07-102272 City of Federal Way Electrical Permit #: 07-102272-00-
• L
mm
Cournty Development Services
P.O.Cox 9718
• .Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (263)835-3050
Project Name: FEDERAL WAY PEDIATRIC CLINIC
Project Address: 32124 1ST AVE S Suite 300 Parcel Number: 926450 0060
` Project Description: Altering(15)circuits for rough in outlets and replacing'existing lights
,
Owner Applicant Contractor
GAIL ALLEN PROPERTIES LLC CEDAR GROVE ELECTRIC CEDAR GROVE ELECTRIC
13707 16TH AVE SW 1819 CENTRAL ST S SUITE 71 CEDARGE995BC(1/21/2009)
SEATTLE WA 98166 KENT WA 98032 1819 CENTRAL ST S SUITE 71
KENT WA 98032
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 15
PERMIT EXPIRES Tuesday, October 23, 2007
Permit Issued on-Thursday, Aril 26,2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and t use will be in accordanceewith the laws, rules and regulations of the State Cf Washington
4i �.... ___-
. and the City of Federal Way.
Owner or agent: Date: / 0
•
FINA!
oek 0 . OC1
ILA 1
THIS CARD IS TO REMAIN ON-SITE
CITY OF A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050"
PERMIT#: 07-102272-00-EL
Owner: GAIL ALLEN PROPERTIES LLC
Address: 32124 1ST AVE S Suite 300
FEDERAL WAY, WA 98003
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
❑ Temporary Power(4275) ❑ Service(4235) ❑ 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
Date 5 23,-v) By \01,_ Date 6 _ q Bye. / Date el —
❑ Under-slab groundwork(4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved
By Date By Date
Federal Way Fl,
0 -7 - I O a. �-'i �.
Zoo? PERMIT SF MF CO ME EL PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES
�/
33325 STMAVENUE SOUTH.PO DDR 2 6 A P P L I CA T I O N TD
FEDERA�WAY,WA 98063.971 / /
253-835.2607•FAX 253-835-2609
vn,:u,.c lualfederuhoatl..,mOF oERAL WAY
The following is req llQ4 matPion-an incomplete application will not be accepted. Please print legibly(in ink)or type.
0 PROPERTY INFORMATION
SITE ADDRESS_3'12-'f l 51 01-)e- Cj'0 sic 3 YZ SUITE/UNIT#_ 380
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s)
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 onluj)
Pc-ti 11 1 4 it erj 4- f 12(11.4e 'Q1((i)T--t" (-'(r ffTS
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✓��: �
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PROJECT NAME(Name of Business or Owner Last Name) red e�tt, Oki y p��(C,� ((,� 1 [.,
• PEOPLE INFORMATION
PROPERTY NAME C PRIMARY PHONE
OWNER 'IQ.{'\ �1'O pi if ( ) -
MAILING ADDRES CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
GePV v' 6,--0,,e (re cre-,'c. � tl-*- ..-✓1 (75;3 ) 373 - Cel
IMAILINGO0ADDRESS [`��1l.�' S CITY,STATE,ZIP yy CELL PHONE) /'G
1TY(OF FEDERAL`WAY BUSINESS LICENSE NUMBER EXPIRr- ATION DATE (2cFAX x MBE' ( ` - 41-�-r'
. t, -- m 03 ?q .a4 1. o-7 (z)3 )3 7 3 - V35-13"
COPY of card required CONTRACTORS REGISTRATION NUMBER - EXPIRATION DATE E-MAIL ADDRESS
with each application 1
CeP4V. GL ss" ec i----2/- a y J7,6 3 l' &Iii rt ei.viA
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
1
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $ /4 L1� •
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
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 0
•
NUMBER OF FLOORS man= PROPOSED TOTAL TOTAL ausrwo OP TOTAL PROPOSED Sr' TOTAL el
•
"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(Commercial)
_ COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS or Tub/Shower Combo) LAVS oho.sink.) _ URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSET'S(Tenet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I certify under penalty of perfury 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 b ade by any person,including the undersigned, and filed against the City of Federal Way,but only where such claim
arises out of the relianc /the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. G
NAME/TITLE DATE 9' 2707
(Signature) (Title)
RELATIONSHIP TO PROJECT 0 Owner 0 Agent 0 Contractor 0 Architect ❑ Other
ST,. !_;: �6� -
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a 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
l
Bulletin#100—April 2,2007 Page 2 of 4 k\Handouts\Perrnit Application
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- , .' ' •-!--,. ELECTRICAL-PERMI >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 ❑ 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 •
I 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 •
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
❑ 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
❑ Oto 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ _/5#of circuits to be added/altered
I ❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
1
❑ # 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 $I20.50
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
❑ 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)
❑ Low Voltage ❑ 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 Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling .
. ❑ 0 Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n•2500 ft2-•]7.00) *Per WAC 296-46-9)0(5)(b)/i&ii)
Bulletin#100-April 2,2007 Page 3 of 4 k\Handouts\Permit Application