12-105302 Elet�trical
City of FederalWay Permit #: 1 2-105302-00-EL
Community&Econ.
Dev.Services r
33325 8th Ave S
Federal Way,WA 98003 _ Inspection Request Line: (253)835-3050
Ph:(253)835-2607 Fax:(253)835-2609 L, ,
Project Name: FARMERS INSURANCE
Project Address: 33650 6TH AVE S Unit 110 Parcel Number: 926480 0210
Project Description: Install low voltage wiring for access security controls to associated tenant improvement
work
Owner Applicant Contractor
SUNLIFE ASSURANCE CO CANADA TIM BURDICK BURDICK SECURITY
600 UNIVERSITY ST SUITE 503 BURDICK SECURITY BURDISH951CG(2/7/13)
SEATTLE WA 98101 4700 RAINIER AVE S 4700 RAINIER AVE S
SEATTLE WA 98118 SEATTLE WA 98118
Additional Permit Information
Is Use Educational or Institutional'? No Service greater than 999 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial 1
PERMIT EXPIRES Monday, May 20, 2013
Permit Issued on Wednesday, November 21, 2012
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 ac'`rdance wit the laws, rules and regulations of the State of Washington
and - ! of Federal Way.
//'-‘ �f
Owner or agent: ' %Or / � Date: Z
„- . THIS CARD IS TO MAIN ON-SITE
CITY OF Construction In ection Record
Federal Way INSPECTION REQUE TS: (253)835-3050
PERMIT#: 12-105302-00-EL Address: 33650 6TH AVE S Unit 110
Project: SUNLIFE ASSURANCE CO CANAD FEDERAL WAY, WA 98003
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.
O UFER Ground (4295) ❑ Ditch cover(4030) 0 Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
O Pool Bonding(4195) Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
ti Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) '0 Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
,
Final-Electrical(4055)
Approved
h'A--. ---__--- Date \-2_y--
E Rough ElectricalCI Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
", -.A...., a • • - - ( o 5- 3 02
CITY Of
FederDirigg ELECTRICAL
RECE
NOV 21 2012 PERMIT APPLICATION
Is • • 1.4i,.,` z ctrical permits may be obtained on-line at www.cityo ederalway com**
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SITE ADDRESS: 356,60 /' cc, J //O
SUITE/UNIT/SPACE# ASSESSOR'S TAX/PARCEL# lI// / CURRENT/PROPOSED USE
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PROJECT NAME iMn,/
(Tenant or Homeowner Last Name) /y u'l. rse
PROJECT DESCRIPTION le.Q‘4,4/ to/-6.i' dive
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Detailed description of work to � _ }
be included on this permit only 3 S / 11x 10 k fa
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NAME ? PRIMARY PHONE
PROPERTY OWNER Ji 1,, e l Ge(�si 'i`L a!) ( ) -
MAILING ADDRESS E-MAIL
CITY STATE ZIP FAX
( )
NAME
PRIMARY PHONE
Z3u��1� �' �� lam ) 7;3.5-b07
MAILING ADDRES EMAIL
ELECTRICAL �f7 GS7 C Ave. Co
CONTRACTOR C ST TE FAX
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WA STATE ONT CTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE#
ger tShAAE 06. ..,95 J G� �/ / / PRIMARY
APPLICANT Nl, r,I� / )7,�6P6p 7
MAILING ADDRESS f
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CITE-- �� ZIP F�yy
S PggliS 057a� -0713
NAME PRIMARY PHONE
PROJECT CONTACT ex7,
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge, the information submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
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,
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 his application.
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SIGNATURE: ,1-,---ee--/' ,`� , f >' 1 /l-rt DATE f/—' lJ /
PRINT NAME: ` , -,e1`� /� 7 r`' et,11
33325 8'h Avenue South•Federal Way♦WA♦98003-6325♦253-835-2607♦fax 253-835-2609♦www.cityoffederalway.com
Bulletin#160-January 1,2011 Page 1 of 2 k_\Flandouts\Electrical Permit Application
t.
'• RESIDENTIAL• Co MERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
1st Service/Feeder Additional Feeders
(including attached garage): =, 10 € tti$ , °g
FEES: First 1300 ft2-$122.00;
Each additional 500 ft2-$39.00 51 ',TWP1 3 ,.,z t ,
NEW MULTIFAMILY (3 units or more) #
1st Service/Feeder Additional Feeders ' q'kt ' vt-'. ##, °`" ,r i
.' ' 5.0+5'4 rx.. ... .. ' °` 36.50
. Ft #rtn ,, ,atay iz rg k x R
4tin,70:11:tii;:',VIAtieNNargatijaitilitLr-,:AVM
50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder 1st Service/Feeder Additional Feeders
V
2016 atnp TOW 1600 rte:: P g 1c$307 00 . x l L 00
Added or Altered Circuits ..
1-4 circuits$80.50;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.50;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.50
MANUFACTURED HOMES PLAN REVIEW FEES
Plan Review required only for:
Yet • New,or alteration to, service of 1,000 amps or greater
• Medical/Educational/Institutional Facility
$103.50 plus 35%of Permit Fee
(Permit Fee x 35%= +$103.50=Plan Review Fee)
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
17,Fire Alarm System 1st Service/Feeder Additional Feeders
Security Alarm System
Voice/Data Cabling
..# * c,.g. 7.zx....
0 Other
Area to be served by system: �C/up ��a sic $'St}5E3 '. 390f1
1"2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
60.50
#of Thermostatsro:,:. 1:;;.IAttri7AVVIIQ,*NaZOTIAf*iiigtkikIftMtO
First$60.50;each additional$18.50
tiver5(# s .�. h. $184 :
FEE CALCULATIONS
Yard Pole/meter loops/pedestal x$ 80.50 • Fees are determined by the scope of work as indicated_
Portable Generator(transfer equipment) x$101.00 • A$6.00 Automation Fee will be added to all permits.
Ditch cover/inspection only x$121.00 • For assistance in calculating fees or completing the
application form,contact the Permit Center at
253-835-2607
33325 81'Avenue South•Federal Way♦WA•98003-6325♦253-835-2607♦fax:253-835-2609♦www.cityoffederalway.com
Bulletin#160—January 1,2011 Page 2 of 2 kAl-Iandouts\Electrical Permit Application