08-100698 •
City Ot Federal Way Electrical Permit #I8-100698-00-EL
Commotcty 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
t .1 ir3A 4x �'4
Project Name: WHISPERING HILLS CABANA 1 rt
Project Address: 2120 SW 352ND ST ' Parcel Number: 176150 0290
Project Description: Rewiring rental office as new cabana to include (10) circuits,l/v data & voice cabling and
(1) t-stat
Owner Applicant Contractor
MOSAIC USA FEDERAL WAY A K A ELECTRIC A K A ELECTRIC
401 PARKPLACE CTR#311 7003 70TH DR SE AKAELEC965NP(8/17/08)
KIRKLAND WA SNOHOMISH WA 98290 7003 70TH DR SE
98033-6200 SNOHOMISH WA 98290
i
Additional Permit Information
Service greater than 1000 Amps'? No
Electrical Fixtures
Circuits-Mei Family 10 LowVo e-Other Commercial.. 1,100 Thermostat 1
PERMIT EXPIRES Friday, February 6, 2009
Permit IssuedTuesday, February 12,2008
I hereby certify hat the above informations correct and that the construction on the above described property and
the occupancy and the use Will be in ac •..:arc- A iter he laws,-rules and regulations"*of the State of Washington
: e City of Federal Way.
O
Owner or agent: ` 1 7 Date: Z \Z\--ZALE3
v
• THIS CARD IS EM�IN ON-SITE ,�
CITY OF `'--� •Community Develo ent Inspection Record
Y p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-100698-00-EL
Owner: MOSAIC USA FEDERAL WAY
Address: 2120 SW 352ND ST
FEDERAL WAY, WA 98023-3114
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) 0 Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
— 0 Temporary Power(4275) 1❑ 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
L)
By / Date - '/9�Sl/ By Date • ca)
By Date
0 UFER Ground (4295)
Approved
By Date
• . I.
For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
P �v
Eck II) 411
200$ a K - 1 O 0 Lo 91
CRT OF -
Federal Way va . v\irozM IT
COMMUNrrl'DEVELOPMENT SERVICES „ tkL SF MF CO ME� PL DE EN FP
33325 SnFEDEI2AI.'AVENUEWAYWA 98063 SFOU7N•PO BOX 9718 F
•Fel) P LI CATI O N
253-835-2607•FAX
9718AX 25� ® Y / /
mu•tucihnlicderaj CO
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS_ .7( zn 3 LA) ' -5- 2-- `:4— SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - __ _ LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates.Lot 1)
(Attach separate page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING 0 PLUMBING 0 MECHANICAL
❑ DEMOLITION )14ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECTDESCRIPTION(Pr vide detailed description of work included on this permit onlu)
—R2
- \l
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t? I tLt 6�.x_k,� t%A JRZ.9t c m tttidArt1At.vci 04..a,- klg1C r
PROJECT NAME(Name of Business or Owner Last Name) 441\S]CJI A Y # : l S e ��'--
• PEOPLE INFORMATION
INFORMATION
PROPERTY NAMEP Y PH NE
OWNER UACI6� L — ( ) 9#1D3 -51)37)"UDJ�
MAI y /� �
` /okr-V ' t <�T �44tb3iE- L ADDRESS
CONTRACTOR COAANy_i E ICANT N
OFFICE PHONE
1 I� -I�` eD stovetk,1v\ G. )
IS - Zu _
MLINGFE DDS CELL PHONE
� ILV.;. .ttdN*IDv, Mit( Lai Z , . ,) 41-v-
CITY L[CEQ FAX NUMBER 01"- (03153—aa.- -EL ( ) -
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
AY, cz L1.sem?
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( )
MAILING ADDRESS CITY,STATE.ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent ❑ Other ( ) -
PROJECT NAMEPRIMARY PHON1El --
E-MAIL ADDRESS
CONTACT ve "RLl`-e( ( )5 (-� ? 5i
LENDER
NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY'.STATE.ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER n LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
• S
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
EXISTING PROPOSED TOTAL TOTALE815nNO SF _ TOTAL PROPOSED SF TOTAL SF
NUMBER OF FLOORS
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
• FIXTURES
Indicate number of each type offvcture 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 OUTLEIb WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(commorc)al)
COMPRESSORS FURNACES RANGES
DUCIb GAS LOG SE lb REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/ShowcrCombo) LAVS(Bathroom sinks) URINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSElb frouot)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best of my
knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with all applicable
City of Federal Way regulatio pertaining to the work authorized by the issuance of a permit.I understand that the issuance of this permit
does not remove the owner's = .•risibility for compliance with local,state,or federal laws regulating construction or environmental laws.
I further agree to hold h• less the ..1 • Federal Way as to • y claim(including costs,expenses, and attorneys'fees incurred in the
investigation and def • h tial , which • •• 'n, including the undersigned, and filed against the city, but only
where such claim •:, out . the reliance of th`%ty, incl 'veers and employees, upon the accuracy of the information supplied to
the city as a part ' this appl ation.
SIGNATURE: \ Nine" _._...-,._ DATE Z ��
Property Owner and/or Autho :nt
FOR OFFICE USE ONLY
NEW n ADDITION c ALTERATION c REPAIR c TENANT IMPROVEMENT
BUILDING SHELL ONLY? c YES c NO BASIC PLAN? ❑YES c NO
ZONING DESIGNATION CHANGE OF USE? c YES c NO
NEW ADDRESS REQUIRED? r YES r NO UP/SEPA/SU? E YES NO
PLATTED LOT? ❑YES c NO DEMO PERMIT REQUIRED? ❑YES c NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
• •
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
CI Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50:Each add'n 500 ft2-$37.00) ❑ 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ❑ 201-400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401 600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 272.00 145.50
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder Li over 1000 amp 489.00
Oto 200 amp $96.00
201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ oveove 600 amp 234.00 (1-5 circuits-$98.00:Add'n circuits.$7.50/ea)
U w #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50:Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50:each add'n-$50.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
'U' ` #of Thermostats ❑ #of Signs
pLst-$57.50:add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
Luow Voltage r^C LI Swimming pool/hot tub $115.00
Square Feet to be served by system(s) l i v (Includes additional circuit.if required)
0 ' e Alarm System ❑ Yard Pole meter loops $76.50
El System LI Additional Plan Review
$115.00/hour
nice Cabling (for modified submittals)
Data Cabling ❑ Automation Fee on all Permits .. $5.50
1st 2500 ft2-$67.50:
Each add'n 2500 ft2-$17.50)'Per WAC 296-46-910(5//b/1,&iJ
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application