07-106913 • T
•
City of Federal Way Electrical Permit #: 07-106913-00-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: NORTHSHORE VILLAGE
Project Address: 35415 21ST AVE SW Parcel Number: 252103 9002
Project Description: Installation of 100-amp panel for street lighting @ NE area of property in ROW @ 20th
SW.
Owner Applicant Contractor
DAVID HOEK MCMULLEN ELECTRIC INC MCMULLEN ELECTRIC INC
DAVID'S FEDERAL WAY LLC 203 W STEWART MCMULEI529BF (2/28/09)
DAVID'S FEDERAL WAY LLC PUYALLUP WA 98371 203 W STEWART
PO BOX 8164 PUYALLUP WA 98371
TACOMA WA 98418
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Service/Feeder: 0-100 amps- Con 1
PERMIT EXPIRES Sunday. December 21, 2008
Permit Issued on Thursday, December 27, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the se will be in accordance with the laws, rules and regulations of the S ate of Washington
and t e C' of Fede al Way. fi�rr//
Owner or agent: _ __ Date: / ou _0__-_____
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF �- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 07-106913-00-EL
Owner: DAVID HOEK
Address: 35415 21ST AVE SW
FEDERAL WAY, WA 98023-3058
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
•
El Temporary Power(4275) El 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 y Date 7z zei
❑ UFER Ground(4295)
Approved
By Date
I
•
For inspector reference only
❑ Rough Electrical ❑ FINAL-Electrical
Approved Approved •
By Date By Date
> :,«tx v FECEIVEfi D - 1 Q 7
Federal Way PERMIT
COMMINTrf DEVELOPMENT SERMES DEC 2 7 2(111' SF MF CO ME CLIL DE EN FP
333258M AVENUE SOU7H•PoBOX 97,8 �ppLI CATION iv / ----- /
FEDERALWAY,WA 9 8 0 6 3 9 718 YJY. . {1
3-8352 6 0 7•FAX 253-835-2609 ._
wunu:d7wl(ederahuw.crom IY OF FEDER L H
BUII..DING DEPT. 2ai6 C
The following is required information-an incomplete application will not be accepted. Please print legib t or 1•e:,,
• PROPERTY.INFORMATION
Y SITE ADDRESS .)i �� 35 L7j SUITE/UNIT#
ASSESSOR'S TAX/PARCEL # r - .I/ 1 A' LOT SIZE (sf / '(�'�
LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1)RR-I. DY ,.. ....0-,0,Q.5-
1,0, /v�.'�1H Ip AlIV R 7 ci �E NI • I
(Attach separate page far lengthy legal desolpaan)
■. PROJECT INFORMATION
TYPE OF PERMIT ❑BUILDING �❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION)(ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
ma
It" • 1 •E - IJ aI c 11 M 4 t 0 •
AiJ -11.0 e o. 107'' 20gv 35 S70 CE 7' 191-?7`
PROJECT NAME(Name of Business or Owner Last Name) !:M i= •
_.. II PEOPLE INFORMATION
PROPERTY NAME
�J PaA RY PHO NE
_NIRIER .OA 1) ilk -i jV 05/ . 6 ) c7? -56.6
1
MAILING ADDRESSS CITY,STATE,ZIP q
P/0 ISO C !(,'f e CI iTYJ ',3
CONTRACTOR CO NAME /� APPLICANT NAME OFFICE PHONE
CO (j57'2)c;Y�bJ r6a F rJk,1 (253 ) 835 -3y-) L
LI GADDRESS ITY,ST TE,ZIP CELL PHONE
7 ' 1--.&,4 62ai, C�� (zs ) 567-8783
OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION ATE FAX NUMBER
- -
- B L / / (2.s-� ) 835 -3(P3
CONTRA R REGISTRATION NUMBER loopy of cud required with each application) EXPIRATION DATE
7(..___ I /
APPLIC COMPANY NAME a APPLICANT NAME OFFICE PHONE
AAC1U�Lt FGs I SATh A(.)AC,rc� fl'f\EC (2- ) q� - 7593
MAILING ADDRESS CITY,STA ZIP q
2a IP. t�CcJA ,2T Lt-up - �tH
RELATIONSHIP TO PROJECT ,,/' FAX NUMBER
❑ Architect ❑ Tenant ❑Agent ❑ Other(Describe ULI�O,,I'YPJ,Q(iThQ- (2 Of C - 662",
CONTACT NyIkkE.-- PRIMARY PHONE E-MAIL ADDRESS l
AM ScatC.414Ain ttf i) ( ) 6/16 - -)s93 snm®AUndLr� n)c, CoM
Vaa.h - y - - a r
LENDER ,f�,��er�2G�W 19 27 09� x�tr}jo>•7+'tadon��syr --SAME
- r nd ITp$ t vah�e,excet3a 3 OOd.. �YYJ
MAILING ADDRESS CITY,STATE,ZIP
' •.DETAILED BUILDING INFORMATION. . ,
,ISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES L7 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN 0 HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE ISEPTIC)
dYaI3 / tap 97
PROJECT FLOOR AREAS,
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. FT. SQ. FT.
'JMENT '
>�T
OND A 1
N.I .
