600 amp x$358.00. x$143.50 1st Service/Feeder Additional Feeders 601- 800 amp : N*63„00,•,Y x$156-00 0 200'"ori p x $1" 2 5Q ..." x" $ 34.00 801-1000 amp, ,x$565.00 x$236.50 201.-400 amp x $164.00 x $ 80.50 ()der 1t1003amp�:fA ".: x$328.50 401;4;600 amp z X224 00..,;f x $111.50 601 -800 amp x $287.00 x $153.50 Over 600 volts surcharge x$103.50 lgr, O I ... - n' :z�x'10 r ,. x r� x.:.$307.60 ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL 1st Service/Feeder200 amp 1st Service/Feeder Additional Feeders X50 ' x$103.50 r s ,''';';',014". €.-., �� a.,,.. s0 -.<�0�axra� � . ��= .��.� . x�"$101= 201 600 amp " x $164.00 201 600 amp x"$307.00 x$121.00 Over 600amF .3 ., $246.50 601 1410( amp x.$46 0€1 • x<: 196,09 Over,1900 amp '; x$515,50'",i 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: Serv;rce,and,feeder Y,% "i 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 MISCE N OUS SERVICE/EQUIPMENT LOW VOLTAGE TEMPORARY SERVICE ❑ Fire Alarm System 1st Service/Feeder Additional Feeders ❑ Security Alarm System ❑ Voice/Data Cabling 0 60 amp x $ 71.00 a $.;32.00 ❑ Other 61-100 amp x $ 80.50 x,$ 39.00 Area to be served by system: 1"2,500 ft2-$71.00;each additional 2,500 ft2-$18.5001, '2410 amp x $103.50 .X $•51.00, 201 400 amp -i`1:2x $121.00 x $ 60.50 q #of Thermostats 40>~�. "80:50 First$60.50;each additional$18.50 Over 600 amp x $184.50 • $ 92.00 FEE CALCULATIONS Yard Pole meter loops/pedes 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 8th 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