06-103623 City of Federal Way Electrical Permit #: 06-103623-00-EL
Community Development Services
Po 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-install up to 10 circuits for Building Interior remodel.
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
Circuits- Commercial 10.00
PERMIT EXPIRES Saturday, January 20, 2007
Permit Issued on Monday,July 24, 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: 4 Date: 1�L`{/5
V
111
/\
M
A THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103623-00-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.
O 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) 0 Ceiling Cover(4020) Ea Final-Electrical(4055)
Approved Approved , Approved
IP \ 1%00
By Date By Date B Date
,
❑ Under-slab groundwork(4295)
Approved
By Date
IJ
P
O
l�J
M..I
l^�
l 1
F.�
' 1
I
i 1111
torRECEIVED " '
rederal Way oF 411111148 0 b - I b 3 (0 22
�� 24 2006 SF MF CO ME PERMIT \
COMMUNlTYDEVELOPMENT SERVICES � )!'.L/
33325 dm AVENUE SOUTH•PO BOX 977 �/ PL DE EN FP
FEDERAL
WAY,
7 FAX298063-9718
38 27 �,�o p PLICATION �°��
wmu.ciirloffctiernlwau.cnm Bu
ILDING
The followin• is re•uired information-an incom•Zeta ap•iication will not be acce•ted. Please •rint legibly in in or •e.
• PROPERTY INFORMATION
SITE ADDRESS \,\O ` , " `�LJ � -- SUITE/UNIT# P
ASSESSOR'S TAX/PARCEL# 2 O Z / 0 CK - 9 / Lf LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pagefor lengthy legal description)
a PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION g ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only) I
'
(� '4 _:.,..e_-- . . A 4 ...:._
Wit •
9 , i ._ CD At I A.,/ ,
PROJECT NAME(Name of Business or Owner Last Name) \-----431.).}, tk...._) _ t
' IN PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER \ 3C b J ( ) _
MAILING ADDRE CITY,STATE,ZIP
..6'.: 1.7.... bc-. \OKNIXA L r .k.).r„ _ Ot s424
CONTRACTOR COMPANYNAMEAPPLI NAME OFFICE PHONE
aS)dt k1 -Q r t 4 CITY,�STATE),ZIP � CICS' )ELL N6a7..1 -‘,(.;,‹R
MAILING ADDRESS
\� G,g -- A.) E
) . -5010
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
I q_- - O -BL / / ( ) -
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
CLQ \J �� 1... / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
4 ( )
MAILING ADDRE CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant 0 Agent ❑ Other(Describe) ( ) _
CONTACT NAME c PRIMARY PHONE E-MAIL ADDRESS
C'c l t_.,kr.k- (2C- )GZ7 - ( 4
LENDERi
+',:; 'fid:l':` �.:;.--,nr� .is
: :<=}f:fbsiri%i6-¢,5,r; r NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) _
- ' -' " ' ■ DETAILED BUILDING INFORMATION . .- '
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ • •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
L
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$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 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage 0 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 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
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
O 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0to200amp $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 3it \U #of circuits to be added/altered
0 over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #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
O Mast or meter repair $53.50 0 Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50 -
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
1/Multi-Family $63.00
O #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/lndustrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101 -200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats . ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System 0 Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 •
(Per System(s) 1•n 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) 'Per WAC 296-46-910(5)(b)(i&ii)
Bulletin#100-January 1.2006 Pare 3 of 4 k\Handouts\Permit Annlication
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
,37
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
=ROM PsoPoeso TOTAL
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORA E COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commezehil) WOODSTOVES
BOILERS FIREPLACE INS,• ' RANGES MISC(Describe)
COMPRESSORS FURNAC GAS WATER HEATERS
DUCTS OAS ' ' OUTLETS
PLUMBING •
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roues MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(8Nbroore stub 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,that I
am authorized by the owner of the above premises to perform the work for which the permit application is Made. 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 of Federal Way,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 a part of
this application.
L ''
NAME/TITL .�— DATE '1/12-AA
/ — Signature) (Title)
RELATIONSHIP TO PROJECT El Owner a A:: • for ❑Architect ❑ Other •
In 0
101.,2f6K,
Bulletin#100—January 1.2006 Page 2 of 4 k\Handouts\Pemlit Application
• .
,
i
CITY wA -
, .
A. F'ederaiWay PERMIT - -
SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325dwAVENUE •P0 971-8 APPLICATION To
PEQERAL WAY,,WA WA 9 9-8063-971971-8 / /
253-835.2607•PAX 253435.2609
www.dtwllEdemhuau.00m
The ollowi , is , ired in ormation-an Inco •tete a••licatton will not be acce•ted. Please ,rint le•ibi n In or •
PROPERTY INFORMATION
SITE ADDRESS SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
1 /Attach a �/a
eparat.PhY!Val deaaiption)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0ELECTRICAL 0
ENGINEERING ■ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
•
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
Oil MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
CITY OF FEDERAL WAY BUSINESS LICENS BER EXPIRATION DATE FAX NUMBER
•
- - - / I ( ) -
B L
CONTRACTOR'S REGISTRATION NUM;'R(copy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
•
( )
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PR• 'CT FAX NUMBER
❑ Architect 0 enant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) -
LENDER NAME
MAMBO •DRESS CITY,STATE,ZIP PHONE
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE ❑ TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)