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05-100277
rt • City of Federal Way Electrical Permit #: 05 - 100277 - 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 51 Parcel Number: 202104 9140 Project Description: Run 600-amp service with (3)200-amp feeders and(1)225-amp feeder for tenant improvements for dialysis clinic. Service on separate permit as part of shell construction. Owner Applicant Contractor NWCH INVESTMENT PROPERTIE ARCHITECT TONY BELL AIA*TONY BELL LUMEN ELECTRIC*ROBERT STOCKER* 5312 PACIFIC HWY E 707 S SNOQUALMIE ST 2211 PACIFIC AVE TACOMA WA SEATTLE WA 98108 TACOMA WA 98402 98424-2602 (253)227-1407 Electrical Fixtures Description Quantity _ _ DescriptionQuantity Description ,Quantity Alt.Serv./Feed 201 amps-600 amps-' I Alt Sery./Feed 601 amps-1000 amps. 1 Alt.Serv./Feeder up to 200 amps-Co` 3 PERMIT EXPIRES February 11,2006. Permit issued on August 15,2005 �. = I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the will be in accordance with the laws,rules and regulations of the State of Washington and the City of Federal y iE Owner or agent: Date:——a .N. . 4A THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-100277-00-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. ❑ Slab/Concrete Floor(4255) "(3 Ditch cover(4030) % ❑ Pool Bonding(4195) Approved to place concrete Approved Approved n By Date By Date`VV # 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) ["4 Final-Electrical(4055) Approved Approved Approved By Date By Date By , 0 Date VZ `5- pS ❑ Under-slab groundwork(4295) Approved By Date N 1. O rr.yy V, nor n O '., N ) rt, el 41 a ,,H ,,. -- :. ;,-., ,,S 7 G l"7 O 7 f n ,- 6- O p ,--1 ,U 1 tRECEIVED r '- t o o x `7 "'7 — EL JAN 299 - l • - Federal 0°44.* Wayl FED "Th R M I T (0) CITY OF i COsn9UNm -DEVELOPMENTSERVICES BUILDING DE SF MF CO M •L DE EN FP ?33258Th,AVENUE WAY,WA1'if•fK)BOX 9718 8 APPLICATION �J FEDERAL WAY,WA 98063-9718 7 18 TD 253-835-2607•FAX 253-835-2609 , 1 www.cituoffederalwau.00m �' .4...A _ The ollowin• is re•uired in ormation-an incom•tete a••lication will not be acce•ted. Please 'tint le• bl n ink or t 0 • PROPERTY INFORMATION SITE ADDRESS \ i O 5 I 3 `FS, ' c ( ./�I - - �A'y SIIITE/IINIT# ASSESSOR'S TAX/PARCEL# '4 0 1 0 - ( (I C LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 56E- A Tr A C.t ?"-1' (Atlach separate page forle•gthylegaldescriptio.) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDINGil.A IIMBING 0 MECHANICAL D DEMOLITI•�:1 'LECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) -TEtJlet /t1 T . -I/VI. rPo Irr 14LST , , . P PI T J r S7-T t oxJ d v--r'p ATt i,k-iT 7/1t)(l4L CLI,N/r .Mt�fS�.1) PROJECT NAME(Name of Business or Owner Last Name) ' a)-611.1-141--w 7 '7 igo-�/J C l�f 7�'M l y l/' ' /`y l • PEOPLE INFORMATION / PROPERTY NAME PRIMARY PHONE OWNER . JF-FF Ho(7AL/ G1,1141- IliN Vi (,T- roP , (d53) ;.)\ - / 73 MAILING ADDRESS / ^ CITY STATE,ZIP 6.312 FAC tre/,kwLr f • f1FEi NN I 8` •Lif- CONTRAC R COMPANY NAME APPLICANT NAME OFFICE PHONE MAILING ADDRESS ITY,STATE,ZIP CELL PHONE 2'21 Z S i^a � tai#9%101 ( 12.2.? Weil CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER Z.-Q -. 4-1 .013 T"1- B L /L/ 31 / as ( ) Z8`4 - 033CONTRACTOR'S REGISTRATION NB3 -1-1- ER(copy of card required with each application) EXPIRATION DATE / / APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE -r'p Iv'( P� (,c_ ' 1"0hi 1 03&Lt_ (4a bl A6 4-17 rt. MAILING ADDRESS CITY,STATE,ZIP CELL PHONE 1 o -1• S •i N 04),4L l6 a4D SG�Tt.L,(ivi4. 9 0 (at ( 'APG) 7 °1 —V`f4D RELATIONSHIP TO PROJECT FAX NUMBER Architect 0 Tenant 0 Agent 0 Other(Describe) • ( ) - CONTACT NAMEPRIMARY PHONE E-MAIL ADDRESS --Fon.1 �l, y� 1 (a�G) A 4_11 1, -lbtoY i(3AIA'.