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08-102893
c • City of Federal Way Electrical Permi 08-102893-00-EL Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253) 835-3050 Project Name: BUCLAW FAMILY CHIROPRACTIC i-0 . prt f4r:.,,,Project Address: 2500 SW 336TH ST Suite Er, y Parcel Number: 132103 9096 Project Description: Installation of(1)circuit for x-ray machineii ' ` Owner Applicant Contractor TWIN LAKES PLACE ASSOC. VALLEY ELECTRIC CO OF MT VERN VALLEY ELECTRIC CO OF MT VERN 2500 SW 336TH ST 3001 MERRILL CREEK PKWY S VALLEEC141NA(8/1/08) FEDERAL WAY WA EVERETT WA 98203 3001 MERRILL CREEK PKWY S EVERETT WA 98203 Additional Permit Information Service greater than 1000 Amps? No Electrical Fixtures Circuits-Commercial 1 PERMIT EXPIRES Saturday, December 13, 2008 Permit Issued on Monday, June 16, 2008 I hereby certify that the above information is cor -.Wand that the construction on the above described pro.erty and the occupancy and the use ill be in act. j,h the laws, rules and regulations of the State of W-.hington and t =- ity of Federal Way. Owner or agent: / Date: /U Li i b DATE INSPECTOR AREA AND TYPE OF Ii.,PECTION 0111 F/Agit G- ,e;. Di5'c c �J/E- sz.-- THIS CARD IS TAREMAIN ON-SITE CITY OF • • Community Develop ent Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 08-102893-00-EL Owner: TWIN LAKES PLACE ASSOC. Address: 2500 SW 336TH ST Suite.E FEDERAL WAY, WA 98023 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. 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) Ei Temporary Power(4275) 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 Date By Date • Final-Electrical (4055) Approved Date 7.... ( Q d • For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date lkalk CITY OF411/ C9 - l d Federal Way IERMITs5 COMMuMTYDEVELOPMENTSERVICES -! 4.�-:n �� SF MF CO MF{ EL PL DE EN FP 3332E AVENUE SWATH• BOX 9718 ^-�'' .... _ I C AT I O N TD FEDERAL WAY,WA 9806363-9718 253-835-2607•FAX 253-835-2609 />*® / wwwdtyofederalway.twm JVI\J 1 6 L The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. r / • PROPERTY INFORMATION SITE ADDRESS cc d: 61•J. g�,6(' / r( �(J/T- E. SUITE/UNIT# ASSESSOR'S TAX/PARCEL it ( 3 -)-- 105- ob_'' "7 LOT SIZE(sj) i lVa3 LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (ttadt separate page for Iengthy legit description) ■ PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION%ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included /00n this permit only) Ard 4-/bt I; fes. / X R47 6�r/A i%-If �� s;, ‘6. • PROJECT NAME(Name of Business or Owner Last Name) Rue.. Li, imiz. C4,Kop,,Ad7c, • PEOPLE INFORMATION / PROPERTY NAME • PRIMARY PHONE OWNER U V cL . 100) ) ,yiIC. Utlif O ,b Cry c (as3 ) /�,I 327J MAILING ADORES / CITY TATE,ZIP E-MAIL ADD ESS Sl o s w, 336 SvtT.e t 1 b� 02 z 4� l�� f� CONTRACTOR COMPANY AME APPLICANT NA OFFICE PHONE VAu G--, �C6c ri, c j v�.& / ,ck1.✓J ( c ) 32z -2Y 9/ MAILING ADDRESS CITY,STATE,ZIP CELL PHONE //a 0 / rie ri c c. CSL "t rvi�c c>r L/a4. 75.203 (24 ) (7/ -gv62 CITY OF FEDERAL WAY BUSINESS LICENSE NUMB R E PIRATIO DATE FAX NUMBER 02.0 -Q0o-I0174j^ ©0--ig 12/3/ of (Y2S) v07 oS78 CONTRACTOR'S REGISTRATION MBER TION DATE MAIL ADDRESS IIA LLCE c 1 ll/N 4 / 0 6v,✓��Q V6L6GT U•G Kr APPLICANT COMPANY NAME APPLICANT NA E OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMB ER ❑ Architect 0 Tenant 0 Agent 0 Other ( ) - PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS CONTACT ( ) - LENDER NAME Per RCS',19.27.095: Lender information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) il DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL • SQ. FT. SQ. FT. SQ.FT. BASEMENT FIRST SECOND THIRD ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT 0 EXISTING PROPOSED TOTAL TOTAL EXISTING sr TOTAL PROPOSED HP TOTAL sr NUMBER OF FLOORS **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 Icomme.aaq COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS tor Tub/Shower Combo{ LAVS(Bathroom sinks) URINALS MISC(Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS(-roue[) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS SIGNATURE I certify under penalty of perfury that I ant 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,st te,or federal laws regulating construction or environmental laws. I further agree to hold harmless the City of Federal Wa • y claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of such claim), which may be de b person, including the undersigned, and filed against the city, but only where such claim arises out of the -fiance of the officers and employees, upon the accuracy of the information supplied to the city as a part of this applic• . • . SIGNATURE: DATE I D S• Prope�7�ffwn or Authorized Agent o NEW a ADDITION a ALTERATION o REPAIR a TENANT IMPROVEMENT BUILDING SHELL ONLY? a YES a NO BASIC PLAN? o YES a NO ZONING DESIGNATION CHANGE OF USE? o YES a NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO Bulletin#100—January I,2008 Page 2 of 4 k\Handouts\Permit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE LISingle Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$115.50;Each add'n 500 ft,-$37.00) ❑ 0 to 100 amp $125.50 $76.50 LI Detached outbuilding or garage ❑ 101 -200 amp 155.50 98.00 (Inspected with service) $48.50 ❑ 201 -400 amp 291.00 115.00 LI Detached outbuilding or garage LI 401 -600 amp 339.50 136.00 (Inspected separately) $76.50 ❑ 601 -800 amp 439.00 186.00 LI 801 - 1000 amp 536.50 224.50 NEW MULTI-FAMILY(three units or more) LI Over 1000 amp 584.50 311.50 Service Feeder ❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00 LI 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00 ❑ 401 -600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 601 - 800 amp 272.00 145.50 ❑ Over 800 amp 389.50 291.00 Service or Feeders U 0 to 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY LI 201 -600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑ over 1000 amp 489.00 ❑ 0 to 200 amp $96.00 ❑ 201 -600 amp 155.50 • I #of circuits to be added/altered LI over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee ❑ Service- 1,000 amps or greater LI Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES LI Service or feeder only $76.50 LI Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $67.50 LI #of service or feeders (First service/feeder-$76.50;each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity ❑ 0-100 amps $76.50 ❑ 101-200 amps 98.00 U 201-400 amps 115.00 ❑ 401-600 amps 155.50 U 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 ❑ Swimming pool/hot tub $115.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $76.50 ❑ Security Alarm System ❑ Additional Plan Review $115.00/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling LI Automation Fee on all Permits .. $5.50 0 1•a 2500 ft2-$67.50; Each add'n 2500 ft2-$17.50) •Per WAC 296-46-910(5)(b)(i&ii) Bulletin#100-January 1,2008 Page 3 of 4 k\I-Iandouts\Pernut Application