10-100334 City of Federal Way Elecfrica4
Community Development Services Permit #: 10-100334-00-EL
P.O.Box 9718 „l;
Federal Way,WA 3
Ph:(253)835-2607 Fax::(25(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: AVALON HEALTH CARE
Project Address: 135 S 336TH ST Parcel Number: 926504 0110
Project Description: Adding/altering(2)circuits
Owner Apalicant Contractor
135 SOUTH 336TH STREET LLC MERIT ELECTRIC MERIT ELECTRIC
6380 WILSHIRE BLVD#1106 815 N HELENA MERITES189JM(2/28/11)
LOS ANGELES CA SPOKANE WA 99202 815 N HELENA
90048-5019 SPOKANE WA 99202
A• r,*''`1 •• . • • r., Y,' • .; ..,
Is Use Educational or Institutional? No Service greater than 1000 Amps9 No
Circuits-Commercial 2
PERMIT EXPIRES Wednesday, January 26, 2011
Permit Issued on Tuesday, January 26,2010
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: See Application Date: See Application
JAN S6 2010 JAN 8 6 2010
Z /O
4 THIS CARD IS T MAIN ON-SITE
CITY OF ' Construction I ection Record
Federal Way MICE INSPECTION REQU TS: (253)835-3050
PERMIT#: 10-100334-00-EL Address: 135 S 336TH ST
Owner: 135 SOUTH 336TH STREET LLC FEDERAL WAY, WA 98003-6601
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 UFER Ground(4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
.0 Pool Bonding(4195) 0 Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
'0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
'
Final-Electrical(4055)
Approved
By C_ A k../....S Date ...4- —1 O
F I LE
❑ Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
RECEIVE b _ ,, , 0 3
Federal W4AN 2 6 2010 PERMIT SF MF CO ME kg—)PL DE EN FP
xMMUvtryfoP.FA PBtFXrsr.RVICFS PLICATION / I
z sa3s2eo7FexssybOF FEDERAL
milway,1024rmr. CDS
•
PROPERTY -
S1TE ADDRESS
135 S S . 33G f" FceterR,l u'"'l iv* ggoo3
SUITE/UNIT. ZONING ASSESSOR'S TAX/PARCEL I
G/ 2 (e 0 ` /
PROTECT _ _
NAME OP PROJECT
Cferwnt or homeowner Name) V4£.O I'') Hem/. GI (4r
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT O DEMOLITION iieELECTRIGAL 0 ENGINEERING 0 FIRE PREVENTION
_aCi,tsf..11 (t) Clrcut4-3 4.o /1 jpgsk STA-716e,rj
PROJECT DESCRIPTION
Detailed description of work to -
be included on this permit only
PEOPLE
RARE PRIMARY MORE
PROPERTY OWNER ( ) -
MAILING ADDRESS,CITY.STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
SAME PRIMARY PHONE
MEiZIT G i ems(-etc. I ) 535- 393 0 2
ONTRACTOR RAItIAC ADDRESS.CITY.STATE.ZIP
815 tftte S F- ��
M ' t Pakane (-4* 9t zzb
' WA STATE CONTRACTOR'S CICUINE t EZTm aIoN DATE IrgOICRAL WAY SDSINEbs LICENSE
aM�2I3tS 18(1.771 / / 1(�- XD
NAME PRIMARY PHONE
APPLICANT �J ( ) -
MAD.Ra ADDRESS,CITY.NTATN,ZIP PAX
( l
PROJECT CONTACT NAME PRI ART PRONE
(The(ndtu(duat to receive and go lAftrie. ( ) -
respond to all correspondence RAILutO ADDRESS,crrr.STATE,ZIP FAX
concerning this appIicationZ) ( ) -
ALTERNATE CONTACT NAXE! PRIMARY PHONE E.MAII.
( 2s3) Y35- 74s3
PROJECT FINANCING HARE (] atvrtElt.FWANCED
Required for projects with
value of$5,000 or more RADARO ADDRESS,STIP,STATE,ZIT PRD,IART PHONE
(RCW 1937,051 I
1 certify under penalty of perjury that 1 am the property owner or authorised agent of the property owner.I certify that to the best
of my knowledge,the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal way regulations pertaining to the work authorized by the issuance of a permit.l understand that the
issuance of this permit dols not remove the owner's responsibility for compliance with local. state, or federal taws regulating
construction Of erwirennientat laws.
I farther agree to hold harmless the City of Federal Wag as to any claim(including costs,espenses,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, but only where such claim arises out of the reliance of the city,including its officers mid employees, upon the accuracy of the
information supplied to the city as apart Qfthis application.
SIGNATURE: L/„)•944."-- DATE 2.—' 74-n / 0
PRINT NAME: l/3'.t So'r%
Bulletin#100—January 1,2010 Page 1 of 4 k_\Hundouta\Pcrmit Application
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110
ELECTRICAL
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1"Service/Feeder Additional Feeders
O- 100 amp x$132.50 x$ 80.50
FEES: First 1300 8.2-$122.00; 101- 200 amp x$164.00 x$103.50
Each additional 500 ft2-$39.00
201-- 400 amp x$307.00 x$121.00
NEW MULTIFAMILY(3 units or more) 401 (300 amp x$358.00 x$143-50
14.1 Service/Feeder Additional Feeders 601 - 800 amp x$463.00 x$196.00
0- 200 amp x $132.50 x $ 39.00 801-1000 amp x$565.00 x$236.50
201 -400 amp x $164.00 x $ 80.50 Over 1000 amp x$616.00 x$328.50
401 -600 rump x $224.00 x $111.50
601-800 amp x $287.00 x $153.50
Over 600 volts surcharge x$103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1.,Service/Feeder Additional Feeders 1'�Service/Feeder Additional Feeders
0- 200 amp x $101.00 x $ 39.00 0- 200 amp x$132.50 x$103.50
201 .600 amp x 6164.00 x $ 80.50 201 600 amp x$307.00 x$121.00
Over 600 amp x $246.50 x $111.50 601 1000 amp x$463.00 x$196.00
Over 1000 amp __ x$515.50 x$328.50
Added or Altered Circuits
1-4 circuits$80.50:each additional$$.00 Added or Altered Circuits (2i) *109-so
1.5 circuits$103-50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50 •
•
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.50 $103.50 plus 35%of Permit Fcc;Plan Review required for
Service-and feeder x -$132.50
❑ Ncw,or alteration to,service 01'1.000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
NIISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Alarm Sy+trnn
10 Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Volcr./D:da cabling 0- 60"amp s,._ "' x $ 71.00- x $ 32.00
❑ Other 61 -100 amp .x $ 80.50 x $ 39.00
Area to be served by system:
1..1.2.500 11+.$71.00:e.,ci,additional 2,500 11?•$18.50 101-200 Sump' _-" 'Tx„ 1103.50- - X._$ 51.00
201-400 amp -" x $121.00 x $ 00.50
#of Thermostats 401-600 ramp=_ $1!;4:00"- - - x.1.$ 80.50
First$60.50:each additional$18.50
Over 600 amp •- x 8184.50 • x $ 92.00
it of Signs **NOTE:an automation fee of$8.00 will be charged
First$60.50;each additional$28.50 on all permits"
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator(transfer equipment) x$101.00 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$121.00 253-835-2607
Bulletin 4100-January 1,2010 Page 3 of 4 kf Hundouts\Permit Application
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