07-100083 r r
City of Federal Way Electrical Permit #: 07-100083-00-EL
Community Development Services
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: RIDGEWOOD CENTER
Project Address: 33650 6TH AVE S Parcel Number: 926480 0210
Project Description: Replace existing L/V t-stat with new.
Owner Applicant Contractor
SUN LIFE ASSURANCE ESC AUTOMATION ESC AUTOMATION
33650 6TH AVE S 22125 17TH AVE SE SUITE 101 ESCAUI*960RA 1/8/07
FEDERAL WAY WA 98003 BOTHELL WA 98021 22125 17TH AVE SE SUITE 101
BOTHELL WA 98021
Additional Permit Information
Electrical Fixtures
Thermostat. 52
PERMIT EXPIRES Saturday, July 7, 2007
�rc ,
Permit ed
401.-Wonday, January 8;'2:007
I hereby certify that the above information is correct and that the constru tion on the above described property and
the occupancy and th use will be in a«e,rda ce ith the laws{rules and regulations of the State of Washington
an hey; ity of Federal Way.
Owner or agent: 4.4„ Date:
/r0 a,7
FIALCD
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record .
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100083-00-EL
Owner: SUN LIFE ASSURANCE
Address: 33650 6TH AVE S
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 Approved
By Date By Date By Date
❑ Temporary Power(4275) 10 Service(4235) ❑ 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 Date l Date ? — G'7
Under-slab groundwork 4295
❑ g ( )
Approved
By Date
RECEIVED •
CITY 1 Y OF l/ LT — t c-D_CI ..a a_
Federal Way JAN Q 8 2007 PERMIT
COMMUNITY DEVELOPMENT SERVICES SF MF CO ME PL DE EN
33325 8rH AVENUE SOUTH•PO BOX 9718 FP
253
FED835-2ERAL 607 WAY•,WA FAX 25983-806335-9 L , OF FEDER L I C ATI O N
-2�� TD
www.cituoffederalway.com BUILDING D
The yellowing is required information-an incomplete application will not be accepted. Please print legibly(In ink)or type.
/ Ave.• PROPERTY INFORMATION
SITE ADDRESS SF) LS C is A S SUITE/UNIT•
ASSESSOR'S TAX/PARCEL it Gl 2, yo '-t S O - 0 ' 1 o LOT SIZE(sfl
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) 1(j A c Q A;cc t`! oc ;c..e C G 1,fie V'(Attach parate page for lengthy legal description)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION VELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description- of work included on this permit onlu)
RNi1`L(Q Et'isl-i1 Le;,�, l it ! ,.rrh0tx t - '5yd 1 - t , wit
PROJECT NAME(Name of Business or Owner Last Name) 1lti lti ,4 ( '1ii
• PEOPLE INFORMATION
PROPERTY NAMFF A �^ PRIMARY PHONE
OWNER SC:� Lice. 4ItSLJ',iI1COL CC.A't 4rh� of (-4 vi c du; ( )
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
ZS(G50 cn, Ave_ S redrr41 wk.-?, wh-1 )
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
CSC.. AiAt;MIAo i ewe: Whi 5S1WI016vls ('ids ) LIfs7 - 5s(r13
MAILING ADDRESS CITY ST E,ZIP CELL PHONE
�a l:as )7- live.SG/ S�„tr 1U) &A-1,e11 LUG- y$c) r (?ct., )`7!C) - 9ti3`%
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER I EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER 41 wh-1
)(qcDATE E-MAIL ADDRESS
ESC/WI * l&C RA I/tI lOy 1/4.1s-w,►>7c,►s-e?.€2b uote.4. :,.cc
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
SC., 4c.�At; , —Te rc ny Stni wi l c.1 f (`-gels) L17 - $t: C3
MAILING ADDRESS CITY STATE,Zip CELL PHONE
I)5 17'`” Ave cEjsult 'c;'1 g(.l,et 1'� clTe'tl (9,40) '7W - 9430
RELATIONSHIP TO PROJECT �++ f FAX NUMBER
❑ Architect ❑ Tenant ❑Agent IV6ther CG H fir w�h.r— ( )
PROJECT' I NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ��rC v►�'{ J`i►'hNh oils
I (y,�5)y - Y6,13 .S siw►mcos Q�xE;,A,,, d ;,:-.M
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP PHONE /�
.b7N�ariall �C�\gll•r iIirJtl11.1/i^��w_awra� __ ' 111M11111,
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
PROJECT FLOOR AREAS
WATER SERVICE PROVIDER ❑ LAICEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN CI HIGHLINE ❑ PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
• SQ.FT. SQ.FT. SQ.FT.
BASEMENT
. FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS 67D$TIIDD PROPOSiD TOTAL TOTAL li)31VO87 TOTAL ar TOTAL.Zr
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
II FIXTURES
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 GAS PIPE OUTLETS WOODSTOVES
COOLERS
BBQS FANS CHAS WATER MISC(Describe)
HEATERS
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/shower LAVS(Bathroom Sinks) URINALS MISC(Describe)
Combo)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS
(Toilet)
ELECTRIC WATER SINKS WASHING MACHINES
HEATERS
HOSE BIBBS SUMPS
SIGNATURE
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge,and further, that I
am authorised by the owner of the above premises to perform the work for which the permit application is made. 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 of Federal Way,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 of
this application.
NAME/TITLE ti ti lit i 4 71 girl P,'''a p /�
""-- PC r2,./ t11FFi" DATE V3/ (7
(S';it"'
J (Title)
RELATIONSHIP TO PROD CT ❑ Owner ❑ Agent I/Contractor ❑ Architect ❑ Other
, .... ,�`� '�,�.. ,
❑NEW ❑ADDITION ❑ALTERATION ❑REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? ❑YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? ❑YES ❑NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application
' T
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-$35.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 ❑ 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage ❑ 401-600 amp 327.00 131.00
(Inspected separately) $74.00 ❑ 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
❑ 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50 Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 280.50
❑ 601 - 1000 amp 423.00
Service or Feeder ❑ over 1000 amp 471.00
❑ 0 to 200 amp $92.50
❑ 201 -600 amp 149.50 ❑ #of circuits to be added/altered
❑ over 600 amp 225.50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$74.00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
l/1KulTt-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
160#of Thermostats t 92 (,C ❑ #of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $111.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $74.00
❑ Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling or modified submittals)
❑ Data Cabling Automation Fee on all Permits . $5.00
❑
1•t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) •Per WAC 296-46-910(5)(b)fi 83 ii)
Bulletin#100-January 1,2007 Page 3 of 4 k\Handouts\Permit Application