10-100368City of Federal Way
Applicant
Community Development Services
FILE
P.O. Box 9718
WESTMARK CONSTRUCTION INC
Federal Way, WA 98063-9718
6102 N 9TH ST SUITE 100
Ph: (253) 835-2607 Fax: (253) 835-2609
5743 CORSA AVE SUITE 216
F lectrical
Permit #: 10 -100368 -00 -EL
Project Name: AUBURN REGIONAL MEDICAL AT WALMART
Project Address: 34520 16TH AVE S
Project Description: Installation of fire alarm system
Inspection Request Line: (253) 835-3050
Parcel Number: 212104 9010
Owner
Applicant
Contractor
FEDERAL WAY MARKETPLACE
WESTMARK CONSTRUCTION INC
WESTMARK CONSTRUCTION INC
INVESTORS LLC
6102 N 9TH ST SUITE 100
WESTMCI012D3 (3/30/11)
5743 CORSA AVE SUITE 216
TACOMA WA 98406-2036
6102 N 9TH ST SUITE 100
WEST LAKE VILLAGE CA 91362
TACOMA WA 98406-2036
Additional Permit Information
Is Use Educational or Institutional?. .......... ........... No Service greater than 1000 Amps? ........................... No
Electrical Fixtures
Low Voltage - Fire Alarm (Con1nu 4
I
PERMIT EXPIRES Thursday, January 27, 201'1
Permit Issued on Wednesday, January 27, 2010
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 he ;ty of Federal Way.
Owner or agent: -�" Date'.
CITY OF
Federal Way
PERMIT #:
Owner:
THIS CARD IS TO''EMAIN ON-SITE
Construction In pection Record
INSPECTION REQU TS: (253) 835-3050
10 -100368 -00 -EL Address: 34520 16TH AVE S
FEDERAL WAY MARKETPLACE IN FEDERAL WAY, WA 98003-6841
Scheduled inspections may be failed if this card is not on-site. DO NOT L05L 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.
Final - Electrical (4055)
Approved
By NA',...1 Date r� , 1._
UFER Ground (4295)
❑
Ditch cover (4030)
Temporary Power (4275)
Slab/Concrete Floor (4255)
❑
Approved
By
Approved
Approved to place concrete
By
Date
By
Date
By
Date
Final - Electrical (4055)
Approved
By NA',...1 Date r� , 1._
Pool Bonding (4195)
Temporary Power (4275)
❑
Service (4235)
By
Approved
By
Approved
By
Approved
By
Date
By
Date
By
Date
E]
Ceiling Cover (4020)
Rough Electrical (4225)
Feeders/Sub-panels (4045)
Approved
Approved
Approved
By
Date
By
Date
ByC,
L Date,,,
Final - Electrical (4055)
Approved
By NA',...1 Date r� , 1._
Rough Electrical
Approved
Final Electrical
Approved
0
Right of Way
Approved
By
Date
By
Date
By
Date
/ r) 0
ctwI ET.` PERMIT SF MF CO ME E PL RE EN FP
Fedei a ay s s
NrrrS•T807D APPLICATION
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ynn�m.c�l;J�f�i;rl.•ri•4ly;ni,. con t
PROPERTY
SITE ADDRESS
11"ITEMNIT @ ZONINO ASHI&SSOW S TAXMARM 9
PROJECT
NAME OF PROJECT I}-� I cA� CF��f �f`��` rG✓��
(Tenant or Homeowner Name) V v4 v`
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
TYPE OF PERMIT Cl DEMOLITION KELECTRICAL ❑ ENGINEERING FIRE PREVENTION
PROJECT DESCRIPTION
Detailed description of work to
be included on this permit only
PROPERTY OWNER
OWNER I8 ALSO:
APPLICANT
PROJECT CONTACT
Mie individual to receive and
respond to all correspondence
concerning this appl[crritord
PROJECT FINANCING
Requiredforprgfects wish
value of $5,000 or more
(RCW ]9.27.095)
sAli /M &A i 11-11
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E
PEI
NAtIE VtLj—c k WGi hw-�- rjct(e : V 4��T�'if U&
MAIL] G ADMM. CITY. STATE, ZIP
7®n t�ekZ-aF iZA
CONTRACTOR
Ij APPLICANT
�IAn�
We4, ,rA Cc"--v-c-ck c-- T --"-r
MAII.DIGADDRESS, CITY. STATE, ZIP
WA STATE CWVTRA0WW6 LICENSE 4 EZPIRATIMi DATE
130
NAME
MA]LING ADDRESS. CITY. STATE, ZIP
XADANGAUMUMM CITY, STATE, ZIP
ALTERNATE CONTACT NAAE:
m=NG ADDRESS. CITY. STATE. 2w
PRIMARY PHONE
I —
FIQMARY InIGHE
E-MAIL.
