06-101929 PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SA.FT. SQ. FT. SQ.FT.
BASEMENT
FIRST
SECOND
'HERD
FOURTH
ADDLTIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE O CARPORT❑
NUMBER OF FLOORS I soles I mamma f roret TOTAL MISTING sr TOTAL PROPOSED TOM IN
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type ofJizture to be Installed or relocated as part of this project. Do not include existing fbdures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS - GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Cmmr,clail WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS Or-Mb/Shover combo?
SHOWERS WATER CLOSETS rmeet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Batbmomslmml 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 of the city.including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. q-/7-0L,
NAME/TITLE DATE
(Siva 'J tittle)
RELATIONS j.• • PR• a ❑ Owner ❑Agent -Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
❑NEW o ADDITION ❑ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? o YES u NO
ZONING DESIGNATION CHANGE OF USE? H YES ❑NO
NEW ADDRESS REQUIRED? ❑YES ❑NO UP/SEPA/SU? o YES u NO
PLATTED LOT? u YES ❑NO DEMO PERMIT REQUIRED? o YES n NO
Bulletin#100—January 1,2006 Page 2 of 4 k\Handouts\Permit Application
J
S
City of Federal Way F I L Electrical Permit #: 06-101929-00-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: FERGUSON XPRESS
Project Address: 32411 PACIFIC HWY S Parcel Number: 150050 0150
Project Description: Alter(5)circuits for tenant improvements.
Owner Applicant Contractor
WILLIAM KIMBALL JEREMY PORTER PRISM ELECTRIC LLC
FERGUSON ENTERPRISES INC PRISM ELECTRIC LLC PRISMEL973RJ(12/11/07)
P.O.BOX 26867 2731 NE 135TH ST 2731 NE 135TH ST
SAN FRANCISCO CA 94126-6867 SEATTLE WA 98125 SEATTLE WA 98125
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 5
CONDITIONS:
PERMIT EXPIRES Sunday, October 15, 2006
Permit Issued on Tuesday, April 18, 2006
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 Ci of Federal Way.
Owner or agent:,00000000, Date: /a-06,
i
NL 3E .
THIS CARD IS TO REMAIN ON-SITE
CITY OF ''=:.. ;. Community Development Inspection Record _
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-101929-00-EL
Owner: WILLIAM KIMBALL
Address: 32411 PACIFIC HWY S
FEDERAL WAY, WA 98003-8546
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.
e❑ 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) El Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
.0 Rough Electrical(4225) Ceiling Cover(4020) P2 Final-Electrical(4055)
Approved Approved Approved
By `�t�� Date 4, OC, , , By V., Date5(�jl B VC Date \ p
.❑ Under-slab groundwork(4295) I `
Approved
By Date
A QQ*- ( • __.?_ , J
Federal Way PERMIT
COMMUN1 YDEVELOPMENT SERVICES SF MF CO i��'L DE EN FP
333258"•AVENUE SODIH•PO BOX 9716 APPLICATION swirjwiii
FEDERAL WAY,WA 98083-9718
253-835-2807•FAX 253E35-2609
u.11,17,.dWorlederalway.com
The allow' ■ is .•wired in onnatian-an inco • -tea••lication will not be acre•ted. Please ■ ' t le•"■ - an ink)or .. •-.
• PROPERTY INFORMATION
SITE ADDRESS 3a /-11 I ?7c..., _ /4.......-i s. 9 bo�3 SUITE/UNIT#
ASSESSOR'S TAK/PARCEL# / 0_0.1 0 - C) r ,S C.) LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate P?lelor Terri W/legal descrilkmN
■ 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 onkl)
e-.41.9✓t f- Z r'J..e.t/'1Jef '4 t ,c d11Y1 4/4..L t ;n c./.7L'e
7-6-4v(._4 fie.J.. i All-4.4., /e.5.4 - 74,X )-•.■•••e.J X:1J. 4c...-1 ce-csto 14 o c J .
, O c.414.4 7 -/-o e X,-s Ir.'rr Xis.i,
PROJECT NAME(Name of Business or Owner Last Name) Ftrr/'- we") ,,C4ey-E.LS
• PEOPLE INF)RMATION
PROPERTY NAME PRIMARY PHONE
OWNER ,G.vc NODA e/11�""C,S� 4.- .... (7✓ f) i7 79- 779J
MAILING ADD &IY.STATE.71P
/.2 sov 17/ VA 4• ALAIN:V.4"latiNig, lid- .2 36.Oa- ''/9
CONTRACTOR COMPANY NAME APP NAME OFFICE PHONE
Llcc..ir' "s Yv�_ u.44%4— (oioL) 36.2 -41-27
MAILING ADDRESS CITY.STATE. CELL PHONE
-273 / ti/E___ /7..&22,571--- (Ai 9$/.�r-(ao4.) St - so/A
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ORATION DATE FAX NUMBER
42Q- oV-1 2 ys-% 3- B L /c2.•/3 / 'aceg 1.e6 )14a sa8
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
x 2 .2 _7 I b I t? ? - - - l°/3/ /4004
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C Pe/+a,14cfir" ( ) -
MAO]NG ADDRESS CITY.STATE,ZIP CELL PHONE
( )
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) ( ) -
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
� is ./.._ c- ) ?6a.- 0 8.27
LENDER Per RCW 19.27.0 5: Lender iriformation is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY.STATE.ZIP PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE ize.,4-4.1 PROPOSED USE /�.a-4-.'I
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE El TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER El LAKEHAVEN ❑ HIGHLINE El PRIVATE(SEPTIC)
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Service or Feeder Each Add'n
Single Family Square Feet
(First 1300 fta-$107.50;Each add'n 500 ft2-$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
❑ 0to200amp $89.50
❑ 201 -600 amp 145.00 "a- 5---;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
❑ 0- 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)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00
CI
(Per System(s)1m 2500 fta-$63.00;
Each add'n 2500 fta-16.50)•Per WAC 296-96-910(5)@)B&ill
Bulletin#100-January 1,2006 Page 3 of 4 k\HandoutslPermit Application