07-105535CIO of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253)835-2607 Fax: (263) 835-2609
Electrical Permit #: 07 -105535 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: FEDERAL WAY ORTHOPEDIC ASSOCIATES
Project Address: 34612 6TH AVE S Suite 300 Parcel Number: 926480 0010
Project Description: Add/Alt 200 amp service for TI work. k
Owner
Applicant
Contractor
FWASC, LLC
SY ELECTRIC CO
SY ELECTRIC CO
PO BOX 890
16605 SE 34TH ST
SYELEL*95400
BLACK DIAMOND WA 98010
BELLEVUE WA 98008
16605 SE 34TH ST
BELLEVUE WA 98008
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps - 1
PERMIT EXPIRES Monday, September 29, 2008
Permit Issued on Friday, October 5, 2007
I hereby certify that the a ve information is correct and that the construction on the above described property and
the occupancy and th se will be in accordance with the laws, rules and regulations of the State of Washington
'7-1d the City of Federal Way.
Owner or agent: Date: l -� 7
THIS CARD IS TO REMAIN ON-SITE
C1W OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105535 -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
❑ 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
By 'Date �� (y Z!%
By
Date I 2-- ;�.rj _ t,-,_
By
Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Dater BY Date
DATE O.
AREA AND TYPE OF INSPECTION
x -RAV XcJcull2
a �^
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Building pivision
'CITY OF 33325 Eighth Avenue South
�. Federal Way • Fe Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRESS:
fTf/a.o5
L %?E 1 /L C�/tSL"
f y •4 S '411
w,e/�,'
IF YOU HAVE ANY QUESTIONS CALL X�/1/ (253) 835- ZCQ
Call for reinspection before cover
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
p> /9
DATE INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
! r N
Federal Way zoo? PERMIT
COMMUNITYDEVELOPATEff SERVIrES 0C T Q SF MF CO ME E PL DE EN FP
33325 u8rH
n;AVENUE
�SOUTH
0PlH�• PO_o8m0
X 9
718
906359728RAI.W1383FEOE
253-835-2A5-260tITF k ED
F LI C AT I O N
BUILDING - -
DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAX/PARCEL # _Z & q v ® , L/v
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengaW legal des VdW
PROJECT INFORMATION
SUITE/UNIT # 3 0
LOT SIZE (sffl
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
x'900 SGL T -r 1.y.P"V1-,, 0-J-(-*\., L/2 "i'�iT IN)A-�CoSbm
f_(f'LCat-'i T3 W eDkIST-IJ(, PRN OL,
PROJECT NAME (Name of Business or Owner Last Name) f-- 6 n F—RA L W l\ -V t) (ZT j4-6 P Fbis A- S S 426,
PROPERTY
OWNER
APPLICANT
PROJECT
CONTACT
LENDER
NAME
PRIMARY PHONE
ni C-1 S C ,) L it (2 0 Lk P
( ) -
MAILING ADDRESS CITY, STATE, ZIP
E-MAIL ADDRESS
/31-S cL0 w TA-( J)A,1 A- W,+ `fig YaZ
FAX NUMBER
COMPANY NAME APPLICANT NAME OFFICE PHONE
ING ADDRESS -RTA CRLL PHONE
C RAL WAY t%u,,tnz��..._1____ - RATION DATE FAX NUMBER
J iO(7
/I i I
CONTRACTO S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
S Y C'Z Cd. -'k SS q Ou '
COMPANY NAME
y 6 LEe-Ttz..(� LLC.
APPLICANT NAME
At-Al'o '%(Luso
OFFICE PHONE
M75-) ,f6 Z - 6B 7 Y
MAILINGS ADDRESS
3300 Sam Sad ST /c�3
BCS t_e'L ZiLt� / 9 0,
(2,0( -)N -)M - 9.5-03
RELATIONSHIP TO PROJECT I
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent Other SU C" T9 -A A-
N;% - ) !�-6 Z --?946
NAME PRIMARY PHONE E-MAIL ADDRESS
ri rr ( ) -
NAME Per RCW 19.27.095:
Lender ir}jormation is requ ceeds $5,000
MAILING ADDRES(__""'_-�CITY, STATE, ZIP
PHONE
EXISTING USE ROPOSED USE
EXISTJNG ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $_
3PRINI�LERED BUILDING? ❑ YES ❑ NO FIRE RESSION SYSTEM PROPOSED/REgUIRED?
•
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HI INE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ YES ❑ NO
Ir
AREA DESCRIPTION
EXISTING
89. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
Ll 4
L L
0
ADDITIONAL FLOORS (DESCRIBE)
FOR OFFICE USE ONLY ,,m,,,
DECK (❑ COVERED OR ❑ UNCOVERED?)
❑ NEW ❑ ADDITION
GARAGE ❑ CARPORT ❑
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
NUMBER OF FLOORS
tea°"
PROPOSED
TOTAL
TOTAL EMOTING Sr
TOTAL FaorasmsF
TorALSr
*"NEW HOMES ONLY'• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offiixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED W17H APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Commerdaq
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (orTub/Shower Combo)
LAVS (BathtoomSinks)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (-Ib&q
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 irtfo nation mitted in support of this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regal ns pertaining to the work authorized by the issuance of a permit. I understand that the issuance of this permit
does not remove the own responsibility for compliance with local, state, or federal taws regulating construction or environmental laws.
I further agree to id harmless the City of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and def of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such claim es o lianc a city, including its officers and employees, upon the accuracy of the irtformation supplied to
the city as a part o this tic ion
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Permit Application
/ 0/, %
SIGNATURE:
DATE
7
Property 06ner and/or Authorized Agent
FOR OFFICE USE ONLY ,,m,,,
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 - August 16, 2007 Page 2 of 4 k\Handouts\Permit Application
f k
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALANDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 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
❑ 601 - 800 amp 262.00 140.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 am 375.50 280.50
P
Servtc� ders
0 to 200 amp 1
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
Ll - 1000 amp 423.00
Service or Feeder
❑over 1000 amp 471.00
Ll 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)
Commer'Cialflndustrial 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)
ancludes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
❑ Data Cabling
or modified submittals)
utomation Fee on all Permits .. $5.00
7
1-t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910(5)(b)(i & ii)
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application
So