08-106072 r •. Electrical
City of Federal Way • Q
Community Development Services ,1. Permit #: 08-10` 6072-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 :a I , Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax (253)835-2609
Project Name: CHRISTIAN FAMILY CARE
Project Address: 33507 9TH AVE S Bldg A Parcel Number: 926500 0020
Project Description: Low voltage wiring for notification and initiating devices.
Owner Applicant Contractor
CHRISTIAN FAMILY CARE SMITH FIRE SYSTEMS MGMT(GENERAL) SMITH FIRE SYSTEMS MGMT
8725 S TACOMA WAY 1106 54TH AVE E (ELECTRICAL)
LAKEWOOD WA 98499 TACOMA WA 98424 SMITHFS946LO(6/20/10)
1106 54TH AVE E
TACOMA WA 98424
' "
Service greater than 1000 Amps9 No
0 „ill ,r5 #4::,1,„ •'16,,.,:'!„04>: /.4,,,;
Low Voltage Fire Alarm(Comm( " I
PERMIT EXPIRES Tuesday, December,29, 2009
Permit Issued on Monday, December 29, 2008
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: --If ���� �z= Date: /2/25�0tf
FINALED
0
1/46. THIS CARD IS TO EMAIN ON-SITE
CITY OF ommunity Developinnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-106072-00-EL
Owner: CHRISTIAN FAMILY CARE
Address: 33507 9TH AVE S Bldg A
FEDERAL WAY, WA 98003
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.
0 UFER Ground(4295) ❑ Ditch cover(4030) Ei Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
_ 0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By 0 Date 6 .6 . el By Date
0 Final-Electrical(4055)
By QApproved
, Date 3.5 ,v)
•
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
0
''. ARE �J
CITY OF
PERMIT --
Federal Way DEC 292G 3
SF MF CO ME's PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
333258n4AVENUE SOUTH•PO BOX 9718 !RCATI OA
TO
2F5E3D-8E3RA5-L26W•YF,AWXA29506833-59276180CI� `FcEGwww.cityoffederalway.com P S
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
I. PROPERTY INFORMATION
SITE ADDRESS 33507 9TH AVE S. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 1321850000 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) CAMPUS POINTE BLDG. A - CHRISTIAN FAMILY CARE
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT BUILDING PLUMBING MECHANICAL
DEMOLITION 'XLECTRICAL ENGINEERING
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
THE SCOPE OF THIS PROJECT IS TO ADD NOTIFICATION & INITIATING DEVICES FOR THE PURPOSE OF TENANT IMPROVEMENT.
PROJECT NAME(Name of Business or Owner Last Name) CAMPUS POINTE BLDG. A - CHRISTIAN FAMILY CARE
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER
MAILING ADDRESS CII V,SI AI E,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICAN I NAME CRFI-ICE PHONE
SMITH FIRE SYSTEMS MANAGEMENT,LLC. HOWARD WILLIAMSON (253) 248-2003
MAILING ADDRESS CII V,S I A I E,ZIP CELL PHONE
1106 54TH AVE E. TACOMA, WA 98424
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRAI ION DAI E FAX NUMBER
200610470900BL 12/31/08 (253) 926-0726
CON I RAC I UR'S REGIS I RA!ION NUMBER EXPIRA I ION DA IE E-MAIL ADDRESS
SMITHFS946L0 6/20/10 HWILLIAMSON@SMITHFIRE.COM
APPLICANT COMPANY NAME APPLICANI NAME
OFFICE PHONE
SMITH FIRE SYSTEMS MANAGEMENT, LLC. HOWARD WILLIAMSON (253) 248-2003
MAILING ADDRESS -Cl I Y,STA II,LIP CELL PHONE
1106 54TH AVE. E. TACOMA, WA 98424
RELA I(UNSHIP IU PRUJEC I FAX NUMBER
Architect Tenant Agent XOther CONTRACTOR (253) 926-0726
PROJECT NAME PRIMARY PHONE
E-MAIL ADDRESS
CONTACT HOWARD WILLIAMSON (253) 248-2003 HWILLIAMSON@SMITHFIRE.CON
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CII Y,S I A I E,LIP PHONE
i
• DETAILED BUILDING INFORMATION
.
