06-100613 0'
City of Federal Way Electrical Permit #• 06-100613-00-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
4
Project Name: GROUP HEALTH
Project Address: 301 S 320TH ST Parcel Number: 172104 9105
Project Description: Altering existing L/V system for access control
Owner Applicant Contractor
GROUP HEALTH COOP&PUGET RFI ELECTRONICS-OREGON RFI ELECTRONICS-OREGON
GROUP HEALTH COOP&PUGET 636 INDUSTRY DR RFICOS*990MC 7/3/07
521 WALL ST TUKWILA WA 98188 636 INDUSTRY DR
SEATTLE WA TUKWILA WA 98188
98121-1524
•
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial..10,001
CONDITIO :
PERMIT EXPIRES Monday, August 7, 2006
Permit Issued on Wednesday, February 8, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use ill be in accordance with the laws, rules and regulations of the State of Washington
‘,121d
t City of Federal Way.Owner or agent: Date: T/-06
THIS CARD IS TO REMAIN ON-SITE N..
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 ,
PERMIT#: 06-100613-00-EL
Owner: GROUP HEALTH COOP & PUGET ►
Address: 301 S 320TH ST
FEDERAL WAY, WA 98003-5200
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) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
0 Temporary Power(4275) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By _ Date
Q Rough Electrical(4225) 0 Ceiling Cover(4020) t ®.. Final-Electrical(4055) ''
Approved Approved ! Approved
t
'` ,
By Date By Date I P- By Date a1\it tte
❑ Under-slab groundwork(4295) i t
Approved
is
f
By Date
RECEIVED BY
/4w COMMUNITY DEVELOPMENT DEPARTMENT
ttro. 48'4 DEC 1 6 2005 0(0
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00CQ (3Federal Way PERMIT SF MF CO M EL L DE EN FP
COMMUNITY DEVELOPMENT SER6ICE;
7
333218'"'RALWBSOUTH•POBOX97L 9778 APPLICATION
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253www.607•FAY 253-3.00171 9 INc_____ ,.._/_____
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The ollowin• is re•uired in ormation-an incom•fete a••lication will not be acce•ted. Please •rint le•ibi in ink or j•e.
�� • PROPERTY INFORMATION
SITE ADDRESS )(//''J l S • 3x.)-kin9 SUITE/UNIT#
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 XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Pr. ide.etailed description ofworkincludis permi onh�
A . .- «,rte ^ V\
'2_ $ e- I. -t
�/� c
PROJECT NAME(Name of Business or Owner Last Name) 6�!•`�`�'/��i`1 &CMILID --q-Q.
• PEOPLE INFORMATION
PROPERTY NA/CirPRIMARY PH
LEE
OWNERi L3 '74�
MAILING ADDRESS ". CITY,STATE,ZIP
1a- \ W\ \a t 11 - 10. \k 9 I1
CONTRACTOR COMPANY NAME ' PLICANT NAME OFFICE PHONE
MVI I , �XI W oom wid �f-6/(f 3c
DD �S CritCriY,ST LA A �1 (ELL PHONE -
OF FEDE WAY BUSINESS LICENtt' NUMBER EXPI 'TION DATE FAX NUMBER
r� q�+
iCA -qq-J0 ri 7�S-B L r / I /d ( , 5 /S- �',lc--
CONTRACTORS
C-4'-. REGISTRATION NU q car required with each application) __�J{/I 3 N DATE
OO
APPLICANT E COMPA /`,�') S �ilj CAPPLICANT NAME OFFICEICPHONE/]
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
046,\\*, RELATIONSHIP TO PROJECT FAX NUMBER
n ,ip ❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe) ( ) - ...c0 T 1 NAM P PH ErMA ADr7 ESS
75*.
jr\
LENDER Per RCW 19.27095: Lender information is NAME `�
required if project value exceeds$5,000 L. J` I O
MAILING ADDRESS CITY,STATE,ZIP 1
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO -
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
L. I
rJ 5
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❑
NUMBER OF FLOORS EXISTING PROPOSED TOTAL TOTAL EXISTING SP TOTAL PROPOSED SP 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
Value of Mechanical Work $ _
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Commercial' WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS io,Tub/Shower Combos SHOWERS WATER CLOSETS rroaep MISC(Describe)
DISHWASHERS SINKS r 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. l
NAME/TITLE I DATE IO ? S / O
�ignaturel (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Contractor 0 Architect 0 Other
FOR OFFICE USE ONLY
❑NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? o YES o NO
PLATTED LOT? ❑YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
.
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft'--$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
0 601 -800 amp 247.00 132.00
ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
❑ 0 to 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 Residential/Multi-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $69.50
❑ 1.01-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ it of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
y"Lpw VoltageO ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) v (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $104.50
Security Alarm System
❑ Voice Cabling � 1, ❑ Additional Plan Review $104.50/hour
or modified submittals)
❑ Data Cabling Automat ee on all Permits $5.00
(Per❑ System(s) l 2500 ft'--$61.00; �j �
Each add'n 2500 ft2-16.00) •Per WAC 295/4 q(�)pn t � 'I / (LI -
Bulletin#1 00-January 7,2005 Page 3 of 4 k\l-Iandouts\Permit Application r