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08-102980City 6 Federal Way . Community Development Services P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Project Name: GARDEN TERRACE Project Address: 491 S 338TH ST Electrical Permit: 08 -102980 -MEL Project Description: Adding additional 13 pole lights to Request Line: (253) 835-3050 Parcel Number: 926480 0220 added security lighting. Owner Applicant Contractor LIFE CARE CENTER OF FEDERAL WAY HIGH COUNTRY ELECTRIC HIGH COUNTRY ELECTRIC PO BOX 3480 CONSTRUCTION INC CONSTRUCTION INC CLEVELAND TN 37320-3480 4251 S NATCHES CT UNIT M MGHCEC982KI (7/5/08) ENGLEWOOD CO 80110 4251 S NATCHES CT UNIT M ENGLEWOOD CO 80110 Additional Permit Info "m"' 11 n Service greater than 1000 Amps?...........................No Circuits - Commercial ................... 6 THIS CARD IS TOAIN ON-SITE r^ CITY OF ommunity Developm t Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 08 -102980 -00 -EL Owner: LIFE CARE CENTER OF FEDERAL WAY Address: 491 S 338TH ST FEDERAL WAY, WA 98003-6352 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 B Date '0-- —� By Date Q Pool Bonding (4195) 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 By Date For inspector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date A, - REFCEfVE* (1k - _LL I q- iQ- Federal way PERMIT COMMUM7YDEVELoPawNrsERwcEs JUN 1 ZOOS SF MF CO ME PL DE EN FP 33325 AVENUE SOUTH Po BOX 9718A "D LI CATION FEDERAL WAY, WA 9800-9718 jou• 253-835-2607• FAx253 835-260 OF FEDE www.cihiof(ederalwau.rnm CDS The following is required irtformation - an incomplete application will not be accepted. Please print legibly (in ink) or type. PROPERTY• • SITE ADDRESS 4 / S - 33�s � ST t c� / %4 / w%� C/�Oa SUITE/UNIT # ASSESSOR'S TAR/PARCEL # _ _ _ _ - _ _ _ _ LOT SIZE (sfi LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach separate pose for Le Wtfty kgal descripttonl PROJECT•• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) I S ItA S .r. /,v ,s��• PROJECT NAME (Name of Business or Owner Last Name) G �1 �d'thLV' I`ct c_ C_ IZ In e.I &I c r'5 C G MAILING ADDRESS 3v CITY, STATE, ZIP E PEOPLE INFORMATION .3S7o k e i• U Cl,_" _RjJ.Z CITY, STATE, ZIP PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER NAME i 4elie PRIMARY PHONE c " c. t Cc. ( 0'r) C/, -Z- - MAILING ADDRESS 3v CITY, STATE, ZIP E-MAIL ADDRESS .3S7o k e i• U Cl,_" _RjJ.Z CITY, STATE, ZIP COMPANY NAME APPLICANT NAME OFFICE PHONE OFFIICCEZPHONE FIE (` c) " 33 - `1 MAILING ADDRESS CITY, STATE, ZIP MAIL G ADDRESS CITY, STATE, ZIP _ CELL PHONE 461 '5. FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent 4k Other C- r.T TK c -Tb-- ( L41 - K CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER DATE FAX NUMBER / _ /-EXPIRATION /P �'} ( �� J\ V CONTRACTOR'S REGISTRATION NUMBER IRATION DATE E-MAIL ADDRESS GEC. FS 1 -7/sl i 0 ' n' COMPANY NAME APPLICANT NAME OFFICE PHONE PHONE 1"�AL)( (` c) " 33 - `1 MAILING ADDRESS CITY, STATE, ZIP CELL PHONE CD a ( 7)b " RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent 4k Other C- r.T TK c -Tb-- ( 363) 703 - NAME PRIMARY PHONEE-MAIL ADDRESS �� ( ) 4( - g � �c�c� r<c.cTrrt NAME Per RCW 19.27.095: j nder irtformation is required (f project value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE ►. l ( 5) -7 a - EXISTING USE 5 ICI 1lj N APS"n 1 A �S�Srf ✓id4 L, ✓tn, PROPOSED USE Sc. rn e EXISTING ASSESSED/APPRAISED VALUE $ , VALUE OF PROPOSED WORK $� SPRINKLERED BUILDING? RYES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING SQ. FT. PROPOSED SQ. FT. TOTAL 89. FT. BASEMENT GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS FIRST COMPRESSORS FURNACES RANGES SECOND GAS LOG SETS REFRIG. SYSTEMS D YES THIRD NEW ADDRESS REQUIRED? D YES D NO ADDITIONAL FLOORS (DESCRIBE) D YES D NO PLATTED LOT? DECK (❑ COVERED OR ❑ UNCOVERED?) DEMO PERMIT REQUIRED? ❑ YES GARAGE ❑ CARPORT ❑ NUMBER OF FLOORS Msrmc PRO-- rarer Toru �rnvcsr rorar Pxoresmar mn�tsr **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 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 WTlH APPLICATIOM AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (commercial) COMPRESSORS FURNACES RANGES DUCTS GAS LOG SETS REFRIG. SYSTEMS PLUMBING BATHTUBS (or nb/Shower combo) LAVS (Bathroom sinks) URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS rroilet) ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS 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 apart of this application. EJ C Property Owner and/or Authorized Agent DATE D NEW D ADDITION D ALTERATION D REPAIR D TENANT IMPROVEMENT BUILDING SHELL ONLY? D YES D NO BASIC PLAN? D YES D NO ZONING DESIGNATION CHANGE OF USE? D YES D NO NEW ADDRESS REQUIRED? D YES D NO UP/SEPA/SU? D YES D NO PLATTED LOT? D YES D NO DEMO PERMIT REQUIRED? ❑ YES D NO Bulletin #100 - January 1, 2008 Page 2 of 4 MandoutsTennit Application RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIALANDUSTRiAL SERVICE ❑ Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2- $115.50; Each add'n 500 ft2 - $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 ❑ 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 ❑ 201 - 400 amp 155.50 76.50 ❑ Mast or meter repair $106.00 ❑ 401 - 600 amp 212.50 106.00 ❑ 601 - 800 amp 272.00 145.50 ALTERED COMMERCIALANDUSTRIAL ❑ Over 800 amp 389.50 291.00 Service or Feeders ❑ 0 to 200 amp $125.50 ALTERED SINGLE/MULTI FAMILY ❑ 201 - 600 amp 291.00 ❑ 601 - 1000 amp 439.00 Service or Feeder ❑ over 1000 amp 489.00 Ll 0 to 200 amp $ 96.00 ❑ 201 - 600 amp 155.50 0 # of circuits to be added/altered ❑ 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 ❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility MANUFACTURED HOMES ❑ Service or feeder only $76.50 ❑ Service and feeder $125.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Multi-Family $67.50 ❑ # 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 ❑ 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 ❑ 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 Cabling11 .Automation Fee on all Permits .. $5.50 let 2500 ft2-$67.50; Each add'n 2500 W - $17.50) ' Per WAC 296-46-910(5)(b)(i & it) Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Permit Application