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07-102509 a City of Federal Way Community Development Services Electrical Permit #: 07-102509-00-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: PUGET SOUND BLOOD CENTER Project Address: 1414 S 324TH ST Suite B101 Parcel Number: 150050 0080 Project Description: Relocate(2)thermostats. Owner Applicant Contractor PUGET SOUND BLOOD CENTER AMBIENT CONTROL CO INC AMBIENT CONTROL CO INC 921 TERRY AVE 1411 RST AMBLECC101PW (10/25/07) SEATTLE WA 98104 AUBURN WA 98001 1411 RST AUBURN WA 98001 Additional Permit Information Electrical Fixtures Thermostat 2 PERMIT EXPIRES Sunday, November 4, 2007 Permit Issued on Tuesday, May 8, 2007 I hereby certify that the above information is correct and that the construction on the above described property and the occupancy and the use will be in accordance with thelawA rules and regulations of the State of-Washington a the City of Federal Way. Owner or agent: faal/ Date: S- E5-1061 FINALED • • . A THIS CARD IS TO REMAIN ON-SITE CITY of Community Development Inspection Record - Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-102509-00-EL Owner: PUGET SOUND BLOOD CENTER Address: 1414 S 324TH ST Suite B101 FEDERAL WAY, WA 98003-8444 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 0 Temporary Power(4275) ❑ Service(4235) ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By • Date By Date ❑ Rough Electrical(4225) '0 Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved Byj Date 6-74-07 By.1—c5 Date d7 By 5 Date L-Z-G`452 ❑ Under-slab groundwork(4295) Approved By Date For inspector reference only ❑ Rough Electrical 0 FINAL-Electrical Approved Approved By Date By Date ... , , ,... A RECEIVED / 1 2 C Z D CITY OF Federal Way PERMIT COMMUNITY DEVELOPMENT SERVICES MAY 0. 8 2007 SF MF CO ME 6 PL DE EN FP 33325 U"'AVENUE SOATH 63 BOX 9718 , p L I C ATI O N FEDERAL WAY.AX 53 835971$1 TO 253 835 2607•FAX 253635-2 F re QE / u,wu.cllualrederalivau.com BUILDING DEPT, The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type. • PROPERTY INFORMATION SITE ADDRESS / '/+ S• 2:2<-11-11 /�Skee'* SUITE/UNIT# C- I `o I ASSESSORS TAX/PARCEL# i c 0 0 c 0- 0 a A - 05- LOT SIZE(sJ) 3 0 0 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) Lc-5 7 t$ (Attach separate pageJor lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING CHANICAL 0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detnllPd description of work included on this permit only)/ y) g-:-�t_•r.Ar�iL32::asammLlli •Y//aIslN/BIN ,./MWR>' -moi.= iLzwaiiL " - -- 5,ieeloc.a7e. if-E4-1 cs, -i4/,&) s,r-efr• PROJECT NAME(Name of Business or Owner Last Name) ()Li1-e Jo J f a sicio C e e_r MI PEOPLE INFORMATION t PROPERTY NAME �+ / PRIMARY PHONE) OWNER l5c4/ _Vgc1 71.nefil/ P r e S ("Pr) SJW -Woo MAIL,N 507D 0/'•Ue Way opo .Sea-14.1e 'SS 1:k CITY.STATE. P ry4. ?cb/o! E-MAIL ADDRESS CONTRACTOR CO PANY NAME ��� ICANT NAME W OFFIC PHONE I MAILINGA RESS,, CITY....,TA ,ZIP CELL PHONE 1ii// .st A A) Ia)bv � gea2/ )$/0 - 7 'g CITY OFRAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER r---__ 20 05 (0 Iqi q --0c)a/� /2 -3 i- 07 D53) 8 ,73y CONTRACTORS REGISSTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS COPT of card required ,--r, with each application 1/) 61 E ` Cioif// /0-2r-p 7 Same a, be4.--1 I-: APPLICANT COf vANY NE''EPLICANT NAME OFFICE PHONE f7I.1�©ten ConA-rni Pc ( Lam,ke,�,c(h 953)8740 - '7? MAILING ADDRESS - C STATE.ZIP CELL PHONE /L1/ ,( 577 ,/.l c,) . t r.Z ,....4. 