09-101775CFty of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
A Electrical
Permit #: 09- 101775 -00 -EL
Inspection Request Line: (253) 835 -3050
Project Name: PROGRESSIVE INSURANCE 1114 ,,
Project Address: 32001 32ND AVE S Suite 400 d r. Parcel Number: 215465 0010
Project Description: Install (1) new t -stat and relocate (3) t -stats
caner
Applicant
Contractor
FOSS REDEVELOPMENT
MACDONALD MILLER FAC SOL INC
MACDONALD MILLER SERVICE INC
PO BOX 94449
(GENERAL)
(ELECTRICAL)
SEATTLE WA 98124
7717 DETROIT AVE SW
MACDOMF972BF (01/06/11)
SEATTLE WA 98106
7717 DETROIT AVE SW
SEATTLE WA 98106
Is Use Educational or Institutiona l ? ....................... No Service greater than 1000 Amps? ........................... No
.......................... 4
I hereby certify that the above
the occupancy and the use %
Owner or agent:
and the City of Federal Way.
'�'4 (J/'X0JVq
THIS CARD IS T EMAIN ON -SITE
CITY OF 16COMMUnity Develop ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 09- 101775 -00 -EL
Owner: FOSS REDEVELOPMENT
Address: 32001 32ND AVE S Suite. 400
FEDERAL WAY, WA 98001
This card is part of your required inspection documents. Scheduled inspections maybe failed if this card is not on -site. DO NOT LOSE THIS CA
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.
❑ UFER Ground (4295) ❑ Ditch cover (4030) ❑ Slab /Concrete Floor (4255)
Approved Approved Approved to place concrete
By Date By Date By Date
❑
Pool Bonding (4195)
Approved
By
Date
By
Date
❑
Feeders /Sub - panels (4045)
Approved
By
Date
Approved
❑
Final - Electrical (4055)
Date
Approved
By Q_ Date �p
❑
Temporary Power (4275)
Approved
By
Date
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
For infector reference only _
rE3 Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
REC I tl
Cr" OF )/77tF
Federal Way MAY 14 2009 PERMIT - -
COMMUNITY DEVELOPMENT SERVICES SF MF CO MF L L DE EN FP
333258TMAVENUE800�3►Pp'B6 FCryER /yfLI CATI ON
FEDERAL WAY, 0 9 f C'..1 - !LA_L=
253 - 835 -2607• FAX 253 -835 -2609
www.cL,zjoffederalwcui.com CDS
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
SITE ADDRESS 32001 S 32ND AVE FEDERAL WAY, WA 98001 SUITE /UNIT #—FE4 c3 T"CJ
ASSESSOR'S TAX /PARCEL # 2 1 5 4 6 5 - 0 0 1 0 LOT SIZE (sj) 237,402
55 -70 SPEC AREA 280 -0 PROPERTY TYPE CODE C LOT A & B E. CAMPUS CORP
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) PARK PAR 1 -BSP PER FED WAY LLA #00- 105943 -SU REC #20010319900004
(Attach separate pope for lengthy legal descrlpttoN
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ALECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
INSTALL 1 NEW T -STAT AND RELOCATE 3 EXISTING T -STATS
PROJECT NAME (Name of Business or Owner Last Namel FOSS EAST CAMPUS - PREGRESSIVE INSURANCE
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION I
NAME
PRIMARY PHONE
FOSS REDEVELOPMENT COMPANY - FRC FEDERALY WAY LLC
( ) N/A _
MAILING ADDRESS
CITY. STATE, ZIP
E -MAIL ADDRESS
23075 32ND AVE S
FEDERAL WAY, WA 98001
7717 DETROIT AVE SW
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MACDONALD MILLER
DARLA DOLL
( 206 ) 768 - 4278
MAILING ADDRESS
CITY, STATE. ZIP
CELL PHONE
7717 DETROIT AVE SW
SEATTLE, WA 98106
( ) -
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
20 -03- 100372 -00 -BL
12 -31 -09
( ) -
CONTRACTOR' S REGISTRATION NUMBER
EXPIRATION DATE
E- MAILADDRESS
MACDOMF 972 BF
( (p i �-
COMPANY NAME
MACDONALD MILLER
APPLICANT NAME
DARLA DOLL
OFFICE PHONE
( 206 ) 768 - 4278
MAILING ADDRESS
CITY, STATE. ZIP
CELL PHONE
7717 DETROIT AVE SW
SEATTLE, WA 98106
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other CONTRACTOR
NAME RAYMUND RAMIREZ PRIMARY PHONE E-MAIL ADDRESS
( 206 ) 768 - 3802
NAME N/A
Per RCW 19.27.095:
Lender irtformation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $
•
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES 1:1 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
PROPOSED
S . FT.
TOTAL
89. FT.
BASEMENT
WATER CLOSETS (TolleU
SINKS
WASHING MACHINES
FIRST
SECOND
THIRD
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED ?)
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
GARAGE ❑ CARPORT ❑
in YES ❑ NO
BASIC PLAN?
