06-103560 •
City of Federal Way Electrical Permit #: 06-103560-00-EL
Community 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: APPLE PHYSICAL THERAPY
Project Address: 32030 23RD AVE S Parcel Number: 162104 9028
Project Description: Installation of voice CAT3/data CAT5e data cables for phone and computers.LOW
VOLTAGE
Owner Applicant Contractor
APPLE PHYSICAL THERAPY MIKE STOLTENBERG OLYMPIC TELEPHONE INC
32030 23RD AVE S OLYMPIC TELEPHONE INC OLYMPITI0063H 06/08/2008
2803 29TH AVE SW 2803 29TH AVE SW
FEDERAL WAY WA 98023 TUMWATER WA 98512 TUMWATER WA 98512
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 3,500
PERMIT EXPIRES Sunday, February 18, 2007
Permit Issued on Thursday,July 20, 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: Date:
• THIS CARD IS TO REMAIN ON-SITE '
CITY OFA`- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103560-00-EL
Owner: APPLE PHYSICAL THERAPY
Address: 32030 23RD AVE S
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.
0 Slab/Concrete Floor(4255) CIDitch cover(4030) .❑ Pool Bonding (4195) ~'
Approved to place concrete Approved Approved
By Date By Date By Date
0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.6. Rough Electrical(4225) ❑ Ceiling Cover(4020) 1/ Final-Electrical(4055)
'1 Approved Approved Approved
l,,=
B 01/
Date off,c�I� By Date B bo Date ,
.❑ Under-slab groundwork(4295)
Approved
By Date
•
City of Federal Way Electrical Permit #: 06-103560-00-EL
Community 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: APPLE PHYSICAL THERAPY
Project Address: 32030 23RD AVE S Parcel Number: 162104 9028
Project Description: ALT-installation of voice CAT3/data CAT5e data cables for phone and computers.LOW
VOLTAGE
Owner Applicant Contractor
APPLE PHYSICAL THERAPY MIKE STOLTENBERG OLYMPIC TELEPHONE INC
32030 23RD AVE S OLYMPIC TELEPHONE INC OLYMPITI0063H 06/08/2008
2803 29TH AVE SW 2803 29TH AVE SW
FEDERAL WAY WA 98023 TUMWATER WA 98512 TUMWATER WA 98512
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial...,500.(
PERMIT EXPIRES Tuesday, January 16, 2007
Permit IssilieJ on Thursday,July 20, 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 be i acc• d*with the laws, rules and regulations of the State of Washington
:ity of Federal Way.
Owner or agent: d —I Date: 7- 26 - 6 6
oma.. aQ `� % - t.'J •-tom -C tt
\,%, THIS CARD IS TO REMAIN ON-SITE
4
GTYOF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103560-00-EL
Owner: APPLE PHYSICAL THERAPY
Address: 32030 23RD AVE S
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
O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date Bye Date a g..4 _,p)
a❑ Under-slab groundwork(4295)
Approved
By Date
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e•A RECEIVED
F'ederalWa�t 1'' PERMIT o - o
(X)MMU iYDEVEL0pMBtrSEP.vrceb�� 2 ao� SF MF CO ME�'L DE EN FP
, zF AVENUELWAY,WA 91/O BOX"'" P LI C AT I O N
rEDERAL WAY,WA 9fo6J-9 7U
25343ss6ovnuczssi f OF FEDERA
tuww•dtWffrdemhwm•rom BUILDING DEPT.
The oiiowi • is re• ired i ormation-an inco .lets • ••lication will not be acee•ted. Please •tint • •I n in or •
.
• PROPERTY INFORMATION
SITE ADDRESS- 3 2- 0 0tt __ 2 3 g 0 Ups SO .. SUITE/UNIT#
(
ASSESSOR'S TAX/PARCEL# 4 P 2- l C, - ( U 2 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITIONXELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this ermit onl
1 uc i �- l c t; C l�9-T 3 /17L, CA T 4e-Q._ Li4&
Foft ko/0 G1' Ce)/4 Pq rt s
PROJECT NAME(Name of Business or Owner Last Name) / '-R 4 V inN S i.0 e. No
• PEOPLE INFORMATION /
PROPERTY NA Q C ,Q p ,PRIMARY H•N �-
OWNER 1 ELIS P S/�v/ L �4•I�!'� 1 (y21 PHONE
TS sz Yr-
MAILING ADDRESS STATE,ZIP Y
�Z0v 43 go *16 So, �, L y \ 3 tk TeGC) 3
• CONTRACTOR COMPANY NAMEAPPLICANT NAME OZ. HONE
CL Pic l..-g7._619,401.1�. lij)c•-Ste;ga t ) age -07s Z
MAILING ADRESSr]., STATE,ZIP CELL PHONE
26C�1 2q wA i ka �i�c(z (�) 410c- -
z) I7
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
-B L • / / ( )
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with etch application) EXPIRATION DATE
/ /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
s tilt E des (0 oterkAL . ( )
MAIWNO ADDRESS CITY,STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect ❑Tenant a Agent a Other(Describe) ( )
CONTACT NAME PRIMARYP HONE E-MAIL ADDRESS
S c.641.
vtm'b 11rr -
LENDER NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
•
• DETAILED BUILDING INFORMATION
EXISTING USE • - •POSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUP• SION SYSTEM PROPOSED/REQUIRED? ❑ YES CI NO -
WATER SERVICE PROVIDER a LAKEHAVEN Cl G-g INE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER a LAKEHAVEN a GHLINE a PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMEN j I
FIRST
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPO'
nosraa reorwso TOTAL 111111111111.111111111111111111111111
NUMBER • ' •ORS
' WHOMES ONLY*" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECFIA
Value of Me • ' •I Work $
AIR HANDL!'. NITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS 0:a'(Commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS ' ' ' GAS WATER HEATERS
DUCTS GAS PIPE 0 o° S
PLUMBING •
BATHTUBS(or Tub/Shower Co.. SHOWERS WATER C •- Dim MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAIN'
GAS PIP' =i SUMPS RAINWATER SYST
' ING MACHINES URINALS HOSE BIBBS
• LAVS e�oy,.om sake( 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 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 •- dny person, undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the relian •f t• nc employees,upon the accuracy of the information supplied to the city as a part of
this application. ,
NAME/TITLE / DATE
(Signs 1 (Fidel
RELATIONSHIP TO PROJECT q Owner 0 Agent 0 Contractor ❑Architect 0 Other •
„ . - .
n._n-or—411 AA •fnnc Do...'),f A 4\i-ion tins trAD..rrnif Anni;rotation
spry_
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$107.50;Each add'n 500 ft2-$34.50) ❑ 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 0 601-800 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
❑ 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
a 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 ❑ #of circuits to be added/altered
a over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
•
❑ M 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 a Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVMuiti-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 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
❑ S of Thermostats • a M of Signs
( t-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
RA"Low Voltage - ❑ Swimming pool/hot tub $107.50
�
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
-8'4oice Cabling (for modified submittals)
to Cabling
0 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(5Mait)
n..11.44..441AA T..........,1 '1AA4 D......1..L'A ♦-_l:__.:_-