09-100092 City of Federal Way • Electrical
Community Development Services Permit #: 09-100092-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 835-3050 2531 Inspection Request Line:
Ph:(253)835-2607 Fax (253)835-2609 p q )
Project Name: AVALON CARE CENTER
Project Address: 135 S 336TH ST Parcel Number: 926504 0110
Project Description: Adding/altering(2)circuits for Physical Therapy area
•
Owner Aoolicant Contractor
135 SOUTH 336TH STREET LL NORTHWEST ELECTRIC&SERVICE NORTHWEST ELECTRIC&SERVICE
6380 WILSHIRE BLVD#1106 10228 29TH ST E NORTHES015CK(2/12/09)
LOS ANGELES CA EDGEWOOD WA 98372 10228 29TH ST E
90048-5019 EDGEWOOD WA 98372
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Service greater than 1000 Amps? No
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Circuits-Commercial 2
PERMIT EXPIRES Saturday, January 9, 2010
Permit Issued on Friday, January 9, 2009
I hereby certify that the above informati• : correct and that the construction on the above described property and
the occupancy and the use will in - ••rdance with the laws, rules and regulations of the State of Washington
and the of Federal Way.
Owner or agent: '' .271 opprieros, Date:O/�fs7�f
/I/t/,/ 4.e?
THIS CARD IS TO AMAIN ON-SITE
CITY OF i�� ommunity Developme t Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-100092-00-EL
Owner: 135 SOUTH 336TH STREET LLC
Address: 135 S 336TH ST •
FEDERAL WAY, WA 98003-6601
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.
❑ UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
❑ Final-Electrical(4055)
Approved
" By v Date /
•
For inspector reference only _ _ _ ___
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
ACITY OF
ysO
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Federa \ EIVEPPERMIT �
SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 8",AVENUE SOUTH•PO BOX 9718 APPLICATION
RAL A7•Y,FAWA 25938-806335-9 O p 2009
A P P LI C AT I O N
TD
2F5E3D-8E35-26W0 / /
wu,w.at uoffederal wau.com
The fo@PTViFgr eD> } o rYincomplete application will not be accepted Please print legibly(in ink)or type.
`�•/PROPERTY INFORMATION
SITE ADDRESS / 3 S- �J, /-��,J�(p / � /�'} / �' ) SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# / v `(7 5 0 1- �/ / !0 LOT SIZE(st)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) fff
(Attach separate page for lengthy legal deswiptton)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
OJ
., tet. G/6//-771)a. . (....„--/....67- -/7 ,J A2/5" . .sem•,- , xjr_-�i4,,/?,
PROJECT NAME(Name of Business or Owner Last Name) A' i 6
C.l • PEO
PLLEE INFORMATION
PROPERTY
PHONE � /OWNE / V/�6e,o< 1,2/1 �> 7 O ) $ - 5
MAILING ADDRESS CITY,STATE,ZIP C (J'2 -3 E-MAIL ADDRESS
l 3 S-S g 77(,S7-- / 224cvX7'
CONTRACTOR COMPANY NAME APPLICANT NAME / OFFICE PHONE
4),O- /C Scor - JZ S7�(2.s3 ) 2 z/ - qS-
MAILING ADDR / CITY,STATE,ZIP CELL PHONE
h Z S
CI OF FEDERAL WAYUSINESS LICENSEMBER EXPIRATION DATE FAX NUMBER
�i =1:e. /1`_6 - 9'37 Z ( ) -
CONTRACTOR'S REGISTRATION NUMBER,/ EXPIRATION DATE E-MAIL ADDRESS
/UD/ 7tC l>'c c i
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
, � ( ' -
GADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT E, PRIMARY PHONE E-MAIL ADDRESS
CONTACT S/'L4.e..2,41---- (2mss ) - I r2-O
LENDER NAME Per RCW 19.17.095:
Lender information is required if project 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? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES a NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER o LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
S
NUMBER OF FLOORS STM PROPOUND TOTAL TOTAL WHIM SI TOTAL PROPOS=SP TOTAL Sr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
MI 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.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
_ DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSI:IS(Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized 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 • the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's responsibility, •• .mpliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold harmless t of Federal Way as to any claim(including costs, expenses, and attorneys'fees incurred in the
investigation and defense of suc. lai ch may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of eli•• of the city, 40 ludiny its officers and employees, upon the accuracy of the information supplied to
the city as a part of this app l y
A.
SIGNATURE: �� .�. DATE AZZ27
Prope' a and/or Authorized Agent
.
