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06-103667
OP City of Federal Way Electrical Permit #: 06-103667-00-EL CornMunity Development Services P O.Box 9718 Federal Way,WA 98063-9718 Ph.(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050 Project Name: NW THERAPY ASSOCIATES Project Address: 1705 S 324TH PL Parcel Number: 250120 0100 Project Description: Install low-voltage telephone cable. r , Owner Applicant Contractor CASCADE ORTHOPAEDIC PROPE B&C TELEPHONE INC B&C TELEPHONE INC NW THERAPY ASSOCIATES 800 SE 34TH ST SUITE A BCTELI*001L1(6/21/08) 33919 9TH AVE S SUITE 101 RENTON WA 98055 800 SE 34TH ST SUITE A FEDERAL WAY WA 98003 RENTON WA 98055 Additional Permit Information Electrical Fixtures Low Voltage-Other Commercial..:,000.( PERMIT EXPIRES Monday, January 22, 2007 Permit Issued on Wednesday, July 26, 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 ance with the laws,rules and regulations of the State of Washington and the CityQf ederal Way. Owner or agent: t4� ` r\. Date: 7/2c /OC q c.v� .$) c,%—(:) \ _ r . 6 C 1%k.�,,. THIS CARD IS TO REMAIN ON-SITE CITY OFCommunity Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 06-103667-00-EL Owner: Address: 1705 S 324TH PL FEDERAL WAY, WA 98003-8504 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. 0 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 4A. Date 51 4 ... ByC Datet)9, n. ❑ Under-slab groundwork(4295) Approved By Date RE'CEIV o .iUL 262006 (2. / d 3 CIiY OF f Z 2- federal Way r )1 Y OF FEDERAL.VAE RM IT SF �� 3��LLLLLL ---!ll--. c°"r"al"u'r°sr'�"'ss>rvtcss OUILpIN© SF MF CO M EI� PL DE EN FP JJJ25dw"YB1YUBdOUfJl•POBGX97/d ATIpLI CATI 0 N ' PEDSRAL WAY,WA 98063-9718 m r____T___________j 253-354607•PAX 253435-2609 www.dtwfedemhuau.wm The oUowi • is • ired in ormation-an into •fete a••lication will not be acce•ted. Please •rint le!ibl in in or 1• . ■1 PROPERTY INFORMATION ' SITE ADDRESS \ 7O S lig"' fl SUITE/UNIT ASSESSOR'S TAX/PARCEL* �1 __,,�--.} U •_ _Leaf �__ LOT SIZE(sn LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) I V 01 'be�1 ?SIO 4 Leaf'tI ll Ctv4r • (Mach arpordrMON'len"kflaidesatitigini • • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) 'fie ketas' ft e.C4;k1:v PROJECT NAME(Name of Business or Owner Last Name) IVL 1l11Jc'4" U 1 SWOV' ntVt Celftter • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ( ) - . MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE IS4C -t lilowe- JaSor UV(x S ( o ) 7C, -4941 t MAILINO ADDRESS CITY,STATE,ZIP _ CELL PHONE Boo S 34'I" Sk- s a UMBER Qw+ r ,vJA N4$DAToSS (,zo4) 730 - oa8 L{ CITY OF FEDERAL WAY BUSINESS FAX NUMBER t el -o 6L-3. 0 0 0 4 2-13 L • t2 /3t "OC V%) 74, -68.6o CONTRACTOR'S REGISTRATION NUMBER(copy of card required with oath application) EXPIRATION DATE Bc't 6LL °1- oo 1 s., 1 to /2l / ° APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE ( ) - MAILING ADDRESS CITY,STATE,ZIP CELL PHONE' ( ) RELATIONSHIP TO PROJECT FAX NUMBER ..0 Architect ❑Tenant ❑Agent a Other(Describe) ( ) - CONTACTNAME PRIMARYPH E-MAIL ADDRESS �!)/r X If1I� ( ) O LENDER NAME MAILING ADDRESS CITY,STATE,ZIP PHONE i - ( ) r • DETAILED BUILDING INFORMATION V EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ - SPRINKLERED BUILDING? 0 YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER a LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN CI HIGHLINE 0 PRIVATE(SEPTIC) PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND •r� "r4•� L' f1 y►^�; . THIRD "" •r. ,FOURTH J9. r "" �lelr!rives: { ra ,, 0.4:/ ," rt . ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 NUMBER OF FLOORS sarraa raaroso � **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $- ___ • • ' r I FIXTURES indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain. •. t . r 1• Vaalluue of mechanicalporlc AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOOS REFRIO.SYSTEMS BBQS FANS HOODS(commercus WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) • COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING , • 1 Pla• 1 '1 B /►/Shower combat-!-'' '*tj..jSHOWVWGR I� 1'3 r.a ' MISC(Describe) DISHWASHERS SINKS• pRINKI O FOUNTAINS - k G E CkUtrI4TS ` e v --ssv': t!3 4 _ RINNOI q1;,►t� ?e WASHING MACHINES URINALS HOSE BIBBS . •4 - *all* s • VACUUM BREAKERS i * Q WATIR NEAT iSS • • DISCLAIMEI/SIGNATURE BI OC{ 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 authorised 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. NAME/TITLEge-C; S� - DATE 7( 2 esith (Signature) Me) RELATIONSHIP TO PROJECT C) 014.1e..s17;taut ''retontractor a ArcHfl( T"'I?(iter `T _, • ,. 1 • Bulletin#100—January 1.2006 Page 2 of 4 k\Handouts\Permit Application I M ` 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%500 ft2-$34.50) 0 0 to 100 amp $117.00 $71.50 ❑ Detached outbuilding or garage 0 101.-200 amp 145.00 91.50 (Inspected with service) $45.50 0 201-400 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 O 801-1000.amp 500.50 209.50 NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00 Service Feeder O Up to 200 amp $117.00 $$34.50 ❑ Over 600 volts surcharge $91.50 O 201 -400 amp 145.00 71.50 0 Mast or meter repair $99.00 ❑ 401-600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL Q 601 -800 amp 254.00 136.00 ❑ 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 O 601- 1000 amp 410.00 Service or Feeder 0 over 1000 amp 456.50 ❑ 0 to 200 amp $89.50 . _ ❑ 201-600 amp 145.00 0 #of circuits to be added/altered O 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 ❑ Medical/Educational/Institutional Facility MOBILE HOMES - ❑ Service or feeder only $71.50 ❑ Service and feeder $117.00 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential/Muiti-Family $63.00 ❑ H of service or feeders (First service/feeder-$71.50;each add'n$46.50) Commercial/Industrial Service or Feeder Ampacity 0 0-100 amps $71.50 0 101-200 amps 91.50 O 201-400 amps 107.50 O 401-600 amps 145.00 ❑ over 600 amps 157.00 . - MISCELLANEOUS SERVICE/EQUIPMENT O $of Thermostats . ❑ H 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) Z (Includes additional circuit,if required) 0 Fire Alarm System 0 Yard Pole meter loops $71.50 O Security Alarm System ❑ Additional Plan Review $107.50/hour Voice Cabling (for modified submittals) , 0 Data Cabling ❑ Automation Fee on all Permits .. $5.00 (Per Systems)In 2500 ft2-$63.00; • Each add'n 2500 ft2-16.50)•Per WAC 296-46.910(5)(b)Ii 6 5) Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Pennit Application