06-101173_0
City of Federal Way
Community Development Services Electrical Permit #: 06- 101173 -00 -EL
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: ST PAUL TRAVELERS
Project Address: 33650 6TH AVE S Suite 200
Project Description: Communications cabling
Parcel Number: 926480 0210
Owner
Applicant
Contractor
SUN LIFE ASSURANCE COMPANY OF
POWERCOM
POWERCOM
CANADA
PO BOX 680
POWERI *006LH 06/08/06
777 108TH AVE SUITE 103
MUKILTEO WA 98275
PO BOX 680
BELLEVUE WA 98004
MUKILTEO WA 98275
Additional Permit Information
Electrical Fixtures
Low V al& -Other Commercial. 3,001"
TIONS:
PERMIT EXPIRES Saturday, September 9, 2006
Permit Issued on Monday, March 13, 2006
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy 2nde se 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:
QLO-z'.D a.,& L4 -tom- Q' �- -(--' 411-J
f�
,TMI CARD IS TO REMAIN ON -SITE
CITY OF Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 06- 101173 -00 -EL
Owner: SUN LIFE ASSURANCE COMPANY OF CANADA
Address: 33650 6TH AVE S Suite 200
FEDERAL WAY, WA
98003 -6754
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
I
Approved
1By
By Date
By
- Date
Date
❑
Service (4235)
❑ Temporary Power (4275)
❑ 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
By Date
%
By L Date 3 3 ��
By J Datep _ p
❑ Under -slab groundwork (4295)
Approved
By Date
1,
cry OF RECEIVED
Federal Way PERMIT
C0MWXWD8Y86011btWSRRF1C83 MAR 13 2006
33325 8m AVBNUS 801161 • PO BOX 9718
253 -8D 35.2 07 FAX 2S36 4609 2L I C AT I O N
CITY OF FE
www.d`volfederahar,u.cam BUILDING DEPT.
is
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SF MF CO
not be accepted. Please
-�Zl
PL DE EN FP
SITE ADDRESS 33fo�� Ave— :s SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ _ ! _ - _ _ LOT SIZE (sf)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
lAnad<+aP-- ~f- bVft k9at dsaotpfiWq
PROJECT INFORMATION
or
TYPE OF PERMIT ❑ BUILDING . ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION wt3 ECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed des_ atotion of two orrkyincluded on this permit oW
_� w.w+�; CC�: m.,• � Cfab(;,,,` C3 atoYl cX F)o0 �
PROJECT NAME (Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
MAILING ADDRESS CITY, STATE, ZIP
COMPANY NAME
Poway Ccw•�-
APPLICANT NAME
OFFICE PHONE
( yfZ51 Wiry
- 8r `(9
MAILING ADDRESS
Po goy X90
CITY, STATE, ZIP
y"-" N -0 LJ IN %Z? 7
CELL PHONE
( 2t)(0) 30(\
-'M5- �
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE
2 ' - a .) . -1 D 3 2 2'j' - . 1-1- / 31 / a G
FAX NUMBER
(442,51 q 3'(
- 10 357
B L
CONTRACTOR 3 REGISTRATION NUMBER (copy of card requkod with witch appflcatioa)
EXPIRATION DATE
CO" PANY NAME
APPLICANT NAME
XW
OFFICE PHONE' .
MAILING ADDRESS
%SvX 68o
CITY, STATE, ZIP
/�eJZ4W4rEa Gib- 'qtL 7j-
CELL PHONE"
RELATIONSHIP TO PROJECT
o Architect o: Tenant ❑ Agent
Other (Describe) g-�bA7J-4f ���
FAX NUMBER
(�+j —) . 5*7
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE . VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? O YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED %REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER p LAKEHAVEN p HIGHLINE
SEWER SERVICE PROVIDER O LAKEHAVEN . ❑ HIGHLINE
• TACOMA ❑ PRIVATE (WELL)
• PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
$ . FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
FANS
HOODS (comme.. t q
WOODSTOVES
FIRST
FIREPLACE INSERTS
RANGES
MISC (Descn'be)
SECOND
FURNACES
GAS WATER HEATERS
THIRD
GAS PIPE OUTLETS
FOURTH
ADDITIONAL FLOORS (DESCRIBE)
SHOWERS
WATER CLOSETS 4r neq
MISC (Describe)
DECK(COVERED ?)
SINKS
DRINKING FOUNTAINS
GARAGE ❑ CARPORT O
SUMPS
RAINWATER SYST
eavreo�a wt.
NUMBER OF FLOORS reoroese ror
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
each type of fixture to be installed or relocated as part of this project. Do not include existing fvctc4res to-remain.
