06-103195 •
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City of Federal Way Electrical Permit #: 06-103195-00-EL 4
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: DAVITA BUILDING
Project Address: 1109 S 348TH ST LE Parcel Number: 202104 9140
Project Description: Relocate panel and add(2)200-am et
Owner Applicant Contractor ,
NWCH INVESTMENT PROPERTIE GUY ERICKSON CLOVER CREEK ELECTRIC
5312 PACIFIC HWY E CLOVER CREEK ELECTRIC CLOVECE293LA (4/30/08)
TACOMA WA 1413 CENTER ST 1413 CENTER ST
98424-2602 TACOMA WA 98409 TACOMA WA 98409
Additional Permit Information
Electrical Fixtures
Alt.Serv./Feeder up to 200 amps- 2.00
PERMIT EXPIRES Sunday, December 24, 2006
Permit Issued on Tuesday, June 27, 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: `k ' �,�,�..f t,( / f
; r[ �/cAvec ace Ip
Date: �
J\ie \ J
1111,0
11\ 11,‘
•
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 06-103195-00-EL
Owner:
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) 0 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
B Date B Date to_7.4 b By 64 Date
❑ Under-slab groundwork(4295)
Approved
By Date
O(o - /a3/ 5S ;
EC EIV E D COM FIRST WAY
MENT SERVICES
X971
Cm os .- 33530 FIRST WAY SOUTH•PO BOX 9718
FEDERAL WAY,WA 98063-9718
r Federal PERMIT APPLICATION 253-661-4115•FAX-253-661-4129
wryly ot4offederalwart cam
7 2006 7„__
. For Office Use Only: /� / _ TD'"
J FW File Number:-S 3 6 - ( C2 3 1 _z O '
OF FEDEHALWA -an .,• , t ll notAe ,. •- - r[wasis , �r, for
CC %3n
3� ..� .\ • PROPERTY INFORMATION
l Q"��
SITE ADDRESS: \ l % n 1 dOki Cbt BIIPPE/Arr#
ASSESSOR'S TAX/PARCEL#: G)--JjL _Y.YL-I,QUARE FOOTAGE OF LOT:
LEGAL DESCRIPTION(e.g.:Acme Estates,Lot IJ
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT(This application): \
?BUILDING ?PLUMBING ?MECHANICAL ?DEMOLITION
?. LECTRIC L ?ENGINEERING?FIRE PREVENTION SYSTEM
PROJECT (PDESCRIPTION ovide detailed description of work included on this permit onlul• l .. 2-2C ONd��
ae`i .a n5 t G A c_JJ' A�
,A. bA , l2_9—. &9- it-116) ,xs... ,).- ..► _4 t.•l `lN AAA.-
PROJECT NAME(Name of Business/Owner Last Name): ...2.�1`
• PEOPLE INFORMATION
PROPERTY NAME:` PRIMARY PHONE:
OWNER: n.)l c N RV's) 22. -s%ck
MAIL G ADD5E33 STREET ADDRCITY,STATE,ZIP
UUctAl
CONTRACTOR: NAME COMPANY ` OFFICE PHONE:
C, -2 CSZ k EXT. r2C3)(Z? -c..4=AV
144 MAILING ADDRESS(STREETES CI7'�,STA& '�+'�•' 1 CELL PHONE:
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ` EXPIRATION DATE: FAX NUMBER:
4 A q-IOC.. to VO -00 tL kz-/ 3o / 6 3) 6V1 -lebA k
CONTRACTORS REGISTRATION NUMBER: tt�� / EXPIRATION DATE:
cord topo,r.il with ouch yraotto) C(... 'V 0 V C 1 2. °l 3 C A 4i 30 /c3. '
LENDER: NAME: DAYTIME PHONE:
Of Propel Who>16,000( ( ) -
MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP
APPLICANT: NAME: COMPANY OFFICE PHONE:
( ) -
MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE:
( ) -
RELATIONSHIP TO PROJECT: FAX NUMBER:
?Architect ? Tenant ? Other(Describe) ( ) -
CONTACT PERSON FOR THIS PROJECT: ?Property Owner ?Contractor ?Applicant E-MAIL ADDRESS:
■ DETAILED BUILDING INFORMATION
EXISTING USE: PROPOSED USE:
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK:
SPRINKLERED BUILDING? ?YES ?NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: ?YES ?NO
WATER SERVICE PROVIDER: ?LAKEHAVEN ?HIGHLINE ?TACOMA ?PRIVATE(WELL)
SEWER SERVICE PROVIDER: ?LAREHAVEN ?HIGHLINE ?PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
• AREA DESCRIPTION EXISTING SQ.PT. PROPOSED SQ.PT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE/CARPORT
HOW MANY FLOORS? TOTAL E7aBTINO TOTAL PROPOSED TOTAL E)Us17NO AND PROPOSED
"NEW HOMESONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $
U FIXTURES
