07-103259 4 _
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City of Federal Way Electrical Permit #: 07-103259-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Inspection Request Line: (253)835-3050
Project Name: TEAM HEALTH I Aust
zams
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Project Address: 505 S 336TH ST Parcel Number: 926480 0270
Project Description: Install low-voltage voice& data cabling.
,
Owner Applicant Contractor
TEAM HEALTH INTEGRITY NETWORKS INC INTEGRITY NETWORKS INC
3455 S 344TH WAY SUITE 210 3702 W VALLEY HWY N SUITE 312 INTEGNI955L9(6/29/07)
FEDERAL WAY WA 98001 AUBURN WA 98001 3702 W VALLEY HWY N SUITE 312
AUBURN WA 98001
, ,
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial, 7,865
, PERMIT EXPIRES Monday, June 9, 2008
Permit Issued on Friday,June 15, 2007
I the above information is correct a that the'c nstrulon the above described property'fir��wet'�� p operty and
the occupancy and the use will be in accordance with the law%rules and regtions of th '{s ate of Washington
and the City of Federal Way.
Owner or agent: 1' tA.Z— Date: 6 16--- 0 7
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FINALED
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- THIS CARD IS TO REMAIN ON-SITE
146.
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CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103259-00-EL
Owner: TEAM HEALTH
Address: 505 S 336TH ST
FEDERAL WAY, WA 98003-6328
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) ❑ Ditch cover(4030) . ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Dale By Date
. . . , . ,
— 0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
El Rough Electrical(4225) CI Ceiling Cover(4020) '❑ Final-Electrical(4055)
Approved Approved Approved
By Date By C\:ot 1 Date vl_..3 ,cl 1 B Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
- 0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
a
. 4• ' , 6S D
4.. .FeCeral WayRECEIVED ( 7 - jo 5 4?
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PERMIT
COMMUM7Y DEVELOPMENT SERVICES 1 C J �O SF MF C O ME OPL DE EN FP
33325 8 AVEMIE SOUTH• BOX 97 p p LI C AT I O N
FEDERAL WAY,WA 9806633-9718 ID alrill IWO I
253-835-2607•FAX 253-835-2609
www.dtuoffederalwau.cotiTyOF FEOERAL WAY
The following is re uik1A4 anonn-"an incomplete
ncomplete aplication will not be accepted. Please print legibly
(in ink)or type.
• PRO(PERTY INFORMATION
SITE ADDRESS 53 l- Sou( I ,'?-3( •3T SUITE/UNIT# (9
DO
-7 /
ASSESSOR'S TAX/PARCEL# 9 � F o - 0 a _7 LOT SIZE(sf, / 6(95
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) 1 h r t-i'5 f C'fl I i
(Attach separate page for lengthy legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of wor
)4.
PROJECT on this permit min)
i.AST ALL 00► E A Nr' CAISINC0
PROJECT NAME(Name of Business or Owner Last Name) -ro/I 1 1 rfi -ri- -
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER �n .. ` •• ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
`_'2\t�- r- 1 a1 tc)t(K.S �pA� �)A �(ty (S3) &WB - 0200'?
!/7o
MAILING
ADDRESS
D k) VNt L 1l 3 a g To 1 000 (ELL PHONE) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
o7 — /a /3S ( ) -
Copx of card required CONTRACTOR'S REGI TION NUMBER EXPIRATION ATE E-MAIL ADDRESS
with eaeh appllcatloa > //•\/
A /7 C (FN
I /1 5$
/ C) /%4' 07
APPLICANT COMPANY NAMEAPPLI AME OFFICE PHONE
iEArY\ -1-1--AL_t-1 I-Z r ( ) -
MAILING ADDRESS CITY,STATE, CELL PHONE
�[ c� � ►JS i-c�N � ���X i��� •._l�f iii�, ( )
RELATIONSHIP TO PROD T i FAX NUMBER
❑ Architect Tenant ❑Agent ❑ Other ( ) -
PROJECT � PRIMARY PHONE E-MAIL ADDRESS
CONTACT akil•)fit�� RZw.Mi (a5 4-1(a - e13941
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
I. DETAILED Bi'1LDINC INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE _V' . OF PROPOSED WORK $
SPRINKLERED BUILDING? • ' ❑ NO FIRE SUPPRESSION SYST:. PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDE' ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SE' )
ti
a
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑ COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offv ture to be installed or relocated as part of this project. Do not include existing futures 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 CLOSETS crone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
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 ma 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 relia e 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 "
r
t�/� 1 / DATE /»/O�
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent 14 Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? ❑YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ftz-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
U Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
O 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
Low Voltage 7 UL(„6. 00 U Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
0 Fire Alarm System U Yard Pole meter loops $74.00
Security Alarm System U Additional Plan Review $111.00/hour
Voice Cabling (for modified submittals)
Data Cabling U Automation Fee on all Permits .. $5.00
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)"Per WAC 296-46-910(5Yb1(i&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application