05-100291 City of Federal Way Electrical Permit #: 05 - 100291 - 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)835-3050
Project Name: MEDICAL EVALUATION SPECIALISTS
Project Address: 32001 32NDLS Suite340 Parcel Number: 162104 9001
Project Description: Add 19 circuits in connection with TI. **2/23/05-Add low-voltage security system**
Owner Applicant Contractor
FOSS REDEVELOPMENT TRI-NAR INC TRI-NAR INC
PO BOX 94449 PO BOX 28 PO BOX 28
SEATTLE WA 98124 REDMOND WA 98073 REDMOND WA 98073
(425)228-8542
Electrical Fixtures
Description Quantity DescriptionQuantity Description Quantity
Circuits- Commercial 19 Low Voltage Burglar Alarm -Comme 3600
PERMIT EXPIRES July 23,2005.
Permit issued on January 24,2005
I hereby certify that the above info ®.tion is torr; d that the construction on the above described property and..
the occupancy and the use will be'4.0 oord. e e ith the.laws,rules and regulations of the State of Washings and
the City of Federal Way. ,
Owner or agent: _Alta) Date: 2/23(p•-
D
oIP
11) 1014
+
City of Federal Way+ Electrical Permit #: 05 - 100291 - 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) 835-3050
Project Name: MEDICAL EVALUATION SPECIALISTS
Project Address: 32001 32ND S Suite340 Parcel Number: 162104 9001
Project Description: Add 19 circuits in connection with TI.
Owner Applicant Contractor
FOSS REDEVELOPMENT TRI-NAR INC TRI-NAR INC
PO BOX 94449 PO BOX 28 PO BOX 28
SEATTLE WA 98124 REDMOND WA 98073 REDMOND WA 98073
(425)228-8542
Electrical Fixtures
Description 1Quantity Description Quantity Description Quantity
Circuits- Commercial 19
' RMIT EXPIRES July 23,2005.
Permit issued on January 24,2005
I hereby certify that the above 5 r' t
is c ect and that the construction on the above ascribed property and
the occupancy and the e vtn 11, ord. 3, e wit the laws,rules and regulations of the State of Washgttn and
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ay. p m
/��i/ , 1 �L_ Date: ` l 0)
/
THIS CARD IS TO REMAIN OST-SITE ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-100291-00-EL
Owner: FOSS REDEVELOPMENT
Address: 32001 32ND AVE S Suite 340
FEDERAL WAY, WA
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.
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
, i9/.. .
. Rough Electrical(4225) Ceiling Cover(4020) i Final-Electrical(4055)
Approved Approved Approved
B��{ Date Date— 1,J[� Date pA�
Z1G� v'�"0� S Z�P�-a� V
❑ Under-slab groundwork(4295)
Approved
By Date
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1 �
1 C�1
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cm0F` no E1 V ED O�- [ O
Federal Wa �c PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME�•L DE EIV FP
33325 8T"AVENUE SOUT 9••PO BO 4 2005
FEDERAL WAY,WA 9806397 A 2 APPLICATION TD / /
253-835-2607•FAX 253-835-2609 IN
www.afoofederalwa .co
m
C11 Y OF FEDERAL WAY
The following is rillUil4a4414FnPaTion-an incomplete ap•lication will not be acce'ted. Please •rint legibly(in ink)or type.
PROPERTY INFORMATION
-32 3 —''. -y„�
SITE ADDRESS 32ccSUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s)
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
IAttach separate page for lengthy legal desatp ion)
■ PROJECT INFORMATION,
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
40 I ' A,Am,. n
PROJECT NAME(Name of Business or Owner Last Name) " I,Q;CL 0 Q P i`l.,../x.\-,""rt..e .
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ate—ea, `'"
a ( ) _
MAILING ADD tel CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
-Tat-N1A--2 l�G ,e I ` \LI,/ (4ir)sem- - *So
?I0 ADDRESS C STAT ZIP (?C ) -00)I
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
/ / Zi
- - -B L (4113.1�B - '1-'
CONTRACTOR'S REGISTRATION NUMBER(copy of card repair with each application) EXPIRATION DATE
4. s --f- 4I_ 3 Z J 05/ e6 /os —
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
(
RELATIONSHIP TO PROJECT • FAX NUMBER
❑ Architect 0 Tenant O Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
( ) - -- 'iv-.11...a,r -C-43.f.---
LENDER WCW 9''2709$ Lender�infonnationisW ; NAME
r u redIf pr eject talue exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES O NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES - ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE O TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE a PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL h 1
BASEMENT
FIRST
SECOND
THIRD
FOURTH -----
OURTH �'
ADDITIONAL FIAORS( •SCRIBE)
DECK(COVERED?) \ -------
GARAGE/CARPORT
GARAGE/CARPORT \�
HOW MANY FLOORS? TOTAL LIG TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
“NEW HOMES ONLY"' NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
;PIXTURES .
Indicate number of each type of fixture to b= nstalled or relocate. .s part of this project. Do not include existing fixtures to remain.
' MECFIANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS L . REFRIGSYSTEMS
BBQS FANS HOODS(Co...•ord1)
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEA .'S
DUCTS GAS PIPE OUTLETS
PLUMBING
B • TUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roue) MISC(Describe)
SHWASHERS SINKS DRINKING FOUNTAINS
)
I GAS PIPE OUTLETS SUMPS RAINWATER SYST
j WASHING MACHINES URINALS HOSB BIBBS
I 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 an claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be made by an • including the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city; •
! its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
1 mo.' _. ('� � DATE
NAMEJTITLE __ J.
fr.n.ture /� (title)
I RELATIONSHIP P/'OJECT 0 Owner 0 Agent `contractor ❑ Architect 0 Other
S
t
I :Y=
1 ;FOR OFFICE USE ONLY -
•
o NEW o ADDITION o ALTERATION o REPAIR IS TENANT IMPROVEMENT
I BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o YES a NO
1 ZONING DESIGNATION CHANGE OF USE? o YES o NO
t NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? a YES a NO
F
•
Bulletin#100—March 30,2004 — Page 2 of 4 k\Handouts—Reviscd\Permit Application
'. ELECTRICAL PERMIT INFORMATION .
_r^
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00; Each add'n S00 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage
LI 101 -200 amp 117.50 74.00 r
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ 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
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY d70 to 200 amp $ 94.50 /
O 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
O 0 to 200 amp $ 72.50 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50 j
O over 600 amp 177.00 11 # of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ # 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
O Mast or meter repair $43.50 0 Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
1 ❑ Service or feeder only $58.00 TEMPORARY SERVICE
� ❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK 0 0-100 $58.00 $51.00
❑ #of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
l ❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) I• 2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) 'Per WAC 296-46-910(5)(W&ii)
Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Peimit Application