07-102742 City of Federal Way Electrical Permit #: 07-102742-00-EL
Community Development Bermes
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
Project Address: 505 S 336TH ST Parcel Number: 926480 0270
Project Description: Install 1/v security system
Owner Applicant Contractor
FSP FEDERAL WAY CORP SMITH FIRE SYSTEMS MANAGEMENT LLC SMITH FIRE SYSTEMS MANAGEMENT LLC
401 EDGEWATER PL UNIT 200 1106 54TH AVE E SMITHFS947LP(6/20/2008)
WAKFIELD MA 01880-6207 TACOMA WA 98424 1106 54TH AVE E
TACOMA WA 98424
Additional Permit Information
Electrical Fixtures
Low Voltage Burglar Alarm -Con17,001
PERMIT EXPIRES Tuesday, November 27, 2007
Permit Issued mi Thursday, May 31, 2007
I hereby certify that the above information informa0K11.6correct and that the construction on the aboveed cri • e*rgperty and •
the occupancy and the use will be in apoorpanee with the laws,rules and regulations of the thn State of ashington
-nd the Ci,,•f Federal Way.
Owner or agent: Date:
ikkTHIS CARD IS TO REMAIN ON-SITE
CITY of Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-102742-00-EL
Owner: FSP FEDERAL WAY CORP
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.
0 Slab/Concrete Floor(4255) ❑ 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) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
•❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055)
Approved Approved Approved
By G Date 6.-,4.—a_V-1 By Date By Date ri ,1 q
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
- 0 Rough Electrical 0 FINAL-Electrical
Approved Approved ,
By Date By Date
• • RECEIVED
vMAY 2 1 X007
nrr os A Ti OF fn) y{� - • / /
Federal W PAL WA\f-% - `�
BUILDING DEPT r'ERMIT
COMMUNITY DEVELOPMENT SERVICES
SF MF CO M: 'L DE EN FP
33325 8.AVENUE SOUTH•PO BOX 9718
Ei
2 -83 FEDERA207•FAX25359718 269 APPLICATION rmilai
www.citw,lkdera,way.con,
The oUowi r is re•uired i ormation-an incom•fete a••lication will not be acc •ted. Please •rint le! •I. (in ink)or - •e.
MI PROPERTY INFORMATION
SITE ADDRESS SIS S- .536'4-11 '`�ii/(Z z- 'i /.fit,- Y .#I Y!&i(2r4Li,o.v 9.3C O.3 SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# �t 7_ !C" `i 8 0 - G) ? 9 0 LOT SIZE(sn /' / 'et
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
GMM separate Pagel lergthy legal description)
In PROJECT INFORMATION
TYPE OF'PERMIT 0 BUILDING UMBING 0 MECHANICAL
0 DEMOLITIO 0 TRICAL ❑ENGINEERINS PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of wor . c ed on this permit only)
.)i I k-t,7/A l fitit 1Jdd4/,4'IE ' 16 3,A..NAL /Ex1941,-_,u J "// rz_ /` 15__r4L_P2,vi 4'0(2T Zc( 4lLi,( I Ak2 D 4U-) e ll,',(rl O A .—,-• �Tkr) ~c''vavAtt,2,-i_
fz:Vp .J() TA i- Q YIli ic.x2 ir.S,� C;t= 7-AiW ' - i Y ' lY'fiYY�I'mJ FL t.
PROJECT NAME(Name of Business or Owner Last Name) L'A4og 2L' (CA-7 ti-(Z/Ti AYY)- H i/4 LT-;)4
II PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER l5d n1.iD¢(!'AL-- Lt.,Al ,,K.!t7. ( ) -
MAILINGADDRESS COY,STATE,ZIP
`_ 5. 3 3"f _SI- 1�i�5 2Y4 t_��' y i-04, Co 3
CONTRACTOR COMPANY NAME APPLICANT NAME
OFFICE PHONE
SYh ii/)1-,(2)L_-`xiS71r'145 Inc. pi C-22oe,(Le_XC (2e 5)2'fc' -Zc90 y
MAILING ADDRESS COY,STATE.ZIP CELL PHONE
I/O(' 5'i+1-fri AUS i A c..-:;-i- 7i4(_cin 46) `�fg#21f ( ) -
COY OF FEDERAL WAY BUSINESS LICENSE NUMBER "EXPIRATION DATE FAX NUMBER 7
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
5 m -i L i=} L 3 > ( L. (3 12 / ?Z /ce
APPLICANT COMPANY NAME APPLICANT NAME
OFFICE PHONE
6111,774f--; 5-45;-Jun Psk9 7-6312s 1( 4- (Z 3) Zyn -2''
MAILING ADDRESS J CITY,STATE.ZIP CELL.PHONE
/1 c* 6-211-0 "Pie_ e/ S The' -„A-- ccl4 9a yz ci ( ) -
RELATIONSHIP TO PROJECT / FAX NUMBER
0 Architect 0 Tenant ❑Agent Other(Describe)I S*/6,t /2 (Z 531Y/e -G71�
CONTACT NAME PRIMARY PHONE
E-MAIL ADDRESS
12.ebri—(,it(14 to -- - 123 ) z '8 -Zc^- 'Li.
LENDERti,!-e4-;' r "/ t = -p " NAME
:&,•417.:A%.:-.'! ,, ..x.'.-i si t a: :-
MAILING ADDRESS COY.STATE,ZIP
tt�� II DETAILED BUILDING INFORMATION
EXISTING USE 52% // PROPOSED USE CY/-I-)e f-_
QQ _ as
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ //S ao..
SPFUNKLERED BUILDING? 0 YES *NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES XNO
WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE )r1'ACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑PRIVATE(SEPTIC)
I
•
•
PROJECT FLOOR AREAS -
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT
SQ.FT, Sg.FT. Sg.FT.
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS
I (oOQ1O rao�oem `"u " , m 'x « ..
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type offixture 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 is mm*a,n WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
WATER CLOSETS
BATHTUBS(or Tub/Shower Combo) SHOWERS
(Toilet/ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
IAVS sem oom SW.)
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 oumer of the above premises to perform the work for which the permit application is made. I further agree to boil
harmless the City of Federal Way as to any claim(including costs,expenses,and attorneys'jeer incurred in the investigation and defense o
such claim),which may be made by any person,including the undersigned,and flied against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including its o iters and employees,upon the accuracy of the information supplied to the city as a part of
this application.
9 /
NAME/TITLE //i/1.___. "/� l/ �— DATE / ' /
(Signature) (flue)
RELATIONSHIP TO PROJECT 0 wner 0 Agent Contractor 0 Architect 0 Other
: i €* `m�^ ( egi Pis %#rew -F
s.- : �-; ^ v ,t'�§ns iP� raae ;�'�C , q�
dF
n.�, _
_
14. —r' "'d.' WS. . .,ID':-a3cm .i(
Bulletin#100–January 7,2005 Page 2 of 4 k\Handouts\Pennit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI 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
0 601-800 amp 398.50 168.50
O 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
O 201-400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601-800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ Oto 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY 0 201 -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
O 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
O 0-100 amps $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
O 401-600 amps 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
U it of Thermostats ❑ #of Signs
st-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea)
/ 000.n r'• ❑ Swimming pool/hot tub $87.00
(Includes additional circuit,if required)
❑ Yard Pole meter loops $104.50
n Sec o'c tern 0 Additional Plan Review $104.50/hour
❑ Voice Cabling (for modified submittals)
0 Data Cabling
❑ Automation Fee on all Permits .. $5.00
Bulletin#100-January 7,2005 Page 3 of 4 k\HandoutslPermit Application
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