07-101634 r
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City of Federal Way Electrical Permit #: 07-101634-00-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: WORLD VISION
Project Address: 3450 S 344TH WAY Suite 110 Parcel Number: 222104 9040
Project Description: Install low-voltage CCTV system.
Owner Applicant Contractor
WORLD VISION INC SECURITAS SYSTEMS SECURITAS SYSTEMS
PO BOX 9716 1158 INDUSTRY DR SECURSS97205(9/25/07)
FEDERAL WAY WA 98063-9716 TUKWILA WA 98188 1158 INDUSTRY DR
TUKWILA WA 98188
Additional Permit Information
Electrical Fixtures
Low Voltage-Other Commercial.. 2,500
PERMIT EXPIRES Tuesday, September 25, 2007
Pe mi Issued on Thursday, March 29, 2007
I hereby certify that the above • 7, ation is correct and that the construction on the above described property and
the occupancy and the use ,�/- in accordance with the laws, rules and regulations of the State of Washington
_ and the City of Federal Way.
Owner or agent: Date: ■Q` 01.(4g W 17
F�I �r ♦ir•.r
�m THIS CARD IS TO REMAIN ON-SITE .
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101634-00-EL
Owner: WORLD VISION INC
Address: 3450 S 344TH WAY Suite 110
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 Q\ 11:.,v Date ,.� 1\_Q , /3?-1-C.` Date 4— zco,..p7
'
❑ Under-slab groundwork(4295)
Approved
By Date
Fede Tway RECEIVED ,
pERMIT '
coMnmurvlrrnsFElormErrrssevicss SF MF CO ME(EL L DE EN FP
- 3332FEDERAL WAY,WA98063 9718'NPAR 2 9 Z OAPPLICATION TD - J
.253-835-2607•FAX 253-835-2609 / / /
a a,.alwrdergnaall CITY OF FEDERAL WAY
t - The following is regilikkilknitrlaJ'4-an incomplete application will not be accepted. Please print legibly(in ink)or. type.
4 • PROPERTY INFORMATION
y
SITE ADDRESS 3 U C.N-7 r I 3 '/'/ Y4 (A)/r( ki / e i SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ _ — LOT SIZE(sf
LEGAL DESCRIPTION (e.g.Acme Estates,Lot I) L..../ J @ r I (. V i i!O./1 ).5 I(0a. .3
!Mtat+grand*page for le,g by legal d.,e,liC,J
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING O PLUMBING 0 MECHANICAL
❑ DEMOLITION 6ECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed de cription of work included on this permit only)
AI eeS S . 7-'771 ,/ �G6 7-1}
PROJECT NAME(Name of Business or Owner Last Name)
• PEOPLE INFORMATION - -
NAME ,,o PRIMARY PHONE
OWNER
PROPERTY
, ' c ) V' L '. s i 0 t� (ds ) .s-i5---
I -f Cd'
MATLING ADDRESS CITY,ST/TE,ZIP E-MAIL ADDRESS
3iicc' ��:, 2vy L.,.../AY _ -f-Cle -a / cam✓/ j 9EroVI
CONTRACTOR COMPANY NAME - . NT NAME OFFICE PHONE
_ S- (. c. . / - • "/
Iv •ADDR`r• « ST TJ 41 `LL PHONE
/1'5 ,- -7:14o �5j, r��. 1 �///- w� or* .04/37 - 7/ 7/
CITY OF FEDERAL WA USIN S L NSE NUMB EXPIRATION DATE FAX NUMBER
o3=w v 3 - ,4.Q . ( )•
COPY vI v}d ayviM CONTR URA RE ST RATION UMBER 1 - EXPIRATION DATE E-MAIL ADDRESS
wKh aeh pIIevWv (f [/� _
APPLICANT COMPA AME APPLICANT NAME - OFFICE PHONE _
MAILING ADDRESS CITY,STATE,ZIP C ELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
0 Architect 0 Tenant ID Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER - NAME Per RCW 19.27.095:
Lender information is required if protect value exceeds$5,000
MAILING ADDR CITY,STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE *0 - PROPOSED USE 1110
EXISTING ASSESSED/APPRAISED VALUE $ lI' `7 2 a'C' VALUE OF PROPOSED WORK $ -77, COO
SPRINKLERED BUILDING? ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN O HIGHLINE ❑ PRIVATE (SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
n tiC e.- S Gr C. 25-0
SECOND
THIRD •
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?) . -
GARAGE ❑ CARPORT q
NUMBER OF FLOORS noeTma PROPOSED I TOTAL TOTAL=WINO SF TOTAL PROPOe5D el TOTAL Sr
**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 EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS - FIREPLACE INSERTS HOODS icomm.rdae
COMPRESSORS FURNACES RANGES
GAS LAG SETS . REFRIG.SYSTEMS
PLUMBING .
BATHTUBS(arms/shower combs( LAVS(Bithro,msinks) URINALS . -MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS(rotley
ELECTRIC WATER HEATERS SINKS 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 Wa ras to any claim(including costs, expenses, and attorneys'fees incurred in the investigation and defense of
such claim), which may be mad ,y any person, including the undersigned, and flied against the City of Federal Way,but only where such claim
arises out of the reliance oft -,city including its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application. --
•
NAME/TITLIL DATE ire'gg 5L'7
I;nature) (Title)
RELATIONSHIP TO PROJE T ❑ Owner o Agent ontractor o Architect o Other
✓,(g3 ( �u
a NEW o ADDITION a ALTERATION C REPAIR o TENANT IMPROVEMENT S
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
•
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Bulletin#100—January I,2007 Page 2 of 4 k\Handouts\Permit Application
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- ELECTRICAL PERMIT INFORMATION -
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
r
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 fti-$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 ALTERED COMMERCIAL/INDUSTRIAL
❑ 601 - 800 amp 262.00 140.50
❑ 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 Residential/Multi-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
❑ 4 of Thermostats ❑ # of Signs
(First-$55.00;add'n-$17.00/ea) ' (First sign-$55.00; add'n sign$26.00/ea)
„a Low Voltage .-2 Swimming pool/hot tub $111.00
Square Feet to be served by system(s) c: 7 C (Includes additional circuit,if required)
ZFire Alarm System ❑ Yard Pole meter loops $74.00 '
Security Alarm System ❑ Additional Plan Review $111.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1▪•'2500 ft2-$65.00;
Each add'n 2500 112+17.00) `Pe, WAC 29646.91015116)(i&ii) - .
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Bulletin#100-January I,2007 . Page 3 of 4 k\Handouts\Permit Application