07-102298 t I
City of Federal Way
Community Development Services a ctrieal Permit #: 07-102298-00-EL
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: CAMPUS CENTER BUILDING 1
Project Address: 505 S 336TH ST Parcel Number: 926480 0270
Project Description: Install low-voltage voice and data cabling for 5th floor temporary tenancy by NW
Emergency Physicians.
Owner Applicant Contractor
GVA KIDDER MATTHEW INTEGRITY NETWORKS INC INTEGRITY NETWORKS INC
1201 PACIFIC AVE SUITE 1400 3702 W VALLEY HWY N SUITE 312 INTGENI955L9(6/29/07)
TACOMA WA 98402 AUBURN WA 98001 3702 W VALLEY HWY N SUITE 312
AUBURN WA 98001
Additional Permit Information
Electrical Fixtures
Low,Yoltage„7 Other Commercial.. 2,500
PERMIT EXPIRES Wednesday, October 24, 2007
Permit Issued ons Friday,April 27, 2007
I hereby certify that the above information is correct and that the constructionon the above-described property and
the occupancy and the use ' b- ' -I cordance with the laws, rules and regulations of the State of Washington
• 0-- City of Federal Way.
Owner or agent Date: / /r/-//Y617.
' / '� /l Z 7 617.
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102298-00-EL
Owner: GVA KIDDER MATTHEW
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.
O 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) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By L'—*.,,1 Date S_ 1_�
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
O Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date - By Date
. , , c'b0 1-�
,,, ArA ."-
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Federal Way PERMIT
COMMUNITYDEVELOPMENT SERVICES SF' MF CO ME PL DE EN FP
3332E 8mD RAL NUE WAY.SOUTH•PO 9 9718 APPLICATION
FEDERAL WAY,FAX 98063-9718
- 253-835-2607•FAX 253-835-2609 fffir mg i III WI DA
www.cituoffederalway.com
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
^� • PROPERTY INFORMATION �\
SITE ADDRESS_50 5 - �� Tic -7)--3c Q41 r l , SUITE/UNIT# (jW
ASSESSOR'S TAX/PARCEL# n /� /}� ?- LOT SIZE(sj)
jLEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) ` I v i t)5 CE. re
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Prp tkide detnilpd desc ' tion of work incllidpd on this ermit onl
�ifisi-6.l( -t;tsv► or -7 ac r5 onto �a c� r _ +Of VolctA- f �,bl`ce /
oixt-o _i-b +��i o & aq f6It Pafc,06.0• _ - - - . ... _...-
PROJECT NAME(Name of Business or Owner Last Name) N OPTN 7 1 E i 1 eeC1 r- ;? Pi-t y51 C f A 5
7�� • PEOPLE INFORMATION
OWNER
PROPERTY NAME/.,.,,4 A 1<1 tet ) R v Afi �i15 PRIMARY
H�ADD_
OWNER V a,�- (�-�j7
MAILING ADDRESS CITY,STATE,ZIP �0 �C7VA1;611(ym
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Ecli i T Y Eri-Ook-s TA Am Thum
r,u �CG�j(�� (z3Q/ c - 0z0-7
MAILING
ADDRESSo VAI-L_F- n) 4 at a A t JA PI 1 wA I o r (STATE,ZIP ELL PHONE -
CITY OF FERAL WAY BU S LICENSE NUMBER EXPIRATION DATE FAX NUMBER
g53)a (Z - ao5-7
CONTRACTOR'S REGISTRATION NU ER EXPIRATION DATE E-MAIL ADDRESS
COPY of card required b
--- IA.eCl 1- qq L9 (0/ aq/o7 -rAmA wgrc► tc .l-r-NET,
with each application
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant 0 Agent 0 Other ( ) -
NAME r PRIMARY PHONE i CoE-MAIL ADDRESS
CONTACT LAt4 ( Ot,) ( 3) t55�[ - (Qi lC
LENDER NAME Per RCW 19.27.095:
Lender information is required(f 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? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 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 ❑ CARPORT ❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SF TOTAL PROPOSED SF TOTAL SF
**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
Vnlun 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(Commercio1)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAVS(sathmomSinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(roue)
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 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 rel ance of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. n
NAME/TI I �� Oi D ))/ � 1 DATE it/9._O/6
(Signature) r (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent ) Contractor 0 Architect 0 Other
0.**E USE ONLY ov,,,
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES o NO BASIC PLAN? o YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
,
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$111.00;Each add'n 500 ft2-$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
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
O 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 U Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 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
❑ 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
U 401-600 amps 149.50
U 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 ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) c,2*.00) (Includes additional circuit,if required)
❑ Fire Alarm System U Yard Pole meter loops $74.00
❑ Security Alarm System U Additional Plan Review $111.00/hour
'EL Voice Cabling (for modified submittals)
lin Data Cabling
CI ❑ Automation Fee on all Permits .. $5.00
00 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per C 296-46-91 o(5Mbllt&tU
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application