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07-100200 *, 6tyif Federal Way Electrical Permit #• 07-100200-00-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: STERLING SAVINGS Project Address: 31620 23RD AVE S Suite 104 Parcel Number: 092104 9051 Project Description: Installation of telephone and dat cab n . Owner Applicant Contractor BALLI ROAD LLC B&C TELEPHONE INC B&C TELEPHONE INC 31620 23RD AVE S UNIT 218 800 SE 34TH ST SUITE A BCTELI*001L1 (6/21/08) FEDERAL WAY WA 98003-5049 RENTON WA 98055 800 SE 34TH ST SUITE A RENTON WA 98055 Additional Permit Information Electrical Fixtures Low Voltage-Other Commercial., 5,000 • PERMIT EXPIRES Wednesday, July 11, 2007 „;, Permit Issued on Friday,January 12, 2007 ran x�F; i I hr certifithatthe above information is correct and that the construction'on the above described property and- the occupancy and-the use ur ll be in ac ordance with the laws,rules and regulations of the,State i f Was prop; / and the City of Federal Way. Owner or agent: a ,t/�1 ■ Date: rl �� (� 7 A . THIS CARD IS TO REMAIN ON-SITE co,T► Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 07-100200-00-EL Owner: BALLI ROAD LLC Address: 31620 23RD AVE S Suite 104 FEDERAL WAY, WA 98003 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) ❑ 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 a Date _Z� ByG �, Date k,Z:tt,Q ❑ Under-slab groundwork(4295) Approved By Date 1 1 CITt op:�l�"Y -...'.. ; O 1 ( ` C off. `�a . Federal Way RECEIVED PERMIT ` COMMUNITY DEVELOPMENT SERVICES SF MF CO ME 6 PL DE EN FP 33325 EN AVENUE SOUTH•PO BOX 9718 253-85.2607•FAX 253-835 26090Pi 12 20 P P LI CATION T° www.cil uoffed a rul wa tt.co m cep® > The following is aqff. V de:. AL incomplete application will not be accepted. Please print legibly(in ink)or type. ■ PROPERTY INFORMATION SITE ADDRESS \COZQ .23(40 AU6 5 SUITE/UNIT# ASSESSOR'S TAX/PARCEL# 0 t (�(-4 - ' 6 _5 ( LOT SIZE(sJ) �4 LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Attach separate page far lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT ❑BUILDING O PLUMBING ❑ MECHANICAL ❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide etailed descript•on of work included on this permit onlcl) • PROJECT NAME(Name of Business or Owner Last Name) Vim`1 1\ 1V\ / • PEOPLE INFORMATION PROPERTY NAME a- -..-- C. PRIMARY PHONE OWNER �b..4 ` � LL.,(___- ( ) - MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS 3(.6.2 2? . ig L14-4,-Z'Of l C t,J 44- 411" CONTRACTOR COMPANY NAME AP L.ICANT NAME OFFICE PHONE '\-r- -\-e l �C e._ i O4O �U \ C-7 (20 ci) 7 -QC(4) GAS toRE S 311 S+SA • 1 1 �ZIP fr 1N 7� Q 8cS .(EL/KCr/NE 30. O y CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EICPIRATIOd DATE FAX NUMBER 20°-.02.-- / LLS--O©—)L ( ). 77-6 t Copy of card required CONTRACTOR'S R/EGIIST}RRAATION�NUMBER EXPIRA J) 10 ION DATE t��. \E-MAIL ADDRESS (��(J_' with caeh application %C.:VELA�' v`. - 60\L 1 `a. c4.)0..... APPLICANT •,. • . NAME APPLIt Ni'NAME OFFICE PHONE tr, h`�/ AILING ADDRESS t��"�' CELL PHONE C sc, 3LiiN,\ e v ,�—� '' _665'5 ( ) -?30-09S4 RELATIONSHIP T• •-•4 FAX NUMBER ■ : s ect ❑ Tenant ❑Agent kLOther C \ Lt.. +'y''- ( - 80 PROJECT NAME PRIMARY PHONE E-MAIL CONTACT (G,` .�µ"�v �'— _ ADDRESS ( ) LENDER NAME Per RCW • . - .-n,sr information is required if project value exceeds$5,000 MAILING ADDRESS CITY,STATE,ZIP PHONE ( ) • DETAILED BUILDING INFORMATION EXISTING USE �° PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE _ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑ YES ❑ a FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO WATER SERVICE PROVIDER ❑ LAKEHAVEN : .IGHLINE a TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER ❑LAKEHAVEN ❑ HI 1 INE ❑ PRIVATE(SEPTIC) PR'J • - • •� AREA DESCRIPTION EXISTING .' PROPOSED TOTAL • • SQ;FT: SQ.FT. SQ.PT. BASEMENT 1 . . . \ . - • . • FIRST .• i SECOND • • THIRD • • • ADDITIONAL FLOORS(DESCRIBE) • • DECK(0 COVERED OR 0 UNCOVERED?) GARAGE 0 CARPORT ❑' • EXISTING PROPOSED TOTAL TOTAL • TOTAL morales sr TOTAL sr NUMBER OF FLOORS **NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ ...• • • 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 EVAPORATIV a COOLERS GAS PIPE OUTLETS WOODSTOVES • • BBQS FANS OAS WATER HEATERS MISC(Describe) BOILERS FIREPLACE INS a- S HOODS(Commercial) COMPRESSORS FURNACES RANGES ' Du. t GAS LOG SETS . •REFRIG.SYSTEMS PLUMBING BATHTUBS(orTub/Shower combo) LAVS 16a .,in sinks) URINALS •MISC(Describe) DISHWASHERS ' RAINWA R SYST VACUUM BREAKERS . DRINKING FOUNTAINS . SHO RS "ATER CLOSETS(roues . ELECTRIC WATER HEATERS SI+, S WASHING MACHINES . 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 authorized 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 flied 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. r • NAME/TITLE f---� Cu5e. Sc) . 'DATE I/12. 0 1 (signature) (Title) • RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent Xontractor ❑Architect ❑ Other • o NEW o ADDITION o ALTERATION o REPAIR q TENANT IMPROVEMENT. . BUILDING SHELL ONLY? o YES o NO BASIC PLAN? •o YES o NO ZONING DESIGNATION • CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO . UP/SEPA/SU? . . 'o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO • • • • • Bulletin#100—January 1,2007 Page 2 of 4 ' ' • k\Handouts\Permit Application . , 1 • F 4 - ELECTRICAL-PERMIT INFORMATION • RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (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 A ❑ 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 ❑ 41 of circuits to be added/altered ❑ over 600 amp .:225..50 (1-5 circuits-$94.50;Add'n circuits,$7.00/ea) ❑ i3 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 Residential/Multi-Family $65.00 Cl it 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 ❑ 41 of Thermostats ❑ it of Signs .-(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea) ..46 Low Voltage F ❑ Swimming pool/hot tub $111.00 Square Feet to be served by system(s) 5U� (Includes additional circuit,if required) ❑ Fire Alarm System ❑ Yard Pole meter loops $74.00 ❑ Security Alarni System ❑ Additional Plan Review $111.00/hour ❑ Voice Cabling .r modified submittals) Data Cabling Automation Fee on all Permits .. $5.00 1•"2500 ft2-$65.00; Each add'n 2500 ft0417.00) •Per WAC 296.46.9I0(5)(b)(i 4 ri) • Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permit Application