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK$ 9986
SPRINKLERED BUILDING? YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? YES NO
WATER SERVICE PROVIDER LAKEHAVEN HIGHLINE TACOMA PRIVATE(WELL)
SEWER SERVICE PROVIDER LAKEHAVEN HIGHLINE PRIVATE(SEPTIC)
Y 110 1111
•
• PROJECT FLOOR AREAS
AREA DESCRIP I ION EXIS I ING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
3731
SECOND
THIRD
ADDI I IONAL FLOORS(DESCRIBE)
DECK( COVERED OR UNCOVERED?)
GARAGE CARPORT
NUMBER OF FLOORS I EXISTING I PROPOSED I TOTAL TOTALEXISTINGSF IOTA ED TOTALSF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type of fixture 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 (Commerclaq
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS (or Tub/Shower Combo) LAYS (gath,00mslD s) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Toilet)
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 Fe.-ral Way as to any claim� (including costs,expenses,and attorneys'fees incurred in the
investigation and defense of such claim),which m y'.e made by any per/n,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 t -.ccuracy of the infor��I.tion supplied to the city as a part of this application.
SIGNATURE: rt/ ? DATE L a 1
./
Property Owner nd/or Authorized Agent
'PaC� E{} 4 rye WA! ludwill
NEW ADDITION ALTERATION REPAIR TENANT IMPROVEMENT
BUILDING SHELL ONLY? YES NO BASIC PLAN? YES NO
ZONING DESIGNATION CHANGE OF USE? YES NO
_
NEW ADDRESS REQUIRED? YES NO .._ u,.W. _ UP/SEPA/SU�.. . r w
YES.. NO
....
_
PLATTED LOT? YES NO DEMO PERMIT REQUIRED? YES NO
Bulletin#100-August 16,2007 Page 2 of 4 k\\Handouts\\Permit
Application
0 •
TRI AL PER IT INFSRMA ION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAUINDUSTRIAL5ERVICE
Single FamilySquare Feet Service or Feeder Each Add'n
g q (First 1300
ft2-$111.00;Each add'n 500 ft2-$35.50) 0 to 100 amp $120.50 $74.00
Detached outbuilding or garage 101-200 amp 149.50 94.50
(Inspected with service) $47.00 201-400 amp 280.00 111.00
Detached outbuilding or garage 401-600 amp 327.00 131.00
(Inspected separately) $74.00 601-800 amp 423.00 179.00
801-1000 amp 516.50 216.00
NEW MULTI-FAMILY (three units or more) Over 1000 amp 563.00 300.00
Service Feeder
Up to 200 amp $120.50 $35.50 Over 600 volts surcharge $94.50
201-400 amp 149.50 74.00 Mast or meter repair $102.00
401-600 amp 205.00 102.00
601-800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
Over 800 amp 375.50 280.50 Service or Feeders
Oto 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY 201-600 amp 280.50
601-1000 amp 423.00
Service or Feeder
over 1000 amp 471.00
0 to 200 amp $92.50
201-600 amp 14950 #of circuits to be added/altered
over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
#of circuits to be added/altered COMMERCIAUINDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
Service-1,000 amps or greater
Mast or meter repair $55.00 Medical/Educational/Institutional Facility
MANUFACTURED HOMES
Service or feeder only $74.00
Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
#of service or feeders
(First service/feeder-$74.00;each add'n-548.00) Commercial/Industrial Service or Feeder Ampacity
0-100 amps $74.00
101-200 amps 94.50
201-400 amps 111.00
401-600 amps 149.50
over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
#of Thermostats #of Signs
(First-555.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign 526.00/ea)
x Low Voltage Swimming pool/hot tub
$111.00
Square Feet to be served by system(s) 3731 Fire (Includes additional circuit,if required)
X Alarm System Yard Pole meter loops $74.00
Security Alarm System Additional Plan Review $111.00/hour
Voice Cabling
(for modified submittals)
Data Cabling Automation Fee on all Permits .. $5.00
1:,2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)'Per WAC296-46-910(5)(b)(i&ii)
Bulletin#100-August 16,2007 Page 3 of 4 k\\Handouts\\Permit
Application