06-103147 1,
fF let
City ftyof Development
Federal Way. Electrical Permit #: 06-103147-00-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: NW THERAPY ASSOCIATES
Project Address: 1703 S 324TH S. Parcel Number: 250120 0110
Project Description: Alter(4)circuits for electrical work associated with tenant improvements.
Owner Applicant Contractor
NW THERAPY ASSOCIATES NORTH STAR ELECTRIC NORTH STAR ELECTRIC
33919 9TH AVE S SUITE 101 1905 S JACKSON ST NORTHSE136O8 9/28/07
FEDERAL WAY WA 98003 SEATTLE WA 98144 1905 S JACKSON ST
SEATTLE WA 98144
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 4.00
PERMIT EXPIRES Wednesday, December 20, 2006
Permit Issued on Friday, June 23, 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: 6- -2 3 -06‘
..4A THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103147-00-EL -
Owner: NW THERAPY ASSOCIATES
Address: 1703 S 324TH ST
FEDERAL WAY, WA 98003-8524
This card is part of your required inspection documents. Scheduled inspections may be failed if this card is not on-site. DO NOT LOSE TINTS 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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
W Rough Electrical(4225) Pa Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved , Approved Approved
•
By Nisi Date'7 /I1 10kp SWAT` \ Date i- i 0 BYCV‘a.i DateflEs...4 —cyi
i
❑ Under-slab groundwork(4295)
Approved
By Date
REC
Federal Way arERMIT LL - _L _IY2
COMMUNIIYDEVELOPMENTSERVICES J(JN s) SF MF COM EL L DE EN FP
33325 EPH AVQVUESOUTH•POBOX 9718 A° PLICATION
FEDERAL WAY,WA 98063-9718�� -----/---„
. 253-835-2607•FAR 253-835-2661 ITV OF' - /
www ntiallederalwmt to ----___
BU)LD(NbERAIWAY ._,,' .
The , • , is -, ' -• ,L7nai7011 f , incom,fete , u,iication wiU not be , & , - . Please , ' t _',I- (in ink)or
• PROPERTY INFORMATION
SITE ADDRESS / 7 O S^ S 3 Z 1 '' f//. SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# v I ? C- 0 ( ( 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Amus.separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION pei,ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT, DESCRIPTION(Provide detailed description of Mork included on this permit mild r) r
bid L 4.,d a& '` k i--,' { S w. ec rps / /g0f of /� c�`s ft,- Ali,
PROJECT NAME(Name of Business or Owner Last Name) /1 MV 7IthrR ' ' i,SSa ((1 i--)c
• PEOPLE INFORMATION
PROPERTY NAME /J 77^ A�� 4c)c,,r
>'x�A PHONE
OWNER (/l,rlll/ `' 419q ( )
Min ur STATE,ZIP / I cid O U 3
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
1Jo /44 S-Ja.,' E(e c,ti-c -- Ste- ( -v 6) ?2-5' - 15---Y6
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
Ig6s ,54c-(cs°" Sf S«-f-flt j (fit/ 9S/Of ( ) 743 - 7. 70
CRY OF FEDERAL WAY BUSINESS LICENSE NUMBER 1IItATlolf DATE FAX NUMBER
z a -Q' °-4 L 4r_.4 k-B L I L/ 3 f / '‘ ( 2-a C) 3 z S' - KP
EXPIRATION DATE
CONTRACTORS REGISTRATION NUMB at cord ngd>,ei with asciiasciiapapplication) EX/ y / O
A) 0 2 r 1-t- (z.. L 3 _ a $ C
APPLICANT COMPI NAME APPLICANT NAME OFFICE PHONE
5fa, ff(e cfre't (zoe)3 2-9 - 15-16
MSLG ADDRESS DDRESS CRY,SPATE,ZIP CELL PHONE
1l os S CI-4Ckg. Si S.Q_00-1-4-14. OA 2flICY ( toe) 7c 3- 7a-?o ,
RELATIONSHIP TO PROJECT ,} FAX NUMBER
a Architect 0 Tenant a Agent dIOther(Describe) ebw�V 'C �.,/ ( Loo 3 Z5' -y437
ty E-MAIL ADDRESS
CONTACT �,� A.) �diti ( Za ) 7cfXi rcyn - ns1,a'ele
LENDER Per RCW 19.27.095: Lender information is NAME I C011
required Ifpr value exceeds$5.000
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 a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER ❑LAKEHAVEN a HIGHLINE ❑TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHIINE ❑ PRIVATE(SEPTIC)
s,,.
•
' PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SR-FT. Sg.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(D E)
DECK(COVERED?)
GARAGE 0 CARPORT 0
Emma ` ~roam AL TOTAL WITZIG el TOTAL PROPOSIIID R TOTAL W
NUMBER OF FLOORS
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicotp number of each type offixture to installed or relocated as part of this project Do not include existing_fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDUNG UNrLS EVAPORA1IVE COOLERS GAS LOGS REFRIG.SYSTLMS
BBQS FANS HOODS(coo.oerews WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS ` GAS PIPE OUTLETS
PLUMBING / M[SC(Describe)
BATHITJBX(orTob/ShowerComed SHOWERS WATER CLOSETS rime!
DISHW,PHERS SINKS DRINKING FOUNTAINS
GAS E OUTLETS SUMPS RAINWATER SYST
W HING MACHINES URINALS HOSE BIBBS
VS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
I certify wider 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 - city,including officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
i ( 0?AbDATE
NAME/TITLE
/(Signature) /� (Me)RELATIONSHIP TO PROJECT ❑Owner El Agent eiContractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY'? a YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES ❑NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
•
lik 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) U 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 U 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 U Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
U 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY U 201-600 amp 272.00
U 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 Wi #of circuits to be added/altered
❑ over 600 amp 218.50 ( -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
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
U Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50:each add'n-$46.50) Commercial/Lndustrial Service or Feeder Ampacity
❑ o-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
U #of Thermostats U #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
❑ Low Voltage U Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit.if required)
❑ Fire Alarm System U Yard Pole meter loops $71.50
❑ Security Alarm System U Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling U Automation Fee on all Permits .. $5.00
(Per System(s)1.c 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50)•Per WAC 29646-910(5Mblli&til
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application