gL PROJECT CONTACT
F=LjjYPE0NE
4ZG
FAX
FEDERAL WAY BI1BItqW LICENSE 8
PRMMR,Y FROM
FAX
PRML& Y PHONE
FAX
E-MAIL
OWNER -FINANCED
PRIINARY PITONS
r 1 _
jr tart{ jji urlderpeau[tg of perJu*11 that Y mrt alta property owner or a�Ttiwrked agent of the property eamer. I eerft that tO the hest
&fmy knowledge, the irirarmation submitted In support of this perne(t appiieation 18 true and correct. I eertM that I mill eamply with
all applicable City of loderal Way teguiativns pertaining to the war* autheAved by the issuance of a permit. I undlaws erstand that the
issuance of this permit does not r 12- the Owners nespvnaihiiity for comPltance with local, state, or federal,
construction Or environmental laws and a#� incurred
I jlvther agree to d de harms s the City such claim), which may be Made by any person, Wag as to any claim t Including the unnddsersigned, ander d against the
cl the ittvesti when and defense 4f
ir�tfya but atier�t supplied to thetaim a jart '4�ththe ts applaicaLinn the citFi, Including its grfi[er+ and empioyeeF, apart ties acruraeil 4f isle
SIGNATURE:
PRINT NAME:
Bulletin #100 —January 1, 2010
Page 1 of 4 k:\Handoutc\Permlt Application
ELECTRICAL
FJM13DENTIAL
COMMERCIAL
NEW SINGLE FAMILY RESIDENCE
NEW COMMERCIAL
Total Square Feet
111 Service/Feeder Additional Re-eders
(including attached garage):
0 - 100 amp x $132.50 x $ 80.50
FEES: First 1300 ft2 - $122.00;
101 - 200 amp x $164.00 x $103.50
Each additional 500 ft2 - $39.00
201 - 400 amp x $307,00 x $121.00
NEW MULTIFAMILY (3 units or more)
401 - 600 amp x $358.00 x $143.50
let Service/Feeder Additional Feeders
601 - 800 amp x $463.00 x $196.00
0 - 200 amp x $132.50 X $ 39.00
801 - 1000 amp x $565.00 x $236.50
201 - 400 amp x $164.00 x $ 80.50
Over 1000 amp x $616.00 x $328.50
401 - 600 amp x $224.00 X $111.50
601 - 800 amp x $287.00 x $153.50
Over 600 volts surcharge x $103.50
Over 800 amp x $410.50 x $307.00
ALTERED SINGLE or MULTI FAMILY
ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders
lel Service/Fbeder Additional Feeders
0 - 200 amp x $132.50 x $103.50
0- 200 amp x $101.00 x $ 39.00
201 - 600 amp x $307.00 x $121.00
201 - 600 amp x $164.00 x $ 80.50
601 - 1000 amp x $463.00 x $196.00
Over 600 amp x $246.50 x $111.50
Over 1000 amp x $515.50 x $328.50
Added or Altered Circuits
1-4 circuits $80.50; each additional $8.00
Added or Altered Circuits
1-5 circuits $103.50; each additional $8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES
PLAN REVIEW FEES
Service or feeder only x $ 80.50
$103.50 plus 35% of Permit Fee; Plan Review required for:
Service and feeder x $132.50
❑ New, or alteration to, service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/E UIPMENT
LOW VOLTAGE
TEMPORARY SERVICE
,t Fire Alarm 9yastern
tat Service/Feeder Additional Feeders
❑ `iccurilyAlarn►System
13 Voice/Data Cabling
0 - 60 amp x $ 71.00 x $ 32.00
❑ Other
3
61 - 100 amp X $ 80.50 X $ 39.00
Area to be served by system: 5
101 - 200 amp x $103.50 x $ 51.00
1°1 2,500 ft2-$71.00; each additional 2.500 ft2 - $18.50
201 -400 amp x $121.00 x $60.50
# of Thermostats
401 - 600 amp x $164.00 x $ 80.50
Cirsr. $60.50; each additional $18.50
Over 600 amp x $184.50 x $ 92.00
# of Signe
"NOTE: an automation fee of $6.00 will be charged
�irst $F0.50; each additional $28.50
on all permits"
Yard Pole/meter loops/pedestal x $ 80.50
Portable Generator (transfer equipment) x $101.00
For fixtures or fees not listed contact the Permit Center at
Ditch cover/impection only x $121.00
253-835-2607
Bulletin #100 -January 1, 2010
Page 3 of 4 k:\Handouts\Permit Application