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES a NO
Bulletin#100—January 1,2009 Page 2 of 4 k\Handouts\Permit Application
• •
ELECTRICAL PERMIT INFORMATION
*NOTE: an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$121.00;Each add'n 500 ftp-$39.00) ❑ 0 to 100 amp $131.50 $80.00
U 101-200 amp 163.00 103.00
❑ Detached outbuilding or garage(w/service) $51.00 ❑ 201-400 amp 305.50 120.50
U Detached outbuilding or garage(inspected separately) $80.00
U 401-600 amp 356.00 142.50
❑ Swimming pool(w/service) $80.00 ❑ 601-800 amp 460.50 195.00
fr ❑ Swimming pool(inspected separately) $120.50
❑ Hot tub/spa/sauna(w/service) $51.00 U 801 1000 amp 562.50 235.50
U Hot tub/spa/sauna(inspected separately) $80.00 CI Over 1000 amp 613.00 327.00
❑ Septic pumping system(w/service) $51.00 U Over 600 volts surcharge $103.00
❑ Septic pumping system(inspected separately) $80.00 ❑ Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
(Does not include circuits.)
Service Feeder
Service Feeders
U Up to 200 amp $131.50 $39.00
❑ 0 to 200 amp $131.55 0
❑ 201 -400 amp 163.00 80.00 ❑ 201 -600 amp 305.50
0 401 -600 amp 223.00 111.00 ❑ 601 - 1000 amp 460.50
❑ 601 -800 amp 285.50 152.50 ❑ 0 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
#of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW
U 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
U 201 600 amp 163.00
U Service- 1,000 amps or greater
❑ over 600 amp 245.50 ElMedical/Educational/Institutional Facility
❑ Additional plan review for
' ❑ #of circuits to be added/altered
modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
❑ Mast or meter repair $60.50 TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES ❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00 ❑ 61- 100 amp 80.00 39.00
U Service and feeder $131.50 U 101-200 amp 103.50 51.00
❑ 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK U 401-600 amp 163.50 80.00
❑ #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats
(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
U Low Voltage (First sign-$60.50;add'n sign$28.50/ea)
Square Feet to be served by system(s) ❑ Yard Pole/meter loops/pedestal $80.00
❑ Fire Alarm System ❑ Portable Generator(transfer equipment) $100.50
❑ Security Alarm System U Ditch cover/inspection only $120.50
❑ Voice Cabling
❑ Data Cabling
0 1•a 2500 ft2-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 ft2-$18.50)*Per WAC 296-46-910(5)(b)/i as ii) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 161-landouts\Permit Application
FEES
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
BUILDING, MECHANICAL &FIRE PREVENTION PERMIT FEES
-+ Building,mechanical,and fire prevention system fees are calculated based on the following schedule.
—) Project valuation for new construction or additions is based on a set cost per square foot as determined by the
Building Official.
—) Valuation for remodels,tenant improvements,alterations,etc. shall be provided by the applicant based on a
legitimate bid or cost estimate which reflects the fair market value of all elements of the project.
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$35.50 •
(2)$501.00 to$2,000.00 (2)$35.50 for the first$500.00 plus$4.50 for each additional$100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$103.00 for the first$2,000.00 plus$21.50 for each additional$1.000.00 or fraction thereof,to
and including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$597.50 for the first$25,000.00 plus$15.00 for each additional$1.000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$972.50 for the first$50,000.00 plus$10.50 for each additional$1.000.00 or fraction thereof,to
and including$100,000.00
{
(6)$100,001.00 to$500,000.00 (6)$1,497.50 for the first$100,000.00 plus$8.50 for each additional$1.000.00 or fraction thereof,
to and including$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$4,897.50 for the fist$500,000.00 plus$7.50 for each additional$1.000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$8,647.50 for the first$1,000,000.00 plus$6.00 for each additional$1.000.00 or fraction thereof.
Table A
PLUMBING PERMIT FEES
• $31.00 Permit Fee plus$10.50 per fixture
PLAN REVIEW FEES
-) Plan review fees are collected in addition to permit fees,based on a percentage of the associated permit fee
• Building Permit 65%of Building Permit Fees
• Mechanical Permit 65% of Mechanical Permit Fees
• Plumbing Permit 65% of Plumbing Permit Fees
• Fire Prevention Permit 65% of Fire Permit Fees
• Fire Review Fees 15% of Building Permit Fees (Commercial building permits only)
• Additional Building Division Review $105.00/hour
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council(SBCC) Surcharge $4.50/issued permit
• Public Works review fees $130.00 for new single family
$782.00 for new commercial
• Zoning review fees $54.50 (residential only)
• School District impact fees(new residential only) $4,218.00/single-family residence
(includes administrative fee) $1.819.50/multi-family unit
• Automation fee on all permits $6.00
If you need assistance completing the permit application form, or have
questions concerning the application process, please contact:
Community Development Customer Service Counter at (253) 835-2607
Bulletin#100—January 1,2009 Page 4 of 4 k\Flandouts\Permit Application