08-100746 uCit ofFedelopralWay
Electrical Per1111>�ff• 08-100746-00-EL
Commni Devement 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: COMMUNITY HEALTH CENTERS OF KING COUNTY
Project Address: 33431 13TH PLS Parcel Number: 768190 0070
Project Description: Install(3) lights & (13) receptacles,which includes adding or altering(5) circuits
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Owner Applicant Contractor
KING COUNTY MAPLE CREST ELECTRIC INC MAPLE CREST ELECTRIC INC
500 4TH AVE PO BOX 1165 MAPLECE170JA (1/31/09)
SEATTLE WA KENT WA 98035 PO BOX 1165
98104-2337 KENT WA 98035
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Circuits- Commercial 5
PERMIT E)(PIREW'hMonday, February 9, 2009
F ssued on Fride i February 15, 2008
) VII bhp,11,
= 5"ti i
I hereby certify thele above infonIat o tb " nd t ,_-, rest Ietion- denied proper and ;l
the occupancy and the use will beim ac « •an ttI ,I a4;; rules nd regulsof the stateof hington
a e City of Ped . Way.
Owner or agent: /��---�- -�_ Date: Z -, $-d
r - -
`_ �
iiih
THIS CARD IS TO WAIN ON-SITE
CITY OF % `-�-� ommunity Development Inspection Record
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Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-100746-00-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.
❑ Slab/Concrete Floor(4255) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
- ❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By 0 Date '2--2665e0 By Date By „
•�70
❑ UFER Ground(4295)
Approved
By Date
1
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date a .Z 7 Cie)
ft�.„� " EEIVl� y _ 1 D ') `-i .
F deraI , a .
PERMIT SF MF CO ME 0 PL DE EN FP
• COWMEN DEVEWPMBnTTic 1 5 2008
33925 AVENUE WA ,SOUTH• 9 LI CATI O N
FEDERAL WAY,WA 98063-9718 c(]/� /� / /
253-835=74=2. FE®C fill /1 1
ri, .
The following is required oration-an incomplete application will not be accepted. Please print legibly(in ink)or type.
NI PROPERTY INFORMATION
SITE ADDRESS_, Y3/ /9'/3 O• SUITE/UNIT 9
ASSESSOR'S TAX/PARCEL 9 . __ _ - _ LOT SIZE(sl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Aeath aPowfcrIr by lega d.+IPeon)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 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 only)
S -
•1# ;i4 A 6:I G/0-Ts, le /.3 -6'7•e rie f 64 C.CE
•rnmccdl i I&LWi seudro 0/71c)1 4/4
PROJECT.NAME(Name of Business or Owner Last Name) > " ' P -- •
IN PEOPLE INFORMATION
PROPERTY NAME ��' PRIMARY PHONE
OWNER tr/At d.c tsi-v4-7J ( ' ) -
MAILING ADDRESS P CITY,STATE,ZIP E-MAIL ADDRESS
"/4:, _3"' Ayer SF0,1•1>• yA)/C1`/01-
CONTRACTOR COMPANY NAME . APPLICANT NAME OFFICE PHONE
94ti`CCq - alp ( -›I�)L C t.1 ,i (2 ) 72 -,7/2
MAILING ADDRES CITY STATE, CELL PHONE
PO gc.4--)e- //Fad , &J z ()3f - 8'0 .3' (- arc,) 7,T6 -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
L'/A)cc /76.3-04 ai-31r c7
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) . -
MAILING ADDRESS CITY,STATE,ZIP •CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect CI Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
r
LENDER NAME Per RCW 19.2.7.095:
Lender information is required if project 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? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑NO
WATER SERVICE PROVIDER ❑LAKEHAVEN o HIGHLINE a TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HIGHLINE o PRIVATE(SEPTIC)
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AREA DESC ION .._-
•EXISTIN PROPOSED TOTAL
BASEMENTG.
SQ:FT. SQ.FT. SQ.FT.
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FIRST
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SECOND • •
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THIRD . • •
ADDITIONAL FLOORS(DESCRIBE)
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DECK(0 COVERED OR 0 UNCOVERED?)
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GARAGE•0 CARPORT 0 •
NUMBER OF FLOORS R]arnsO PROPOSED TOTAL TOTAL EMI=sr rprtLPROPOSED al TOTAL Sr
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"NEW HOMES ONLY" . NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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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)
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AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commerctas
COMPRESSORS . FURNACES RANGES
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DUCTS •GAS LOG SETS• REFRIG.SYSTEMS •
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PLUMBING` •
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BATHTUBS(or Tub/Shower-Combo) LAVE(Bathroom Sink.) • URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roses
ELECTRIC WATER HEATERS SINKS • WASHING MACHINES
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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 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 as a part of this application.
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SIGNATURE: tC� DATE �'f• ' ,
Property Owner and/or Authorized Agent
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.a NEW a ADDITION a ALTERATION a REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? • o YES o NO
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NEW ADDRESS REQUIRED? a YES o NO . • UP/SEPA/SU? a YES. a NO •
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES o NO• •
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Bulletin#100_August 16,2007 Page 2 of 4 . k\Handouts\Permit Application
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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-$111.00;Each add'n 500 ft2-$35.50) 0 0 to 100 amp $120.50. $74.00
❑ Detached outbuilding or garage 0 101-200 amp 149.50 94.50
(Inspected with service) $47.00 0 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage 0 401-600 amp 327.00 131.00
(Inspected separately) $74.00
0 601-800 amp 423.00 179.00
0 801-1000 amp 516.50 216.06
NEW MULTI-FAMILY(three units or more) 0 Over 1000 amp 563.00 300.00
Service Feeder •
. ❑ Up to 200 amp $120.50 $35.50 0 Over 600 volts surcharge $94.50
• ❑ 201 400 amp 149.50 74.00 0 Mast or meter repair $102.00
0 401-600 amp 205.00 102.00
❑ 601-800 amp 262.00 14Q.50 ALTERED COMMERCIALJINDUSTRIAL
0 Over 800 amp 375.50 280.50 Service or Feeders
0 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 280.50
Service or Feeder 0 601-1000 amp 423.00
0 0 to 200 amp $92.50 0 over 1000 amp 471.00
0 201-600 amp 149.50 -.5-#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 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
0 Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 0 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-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74,00
0 101-200 amps 94.50
O 201-400 amps 111.00
O 401-•600 amps 149.50
0 over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats " 0 #of Signs
(First-$55:00;addh-$17.00/ea) (First sign-$55.00;addh sign$26.00/ea)
0 Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) . . (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review
El Voice Cabling $111.00/hour
(for modified
1::3 Data Cablingsubmittals)
❑ ❑ Automation Fee on all Permits .. $5.00
lte 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296 46.91o(SJ(b)(i A U)
Bulletin#100-August 16,2007 Page 3 of 4 k\Handouts\Permit Application