06-103689 City of Federal Way Electrical Permit #: 06-103689-00-EL
Community Development Services
P 0.Box 9718
Federal Way,WA 98063-9718
Ph (253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: DAVITA BUILDING
Project Address: 1109 S 348TH ST Parcel Number: 202104 9140
Project Description: ALT- low voltage for the Fire alarm system
Owner Applicant Contractor
ROBERT BIGELOW GUY ERICKSON CLOVER CREEK ELECTRIC
NWCH INVESTMENT PROPERTIES LLC CLOVER CREEK ELECTRIC CLOVECE293LA (4/30/08)
NWCH INVESTMENT PROPERTIES LLC 1413 CENTER ST 1413 CENTER ST
5312 PACIFIC HWY E TACOMA WA 98409 TACOMA WA 98409
FIFE WA 98424
Additional Permit Information
Electrical Fixtures
Low Voltage Fire Alarm-Commei;,400.(
PERMIT EXPIRES Sunday, January 28, 2007
Permit Issued on Tuesday, August 1, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: sir _ __A Date: //C,
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. THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103689-00-EL
Owner: ROBERT BIGELOW
Address: 1109 S 348TH ST
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
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) la Final-Electrical(4055)
Approved Approved Approved
ByDate ByDate By 0 t Z
��! Date
❑ Under-slab groundwork(4295)
Approved
By Date
_...air RECEIVED
CITY of
X11 Off — c ° _ �& P ?
- Federal Way JUL 2 7 2006 PERMIT
SF MF CO ME PL DE EN FP
COhGNJA7TY D8V8LOPYBAR'SERVICES
J332F D AV L WA SWATH•ro BOX OIF ING L '.[• 1 L I C AT I O N TD sss �t�' ,�< —
53.8RAL WAY,WA 534,3-9774 pUItDINO w
253.835-2607•FAX 253.435-2609
www,dtuo(fedyru wou.cum
The o llowin• is re•tared information-an Inco •tete a••lication will not be acce•ted. Please •rint le•ibi n in or •e.
`` ((]] • PROPERTY INFORMATION
`
SITE ADDRESS V O`""l ).. .54'5 ..*-1k-) ! SUITE/UNIT 4
ASSESSOR'S TAX/PARCEL# 2- 2 2 ( Q '( tT- A � - ' ____CD LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate tgfor try twat deamp ion)
a 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) ,
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it _ !_ _ . `� �� I' . . i . -
11111116
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PROJECT NAME(Name of Business or Owner Last Name) _Si.). , +.
• PEOPLE INFORMATION
PROPERTY NAME ` ` n �` PRIMARY PHONE
OWNER 1`�J'tVL.G 1 1-2S5)7 Z
MAILING ADDRII CITY,STATE,ZIP
5 k--2.., . kNJ.Q, \ `.- eU,JA. , ("AA'2..14
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ci o ,`�,C E,l- . :1- C- L-)L,&e.lC. .� (2:'3),21 - J
MAILING ADDRESS , CtEy,STATA.ZIP CELL PHONE
4t••• (y,,,,/ �,Ct
VA.A.r".d. 31T t2_, )cd,.„. - '"'O
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
ka -aq- lc, 44,8a-B L / / r-3 )(.2-7 -4,4,qt
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CONTRACTOR'S^ A�
REGISTRATION NUMBER(coPy of card required with each applications EXPIRATION DATE
...+ `� �1! t: �.. 9 6, 4- /uhf
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
5^a(v�� '1 ( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant ❑Agent 0 Other(Describe) ( ) -
CONTACT NAME ' PRIMARY PHONE E-MAIL ADDRESS
C-7U �czA.Q L) tZ5 ) GOC, -3070
LENDER :4';, .l , s,y,,,, .C,,==FIS,i,-,, , t: NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
R DETAILED BUILDING INFORMATION ' ' -
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES 0 NO FI' UPPRE •ION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER n LAKEHAVEN n (;HT.TNF. TAC:(1MA n PRTVATF,(WlT:,T.T.1
'1
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
17111[110 • • TOTAL ,,,,, f=.1 ,. , - - • '
NUMBER OF FLOORS
"*NEW HOMES ONLY** NUMBER OF BEDRO s MS ESTIMATED'ELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part /this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EV 'ORATIVE COO RS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)Commerciv) WOODSTOVES
BOILERS FIREP E I :ERTS RANGES MISC(Describe)
COMPRESSORS FURNACE GAS WATER HEATERS
DUCTS GAS PIP'0 ETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) OWERS WATER CLOSETS rrortey MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Bink,) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further,th
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to i
harmless the City of Federal Way as to arty claim(including costs, expenses, and attorneys'fees incurred in the investigation and defens
such claim),which may be made by any person,including the undersigned,and filed against the City of Federal Way,but only where such cl
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 par
this application. ,
NAME/TITLE -r _ DATE
Sign • (Title)
RELATIONSHIP TO ' "OJ T ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
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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 it2-$107.50;Each add'n 500 ft2-$34.50) • ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 0 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
O 801 - 1000,amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
I ❑ 201-400 amp 145.00 71.50 0 Mast or meter repair $99.00
❑ 401-600 amp 198.50 99.00
CI 601-800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201-600 amp 145.00 ❑ M of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
•
El of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
' ❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVMultiFamily $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each addh-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ o-wo amps $71.50
0 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
U over 600 amps 157.00
•
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats • ❑ S of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
)4Low Voltage Li (Includes
pool/hot tub $107.50
re Feet to be served by system(s) 2 l (C' (Includes additional circuit,if required)
Fire Alarm System ❑ Yard Pole meter loops $71.50
0 Security Alum System ❑ Additional Plan Review $107.50/hour
O Voice Cabling (for modified submittals)
Q Data Cabling ❑ Automation Fee on all Permits .. $5.00
0 -
(Per Systems)la 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 296.46910(5JW6)4 &ii)
Bulletin#100-January 1.2006 T- W Pave 3 of 4 leMsnrinutc\Permit Annliratinn