10-100081 a Electrical
City of Federal Way
Community Development Services Permit #: 10-100081 -00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax (253)835-2609FILE
Project Name: NW CHIROPRACTIC CENTER
Project Address: 34730 PACIFIC HWY S Parcel Number: 202104 9145
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Project Description: Adding/altering(10)circuits
Owner Applicant Contractor
LORRI NICHOLS SPARKEY'S ELECTRIC LLC SPARKEY'S ELECTRIC LLC
33801 1ST WAY S UNIT 281 6826 20TH ST E SPARKEL954RH(12/8/11)
FEDERAL WAY WA 98003-6224 FIFE WA 98424 6826 20TH ST E
FIFE WA 98424
Additionalemit Citation ;a ,.
Is Use Educational or Institutional? No Service greater than 1000 Amps9 No
Electracal
Fixtures
Circuits-Commercial 10
PERMIT EXPIRES Friday, January 7, 2011
Permit Issued on Thursday, January 7, 2010
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 Cit f Federal Way.
ae,Owner or agent: Date:
- —/0
DATE INSPECTOR AREA AND TYPE OF INSPECTION
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THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT #: 10-100081-00-EL Address: 34730 PACIFIC HWY S
Owner: LORRI NICHOLS FEDERAL WAY, WA 98003-6821
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) 0 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) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) e0 Rough Electrical(4225) 0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
By Date
® Rough Electrical Final Electrical Right of Way
Approved Approved Approved
By Date By Date By Date
,, cmoc .. PERMIT SF MF CO M PL DE EN FP
4 Federal W►y , ,
COMMUNITYDEVELOANENT SERVICES (� �• APPLICATION / /
253-835-2607•FAX 253-835-2609 kp"V i
www.cif�o�lederalway_com N
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NAMEOFPROJECT
(Tenant or Homeowner Name) Z fj Irl, 41 C G)V i S
❑ BUILDING ❑ PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION� y� CJI ,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
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PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
...............................................:...........................:......................
P<?«` O g `'<' < r '> >`: ppgpi.? 5'•3 >i ' >< > <'s1> `i'iii2i i ii i i'
NAME , PRIMARY PHONE
PROPERTY OWNER U i,- i A /)/' Ch t is (-2-5-3) s/6 y 31/ 7
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: ❑ CONTRACTOR 0 APPLICANT 4 PROJECT CONTACT
NAME PRIMARY PHONE
316, W'-. // L. ! e c. fr, ' (—_ (Z 3)3A: - /r 0
MAILING ADDRESS,CITY,sT ZIP FAX
CONTRACTOR 1 i-1-_, 4*. ) y Z�
WA
ApSTATE CONTRACTOR'S LICENSE# RATION DATE FEDERAL WAY BUSINESS LICENSE#
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NAME-ff ( PRIMARY PHONE APPLICANT 1. ttr / //L�-2 7 ( 2 t ) q 1�( - l� 31
MAILING ADDRESS,CITY,STA IP /I FAX
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PROJECT CONTACT NAME / ni.
PRIMARY PHONE
(The individual to receive and -t)''1 C A l I$ ( ) -
respond to all correspondence MAILING ADDRESS,CITY,STA ,ZIPFAX
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concerning this application) 7 y ? 3 0 0.. c C; LJ � ( ) -
ALTERNATE CONTACT NAME: P Y PHONE E-MAIL
fir,•- ' t— in_i 12e c K (Is")) z•5- -.- 16''S3"
PROJECT FINANCING NAME
C , vitOWNER-FINANCED
Required for projects with L't'-. 1 (h L/3'
value of$5,000 or more MAILING ADDRESS,CITY,STA E,ZIP /I, \ (P/RIMAARY PHONE
(RCW 19.27.095) 31-/ 7 3 C- ‘8,, L- ! i^.i " 5- ) F)c3 (zY 3) /6 iJ - ti 39
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I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct. I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit. I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied to the city has�a/�partt of this application. J /�
SIGNATURE: ('L `�"�- )?cit___,...t,, ,/)
DATE ` — — /(telPRINT NAME: C '1 U ' \€ 5 3--P e El'
Bulletin#100-January 1,2010 Page 1 of 4 k:\Iandouts\Pernut Application
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
AIR HANDLING UNITS FANS GAS PIPE OUTLETS OTHER(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(Commercial)
BOILERS FURNACES HOT WATER TANKS(oas)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMB 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.
BATHTUBS(or Tub/Shower Combo) LAVS Mend Sinks) TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/amity) WATER HEATERS(Escarc)
HOSE BIBBS SUMPS WASHING MACHINES TQTALFIX•TURES
................. .....................................
L INFIIIATIQN
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
$ $
EXISTING/PREVIOUS USE LOT SIZE(In Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes 0 No
.
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AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL FOR OFFICE USE
BASEMENT
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECI{
GARAGE ❑ CARPORT ❑
OTHER(describe)
EXISTING PROPOSED TOTAL
Area Totals
xzvrQrs o; I *
ESTIMATED SELLING PRICE$ #OF BEDROOMS
I� �IL;Rii� -N �A 'TIQN
AREA DESCRIPTION Area Construction #of
Occupancy Groups) Additional Information
in Square Feet Type Stories
NEW BUILDING
ADDITION
'mss
•
COMMERCIAL, NIDD. ,IT EN ANT IMP +Qr M NTS
AREA DESCRIPTION Area Construction #of Additional Information
in Square Feet Occupancy Groups) Type Stories
TOTAL BUILDING -
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—January 1,2010 Page 2 of 4 k:\Handouts\Permit Application
ELECTRICAL
f RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage):
....0- 100 amp x$132.50 x$ 80.50
FEES: First 1300 ft2 -$122.00; 101- 200 amp x$164.00 __x$103.50
Each additional 500 ft2 -$39.00 201 400'amp 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 _x$463.00 _ x$196.00
...,0- 200 amp ____x $132.50 x $ 39.00801- 1000 amp _ x$565.00 x$236.50
201 -400 amp x $164:00 x $ 80:50 Over 1000 amp x>$616.00 x$328.50
401 -600 amp x $224:00 x $111.50
601 -800 amp x $287.00 x $153:50
Over 600 volts surcharge x$103..50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service./Feeder Additional Feeders
0 200 amp x $101.00 _ x' $ 3y.00
....0- 200 amp x$132.50 x$103.50
201 -600 amp x $164.00 x $ 80,50 201 - 600 amp x$307.00 x$121.00
Over 600.amp _,x $246.50 _ x $111.50
601- 1000 amp x,$463.00 x$196.00
Over 1000 amp x$515.50 x.$328 50
Added or Altered Circuits... /
1-4 circuits$80.50; each additional$8.00 Added or Altered Circuits ( 0
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
$103.50 plus 35%of Permit Fee; Plan Review required for:
Service and feeder x $132.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
0 Security Alarm System
O Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other 61 - 100 amp x $ 80.50 x $ 39.00
Area to be served by system:
101 -200 amp x $103.50 x $ 51.00
1st 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
201-400 amp x $121:00 x $ 60.50
# of Thermostats 401 -600 amp x $164.00 x $ 80.50
First$60.50; each additional$18.50
Over 600 amp x $184.50 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50; each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator (transfer equipment) x$101.00 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
Bulletin#100-January 1,2010 Page 3 of 4 k:\Handouts\Pern it Application