1
l IRD
OURTH
`ADDITIONAL FLOORS(DESCRIBE)
j
l DECK(COVERED?)
f GARAGE ❑ CARPORT❑
NUMBER OF FLOORS ��ao PRDPo68D rota �oxm.meanorr :y 50 M p h ',s: , ,,,,.I O2i _.
**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 $ (la
AIR HANDLING UNITS ` " 'EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(comm.r64 WOODSTOVES
- BOILERS ' FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING '
BATHTUBS(orTubIShomCombs] SHOWERS WATER CLOSETS moo) _ MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS!Bathroom Sinks) . 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, • .•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,up n the accuracy AT the irf on supplied to t city as a part of
this application. I '� /(��y/1,�if(
11m /�/
NAME/TITLE �� / /°� Y' �1 I + / DATE / a
(Signature) (line)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent Contractor ❑ Architect ,0 Other
2,1�OFFI ON
4
t�A y, t t ve a. mn. T- .^iR 3 5+-v'-<u,i.'X' M l j: A Y z^ r i ^h p__ z x , 5 pvt t}�. i < ,
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cwa3.i"+�' �'•-S+aF'xr�E��.`xs'Ds�.v�'aeTr'�s SS a >s..-Tx"^+�.�icfT Kro�A �'�L•.'-?-a t �e�K. 1'+.�n m +ry '�'�5
P. =t�-.f re a Y 5 'a t ,' t f' =AI t.=.10,kM.,y. 1 -'F
', +a* 3. "'e h `a ' o .'z t< ?:'.i C.S 5, iQi .FIt iM.41
Lt�N�Q(idrESl 1�74TIOicT u �74 :m ){a a: t li��a wb� y E §$?o ? mr1,1
NEW) sDRESB ;®rrIRE :R ut} �E$ s' O 4i27: °^S '�-`'>S U �8EP,A SU a i1 r t3''�1sit'f °5t_ .,, ,D1 vkue laP' .&`hx`s�.' y
x ra y ,chi n .v v ,i e j 4Ty. u. � xtx' $§,�
PI.A'T3'EDiLQT9 . r .-:Ii- -- N to €+ it �Kr� H r, x - ,'i t p. . '' '5? ,t4,,.., O' S f.zp't;' f
» 9d �''.`4 .� � r"`.�a.f.�u u+, ., . LIEMb L'' ,..�` < .:. .. 350 '...
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Bulletin#100—August 19,2004 Page 2 of 4 k\Handouts\Permit Application
FEES
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
PERMIT FEES
Building,mechanical,and fire prevention system fees are based on the following schedule.
**Electrical and plumbing fees are calculated separately"-
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
(1)$1.00 to$500.00 (1)$30.50
(2)$501.00 to$2,000.00 (2)$30.50 for the first$500.00 plus$4.00 for each additional$100.00 or fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$90.50 for the first$2,000.00 plus$18.00 for each additional$1.000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$504.50 for the first$25,000.00 plus$13.00 for each additional$1.000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$829.50 for the first$50,000.00 plus$9.00 for each additional$1,000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,279.50 for the first$100,000.00 plus$7.50 for each additional$1.000.00 or fraction thereof,
to and including$500,000.00
(7)$500,001.00 to$1,000,000.00 (7)$4,279.50 for the fist$500,000.00 plus$6.00 for each additional$1,000.00 or fraction thereof,to
and including$1,000,000.00
(8)$1,000,001.00 and up (8)$7,279.50 for the first$1,000,000.00 plus$4.50 for each additional$1,000.00 or fraction thereof.
SN)1 Table A
PLAN REVIEW FE
• Building Permit r) 65% of Building Permit Fees
• Mechanical Permit 25% of Mechanical Permit Fees
• Plumbing Permit 65% of Plumbing Permit Fees
• Additional Building Division Review $61.00/hour
PLUMBING PERMIT FEES
• $26.50 Permit Fee plus$9.00 per fixture
OTHER FEES (Vary according to project type and scope)
• WA State Building Code Council (SBBC) Surcharge $4.50/issued permit
• Fire District#39 review fees (commercial only) 15% of Building Permit Fees
• Public Works review fees Hourly/varies by project
• School District Impact Fees (new residential only) $3,269.00/single family residence
$ 940.00/multi-family unit
• Demolition Permit Fees
• Required Bond(s)/Deposits
If you need assistance completing the permit application form, or have questions
concerning the application process, please contact:
Community Development Customer Service Counter at (253) 835-2607
8:00 am to 5:00 pm, Monday through Friday
_;.Bulletin#100—August 19,2004 Page 4 of 4 k\Handouts\Permit Application
•
1 y
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-$87.00;Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
0 Detached outbuilding or garage . 101-200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 01-400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 - 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 ' 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge . $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑, #of circuits to be added/altered
(1-4 circuits-$58.00;Add'n circuits$6.00/ea) COMMERCIAL/INDUSTRIAL PLAN REVIEW
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ' 0 Service- 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK ❑ 0- 100 $58.00 $51.00
❑ #of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $58.00
❑ Security Alarm System. ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
❑
(Per System(s)1•"2500 ft2-$51.00;
Each add'n 2500 ft2-13.50) •Per WAC296-46-920(5)(W&n)
Bulletin#100-August 19,2004 Page 3 of 4 k\Handouts\Permit Application
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