07-101963 I <, f •
City of Federal Way Electrical Permit #: 07-101963-00-EL
Community Development ment 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: T-MOBILE KITTS CORNER TOWER EXTENSION
Project Address: 2041 S 324TH ST Parcel Number: 162104 9037
Project Description: New electrical service for cell site equipment
Owner Applicant Contractor
BELMOR HOLDINGS LTD KENNETH BAARD EXPERT ELECTRIC
1571 BELLEVUE AVE SUITE 210 EXPERT ELECTRIC EXPEREI008LF(6/6/08)
WEST VANCOUVER BC 4619 PACIFIC AVE 4619 PACIFIC AVE
CANADA FEDERAL WAY WA 98408 FEDERAL WAY WA 98408
Additional Permit Information
Electrical Fixtures
Service/Feeder: 101-200 amps-Cc 1
PERMIT EXPIRES Wednesday, October 10, 2007
Permit Issued on Friday, April 13, 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 in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
t
DATE INSPECTOR AREA AND TYPE OF INSPECTION
3• 13 . ,7 D,Trial G/A/ZEl A5/°, J7'
THIS CARD IS TO REMAIN ON-SITE r
.4%t CITY OF C mm nl
m o u ty Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07-101963-00-EL
Owner: BELMOR HOLDINGS LTD
Address: 2041 S 324TH ST
FEDERAL WAY, WA 98014-5915
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 8•/ I • q • By Date
❑ Temporary Power (4275) ❑ Service (4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date 13j 5 DateQ,_/Jr-o7 By Date
❑ Rough Electrical (4225) El Ceiling Cover(4020) / 0 Final -Electrical(4055)
Approved Approved Approved 3 By Date By Date By Date S° `.� 407
/
❑ Under-slab groundwork(4295) /
Approved
By Date
Federal , RECEIVED a? - ( ,C7 I '(p 3
Y ApR 1 3 2007 PER.
ERMIT SF MF CO MEc 9PL DE EN FP
COMMUNITY DEVELOPMENT SERVICES -//
33325-8TH FEDERAL Y,WA S3 63 BOX 971 ',�L I CATION / -
PEDERAL WAY,WA 98063.9718 TD
.753-835-2607•FAX253.835-20.�OF FEDEFi L A -
tuwut.rilrtt�((ndrnrlu�mrmni
BUILDING DEPT.
The following is required information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
S PROS/PERTY INFORMATION
SITE ADDRESS "ti'� ,= L�N ��2�"l t 4 t SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# - _ _ LOT SIZE(s
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)
f (Attach separate page far lengthy legal duai:010n)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descriptiron of work included on this permit onlu)
N w' (ec-i tea
( > '1' . ir't tr— (i 5 ,k- Cc.7 V-- Yvc - .
PROJECT NAME(Name of Business or Owner Last Name) —T: 4I r ,,
b 1 Ii CJ r a I /c.we-p
U PEOPLE INFORMATION .
PROPERTY NAME . f PRIMARY PHONE
OWNER IiviOtC"•e_ / 1v ( J. {'1r*/''(' ( ) -
MAILINO ADDRESS i CITY,STATE,ZIP E-MAIL ADDRESS
z �if( S: 3 2 4f-". Si-, r-e`Jwt,,,/ t-r4 cat, c 3
CONTRACTOR COMPANY NAME APP}.CANT N OFFICE PHONE
E -+ EteCf.', t•_ �f� � Ws-3) L(7( -(0( C
MAILI4O ADDRESS., CITY,STATE,ZIP CELL PHONE
4/60 fat. i s c_ A t T e a Q c.t'A4 r LIc�7 (2> s ) vC S -9E 3e
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
( )
CONTRACTOR'S REGISTRATION NUMBER - - EXPIRATI N DATE E-MAIL AD gRES r r 1
cr or hard r :el. i _ .•. ,�, .e$ t r"r eC'F�'!C-�`T''
Mlth ouch vppllwtbv b GX(70<t LCCRtr- • e6�c �accY .,
�Ee. I r4n((.. 61 f
APPLICANT COMP NY NAME APPLICANT NAME - OFFICE PHONE
kr� C c:5" c: ho ,. 1 ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
. ( )
RELATIONSHIP TO PROJECT FAX NUMBER •
Cl Architect 0 Tenant ❑Agent o Other ( ) -
PROJECT PRIMARY PHONE E-MAIL ADDRESS
CONTACT Qv1 h[Ltnr 44- (,ZS mil) 4{CS--' 3 c
LENDER NAME Per RCW 19.27.095:
Lender 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? • o YES o NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES O NO •
WATER SERVICE PROVIDER O LAKEHAVEN o HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ, FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT D
NUMBER OF FLOORS "'cans° PROPOSED TOTAL TOTAL=STING Sr TOTAL PROPOSED Sr TOTAL ST
•
"IVEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
. ■ FIXTURES
Indicate number of each type of fudure 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(Commard,
COMPRESSORS FURNACES RANGES
GAS LOG SETS . REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo) LAYS(Bathroom Sinks) URINALS _ MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS Folks
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE HIBBS -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 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. / ` - L 6 7
/3 NAME/TITL `'� l ife5 DATE V `
/E(Signature) (Tide)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent pkontractor o Architect ❑ Other
o NEW ❑ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT.
BUILDING SHELL ONLY? o YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? a YES o NO DEMO PERMIT REQUIRED? a YES a NO
•
Bulletin#100—January 1,2007 Page 2 of 4 k\Handouts\Permit Application
■
- 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
I ❑ Detached outbuilding or garage X 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
❑ O to 200 amp $92.50
❑ 201 - 600 amp 149.50 ❑ #of circuits to be added/altered
. ❑ over 600 amp .225.50 (1-5 cirotiits-$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
❑ 10.1-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
• ❑ over 600 amps ' 162.00
MISCELLANEOUS SERVICE/EQUIPMENT .
❑ #of Thermostats ❑ #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 (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
1.12500 ft2-$65.00;
Each add'n 2500 ft2417.00) •Per WAC 296-46-910(5)(14i A ii)
Bulletin#100-January 1,2007 . Page 3 of 4 k\Handouts\Permil Application