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07-105836City of Federal Way Electrical Permit #• 07-105836-0b=�L Community Development Services • P.O. Box 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Inspection Request Line: (253) 83.5-3050 Project Name: FEDERAL WAY ORTHOPEDIC ASSOCIATES Project Address: 34612 6TH AVE S Suite 300 Parcel Number: 926480 0010 Project Description: Installation of (44) data/voice locations. Owner Applicant Contractor FWASC, LLC TRITON COMMUNICATIONS LLC TRITON COMMUNICATIONS LLC PO BOX 890 PO BOX 1091 TRITOCL965K4 6/15/2008 BLACK DIAMOND WA 98010 HILLSBORO OR 97123 PO BOX 1091 HILLSBORO OR 97123 Additional Permit Information Service greater than 1000 Amps?...........................No Electrical Fixtures Low Vole - Other Commerciah. 6,625 PERMIT, EXPIRES Thursday, October 16, 2008 Permit Issued on Monday, October 22, 2007 1 hereby certify that the ove trif rmation is correct and that the construction art the above described property and the occupancywW th` use e ' accordance With the taws, rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: Date:2 - (� THIS CARD IS TO REMAIN ON-SITE ' CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -105836 -00 -EL Owner: FWASC, LLC Address: 34612 6TH AVE S Suite 300 . FEDERAL WAY, WA 98003 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) Approved By Date For rector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date ��ij C58 ❑ 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) ❑ 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 B Date By% Date 1_ By Date ❑ UFER Ground (4295) Approved By Date For rector reference only ❑ Rough Electrical ❑ FINAL - Electrical Approved Approved By Date By Date ��ij C58 arr •r '��� � _ F' talWay RECEIVED PERM(a) OWA/IAIMIYDSFELOPIIIwsBRVlCES IT SF MF CO ME PL DE EN PP 333X WY,SWA9KI,971971d ICI 2 2AOPPLICATION 953-d3S?607• FAX 159d3S?609 ICI CITY OF FEDERALW The following is requireBw"*W"P n {"pieta application will not be accepted Please print.legibiy (in ink) or type. SITE ADDRESS �� It7 % L•�t SUITE/UNIT # -3-(:2-()- ASSESSOR'S TAR/PARCEL ii- (� LOT SIZE (s� LEGAL DESCRIPTION (e.g. Acme Estates, Lot I) PROJECT• • TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING . ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ Fn;m PREVENTION SYSTEM PROJECT DESCRIPTION (Provide detai d desptiptio of work ' ded on this Permit onlvl PROJECT. NAME (Name of Business or Owner Last Namel PROPERTY OWNER CONTRACTOR APPLICANT PROJECT CONTACT LENDER EXIOTING USE NAME S L L PRIMARY PHONE - D MAILIN ADDRESS CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER -Q -00-6� CITY, STA E, 21P E MAIL A DRESS © 6o t�L3/-a bass ��sz -vs f DsQ MOUCI W / ZXPIRATION DATE �/� "V�(% -Cir11 Yttll vt iG joG[v S A CANT NAME d,sk W OFFICE PH ONE MAI N DRESS CITY, STATE, ZIP CELL PHONE CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER -Q -00-6� -rACOH~ RATION DATE (a -OG 2 - 2 FAX NUMBER © 6o t�L3/-a bass ��sz -vs CONTRIMBIR ZXPIRATION DATE EMAIL ADDRESS L - C//OIWANY N APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER ❑ Architect ❑ Tenant ❑ Agent ❑ Other ( _ EXISTING ASSESSED/APPRAISED VALUE $ SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE VfATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ I SEWER SERVICE PROVIDER ❑ LAKEHAVEN IG: C USE OF PROPOSED WORK $ SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO ❑ PRIVATE (WELL) t PROJECT ••- AREA DESCRIPTION BASEMENT AREAS GAS PIPE OUTLETS WOODSTOVES -EXISTING S I FT. PROPOSED $ TOTAL SQ. FT. FIRST BOILERS FIREPLACE INSERTS HOODS (co erci q SECOND COMPRESSORS FURNACES RANGES THIRD DUCTS GAS LOG SETS REFRIG. SYSTEMS' ADDITIONAL FLOORS (DESCRIBE) d` DEMO PERMIT REQUIRED? o YES DECK (❑ COVERED OR ❑ UNCOVERED?) BATHTUBS (wrub/sho combo) LAVS p way . sk&4 URINALS GARAGE ❑ CARPORT ❑ DISHWASHERS RAINWATER SYST VACUUM BREAKERS NUMBER OF FLOORS a rscram MAL. TOTAL ZMv7°YOdr TOTAL meressoail Tomer +•NEW HOMES ONLY". NUMBER OF BEDROOMS ESTIMATED SELLING PRICE t$ Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. Value of Mechanical Work $ 0 COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLIC.ATI0h7 AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES BBQS FANS GAS WATER HEATERS MISC (Describe) BOILERS FIREPLACE INSERTS HOODS (co erci q CHANGE OF USE? COMPRESSORS FURNACES RANGES a YES a NO DUCTS GAS LOG SETS REFRIG. SYSTEMS' PLATTED