06-102030■
City of Federal Way F 1 L ,; Electrical Permit #: 06-102030-00-EL
Community Development Services
P.O.Box 9718 Inspection Request Line: (253) 835-3D50
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax',(253)835-2609
Project Name: GVA KIDDER MATHEWS SHELBY COMPANY
Parcel Number: 926501 0130
Project Address: 33301 9TH AVE S
Project Description: ALT- install circuit for a light in a elevator pit on an existing circuit.
Applicant Contractor
Owner THOMPSON ELECTRICAL
SHELBY CO LLC THOMPSON ELECTRICAL CONSTRUCTORS, CONSTRUCTORS,INC.
INC. TCONSTRU TO 2116.
1201 PACIFIC M AVE W #1400 PO BOX 45260 p0 BOX 45260
TACOMA WA TACOMA WA 98445
98402-4322 TACOMA WA 98445
Additional Permit Information
Electrical Fixtures
Circuits- Commercial I
CONDITIONS:
PERMIT EXPIRES Saturday, October 21, 2006
Permit Issued on Monday, April 24, 2006
I hereby certify that the tabove se will
in accordance with dthe laws, rules and oregulations of the State of Washi Washington
and the occupancy and the and the City of Federal Way.
Date:
Owner or agent: Al;,, �.„--,
THIS CARD IS TO REMAIN ON-SITE
41% -- Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#:Way
Owner:
Address: 33301 9TH AVE S
FEDERAL WAY, WA 98003-2602
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) El Pool Bonding(4195)
Approved
Approved to place concrete
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) 1 ❑ Final-Electrical(4055)
Approved
Approved Approved
By Date By Date BY,f c Date 4_u...v�
❑ Under-slab groundwork(4295) J
Approved
By Date
RECEIVED 0 E - ( v
or
en ederaI Way PERMIT
COMMUNITY DEVEWPMENTSERVICES QP R 2 4 2u , SF MF CO ME PL DE EN FP
333258TMAVENUE SOUTH•P35909718 BUILDING , LIGATION t FEDERAL WAY.WA 98063 9 'in
253 835-26 6 7•FAX253-835- OF FEDE A
nsmcayuite,,,. mlrmn DEPT,
The ollowin• is r-•uired in or'mationn-an incom•lete .• •lication will not be acre•ted. P l e a s e •tint l e•'• ink)or .)•-.
zz • PROPERTY INFORMATION
�J �H
SITE ADDRESS �330 I 9/_ A it , SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# I 2. le 5 0 I - O I 3 O LOT SIZE(s()
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
!Attach separate page for ter4t)W legal description)
IN PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION X ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION((Provide detailed description of work included on this permit only)
4 d d∎n cc eL l :3 t1'; .4',..x Jiro- 1 ✓1 c (k.vr.,h-u4- p tr t t- 0 ri X 1'5I- no C-1 rC-1,4 I
PROJECT NAME(Name of Business or Owner Last Name) 6 V 0 y I o-ov M6 r`“()S /511e I bb C 6.
• PEOPLE INFORMATION
PROPERTY NAME 'r Pr ��aa �/( C / / PRIMARY PHONE ?
OWNER (9` V 1 ' k1 dY_.y / " ' �LL✓, ` Ale lt CA_ ( 233) be - l (r2/
MAILING ADDRESS CITY.STATE.ZIP ���111
CONTRACTOR COMPANY NAME ( APPLICANT NAME OFFICE PHONE
Tha 00 EltCatTif� ( Z53) SS Y - 0414C1
MAILING ADD CITY,STATE.ZIP CELL PHONE
0 EDE �{.S 26 U Tc«aM4. 14)04- `t gk�c� (253 )25,5 - 1 I..5—`j
C OF FEDE WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
1 o - 0 L-1. 62-- CL & L-BL / / ( ZS 3)53/ - OjCL_
CONTRACTOR'S REGISTRATION NUMBER(copy of card raquhx with each application)ication) EXPIRATION DATE
rot 004 ? & c QU 8 � /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
t . C0et5E' . �. . (2$3 )531 - Dqq
ILI
MAN,••D'1 •,' r r C '.STATE. I. - CELL PHONE
' ,0, SeAL 45z ) , r41nrtia , wik qv- c (2s.3) 255 - ylsi
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect ❑Tenant ❑Agent ❑ Other(Describe) (7_,S1) 531 - 01C/
CONTACT NAME PRIMARY PHONE E-MAIL ADDRESS
a5 41e1:t.t- '� ( ) -
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CM',STATE,ZIP PHONE
( ) -
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? n YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES ❑ NO
WATER SERVICE PROVIDER Li LAKEHAVEN c HIGHLINE E TACOMA a PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
. SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
I PROPOSED TOTAL TOTAL=WPM=WPM Sa TOTAL PROPOSED SF TOTAL St
NUMBER OF FLOORS
"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 $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS IComme,uoa WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(ornm/Sborer combo) SHOWERS WATER CLOSETS craw MISC(Describe)
DISHWASHERS SINES 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 Fedeml 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. /�
NAME/TITLE DATE C7 —�L/
a ) (77Ue)
RELATIONSHIP PR ❑ Owner o Agent A'Contractor ❑Architect IT Other
FOR OFFICE USE ONLY
o NEW ❑ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? ❑YES ❑NO
ZONING DESIGNATION CHANGE OF USE? ❑YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? ❑YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#1(X)—January 1,2006 Page 2 of 4 k\HandoutsWermit Application
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 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
❑ 601 -800 amp 254.00 136.00 ALTERED COMMERCIAL/INDUSTRIAL
❑ 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
❑
GI 0 to 200 snip $89.50
over 1000 amp 456.50
1000
❑ 201 -600 amp 145.00 (Pi ( #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
(Per System(s) 1t 2500 1t2463.00;
Each add'n 2500 ft2-16.50)•Per WAC 296-46-910(adb)(i&ill
Bulletin#100-January 1,2006 Page 3 of 4 k\liandouts\Pemrit Application
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