08-102952City of Federal Way
yCommunity Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Project Name: WORLD VISION
Electrical Permit: 08- 102952 -00 -F-L
Project Address: 3455 S 344TH WAY SUITE 140
Project Description: Low Voltage voice and data cabling
Inspection Request Line: (253) 835 -3050
Parcel Number: 222104 9006
Owner
Applicant
Contractor
WORLD VISION US
XETA TECHNOLOGIES INC
XETA TECHNOLOGIES INC
PO BOX 8716
13228 NE 20TH SUITE 500
XETATT196208 (11/2/08)
FEDERAL WAY WA 98063
BELLEVUE WA 98005
13228 NE 20TH SUITE 500
BELLEVUE WA 98005
THIS CARD IS TO MAIN ON -SITE
��>r,►oF
fommunit'
Develo m nt Ins ection Record
F ral Wa IVR INSP CTION RE QUEST PHONE # 253 835 -3050
ede y Q c �
PERMIT #: 08- 102952 -00 -EL
Owner: WORLD VISION US
Address: 3455 S 344TH WAY SUITE 140'
FEDERAL WAY, WA 98001
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.
❑ 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
❑
Feeders /Sub - panels (4045)
Approved
By
Date
❑
Final - Electrical (4055)
❑
Approved
By I
Date
0
Temporary Power (4275)
Approved
By
Date
❑
Rough Electrical (4225)
Approved
By
Date
For inspector
❑ Rough Electrical
Approved
By Date
reference
❑
Service (4235)
Approved
By
Date
❑
Ceiling Cover (4020)
Approved
By
Date
O FINAL - Electrical
Approved
By Date
C" of - ___E
Fbe ECEIV
PERMIT S F CO M PL DE EN FP
COMMUMW DSVSI.OPA&W S8RVlCSS
333ZFEDEMNUY, W17N. 63 X9718 1 a M)PLICATION
53435 -L WAY, X 98063.9718
Z53- d35- 4667•FAX453- 835.2609 ���
www.Ckv0ffr*mhvay.wm 'Y
The following is irb$� O ;mmc n -an incomplete application will not be accepted. Please print Iegibiy (in inJ4 or type.
SITE ADDRESS a-�" �}-t� - c ��` / SUITE /UNIT #
ASSESSOR'S TAX /PARCEL # _ _ _ _ _ _ _ _ _ LOT SIZE (SO
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(4&,,hPwf- kwft Av.1
PROJECT .-
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION A ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PRO DESCRIPTION (P"Pide detailed description included on this permit onlul
zl�
PROJECT NAME {Name of Business or Owner Last Name)
PEOPLE •• •
PROPERTY
NAME , _
PRIMARY PHONE
OWNER
y' l .
(
LING ADDRESS
MATONG ADDRESS
CITY, STATE, ZIP
E -MAIL ADDRESS
CONTRACTOR
'D
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
M NY A
LICANT S
OFFICE PHONE
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
LING ADDRESS
ZeMPIRATIONDATE
CELL PHONE
CITY O FEDERAL WAY BUSINESS LICENSE NUMBER
FAX NUMBER
CONTRACTOR•B ARCUBTRATION NUMBER TIO AT&
E-MAIL ADDRESS
//
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
t � -
MAILING ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE T:__ MAIL ADDRE33
NAME
Per RCW 19.47.095:
Lender ir{fornmWan is regtdred ijproject value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK
SPRINKLERED BUILDING? ❑ YES O NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
❑ NO
AREA DESCRIPTION
EXISTING
. FT.
PROPOSED
SO. FT.
TOTAL
SO. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
o YES a NO
THIRD
UP /SEPA /SU? a YES
o NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED? a YES
a NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
z3awme
rxomsm
TMAL
rorasasrMaer
roru.rsoroeaosr
Toretsr
*'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 $ (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
HOODSIcoaaaa.q
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (w Tun /shovercom"
LAVS (a.u.snjq
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS gaikq
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
NEW ADDRESS REQUIRED?
I cwtVy under penalty of PerlwV that I am the property owner or authorised agent of the property owner. I ceriVy that to the best of my
knowledge, the ir{formation submitted in support of this permit application is true and correct I cert{iy that I will comply with all applicable
City of Federal Will regulations pertaining to the work authorised 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 construct ion or environmental laws.
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 eta", which may be made by any person, including the undersigned, and filed against the city, but only
where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the information supplied to
the city as apart of this application.
SIGNATURE: DATE
Property Owner and /or Authorized Agent
a NEW a ADDITION
o ALTERATION
o REPAIR o TENANT IMPROVEMENT
BUILDING SSELL ONLY?
a YES a NO
BASIC PLAN? a YES
o NO
ZONING DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED?
o YES a NO
UP /SEPA /SU? a YES
o NO
PLATTED LOT?
o YES a NO
DEMO PERMIT REQUIRED? a YES
a NO
Bulletin #100 —January 1, 2008 Page 2 of 4 k\Handouts\Pennit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $115.50; Each add'n 500 W - $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
❑ 601 - 800 amp 272.00 145.50
ALTERED COMMERCMWINDUSTRIAL
❑ 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
13 0 to 200 amp $ 96.00
❑over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ # of circuits to be added/ altered
❑ over 600 amp 234.00
(1 -5 circuits - $98.00; Add'n circuits, $7.50 /ea)
❑ # of circuits to be added /altered
COMMERCIAL /INDUSTRIAL PLAN REVIEW
(1 -4 circuits - $76.50; Add'n circuits $7.50 /ea)
$98.00 plus 350% 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
ResidenttiaVMulti- Family $67.50
❑ # of service or feeders
(First service /feeder - $76.50; each add'n - $50.00)
Commerciai/lndustrfal 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
❑ # of Thermostats
❑ # of Signs
(First - $57.50; add'n- $17.50 /ea)
(First sign457.50; add'n sign $27.00 /ea)
Low Voltage
❑ Swimming pool /hot tub ................ $115.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $76.50
❑ security Alarm system
0- Voice Cabling
❑ Additional Plan Review $115.00 /hour
1� Data C i�Jbrt;
13 l U
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
11, 2500 ft2- $67.50;
Each add'n 2500 W - $17.50) • Per WAC 296.46 910(50 i b Al
Bulletin #100 - January 1, 2008 Page 3 of k\HandoutslPermit Application