08-106081 s.
t. Electrical
City of Federal Way •
" Q
Community Development Services Permit #: 08-106081 -00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 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: Installation of low voltage wiring for voice&data cabling
•
Owner Applicant Contractor
CHRISTIAN FAMILY CARE ELECTRIC CONNECTION ELECTRIC CONNECTION
8725 S TACOMA WAY 5520 112TH ST E B2 ELECTC*033BF(1/7/09)
LAKEWOOD WA 98499 PUYALLUP WA 98373 5520 112TH ST E B2
PUYALLUP WA 98373
°: � c tivrlal Iiiiiiii i*N
4 ,, e
Service greater than 1000 Amps9 No
Low Voltage-Other(Commercial: 1
PERMIT EXPIRES Wednesday, December 30, 2009
Permit Issued on Tuesday, December 30, 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 tete City Qf Federal Way. ` "' IQI'l
See pliatiQn Date:
Owner or agent: DEC 3 0 2008
DEC 3 0 2008
FINAL EDA 61
2 !
. THIS CARD IS TO REMAIN..ON-SITE
CITY OF *Community DevelopAnt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-106081-00-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.
O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
,❑ Pool Bonding(4195) ❑ Temporary Power(4275) ElService(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 6e) Date l2.5/'D5 By Date
❑ Final-Electrical(4055)
Approved
By Date 2 -14 D'
1
1
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For inspector reference only___
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
Dec 30 08 12: 17p rene derocher 2534459186 p. 2
ECEIV g_ / 0 ( o
litFederal Way PERMIT PERMIT 5F MF COM EL L DE EN FP
COMMUNITY DEVEWI'MEYrSEL- l C 3 0 2008
33325 gni FEDERAL
UE TH. -9718 SOX 9718 T T����OMT
I'EDE&1L WAY,WA v�ub:r-97Jb Ll 1V � / /
:153 “,„,. 0 w4 :to!
FEDERAL W-A
The_following is require 1rmation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_1.7)3 C's.,-1 G-91-.2:7 .(-- -\-)(.7 /} I ? SUITE/UNIT#_
ASSESSORS TAX/PARCEL# I V v✓0 LOT SIZE(s})
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
eArt rt,vryuutc poye,Jnr lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION Ig,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit omit!)
PROJECT NAME{Name of Business or Owner Last Name) CI . V •5 I -C=<-..'"N "T-CTA-6+" 1\ Cc e_
• PEOPLE INFORMATION I
PROPERTY NAM' 11� 11 PRIMARY PHONE
OWNER L.Y'1 r::r--..,V•-c..r �—v.-t. 1'{ C C-1/4.,"�� ( ) -
MAILING ADDRESS CITY.STATE.ZIP E-MAIL ADDRESS
� Jd1 c1 '' 0,.J� .5 - eAc-t` l.Jc.�/ LLQ tet
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS TY,STATE.ZIP t CELL PHONE
. # CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPI TION DATE4 FAQ{NUMBER
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
�— c T v 3 kir I _l — c; "i
APPLICANT COMPANY NAME ICPNT -LE OI'I'!CE PHONE
MAILING ADIJRES`..i (---- l'i'''''..--e L-1-'°'-'• CITY-STATE.ZIP CELL PHONE
55: 0--1 ))1:- ' t o K)-10�11 ) Ls 1 ?"53.. .1- ( )
RELATIONSHIP TO PROJECT FAN NUMBER
0 Architect o Tenant ❑Agent 0 Other { ) -
PROJECT NAME PRIMARY PHONE N-MM!.ADDRESS
CONTACT ( )
LENDER NAME Per RCW 19-27-095:
Lender information is required(f project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE S VALUE OP PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
Sir'wILR SERVICE PROVIDER ❑ LAKEHAVEN o HIGHLINE o PRIVATE(SEPTIC)
:ec 30 08 12: 17p rene derocher 2534459186 p. 3
• •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(q COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
KXJ6T111G PROPOSED TOTAL TOTA1.PROP®6a SF Dom SF
NUMBER OF FLOORS
"'NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type Q1—fixture to be installed or relocated as part of this project. Do nor include existing futures to remain.
MECHANICAL
Value of Mechanical Work$ iA 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 Icm n rcwl
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
,PLUMBING
BATHTUBS(or110b/Shower Combo) LAVS I1:dlmmol SmkW URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSEIJ nmlro
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE HIBBS SUMPS
SIGNATURE
I certify ander penalty of perjury that tam 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' -7••risibility for compliance with Iocal,state,or federal laws regulating construction or environmental laws.
)further agree - •Id h. less the City o • -•.1 Way as to any claim(including costs. expenses, and attorneys'fees incurred in the
investigation an• •efense of ch claim). h may be ade by any person, including the undersigned, and filed against the city, but only
where such clad arises o of the relian.- of the city.i lading its officers and employees, upon the accuracy of the information supplied to
the city as apart of this ••• •tion.
SIGNATURE: y ' 111 DATE r t)'3
-rop- • er and/or Anthorl2ed Agent
FOR OFFICE USE ONLY
NEW ADDITION L ALTERATION L REPAIR _TENANT IMPROVEMENT
BUILDING SHELL ONLY? YES L NO BASIC PLAN? L YES L NO
ZONING DESIGNATION CHANGE OF USE? YES a NO
NEW ADDRESS REQUIRED? L.YES NO UP/SEPA/SU? YES L.NO
PLATTED LOT? a YES NO DEMO PERMIT REQUIRED? a YES NO
BulIclin#100—January 1,2008 Page 2 of 4 k\Nandouts\Permit Application
Dec 30 08 12: 18p rene derocher 25349186 p. 4
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'rn
CI Single Family Square Feet
(First 1300 tt2-$115.50;Each add'n 500112-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201--400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401 -600 amp 339.50 136.00
(Inspected separately) $76.50 0 601 -800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
O 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 - 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 CO 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 291-00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
O 201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (l-5 circuits-998.00;Add'u circuits.$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circults-$76.50:Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1.000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
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❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARS Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacitty
❑ 0- 100 amps $76.50
❑ 101-200 amps 98.00
❑ 201 -400 amps 115.00
❑ 401 -600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ # of Signs
.. (First-$57.50:add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
Low Voltage U Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (COU (Includes additional circuit,tf required)
❑ Fire Alarm System ❑ Yard Pole meter loops $76.50
D Security Alarm System ❑ Additional Plan Review $1 15.00/hour
Voice Cabling (for modified submittals)
O Data Cabling0 o Automation Fee on all Permits .. $5.50
f,2500112-$67.50:
Each add'n 2500 f12-$17.50)•Per WAC 298-46-910(51(b)a a.10
Bulletin#100-January 1,2008 Page 3 of 4 k\Handours\Perntit Application