©p.G LENDER Per RCW 19.27.095: Lender in/'ormation Is NAME required If project value exceeds$5,000 DAV(TIP-�N C.. (NI c)iv 1 U4 P--7),1 l-r()Q-, MAILING ADDRESSCITY,STATE,ZIP a, 6 IS Sw. 'IT tau sir S -rt..t,wfl g cd 13. • DETAILED BUILDING INFORMATION EXISTING USE •' 10 .�1 (•P(L_1..- PROPOSED USE V q S C is G(i i 11, (C.. . 1,. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 50, t' v" ------ SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQIIIRED? DYES ❑ NO WATER SERVICE PROVIDER LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL) C j 5'"" Elf t SEWER SERVICE PROVIDER AKEHAVEN ❑ HIGHLINE CI PRIVATE(SEPTIC) a55 "94(,-{8$0 , PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ. FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE ❑ CARPORT 0 NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SP "NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ 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 $ is AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS(commercial) W OODSTOV ES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/shower combo) _ SHOWERS WATER CLOSETS(rode. 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 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 the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. _ NAME/TITLE DATE (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner ❑ Agent 0 Contractor 0 Architect 0 Other FOR OFFICE USE ONLY o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES o NO ZONING DESIGNATION CHANGE OF USE? o YES ❑NO NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? ❑YES ❑NO PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES ❑NO Bulletin#100-August 19,2004 Page 2 of 4 k\Handouts\Pennit Application ELECTRICAL PERMIT INFORMATION 1 RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE LI Single Family Square Feet Service or Feeder Each Add'n (First 1300 ft2-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00 ❑ Detached outbuilding or garage U 101-200 amp;, 117.50 4.00 --31 (Inspected with service) $36.50 ❑ 201-400 amp 220.50 87.Of, ❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00 ` (Inspected separately) $58.00 0 601-800 amp 332.00 140.50 NEW MULTI-FAMILY(three units or more) ❑ 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 4)s U 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00 U 601 -800 amp 206.00 110.00ALTERED COMMERCIAL/INDUSTRIAL U Over 800 amp 294.50 220.50 \cJ Service or Feeders 1 ALTERED SINGLE/MULTI FAMILY 0 to 200 amp $ 94.50 201 -600 amp ao' 0.5Q Service or Feeder 01 - 1000 amp 332.00 ❑ 0 to 200 amp $ 72.50 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 to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW (1-4 circuits-$58.00;Add'n circuits$6.00/ea) $74.00 plus 35%of Permit Fee U Mast or meter repair $43.50 ❑ Service- 1,000 amps or greater ❑ Medical/Educational/Institutional Facility SINGLE/MULTI FAMILY PLAN REVIEW U Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES U Service or feeder only $58.00 TEMPORARY SERVICE ❑ Service and feeder $94.50 Commercial Residential MOBILE HOME/RV PARK U 0- 100 $58.00 $51.00 ❑ #of service or feeders ❑ 101 - 200 74.00 51.00 (First service/feeder-$58,00;each add'n-$37.50) ❑ 201 -400 87.00 n/a U 401 -600 117.50 n/a U over 600 127.00 n/a ii t MISCELLANEOUS SERVICE/EQUIPMENT 6 A l► / U __ #of Thermostats U #of Signs r 7 (First-$43.50;add'n-$13.50/ea)si (First -$43.50;ads - s'_ $20.50/ea) Loa Voltage U Swimmin l .ool/••t tub $87.00 are Feet to be se system(s) (Includes additi.•: circuit,if required) 0 Fire Alarm System U Yard Pole. eter loo. $58.00 ❑ Security Alarm System ❑ Addi •nal Plan Review $87.00/hour ❑ Voice Cabling (fo is odified submittals) ❑ Data Cabling 0 (Per System(s) 1),t 2500 ft2-$51.00; Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)(b)(i&ii) Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application