07-103003 C1tyOf Federal W y Electrical Permit #: 07-103003-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ply(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: Electrical work for tenant improvements.
Owner Applicant Contractor
FSP FEDERAL WAY CORP NORTH STAR ELECTRIC NORTH STAR ELECTRIC
401 EDGEWATER PL UNIT 200 1905 S JACKSON ST NORTHSE136O8 9/28/07
WAKFIELD MA 01880-6207 SEATTLE WA 98144 1905 S JACKSON ST
SEATTLE WA 98144
,
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps- 1
PERMIT EXPIRES Wednesday, November 2$,2007
Permit Issued on Friday, June 1, 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 the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: �,�(� ,,— Date:
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I
_ THIS CARD IS TO REMAIN ON-SITE •
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-103003-00-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.
❑ 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) ❑ 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
ByP5 Date By C Date rl ,3Q9 `By �� Date j`l 'dl�
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
d
- n
0
- h
•
CITY OF REcovED b 7-- f O OQ 3
Federal PERMIT
COMMUNTIYDEVELOPMENT SERVICESIUN 0 1 2007 SF MF COM EL L DE EN
33325 FEDERAL
A SOUTH•PO BOX 97
4\JPLICATION
ID
FEDERAL WAY,WA 98063-9718
253,935-2607.FAX 253-835-2609
CITY OF FEDER
g I�DING DET -
The following is requi> trormation-an incomplete application will not be accepted. lease print legibly(in ink)or type.
• LPROPERTY INFORMATION
SITE ADDRESS 5-0 S .16: `irj/` SUITE/UNIT#_ ‘Co
R• 5 ( cgb - d 70
ASSESSOR'S TAX/PARCEL# � LOT SIZE(s,fl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
effitch sePw.te Page for descnpaon]
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION yELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Providetn, description of work included on this permit onlg) (
7a ' - 4"/:441//04'-et ft., Ii),:4,Te- EP-.$) /f � mew r2c;{JQ/r"�J
sem:MJj, tet, r c- ' 20,7-f- 1 1 o
PROJECT NAME(Name of Business or Owner Last Name) 7ip1 /1a4 ao
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE7PHONE
NU Z Sar l �<ic 12 ay ,Natch", ( )32
c? - /51?
ZIP CELL PHONE kc SF STATE.
4/1f )
W3 - 7g 7D
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
10 '0v '/a Sl8' -
Uo $L rZ /`
'3 > (24'6 )32P -rec 7
COPT cord REGISTRATION NUMB ON DATE E-MAIL ADDRESS
with) h. requked b Vd�6 11J L (3be •u7 ta /nC APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
%61,IQ- - '7' 4,0‘.1- -rlti
wFSS
Thi V C' ( )
CELL PHONE -
.-565-.5 ' — •-)6/ )/ �; ( )
RELATIONSHIP'TO
PROJECT
FAX NUMBER
❑Architect Tenant ❑Agent ❑ Other ( ) -
PROJECT E-MAIL ADDRESS
CONTACT O-//0d (— P )P-T - ]e-I>
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? o YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN o HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL) .
SEWER SERVICE PROVIDER ❑ LAKEHAVEN a HIGHLINE ❑ PRIVATE(SEPTIC)
R PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
S9.FT. SQ.FT. 89-FT.
BASEMENT
FIRST
• SECOND
THIRD
ADDPfIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORSEXISTRIO
PROPOSED TOTAL TOTAL SJOSIVIOSP TOTAL PROPOSED Sr TOTAL
**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$ (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(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or7ub/Shower Combo) LAYS(Bathroom Sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(Met)
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 reliance of the city,including its oIcers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE DATE S 3( 7
Signature) (Mile)
RELATIONSHIP TO PROJECT ❑ Owner o Agent (Contractor ❑Architect o Other
FOR OFFICE USE ONLY
o NEW o ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES c NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? ❑YES c NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES c NO
Bulletin#100-April 2,2007 Page 2 of 4 lalandouts\Permit Application
•
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) U 0 to 100 amp $120.50 $74.00
U Detached outbuilding or garage U 101-200 amp 149.50 94.50
(Inspected with service) $47.00 U 201-400 amp 280.00 111.00
U Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 U 601-800 amp 423.00 179.00
13 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) U 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
U 401 -600 amp 205.00 102.00 ALTERED COMMERCIAL/INDUSTRIAL
U 601-800 amp 262.00 140.50
U Over 800 amp 375.50 280.50Service or Feeders
t(cccc��r�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 ❑ #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 U Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
U Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Drulti-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
❑ #of Thermostats ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
U Low Voltage U Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (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
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
U Automation Fee on all Permits .. $5.00
1�2500 ft2-$65.00;
Each add'n 2500 ft2-17.00)•Per WAC 296-46-910(51(b10&W
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application