08-103245City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063 -9718
Ph: (253) 835 -2607 Fax: (253) 835 -2609
Electrical Per t #: 08- 103245 -00 -EL
Project Name: WORLD VISION
Project Address: 3455 S 344TH ST SUITE 100
Project Description: Low - voltage wiring for fire alarm system.
Inspection Request Line: (253) 835 -3050
Parcel Number: 222104 9006
Owner
Applicant
Contractor
WORLD VISION INC
SMITH FIRE SYSTEMS MGMT
SMITH FIRE SYSTEMS MGMT
PO BOX 9716
(ELECTRICAL)
(ELECTRICAL)
FEDERAL WAY WA 98063 -9716
1106 54TH AVE E
SMITHFS946LO (6/20/10)
TACOMA WA 98424
1106 54TH AVE E
TACOMA WA 98424
Additional-Permit Information
Service greater than 1000 Amps ? ...........................No
Electrical Fixtures
Fire Alarm (Comtut ; 1t
THIS CARD IS TO AIN ON -SITE
CITY OF 'ommuni tY Develo me t Inspection n Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 103245 -00 -EL
Owner: WORLD VISION INC
Address: 3455 S 344TH ST SUITE 100
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)
Temporary Power (4275)
❑
Service (4235)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑
Rough Electrical (4225)
❑ Feeders /Sub - panels (4045)
❑
Ceiling Cover (4020)
Approved
Approved
Approved
By Date
By
Date
By
Date
❑ Final - Electrical (4055)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
i
aria. RECEIVED pe_ o�
Federal Way PERMIT
COMMUNITY DEVELOPMENT SERVICES JUL 0 3 2008 SF MF CO ME EL PL DE EN FP
33325 8m AVENUE SOUTH • PO BOX 9718 ^
FEDERAL WAY.AX 98063-9718
253- 835 -2607 FAX 253.n � ] ATI
WWW,-�a� OF FED L V�J�'1,
The following is required infrQSm - an incomplete application will not be accepted. Please print legibly rn ink) or type.
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) Gc.Jc "Mc-l. t / 01611
C44mch wparvfe pWe fm WVfhy legal de —OtbN
PROJECT • ' •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descr(ption of work tndllded on this rmit only) `
�5 4ZOIC - Q /Jai C'Q t�LG�iJ
190 0/'
`I
PROJECT NAME (Name of Business or Owner Last Namel A-'OR Id-'
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
f/ /iS�or✓ '� /coq c�
PEOPLE INFORMATION
NpME�C, Q/C�.` / / O +, / H
/v
PRIMARY ; BONE -
ADDRESS
55 S- .3���% s#ioo
CITY. STATES, ZIP
,�rc�.�ap 9'?W
E-MAQ. AD) DRESS
COMPANY NAME / 5
APPLICANT NAME- /
L 2- '0q0'& nn
OFFICE PHONE
0153) 07 x
MAILING ADDRESS �i� �
CITY STATE. ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
/ 9- 87- OGZaD.�S- cj0 -- 6C
EXPIRATION DATE
/�? -:3/' c�CaD�
FAX NUMBER
(.�53) ta?��i' - �?3(
CONTRACTORS REGISTRATION NUMBIM
7, %5 9.16 il>
EXPIRATION DATE
- ao -ao�o
E-MAIL ADDRESS
I.�'d/6cR n/ca� SM�)yi
COMPANY NAME
..Sm, s�S F.RRc �.S ,s . /I'I n/ i •
APPLICANT NAM, /
,�, ��- fSc�- bef�/SCn%
OFFICE PHONE /
0,753) d�1� - :XGGr�,
MAILING ADDRESS
GATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
Other eel? .14ete- Inq
FAX NUMBER
�) cR -sa�3(GCi
❑ Architect ❑ Tenant 11 Agent
�ri�L•C'Lti'�7
NAME PRIMARY PHONE E MAIL ADDRESS
,L /SCi '0<' /V (.a?S3) d i!? - v?C>nh �if'C.CL�n�!,'l /t2 %�S✓�, ` Rt .
NAME
Per RCW 19.27.098:
Lender (►{formation is required (f project value exceeds $8,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
EXISTING USE PROPOSED USE
EXISTING ASSESSED /APPRAISED VALUE $ VALUE OF PROPOSED WORK $ 8S
SPR NKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES C] NO
WATER SERVICE PROVIDER ❑ LUMIAVEN ❑ MGM= ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ IIGHLIdE 13 PRIVATE (SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
FIRST
CJ
ZONING DESIGNATION
SECOND
CHANGE OF USE?
❑ YES
❑ NO
THIRD
❑ YES ❑ NO
UP /SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED ?)
DEMO PERMIT REQUIRED?
❑ YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
susrva
rsoraezo
TOTAL
TOTAL zz11TWOar
Torwmorassnar
TOTAL 81
"NEW HOMES ONLY"• NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of f xture to be installed or relocated as part of this project. Do not include exlsting,jixhures to remain.
Value of Mechanical Work
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS .
(A COPY OF BID OR ES7I9A7E MUST BE RVCLUDED VA7H APPLICA770M
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
BATHTUBS (or Tub /Slower Combo) LAYS (Bafhmom Sr ft)
DISHWASHERS RAINWATER SYST
DRINKING FOUNTAINS SHOWERS
BLECTRIC WATER HEATERS SINKS
HOSE BIBBS SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (co -da9
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rlbtle )
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I cert(fy under penalty of perjury that I am the property owner or authorized agent of the property owner. I cert(fy that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certVy 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 of Federal Way as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such. claim), 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 applicatio l
.
SIGNATURE: DATE
Property Owner and /or Authorized Agent
❑ NEW o ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP /SEPA/SU?
o YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
o NO
Bulletin #100 — August 16, 2007
Page 2 of 4
MHandoutsWermit Application
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL 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
L3 601 - 800 amp 272.00 145.50
ALTERED COMMERCIAL /INDUSTRIAL
❑ Over 800 amp 389.50 291.00
Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINCBLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
Service or Feeder
❑ 601 - 1000 amp 439.00
❑ 0 to 200 amp $ 96.00
❑ over 1000 amp 489.00
❑ 201 - 600 amp 155.50
❑ over 600 amp 234.00
❑ # of circuits to be added/ altered
(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 350/6 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
ResidentiaVMuiti- Family $67.50
❑ # of service or feeders
(First service /feeder - $76.50; each add'n - $50.00)
CommereiaVIndustrial 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 sign- $57.50; add'n sign $27.00 /ea)
Low Voltage
C
Sq re Foot to be by
❑ Swimming pool /hot tub ................ $115.00
served system(s)
Fire Alarm system
(Includes additional circuit, if required)
❑ Yard Pole meter loops $76.50
❑ Security Alarm System
❑ Voice Cabling
.....................
❑ Additional Plan Review $115.00 /hour
❑❑ Data Cabling
(for modified submittals)
❑ Automation Fee on all Permits .. $5.50
1K 2500 ft2- $67.50;
Each add% 2500 ft2 - $17.50) *Per WAC 296.46910(5Nb# & a)
isuuean lri uu - January j, mus Page 3 of 4 k\HandoutsTemrit Application