Indicate number of each type of fixture that is to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commerciaq WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAO WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/shower Combo) SHOWERS WATER CLOSETS(Todet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYS
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom shit VACUUM BREAKERS OIZCTRIC WATER HEATERS
I cart&underpenaliy aline-jury that the information f➢rnnishsd by nee is true and correct to the best ofn yr knosoledgy
and further, that lam authorised bg the owner of the above premises to perform the workjbr which the permit application is
made. Ifurther agree to hold harmless the City nfPideral Way as to ang claim(including cosi*expenses,and attorneyar'fses
incurred in the investigation and defense of such clai m4 which maybe made by ang person,including the undersigned,and
filed against the at"of Federal Waby but only where such claim arises oat gfthe reliance of the city,including its oirmer,
and employees,upon the , , of the u'{formation supplied to the city as a part of this application.
NAME/TITLE: ` DATE: C, . 7/1:
4__store (Title)
R1x.ATIONSHIP TO a �.. ? Property er ? Applicant ? Contractor ? Architect ?
FOR MICE USE ONLY:
7 NNW ?AnaniON ?ALTERATION P REPAIR P TENANT navItOVIMMINT
BUILDING SHELL ONLY? P YES ?NO BASIC PLAN? P YES 7 NO
ZONING DESIGNATION: CHANGE OF USE? 7 YES 7 NO
NEW ADDRESS REQUIRED? P TES P NO UP/WA/SUP 7'!ES 7 NO
PLATPED LOT? ?YES P NO DEMO PERMIT REQUIRED? P YES P NO
Bulletin#100-January 13.2004 Page 2 of 4 k:\iandouts-Revised\Permit Application
• ELECTRICAL PERMIT INFORMATION
•
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COIOtERCIAL/IINDUSTRIAL SERVICE
❑ Single Family Square Feet: Service or Feeder Each Add'n
(First 1300 tt2-$87.00;Each add'n 500 ft2-$28.00) U 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101-200 amp 117.50 74.00
(Inspected with service) $36.50 U 201-400 amp 220.50 87.00
❑ Detached outbuilding or garage U 401-600 amp 256.50 103.00
(Inspected separately) $58.00 U 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) U 801- 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 U Mast or meter repair $80.00
❑ 601-800 amp 206.00 110.00 ALTERED COMMERCIAL/DIDUSTRIAL
U Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY 0 to 200 amp $ 94.50
(Inspected separately from service) ❑ 201 -600 amp 220.50
Service or Feeder U 601 - 1000 amp 332.00
U 0 to 200 amp $ 72.50 U over 1000 amp 369.50
❑ 201-600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
U #of circuits to0 be added/altereduit $6.0 COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ca)
U Service over 200 amps
U Mast or meter repair $43.50 ❑ Medical/Educational/Institutional Facility
$74.00 plus 35%of Permit Fee
SINGLE/MULTI FAMILY PLAN REVIEW
U Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOEII.E HOMES TEMPORARY SERVICE
❑ Service or feeder only $58.00
❑ Service and feeder $94.50 Commercial Residential
❑ 0-100 $58.00 $51.00
MOBILE HOME/RV PARK
U 101 -200 74.00 51.00
❑ *of service or feeders
(First service/feeder-$58.00;each add'n-$37.50) El 201 -400 87.00 n/a
U 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U i♦of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
U Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s): (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $58.00
❑ Security Alarm System U Additional Plan Review
CI Voice Cabling $87.00/hour
(for modified submittals)
❑ Data Cabling
0
(Per System(s): In 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) Per WAC 296-46-910(4M&a)
Bulletin#100-January 13,2004 Page 3 of 4 k:\Handouts-Revised\Permit Application