07-102633 �a
City of Federal Way Electrical Permit #: 07-102633-00-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: PUGET SOUND BLOOD CENTER
Project Address: 1414 S 324TH ST Suite B101 Parcel Number: 150050 0080
Project Description: Alt- relocate(2)existing subpanels and misc TI wiring.
Owner Applicant Contractor
PUGET SOUND BLOOD CENTER D RIDDING ELECTRIC D RIDDING ELECTRIC
921 TERRY AVE 104 148TH PL SW DRIDDE*061B7 1/27/08
SEATTLE WA 98104 LYNWOOD WA 98087 104 148TH PL SW
LYNWOOD WA 98087
,
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 2
PERMIT EXPIRES Saturday, November 10, 2007
Permit Issued on Monday, May 14, 2007
I hereby certify thatthe . . format'•- is correct and that the construction on the above describedproperty and
the occupancy and -= be i finance witli the laws, rules andleguiatkins of the State of Washington
a' a••.,- City of Federal Way.
Owner or agent: Date: 0 r'// ' 2-00i
P/N4Lro
THIS CARD IS TO REMAIN ON-SITE
CITY OF
Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 .
PERMIT#: 07-102633-00-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.
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) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055)
Approved Approved Approved
B (5 Date �3—v") i By Date B L�S Date le"ieW--17
❑ Under-slab groundwork(4295)
Approved
, By Date
For inspector reference only
0 Rough Electrical ❑ FINAL-Electrical
Approved Approved
. By Date By Date
CITY OF 4.11144%r 0 7. ( O / t
Federal Way PERMIT (%
COMMUNITY DEVELOPMENTSERVIRECEIVED SF MF CO ME PL DE EN FP
333258TM AVENUE SOUTH•PO 9718
. APPLICATION TD
FEDERAL WAY,WA 98063-9718
253an-835-2al.d 6l07vol•redeFAXml253-835-260utaticom
MAy 1 4 2007
•
The following i tion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
[� ([ [� 0 PROPERTY' ' INFORMATION J
SITE ADDRESS_ A 7// s; 32.4 1 91 SUITE/UNIT# R/ a
ASSESSOR'S TAX/PARCEL# / c U O c -O - ZS O g 0 LOT SIZE(sj)
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(Provide detailed description of work included on this permit onlu)
/tea' t. rd'veliah f Ri< ��4 2 e)c/rtir?S Svbpkirell(/00/4,
/f l
La eir (ff 7�'r 1-/v/tC/ -
4-/d fr rr, IReCe txzk.J o f .
•
PROJECT NAME(Name of Business or Owner Last Name) ?C<Er Ccd i/Nv ��
( aN
et-
• PEOPLE INFORMATION
PROPERTY ' NAMEPRIMARY PHONE
OWNER CK 1)(zp ,' /LAS ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAM OFFICE PHONE
D . IR opii*i ^LEG . , /NV l(D/)/NG (yLf)77s- - /o6 ,(
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/a'4 /Ye 121- g(A) t yI"A'i✓&OP 1A.,e- ( q2IT-7,I -/0(Y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
`10 - 0 - IO12 S (2-07 ( Ylrilci2- --7f i(
COPY of curd roq I d CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
with each application ' p`(.0.1) .A 0/ J iQ , 2.7. ZOJa
APPLICANT CO ANY ME,.- • APPLICANT NAME
OFFICE PHONE
/ l AD/uc eLocntic ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX.NUMBER
0 Architect o Tenant 0 Agentther ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( o et c- "---- ( ) -
LENDER NAMEPer RCW 19.
Lel o#Ti ormation is requir project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP • • '��
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
\
EXISTING ASSESSED/APPRAISED VALUE$ � E OF PROPOSED WORK $
SPRINKLERED BUILDING? o YES o NO FI• • c i 'PRE I N SYSTEM PROPOSED/REQUIRED? 0 YES o NO
WATER SERVICE PROVIDER o LAKEHAV , 0 HIGHLINE ❑ T• •MA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKE EN ❑ HIGHLINE ❑ PRIVAT' EPTIC)
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 0 CARPORT ❑
•
NUMBER OF FLOORS EEuruto PROPOSED TOTAL TOTAL EErsTDvoSr TOTAL PROPOSED Sr TOTAL sr
•
""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$ (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(commerdal)
COMPRESSORS FURNACES RANGES
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(orTub/Shower Combo) LAVS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS tract)
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 authorised by the o r of•the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Fe• ���sss Way as to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), whi ay -trade by a, person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of e retie • the ci ,i eluding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this applic• 'on.•
41111/
NAME/TIT► DATE 61....) I)4' 6 2
(Signature) 4111111 (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect 0 Other
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES n 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—April 2,2007 Page 2 of 4 k\Handouts\Permit Application
li
'-,. . . . - ELECTRICAL-PERMIT INFORMATION
•
•
RESIDENTIALCOMMERCIAL
• NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square FeetService or Feeder Each Add'n
(Fiist 1300 ft2-'$111.00;Each add'n 500 ftp-$35:50) -"-e u'0 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 0 201-400 amp 280.00 111.00•
❑ Detached outbuilding or garage 0 401-600 amp '327.00 131.00
(Inspected separately) $74.00 0 601-800 amp 423.00 179.00
•
' 0 801 - 1000 amp 516.50. 216.00 •
NEW MULTI-FAMILY(three units or more) 0 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
0 401.:600 amp 205.00 102.00 • ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50 Service or Feeders
)40 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder
❑ 0 to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 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)
i
❑ #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
I ❑ 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
O 101-200 amps 94.50
O 201-400 amps 111.00
❑ 401-600 amps 149.50
O 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 0 Swimming pool/hot tub $111.00
Square Feet to be served bysystem(s)
q (Includes additional circuit,if required)
11 ❑ Fire Alarm System ❑Yard Pole meter loops $74.00
❑ Security Alarm System 0 Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
)ll
0 Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n.2500 ft2-17.00) •Per WAC 296-46.9)0(5)(b)(i&ii)
I "
Bulletin#100.-April 2,2007 Page 3 of 4 k\Handouts\Permit Application '