LOT? d` DEMO PERMIT REQUIRED? o YES o NO. BATHTUBS (wrub/sho combo) LAVS p way . sk&4 URINALS MISC (Describe) DISHWASHERS RAINWATER SYST VACUUM BREAKERS DRINKING FOUNTAINS SHOWERS WATER CLOSETS (reaeq ELECTRIC WATER HEATERS SINKS WASHING MACHINES HOSE BIBBS SUMPS I cert(N under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(& that to the best of my knowledge, the ir{jormation submitted in support of this permit application is true and correct I cert{iy 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 doss not rsrrwve 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, ixpsnses, and attorneys' Jess incurred in the investigation and deft such ciaimh which may be made by any person, including the undersigned, and Jiied against the city, but only where such claim arise o t tU reliance of the city, including its officers and employees, upon -the accuracy of the information supplied to the city as apart of SIGNATURE: DATE Property Owner and/or Authorized Agent o NEW a ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUII.DIN0 SHELL ONLY? a YES. o NO BASIC PLAN? o YES o NO ZONWG DESIGNATION CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? a YES a NO IIP/SEPA/SUP a YES a NO PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? o YES o NO. I Bulletin # 100 _ August 16, 2007 Page 2 of 4 . MandoutsTennit Application i' ELECTRICAL PERMIT INFORMATION RESIDENTIAL NEW RESIDENTIAL SERVICE ❑ Single Family Square Feet (First 1300 ft2- $111.00; Each add% 500 ft2- $35.50) ❑ Detached outbuilding or garage (Inspected with service) $47.00 ❑ Detached outbuilding or garage (Inspected separately) $74.00 NEW MULTI -FAMILY (three units or more) Service or Feeder Service Feeder ❑ Up to 200 amp $120.50 $ 35.50 ❑ 201 - 400 amp 149.50 74.00 ❑ 401 - 600 amp 205,00 102.00 ❑ 601 - 800 amp 262.00 140.50 ❑ Over 800 amp 375.60 280.50 ALTERED SINGLE/MULTI FAMILY ❑ # of circuits to be added/ altered (1-4 circuits -$74.00; Add% circuits $7.00/ea) ❑ Mast or meter repair $55.00 MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 COMMERCIAL NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder EachAddrn ❑ 0 to 100 amp $120.50. Service or Feeder ❑ 0 to 200 amp $92.50- 92.50❑ 13 201 -'600 amp 149.50 ❑ over 600 amp 225.50 ❑ # of circuits to be added/ altered (1-4 circuits -$74.00; Add% circuits $7.00/ea) ❑ Mast or meter repair $55.00 MANUFACTURED HOMES ❑ Service or feeder only $74.00 ❑ Service and feeder $120.50 COMMERCIAL NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder EachAddrn ❑ 0 to 100 amp $120.50. $ 74.00 ❑ 101- 200 amp 149.50 94.50 ❑ 201- 400 amp 280.00 111.00 ❑ 401- 600 amp 327.00 131.00 ❑ 601- 800 amp 423.00 179.00 13 801-1000 amp 516.50 216.00 ❑ Over 1000 amp 563.00 300.00 ❑ Over 600 volts surcharge $94.50 ❑ Mast or meter repair $102.00 ALTBRED COMMERCIAL/INDUSTRIAL ❑ # of circuits to be 8dded/altered (1-5 circuits - $94.50; Addh circuits, $7.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW $94.50 plus 350/6 of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE MOBILE HOME/RV PARK ❑ Servici3 or Feeders ❑ 0 to 200 amp $120.50 ❑ 201 - 600 amp 280.50 ❑ 601 - 1000 amp 423.00 ❑ over 1000 amp 471.00 ❑ # of circuits to be 8dded/altered (1-5 circuits - $94.50; Addh circuits, $7.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW $94.50 plus 350/6 of Permit Fee ❑ Service - 1,000 amps or greater ❑ Medical/Educational/Institutional Facility TEMPORARY SERVICE MOBILE HOME/RV PARK ❑ Residential/1KnIN-Pamiiy $65.00 # of service or feeders (First aervice/feeder-$74.00; each add% -$48.00) CommereiaWridustrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 74,00 ❑ 1.01- 200 amps 94.50 ❑ 201- 400 amps 111.00 ❑ 401-.600 amps 149.50 ❑ over 600 amps 162.00 MISCELLUMOUS SERVICE/EQUIPMENT ❑ # of Thermostats (First -$55;00; addh-$17.00/ea) ❑ Low Voltage�- Square Feet to be served by system(s) 17 Fire Alarm' System ❑ ecurity Alarm System SCJ V ' e Cabling Data Cabling O lot 2500 ft2-$65.00; Each add% 2500 ftr-17.00) • Aer WAC 29646910(5)(bp a N) ❑ # of Signs (First sign -$55.00; addh sign $26.00/ea) ❑ Swimming pool/hot tub. ................ $111.00 (includes additional circuit, if required) ❑ Yard Pole meter loops ....... :............. $74.00 ❑ Additional Plan Review $111.00/hour (for modified submittals) ❑ Automation Fee on all Permits .. $5.00 Bulletin # 100 - August 16, 2007 Page 3 of 4 klHandouts\Permit Application