05-105950 r .
City of Federal Way Electrical Permit#: 05 - 105950 - 00 - EL
Community Development Services
P.O Box 9718
Federal Way,WA 98063-9718
Ph•(253)835-7000 Fax:(253)835-2609 _ Inspection request line: (253) 835-305C
Project Name: FEDERAL WAY DIALYSIS CENTER
Project Address: 1015 S 348TH 54- Parcel Number: 202104 9140
Project Description: Installation of LA'voice and data cabling.
Owner Applicant Contractor
NWCH INVESTMENT PROPERTIE DIAMOND COMMUNICATION DIAMOND COMMUNICATION
5312 PACIFIC HWY E 24830 SE 224TH ST 24830 SE 224TH ST
TACOMA WA MAPLE VALLEY WA 98038 MAPLE VALLEY WA 98038
98424-2602 (425)432-6068
Electrical Fixtures
Description Quantity Description `Quantity Description (Quantity
Low Voltage-Other Commercial 2500
PERMIT EXPIRES May 17,2006.
Permit issued on November 18,2005
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the 11 be ' accordan with the laws,rules and regulations of the State of Wash'4 gton and
the City of Federal
Owner or agen Date:
1,
c)
THIS CARD IS TO REMAIN ON-SITE - .. I
CITY OFA
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-105950-00-EL
Owner:
Address: 1015 S 348TH ST
FEDERAL WAY, WA 98003-7027
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
❑ Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) Ceiling Cover(4020) El Final-Electrical(4055)
Approved Approved Approved
By Date By , Date t`,�'Iris t,S By ,i`1 Date` `
0 Under-slab groundwork(4295)
Approved
By Date
RECEA etfatrisize IVED
cm
NOV 1 8 2005 5 - 1 0 5 2C 5_0
Federal Way P E RKITTOF FEDERAL WA'ls F MF CO M i al PL DE EN FP
COMMUNr1Y DEVELOPMENT SERVICES
33325 D AVENUE SOUTH9.PO 63BOX9718 APP LI CA'I'RN DEPT.
r._____-----/
FEDERAL WAY,FAAX
53-8 3 9718-260 /
253-835-2607•FAX 253-835-2609
wu a'.cituoffederaiwnu.corn
' The ollowin, is r-,uired i ormation-an incom'fete a,'lication will not be acce'ted. Please , 'nt lee ibi. (in ink)or - ,-.
• PROPERTY INFORMATION
D c. 2 (� C
SITE ADDRESS "a:- S, c) 1 `, •
/� (/ SUITE/UNIT#
Z:2ASSESSOR'S TAX/PARCEL# � 0 c / fG, / - % / 7 0 LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) FQ/, t ra L L1.)«- i al y 5) /�s l e i-t F r " )a U t'4 Ci
(Attach separate page for length legal legal desc iptin) 1
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION 0 ELECTRICAL ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
1►25A4Cett0n Cf eo✓1 ill l.)v71'( 44//or) OR le -
PROJECT NAME(Name of Business or Owner Last Name) 1 & 4kitty p'A,I c157-,s d e/1 r
• PEOPLE INFORMATION
PROPERTY NAME , I PRIMARY PHONE
OWNER AJU)Ci-fL 11�1U-esIFYr 4- cic perL/`e_s lJf673) Z
Z -c / 7
MAILING ADDRESS CITY,ST ZIP
531 -+6c, 1-1,L)7 6. 1 etco✓-xvt , cl)19– V 8–" -y�
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
3iawio,'d a nnW1f'_<aIt'c c cd G'ra .. (IOC)` - 06,(
MAILING ADDRESS a Li is-30 5 t pl *1 CITY,ST /,,,iia i 7!/CELL PHONE
�
CITY OF FEDERAL WAY BUSINESS CENSE NUMBER EXPIRATION DATE FAX NUMBER
4%,A'#' • • _( '=ts� ,-)OS / (1125--)(4 13 -39,0c(CO TOR'S REGISTRATIO ER(copy of card required with each application) EXPIRATION DATE
Lb La /YlQ . i I g Qs q/,/o< 13 ( '
APPLICANT C ANY NAME ` APPLICANT NAME OFFICE PHONE
G ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect o Tenant ❑Agent o Other(Describe) ( ) -
CONTACT NA\ - PRIMARY PHONE _ E-MAIL ADDRESS
(i.eii,,, (-10,--j (
LENDER ?erRCW1947.095: LeaderiNAME �c�
iveuired�Dt value $gb AI%A
MAILING ADDRESS CITY,STATE,ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
- ING USE PROPOSED USE
EXISTING ASSESSED/ . . -• • ' i VALUE $ VALUE OF P .• :• -= : -- •.
SPRINKLERED BUILDING? ❑YES o N• L,•.' • 'PRESSION SYSTEM PROPOSED/REQUIRED? o YES o NO
WATER SERVICE PROVIDER ■ •• • VEN ❑ HIGHLINE - COMA ❑ PRIVATE(WELL)
SEWER SERVICE P: • •I. - ' ❑ LAHEHAVEN ❑ HIGHLINE 0 PRIVA - ' IC)
p
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. S9.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
EIISTINO PROPOSED TOTAL. TOTALS:AVMS Q TOTAL MOM=V TOTER.St
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of - e to be installed or relocated as 19... of this project. Do not include existing fixtures to remain.
MECHANICAL
Vah,n of Mechanical Work $
AIR HANDLING U ' EVAPORATIVE COOLERS GAS LO 6 REFRIG.SYSTEMS
BBQS FANS HOODS(Com re(a) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMP• : ORS FURNACES GAS WATER HEA .
DUC : GAS PIPE OUTLETS
PLUMBIN
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSEIb(roue) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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 . 'de by any person,including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the ref'' .. of' ' .,includ , its of/ic, - and employees,upon the accuracy of the information supplied to the city as a part of
this application. r
NAME/TITL hhaI' 4 . DATE I a c
i_."'rtre) yr. (Pile)
RELATIONSHIP TO :'OJECT ■ owner o Age1 ❑ Contractor 0 Architect ❑ Other
FOR OPI CR uss 0I V?'
o NEW a ADDITION o ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF'USE? o YES a NO
NEW ADDRESS REQUIRED? o YES a NO UP/SEP/418U? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100-January 7,2005 Page 2 of 4 k\Handouts\Permit Application
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-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder U over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
Low Voltage U Swimming pool/hot tub $87.00
Square Feet to be served by system(s) c00 (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $104.50
❑ Security Alarm System U Additional Plan Review $104.50/hour
Avoice Cabling (for modified submittals)
Data Cabling Automation Fee on all Permits .. $5.00
(Per System(s) 1st.2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-46-910(5)(b)5&U)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application