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05-100881
4 City of Federal Way Electrical Permit #: 05 - 100881 - 00 - El Commanity 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 A-vG 5 5+c-3-)Q Parcel Number: 162104 9001 Project Description: Install voice/data cable system in 4,000 square feet of office. Owner Applicant Contractor FOSS REDEVELOPMENT ZEPHYR COMMUNICATIONS ZEPHYR COMMJJNICATIONS PO BOX 94449 3207 1ST AVE S 3207 1ST AVE S SEATTLE WA 98124 SEATTLE WA 98134 SEATTLE WA 98134 (206)287-9180 Electrical Fixtures Description Quantity Description ;Quantity Description Quantity j Low Voltage-Other Commercial 4000 PERMIT EXPIRES August 23,2005. Permit issued on February 24,2005 I hereby certify that the above information is cone t . that the construction en the above described property and the occupancy and the use will be '• acco -an.' •e laws,rules and regulations of the State of Washington and the City of Federal Way. Owner or agent: ,i Date: /2y . 1\1.. � d » THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-100881-00-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. O Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045) Approved Approved Approved By Date By Date By Date O Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By Date By J e� Date !�_ P- - ❑ Under-slab groundwork(4295) Approved By Date t , RECEIVED Federal WayQ - C7 O r� COMMUNITY DEVELOPMENT SERVICES ia PERM 'IT SF MF CO ME L DE EN FP 33325 8 AVENUE SOUTH•PO BOX 9718E B 2 4 0 FEDERAL WAY,WA 98063-9718 P LI C AT I O N 253-835-2607•FAX 253-835-2 0'L / J / ©S www.cituoffederalwau.cnmTY OF FEDERAL WAY v BUILDING DEPT. The ollowi • is r-•wired in ormation-an'acorn•late a •lication will not be acce•ted. Please • nt le.ib n i or )•-. «� --^ /�,�• PROPERTY INFORMATION SITE ADDRESS 32� '3�0 111/` 5'074 SUITE/UNIT# 3 io ASSESSOR'S TAX/PARCEL# - _ _ _ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION f$ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only) '/3 c S‘ C451.ES 7-020.,640-ir- /)PPflox C/oo0 S9 cr 60C-4cE 5 PROJECT NAME(Name of Business or Owner Last Name) M ES SD1-4) /i 0A---C • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ( ) - MAILING ADDRESS CITY,STATE,ZIP CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE ZEN":'2 comm to a4 C.4-1?0,&S 500 MCC L.21...>,b�j (u ) 2.t7 - 9 i VD MAILING 3 2c I ADDRESS 1 I t-- SD✓- / CITY,STATE, CEPHONELL s -i.C_ i i�- 90/3 L/ (ic`.r., ) 20 - 9S.-)S CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -B L / (lac ) 2-0 - 1iZ CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE f / APPLICANT COMPANY NAME APPLICANT NAMEOFFICE PHONE 21.544Y 204,t644-CU AA-110A-.3 SfA,J 11A . ( )5-4"-P---- MAILING ADDRESS CITY,STATE,Z- CELL PHONE /�A,. - RELATIONSHIP TO PROJECT ^ FAX NUMBEERA+,r_�p CI Architect ❑Tenant ❑Agent ❑ Other(Describe) ( )d 44 - CONTACT NAME PRIMARY PHONE E-MAIL I•KESS MCcl ( ) 40 - e ( O 50, co?: .t LENDERld�w`92 �� *,', NAME i�e ue ,r, orf=�. ,n � MAILING ADDRESS CITY,STATE,ZIP • DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE Cl TACOMA ❑ PRIVATE(WELL) 1 SEWER SERVICE PROVIDER CI LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC) • PROJECT FLOOR AREAS AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT. SQ.FT. SQ.FT. BASEMENT FIRST SECOND THIRD 3qo /c) FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 esm NUMBER OF FLOORS Tma esorosra TOTAL T TAt,mrdrtT7robt ;' Ttne4asonoerosr TOTALS, .` **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 $ AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS BBQS FANS HOODS por....nzio WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Tub/Shower Combo( SHOWERS WATER CLOSETS(rocky MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS LAVS(Bothroom s ( 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 authorised 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 y n,inc ng the undersigned,and filed against the City of Federal Way,but only where such claim arises out of the reliance of the ci inc ding its rs and employees,upon the accuracy of the information supplied to the city as a part of this application. ` NAME/TITLE DATE z/Z3/o 5 (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent 2-Contractor ❑Architect ❑ Other t3 NEW a ADDITION' a ALYERATION , n REPAIR ti TENANT IMPROVEMENT BUILDINGSHELL ONLY?' 'a YESn NO BASIC PLAN? et YES a NQ ZONING DESIGNATION CHANGE OF USE? a'YES a NO NEW ADDRESS REQ/BRED? at YES c NO... :' ... . ..... UP/SEPA/SU? =,.a YES in NO PLATTED;LOTP aYES ra lid ''' , DEMO PERMIT REQUIRED? to YES ct NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application Y ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRLAL 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 0 601 -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 ❑ 201 -600 amp 264.50 ❑ 601 - 1000 amp 398.50 Service or Feeder ❑ over 1000 amp 443.50 ❑ Oto 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 ResidentialMulti-Family $61.00 ❑ #of service or feeders (First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder 4mpacity ❑ 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) I.Low Voltage ,�-�yy--�� ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) "t.A-'`� (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System ❑ Additional Plan Review $104.50/hour ($Voice Cabling (for modified submittals) Data Cabling ❑ ❑ Automation Fee on all Permits .. $5.00 (Per System(s)1"2500 ft2-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 29646-910(5)(b)R&{i) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application