08-103895 ' Electrical
City of Federal Way • 0 Q
`Community Development Services Permit #: 08-103895-01-EL
P.O.Box 9718 Pi/
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
Project Name: COMMUNITY HEALTH CENTERS OF KING COUNTY
Project Address: 33431 13TH PLS Parcel Number: 768190 0070
Project Description: Altering 201 -600A panel **added L/V for fire alarm wiring 11/14/08**
`
Owner Applicant Contractor
KING COUNTY CITY ELECTRIC INC OF TACOMA CITY ELECTRIC INC OF TACOMA
500 4TH AVE 2919 S ALASKA CITYEIT461BA (5/1/10)
SEATTLE WA TACOMA WA 98409 2919 S ALASKA
98104-2337 TACOMA WA 98409
•
Service greater than 1000 Amps? No ,
v
res
Alt. Serv./Feed 201-600 amps(Co 1 Low Voltage-Fire Alarm(Comm( 1
PERMIT EXPIRES Saturday, November 14, 2009
Permit Issued on Friday, November 14,2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and a use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way. 1 i(1 p '
Owner or agent: \\, Date: 1 I - �`
DATE INSPECTOR AREA AND TYPE Of INSPECTION
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THIS CARD IS TO WAIN ON-SITE
CITY OF T s VL ommunity Developm t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-103895-00-EL
Owner: KING COUNTY
Address: 33431 13TH PL S
FEDERAL WAY, WA 98003-6357
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) 0 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) 0 Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date - By Date By - Date
•
0 Final-Electrical(4055)
Approved
e
By Date// M. 42P
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEIIEDi
y r AUG 15 2008 QK-
I 3CRYOFtea..` UNFEDERALVSA
COMMVNffY DEVELOPMENT SERVICES RMIT SF MF CO ME LPL DE EN FP
33325 FEDE8TH AVENUE SOU WA 9898*•0PO BOX 9718
RAL WAY, 63-9718 COS APPLICATION TD
253-835-2607.FAX 253-835-2609
mum.,ci t1oj(edercilu-r,,rnm
The oilowin. is re•uired in ormation-an incom.lete a..lication will not be acce,ted. Please .rint le•ibl (in ink)or
• PROPERTY INFORMATION' .
SITE ADDRESS 33'4 3 t 13" AL ,CF ERAL W Ay SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 7 6 8 t / 0 - 0 0 7 0 LOT SIZE(sf)
1.0T4 1* , sgcop•rt SoIs0ESS PA It441 Re.e-OROtAl6 To T'i€ HATT t24colai3i
LEGAL DESCRDPTION(e.g.Acme Estates,Lot 1) ttki VOLVI...e $i3 OF PLATS i P&►S 37.31401 404 l{O (N vim(' cowoTY OA
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
TEA)ANT t 6"(NaovEb j1-
PROJECT NAME(Name of Business or Owner Last Name)' ' Ji)1 T'y r1c4u 0 Ce 'r€ S
OF 00& CoOAP'Y
• PEOPLE_INFORMATION_ ____
PROPERTY NAME
OWNER WA/(IPco vN ry PRIMARY PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP
St( 1.ao kve SF.A.TrtE L 9 S 1 oil
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ct N ELF-cram 1NC .TE4ey )Qst3..b teitSr'ic) (2S3 ) 61? - is-SI
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
1914 S ALASKA Tt COMA \ LA 4$409 (Z43)'?? - 2790
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1-A &-i Q 5a' 3. .3.-B L t2. /3t /O ' (213 ) 67-7 - 24-70
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
6 t T y ,X -1• 4 to L iS A / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
G1T'( E 4c-riz‘c /NC Xit ( AseJogOsra.) (4-s X.7-'7 - 25 V(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
29 tet S ALASli-bk T'itLo Olt gikto f (zs-3 )Z78- - .2790 1
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent ❑ Other(Describe)€JEcr PA.044FK (7 )(A7 - 2S70
�, PRIMARY PHONE E-MAIL ADDRESS
CONTACT Eg �,,S 3Jo Pmk� (4--, )6Z7
,��E �V _ -2.51-/ je.try dC..4,tye,cc*•ec••••••
LENDER v perRCW 1'9.27.095: Lender information a NAME
-required:�ifproject:value;exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
■ 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? 0 YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC)
. III •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$107.50:Each add'n 500 ft2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50
0 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 0 Over 600 volts surcharge $91.50
❑ 201-400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
0 401 -600 amp 198.50 99.00
❑ 601 800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00IL Service or Feeders
0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY )01-600 amp 272.00
601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0to200amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered _COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50 .
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
U #of Thermostats - ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
El Security Alarm System 0 Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals) •
❑ Data Cabling , ❑ Automation Fee on all Permits .. $5.00
CI
(Per System(s)1«2500 ft2-$63.00:
Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(5)(b)(i esti) 1
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application
4 III •
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTINGs PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST 6000
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAi EXISTING S TO At PROPOSED gF TOTAL SP
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
�..,a. .... hJpeO
FIXTURES
ffucture to be installed r e._.. .". t
Indicate number ofeach _..._.. ........ ...... . .. ... ..._ __.._
or relocated as part of this project. Do not include existing factures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS
REFRIG.SYSTEMS
BBQS FANS HOODS(commeretal) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(o [ b�snowe combo) SHOWERS WATER CLOSETS traiet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Ramroom sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,but only where such claim
arises out of the Hance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this applicatio .
NAME/TITLE DATE g//
O kIJA6E�Z �/F5 C
( ignaturc) " 0 r'
(Title)
RELATIONSHIP PROJECT 0 Owner ❑Agent KContractor a Architect ❑ Other
Olt{> 'I(IG 'USE NL'4
o.,NEW o ADDITION
O.-ALTERATION a REPAIR1;,'-'.,',:' >T TENANT:IMPROYEMENT
BUILDING.SHELL ONLY? >❑YES o;NO
BASICPL4NT?
ZONING DESIGNATION " ' ,, ,CHANGE OF USES
Q.<YES o NO
. �� ❑YES a NO •
NEW ADDRESS REQUIRED? . o YES ri NO ? ', SU?.
` UP/SEPAJ o"YES a NO r
PLATTED LOT? ❑YES a NO . DEMO PERMIT.REQUIRED? l3 YES a NO
r
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application