Value of Mechanical Work
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS LOOS
REFRIO. SYSTEMS
BBQS
FANS
HOODS (comme.. t q
WOODSTOVES
BOILERS
FIREPLACE INSERTS
RANGES
MISC (Descn'be)
COMPRESSORS
FURNACES
GAS WATER HEATERS
DUCTS
GAS PIPE OUTLETS
Ci
BATHTUBS IorT b /MmmComb.)
SHOWERS
WATER CLOSETS 4r neq
MISC (Describe)
DISHWASHERS
SINKS
DRINKING FOUNTAINS
GAS PIPE OUTLETS ^T
SUMPS
RAINWATER SYST
WASHING MACHINES
URINALS
HOSE BIBBS
LAVE Pdb, OW14
VACUUM BREAKERS
ELECTRIC WATER HEATERS
I cert{ fy under penalty of perjury that the bVormation furnished by me is true and comet to the best of my knowledge, and further, that 1
am authorised by the owner of the above promisee to perform the work for which the permit application is .made. J further agree to hold
harmless the City of Federal Way as to any claim lincluding costs, expenses, and attorneys' fees incurred in the investigation and defense of
such eiatm), 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 rel nee of the city, including its of/leers and employees, upon the accuracy of the information supplied to the city as apart of
this application.
NAME /TITLE DATE
RELATIONSHIP TO PROJECT a Owner a Agent 13 Contractor O Architect Other
r._n_.:_ 41:1 A^ T........_. t Innc D-1 AfA I(LI antlAittelDormat ATfnllpatlnn
M ~
I ELECTRICAL PERMIT INFORMATION ` -
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL / RMUSTRIAL SERVICE
❑ Single Family Square Feet -
Service or Feeder Each Add'n
(First 1300 fl2- $107.50; Each add'n 500 its- $34.50)
❑ 0 to 100 amp $117.00 $ 71.50
❑ Detached outbuilding or garage
❑ 101.- 200 amp 145.00 91.50
(Inspected with service) $45.50
❑ 201 - 400 amp 272.00 107.50
❑ Detached outbuilding or garage
❑ 401 -600 amp 317.00 127.00
(Inspected separately) $71.50
❑ 601 - 800 amp 410.00 173.50
❑ 801 - 1000. amp 500.50 209.50
NEW MULTI- FAMILY (three units or more)
❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $ 34.50
❑ Over 600 volts surcharge $91.50
❑ 201 - 400 amp 145.00 71.50
❑ Mast or meter repair $99.00
13 401 - 600 amp 198.50 99.00
Q 601 - 800 amp 254.00 136.00
ALTERED COMMERCIAL /INDIISTRL±iL
❑ Over 800 amp 364.00 272.00
Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE /MULTI FAMILY
❑ 201 - 600 amp 272.00
❑ 601 - .1000 amp 410.00
Service or Feeder
❑ over 1000 amp 456.50
❑ 0 to 200 amp $ 89.50
❑ 201 - 600 amp 145.00
❑ # of circuits to be added/ altered
❑ over 600 amp 218.50
(1 -5 circuits - $91.50; Add'n circuits, $7.00 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1 -4 circuits - $71.50; Add'n circuits $7.00 /ea)
$91.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater
❑ Mast or meter repair $53.50
❑ Medical /Educational /Institutional Facility
MOBILE HOMES
❑ Service or feeder only. $71.50
0 Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME /RV PARK
Residential,/Muitt- Family $63.00
❑ # of service or feeders
(First service /feeder - $71.50; each addh - $46.50)
Commerciat4ndustriui Service or Feeder Ampacity
❑ 0 - 100 amps $ 71.50
❑ 101 - 200 amps 91.50
❑ 201 - 400 amps 107.50
❑ 401 - 600 amps 145.00
❑ over 600. amps 157.00
MISCELLANEOUS SERVICE /EQUIPMENT
❑ # of Thermostats
❑ # of signs
(First - $53.50; add'n- $16.50 /ea)
Low Voltage
(First sign- $53.50; add)a sign $25.00 /ea)
❑ Swimming pool /hot tub $107.50
Cv
"served
................
uare Feet to be by system(s) (
(Includes additional circuit, if required)
D Fire Alarm system
❑ Yard Pole meter loops ..................... $71.50
D security Alarm system
Voice Cabling
❑ Additional Plan Review $107.50 /hour
0 Data Cabling
(for modified submittals)
C3 Automation Fee on all Permits .. $5.00
(Per Systetn(s) In 2500 ft2- $63.00;
Each add'n 2500 ft2+- 16.50) *Per wAc ?96.46- 91o(5)(6/(i!6 it)