07-104404At H i
City of Federal Way Electrical Permit #• 07 -104404 -00 -EL
� Community Development Services •
Pb. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 `Fax: (253) 835-2609 Inspection Request Line: (253) 835-3050
Project Name: CRESTWOOD ANIMAL HOSPITAL
Project Address: 28822 PACIFIC HWY S
Project Description: Overhead to underground coversion of 200A service
Parcel Number: 042104 9026
Owner
Applicant
Contractor
CRESTWOOD ANIMAL HOSPITAL
TOTEM ELECTRIC
TOTEM ELECTRIC
28822 PACIFIC HWY S
PO BOX 1093
TOTEMET315BS (9/30/07)
FEDERAL WAY WA 98003
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Additional Permit lnformatio`n
a
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104404 -00 -EL
Owner: CRESTWOOD ANIMAL HOSPITAL
Address: 28822 PACIFIC HWY S
FEDERAL WAY, WA 98003-3802
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)
Date
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
By
Date
❑ Temporary Power (4275)
Approved
By Date
❑
Service (4235)
Approved
By
Date
❑ Feeders/Sub-panels (4045)
Approved
By Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
❑
Final - Electrical (4055)
Approved
Approved
Approved
By
Date
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector
Rough Electrical
Approved
By Date
reference only __ _
O FINAL - Electrical
Approved
By Date l , /
•RECEIVED - L o 4-
f Federal Way PERMIT
coMMUNnY DEVELOPMENT SERVICES AUG Q 8 Z00% - SF MF CO M SEL PL DE EN FP
33325 D AVENUESOUTH • PO 63BOX 9718 LI CATI O N
FEDERAL WAY, WA 98063-9718
253-835-2607- FAX 253-835-260I'fY OF F91i0E
u!ugi%%_ntyyyjirderglmaJ_<.t�m 4�
BUILDINGDEPT.
The following is required information -an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS Zy92 Z Va-Cl FlC' Pei we -•-o SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ _ _ _ _ - _ _ _ _ LOT SIZE (s-)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
r (Attach separate page for lengthy legal descgptton)
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION AELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
--6�-) ComQ_rsicr»
71A.cv C_ w 1 1x, r1 o w o r IC d wl.P o-✓\ -t4, c S e -Vy i c 'e
MIa4;e -c- bay ,e- . -T�eT e ;s cr+ e act 54 i n!!� oVe rh 4rA-CA Fac d
` Aryk, will Cv WTA -3,o Yi,ew rnf Y1 u-4
-}o -t`L Qxc,541^N-) W _% ✓h f +r,> mss.
PROJECT NAME (Name of Business or caner Last Namel _Y1'%,p Sr,�-i I
PEOPLE• •
PROPERTY
OWNER
CONTRACTOR
Corr or card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME(
APPLICANT NAME
A 14 i
fRIMARYPHONE
1 -
ao a
l
MAILING ADDRESS
2&�,zzVi� NW so ,
CITY, STATE, ZIP
F�a� u�
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
OFFICE PHONE
0-6evi Wle i C_
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT I
( ) -
MAILIW ADDRESS
• Igoe 1693
CITY, STATE, ZIP
-V�_c_0wjc, W# 9?90)
CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPI TION DATE
FAX NUMBER
15 - 99 - 106730 -do
-31- O ?
( ) -
CONTRACTOR.S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
T0TE)I-`E-f31—£92
9 -3v -o-7
COMPANY NAME
1 v-tc r►� � r i G
APPLICANT NAME
OFFICE PHONE
(Z-53) �3 �SoZZ
MAI NG ADDRESS
o _
CITY. STATE, ZIP
T -o c cu,-nc_ /1 of
CELL PHONE
( ) -
RELATIONSHIP TO PROJECT I
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender information is required ifproject value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
EW CO ERCIAL INDUSTRIAL SERVICE
Ll Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 ft2 - $35.50)
t 00 amp $120.50 $ 74.00
12001
❑ Detached outbuilding or garage
1 - 200 amp 149.50 94.50
(Inspected with service) $47.00
- 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 601 - 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI -FAMILY (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $ 35.50
❑ Over 600 volts surcharge $94.50
❑ 201 - 400 amp 149.50 74.00
❑ Mast or meter repair $102.00
❑ 401 - 600 amp 205.00 102.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50
Service or Feeders
A 0 to 200 amp $120.50 -
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ over 1000 amp 471.00
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # 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
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ 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
❑ 101 - 200 amps 94.50
❑ 201 - 400 amps 111.00
❑ 401 - 600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00: add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Voice Cabling
❑ Additional Plan Review$1 our
(for modified submittals)
13 Data Cabling
$5.00
Ll Automation Fee on all Permitsri
..
161 2500 ft2-$65.00;Each
add'n 2500 ft2-17.00) • Per WAC 296-46-910(5)(b)(i & W
Bulletin #100 - April 2, 2007 Page 3 of 4 k\Handouts\Permit Application