900/ ( )S/0 - 74'Y$ RELATIONSHIP TO PROJECT 1 � FAX NUMBER 0 Architect 0 Tenant o Agent �'Other mCi 1.c It:cat fox r- D53 ) $*- 9199' PROJECT pow PRIMARY PHONE E-MAIL ADDRESS CONTACT 1 L.A.k etl'VX \ (Mo ) "10 - 76,(0.1. Paul. Cti Mina,.D Q/sIb:e'± LENDER NAME Per RCW 19.27.095: („0jY1YY>t• C01'^- Lender Information is required(f project value exceeds$5,000 MAILING ADDRESS CITY.STATE,ZIP PHONE ( ) - (� • DETAILED BUILDING INFORMATION R n EXISTING USE O.cC l Ce •S Pa c-. _ PROPOSED USE B 10 00( CIOA Y ( ir4-ej''e 2 EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ Ze/l il SPRINKLERED BUILDING? )(YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA 0 PRIVATE(WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC) r d► . AREA DESCRIPTION EXISTING PROPOSED TOTAL SQ.FT: SQ. FT. SQ.PT. BASEMENT • • _ FIRST SECOND • THIRD ' • • ADDITIONAL FLOORS(DESCRIBE) DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT O E70STIEO PROPOSED TOTAL TOTAL EXISTING sr TOTAL PROPOSED SF TOTAL 8F NUMBER OF FLOORS **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, Da not include existing fixtures to remain. MECHANICAL Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED ' H APPLICATION) AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIP % TLETS WOODSTOVES BBQS FANS. GA=-•'ATER HEATERS MISC(Describe) BOILERS FIREPLA - NSERTS OODS)commercian COMPRESSORS FURNACES RANGES D1j.0 S GAS LOG SETS REFRIG.SYSTEMS PLUMBING BATHTUBS(or Tub/Shower Combo) LAV ':athroomSinks) URINALS MISC(Describe) DISHWASHERS - NWATER SYST • VACUUM BREAKERS DRINKING FOUNTAINS . SHOWERS ' TER CLOSETS rroikt) ELECTRIC WATER HEATERS SINKS WAS`ING 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 reliance of the city,includ ng its officers and employees,upon the accuracy of the information supplied to the city as a part of this application. �/y�- �( NAME/TITLE a/4-1/'—` Cc.,-� �%l16v� DATE V -,2 � (Signature) (Title) RELATIONSHIP TO PROJECT 0 Owner 0 Agent retractor 0 Architect 0 Other o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT. BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES o NO ZONING DESIGNATION CHANGE OF USE? o 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—January 1,2007 Page 2 of 4 k\Flandouts\Perni it 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 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00 ❑ Detached outbuilding or garage 0 101-200 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 0 801 - 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 0 Mast or meter repair $102.00 ❑ 401 600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL ❑ 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 ❑ 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 ❑ 4 of circuits to be added/altered ❑ over 600 amp ;225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) ❑ it 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 Residentiai/Muiti-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 ❑ tr of Thermostats ❑ 4 of Signs First-$55.00;add'n-$17.00/ea) ' (First sign-$55.00;add'n sign$26.00/ea) Low Voltage 0 Swimming pool/hot tub $111.00 Square Feet to be served by system(s) (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 • ❑ Security Alarni System ❑ Additional Plan Review $111.00/hour ❑ Voice Cabling \ I(for modified submittals) ❑ Data Cabling V�lAutomation Fee on all Permits $5.00 1•t 2500 ft2-$6$.00; Each add'n 2500 0417.00) •Per WAC 296-46-910(5)(bN(i ds ii) • Bulletin#100-January I,2007 . Page 3 of 4 k\Handouts\Permit Application