08-1042630 0 ]Electrical
City of Federal Way Permit #• 08- 104263 -00 -E L
Community Development Services - - -- �
P.O. Box 9718
Federal Way, WA 98063 -9718 Inspection Request Line: 253 835 -3050
Ph: (253) 635 -2607 Fax: (253) 835 -2609 p q
Project Name: WORLD VISION - BLDG 2
Project Address: 3455 S 344TH WAY Parcel Number: 222104 9006
Project Description: AA(1) circuit for (2) new fixtures
ri D �,• ✓
Additional Permit lnfbrmatlon
Service greater than 1000 Amps ? ..........................No
Electrical Fixtures
Circuits - Commercial .................... 1
PERMIT EXPIRES Thursday, September 10
hereby certify that the above inform
the occupancy and the use Will be in
and the City of Federal Way.
Owner or agent:
F j!l 4 �.
�l
of th
Date: ('1— /0. 6 %
d
Owner
Applicant
Contractor
WORLD VISION INC
MCMULLEN ELECTRIC INC
MCMULLEN ELECTRIC INC
PO BOX 9716
203 W STEWART
MCMULE1529BF (2/28/09)
FEDERAL WAY WA 98063 -9716
PUYALLUP WA 98371
203 W STEWART
PUYALLUP WA 98371
Additional Permit lnfbrmatlon
Service greater than 1000 Amps ? ..........................No
Electrical Fixtures
Circuits - Commercial .................... 1
PERMIT EXPIRES Thursday, September 10
hereby certify that the above inform
the occupancy and the use Will be in
and the City of Federal Way.
Owner or agent:
F j!l 4 �.
�l
of th
Date: ('1— /0. 6 %
d
r THIS CARD IS TO nt .MAIN ON -SITE
tY P P r
CITY OF ftommuni Develo m Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835 -3050
PERMIT #: 08- 104263 -00 -EL
For ins ector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Owner: WORLD VISION INC
Address: 3455 S 344TH WAY
FEDERAL WAY, WA
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
❑
Feeders /Sub - panels (4045)
❑ Rough Electrical (4225)
Ceiling Cover (4020)
❑
Approved
Approved
Approved
By
Date
By Date
By
Date
❑
Final - Electrical (4055)
Approved
Y
/
Date /! — / �4
For ins ector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
CITYOF
„FederailNay PERMIT'S Ll ' k 1 L�
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME EL PL DE EN FP
33325 8TH AVENUE SOUTH • PO BOX 9718
FEDERAL WAY, WA 98063-9718
253 85u - 2.<6it0u7a•(iFX a2h5r3�- 8u3.c5 c-r2.: 60 9
APPLICATION
The following is required information - an incomplete application will not be accepted Please print legibly (in ink) or type.
SITE ADDRESS
ASSESSOR'S TAX /PARCEL #
69 3
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
TYPE OF PERMIT
UNIT # _
s` j01
7LO I,�n ��.•,, ,T
❑ BUILDING ❑ PLUMBING ❑ MECHANICAL rv��
❑ DEMOLITION O&LECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit only
PROJECT NAME (Name of Business or Owner Last NamelF/
PEOPLE • •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME I
Q l,D Vv�20P (%`63)
PRIMARY PHONE
i5 -
M,AAI.LING ADDRESS , /yn,` ,, �9 {
CITY. STATE, ,ZI`P� 1j n
E -MALI, ADDRESS
E F ,i i kY"'t `
V C1� `i. V✓!�
MAILING ADDRESS
OFFICE PHONE
MAILING ADDRESS
, STA ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent I the,
�,��;;
yv (I+Vjt,l
(
FAX NUMBER
NAME PRIMARY PHONE E -MAIL ADDRESS
oc
NAME
Per RCW 19.27.095:
Lender information is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE. ZIP
PHONE
EXISTING ASSESSED /APPRAISED VALUE $
PROPOSED USE
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED /REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION
EXISTING
S9. FT.
PROPOSED
S . FT.
TOTAL
S . FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND
GAS LOG SETS
REFRIG. SYSTEMS
THIRD
CHANGE OF USE?
o YES
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
UP /SEPA /SU?
o YES
DECK (❑ COVERED OR ❑ UNCOVERED ?)
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
GARAGE ❑ CARPORT ❑
❑ NO
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL EXISTING SF
TOTAL PROPOSED SF
TOTAL SF
"NEWHOMES 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.
MECHANICAL
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
HOODS (commerdap
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub /Shower Combo) LAVS (Bathroom Sinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS honey
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS 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 irformation submitted in support of 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 responsibilityfor compliance with local, state, orfederal 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 a part o is application.
SIGNATURE: ((ff DATE
Owner and /or Authorized Agent
FOR OFFICE,USE ONLY
o NEW ❑ ADDITION
o ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO
BASIC PLAN?
o YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
o YES
❑ NO
NEW ADDRESS REQUIRED? o YES ❑ NO
UP /SEPA /SU?
o YES
❑ NO
PLATTED LOT? o YES o NO
DEMO PERMIT REQUIRED?
o YES
❑ NO
Bulletin #100 — January 1, 2008 Page 2 of 4 ku-Iandouts\Permit 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 5Q0 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
❑ 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 SINGLE /MULTI FAMILY
❑ 201 - 600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
❑ over 1000 amp 489.00
❑ 0 to 200 amp $ 96.00
❑ 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 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
❑ # of Thermostats
❑ # of Signs
(First - $57.50; add'n - $17.50 /ea)
(First sign - $57.50; 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
❑Additional Plan Review $115.00 /hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
El
❑ Automation Fee on all Permits .. $5.50
1s, 2500 ft2- $67.50;
Each add'n 2500 112 - $17.50) . PerWAC 296- 46- 910(5)(b)(I & U)
Bulletin #100 - January 1, 2008 Page 3 of 4 k\Handouts\Permit Application