NUMBER OF FLOORS
MMMM
MOMSeo
TOTAL
Tarer. Fx 1TWO 8F
Tonv. FaoFOSSO SF
TOTAL 8F
"NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or Ttib /Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
FANS GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS HOODS (commerckap
FURNACES RANGES
GAS LOG SETS REFRIG. SYSTEMS
LAVS (Bathroom sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (TolleU
SINKS
WASHING MACHINES
SUMPS
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 igforrnation submitted in support 4f this permit application is true and correct. I certify that I will comply with all applicable
City of Federal Way regulations 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 responsibility for compliance with local, state, or federal laws regulating construction or environmental laws.
I further agree to hold harmless the City 4f Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation cpt& def nse of such claim), which may be made by any person, including the undersigned, and filed against the city, but only
where such ci Lm arises the reliance of the city, i cludIng its officers and employees, upon the accuracy of the information supplied to
the city as a p6; of this applic saps.
SIGNATURE:
DATE
5 -12 -2009
Property Owner and /or Authorized Agent
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
in YES ❑ NO
BASIC PLAN?
❑ YES
o NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP /SEPA /SU?
❑ YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — January 1, 2009 Page 2 of 4 MandoutsTermit Application
i
*NOTE: an automation fee
•
.00 will be charged for all permits.
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL /INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $121.00; Each add'n 500 ft2 - $39.00)
❑ 0 to 100 amp $131.50 $ 80.00
❑
❑ 101 - 200 amp 163.00 103.00
Detached outbuilding or garage (w/ service ) .........................
$51.00
L] 201 - 400 amp 305.50 120.50
L3 Detached outbuilding or garage (inspected separately) .........
$80.00
L] 401 - 600 amp 356.00 142.50
❑ Swimming pool (w /service) .................. ...............................
$80.00
[❑ 601 - 800 amp 460.50 195.00
601
❑ Swimming pool (inspected separately) ...............................
$120.50
❑ - 1000 amp 562.50 235.50
El Hot tub /spa /sauna (w /service) ........... ...............................
$51.00
❑ Over 1000 amp 613.00 327.00
❑ Hot tub /spa /sauna (inspected separately) ..........................
$80.00
❑ Septic pumping system (w/ service) ...... ...............................
$51.00
❑ Over 600 volts surcharge $103.00
❑ Septic pumping system (inspected separately ) .....................
$80.00
❑ Mast or meter repair $111.00
ALTERED COMMERCIAL/INDUSTRIAL
NEW MULTI- FAMILY (three units or more)
(Does not include circuits.)
Service Feeder
Service or Feeders
❑ Up to 200 amp $131.50 $ 39.00
❑ 0 to 200 amp $131.50
❑ 201 - 400 amp 163.00 80.00
❑ 201 - 600 amp 305.50
❑ 401 - 600 amp 223.00 111.00
❑ 601 - 1000 amp 460.50
❑ 601 - 800 amp 285.50 152.50
❑ over 1000 amp 513.00
❑ Over 800 amp 408.50 305.50
❑ # of circuits to be added /altered
(1 -5 circuits - $103.00; Add'n circuits, $8.00 /ea)
ALTERED SINGLE /MULTI FAMILY
Service or Feeder
COMMERCIAL /INDUSTRIAL PLAN REVIEW
❑ 0 to 200 amp $100.50
$103.00 plus 35% of Permit Fee
❑ 201 - 600 amp 163.00
❑ Service - 1,000 amps or greater
❑ over 600 amp 245.50
❑ Medical /Educational /Institutional Facility
❑ Additional plan review for
❑ # of circuits to be added /altered
modified submittals $115.00 /per hour
(1 -4 circuits - $80.00; Add'n circuits $8.00 /ea)
❑ Mast or meter repair $60.50
TEMPORARY SERVICE
Service or Feeder Each Add'n
MANUFACTURED HOMES
❑ 0 to 60 amp $ 71.00 $32.00
❑ Service or feeder only $80.00
❑ 61 - 100 amp 80.00 39.00
❑ Service and feeder $131.50
❑ 101 - 200 amp 103.50 51.00
❑ 201 - 400 amp 120.00 60.50
MOBILE HOME /RV PARK
❑ 401 - 600 amp 163.50 80.00
❑ # of service or feeders
❑ Over 600 amp 183.00 92.00
(First service /feeder - $80.00; each add'n - $52.50)
MISCELLANEOUS SERVICE /EQUIPMENT
L# of Thermostats
(First - $60.50; add'n - $18.50 /ea)
❑ # of Signs
❑ Low Voltage
(First sign - $60.50; add'n sign $28.50 /ea)
Square Feet to be served by system(s)
❑ Yard Pole /meter loops /pedestal ....................$80.00
❑ Fire Alarm System
❑ Portable Generator (transfer equipment) ......$100.50
❑ Security Alarm System
❑ Ditch only cover/inspection y ••••••••••••••••••••••••$120.50
P
❑ Voice Cabling
❑ Data Cabling
❑
For fees not listed contact the Permit Center at
Pt 2500 ft2-$71.00;
� •
Each add'n 2500 ftz- $18.50)
253 - 835 -2607
Bulletin #100 - January 1, 2009 Page 3 of 4 k\llandouts\Permit Application