07-100741 City of Federal Way Electrical Permit #: 07-100741 -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: SERVICE EMPLOYEES INTERNATIONAL UNION (SEIU) #775
Project Address: 33615 1ST WAY S Parcel Number: 926504 0190
Project Description: Installation of L/V voice and data cabling.
Owner Applicant I Contractor •
WOODSTONE CREDIT UNION SUSAN STREIFEL MGR E Z INTERFACE
33615 1ST WAY S WOODSTONE CREDIT UNION EZINT**001KD 05/04/2008
FEDERAL WAY WA 33615 1ST WAYS 1801 CENTER ST
98003-6263 FEDERAL WAY WA 98003 TACOMA WA 98409
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial..12,64;
PERMIT EXPIRES Wednesday, August 8, 2007
Permit Issued on Friday, February 9, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the use will be i accordance with the laws, rules and regulations of the State of Washington
■d the ity of Federal Way.
Owner or agent: date:
DATE INSPECTOR AREA AND TYPE OF INSPECTION
THIS CARD IS TO REMAIN ON-SITE
CITY OF - Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-100741-00-EL
Owner:
Address: 33615 1ST WAY S
FEDERAL WAY, WA 98003-6263
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 r �� Date b%—i.i—o , 0 By Date By 0 Date,t1_2b.M
❑ Under-slab groundwork(4295)
Approved
By Date
I��
, , 8 4 .Cy 5,
RECEIVED
r Way zooPERMIT �� —
c MUNrfYDEVEIAPMENTSERYICISS FEB 0 9 2 SF MF CO M �'L DE EN FP
33325 2FED AVENUE L Y..SOUTH 80639718 /C^ JLI CATION
253-835-26074 FAX 253-835-2609� CRY 4F
a�Iaarra a b.oa BUILDING DEPT, _..._.__t_________4
T h e •Liow • I s -,aired in ormation-an incom• e t e • to I i c a t i o n will not be acre•ted- P l e a s e • t le! •L_ or • •
• PROPERTY INFORMATION
SITE ADDRESS 33(oI5 - /S Ohl So w ) Let b ia
Pail SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# 5 Z ( ' b '{ - n 1 ri D LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach seporaM page for lengthy legal ddSCd8Er I
• PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT D RIPTION( vide detailed description of work included on this permit only)
I V)s1A 11 Vai CF��Pci.6et ,�, iA/7 i bt- .
PROJECT NAME(Name of Business or Owner Last Name) 611 1-116
II PEOPLE INFORMATION
PROPERTY N ' 1 PRIIMARY PHONE
OWNER A3 r fV , /rJ S C/ Are/ (Y )a6/ Pio-
98.I r�Dri. , • C ATE.ZIP 1
i
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
a Lnl ' (Jack f-s )Wif -6f�
MAILING ADDRESS CITY.SPATE,ZIP CELL PHONE
1814_Ce12kr. 6frec-f- Teem (25 3 )Zo z - ,10
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
Z O - 0 (v- 2 0 41- O -B L 12/ g l /7E01--(.253) v44 -5565
CONTRACTORS REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
F4 Win/ i CIE 0o1 LLD 5 /I/ Cart
APPLICANT CO NAME tizatEititi-ilti APPLICANT NAME OFFICE PHONE
L[ -/6- '9l £d— CIR•-^uy�. G�/V fIV O CELL PHONE
RELATIONSHIP TO P ECT •/1(`_ FAX NUMB/ER
❑Architect P
❑Agent ❑Other(Describe) ( ) -
CONTACT NAME r I PRIMARY PHONE E-MAIL ADDRESS
(. 0' C— ( ) -
LENDER Fer RCW 19.27.095: Lender information is NAME
required ifproJect Value exceeds$5,000
MAILING ADDRESS .STATE.ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SS ION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ NE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAHEHAVEN GEBdNE N ❑ PRIVATE(SEPTIC)
5
V
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SA.FT. S9.FT. SQ.FT.
BASEMENT
FIRST °
SECOND
THIRD
FOURTH //-
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) e'
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS SNAG �mO I TOTAL T°ULHSIBT➢VC Sr Toul.wowe®sr ToTU.v
**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,jtxlures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE CO RS GAS LOGS REFRIG.SYSTEMS
BBQS FANS / HOODS(Comm r i4lJ WOODSTOVES
BOILERS FIREPLAC SERTS RANGES MISC(Describe)
COMPRESSORS FURN ES GAS WATER HEATERS
DUCTS GAB PIPE OUTLETS
PLUMBING /
BATHTUBS(or146/Slmwsr Coisbo)
SHOWERS WATER CLOSETS rIbuet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS Igathtoom5mk) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 filed against the City of Federal Way,but only where such claim
arises out of the reliance the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ,J� A'n -j C�'
NAIVE/TITLE ¢Gls c.PiLla/N F / 1491, DATE d- l D 7
(Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent �p contractor ❑Architect ❑Other
FOR OFFICE USE ONLY /
a NEW a ADDITION a ALTERATION a REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES n NO BASIC PLAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
r,, . . . . 1. . 1
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-$107.50;Each add'n 500 ft%-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801 - 1000 amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 -800 amp 254.00 136.00
❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0 to 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ O-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'n sign$25.00/ea)
*ow Voltage ¢� �_,/� ❑ Swimming pool/hot tub $107.50
Square Feet to be served by sy-,.- )1 r(Y! (Includes additional circuit,if required)
❑ Fire Alarm System /D )II -2._ ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
.Jr Voice Cabling �� for modified submittals)
OData Cabling �F /I Automat, • ' . _. �•rrmits $5.00
(Per System(s) (
Ea ch add'n 2500 ft 2-1 6.50) Per WAC 29646-910(5)(>)R&ip .N / 5 2_ .
S
Bulletin#100-January 1,2006 Page 3 of 4 k\Handouts\Permit Application