09-101544 0 0 Electrical
r City of Federal Way
Community Development Services Permit #: 09-101g44-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718 Inspection Request Line: (253) 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: AMERICAN FAMILY INSURANCE a4 7 fes"
Project Address: 27400 PACIFIC HWY S Suite D xtIParcel Number: 872992 0010
Project Description: Install voice and data cabiling.
Owner Anolicant Contractor
BALDRIDGE-FEDERAL WAY LLC SUN WEST COMMUNICATION SUN WEST COMMUNICATION
11825 MANCHESTER RD 16212 BOTHELL-EVERETT HWY 129 SUNWEWC955QQ(11/18/09)
ST LOUIS MO 63131-4620 MILL CREEK WA 98012 16212 BOTHELL-EVERETT HWY 129
MILL CREEK WA 98012
:11A T.._,. r 2 .... \ z,.,t. , , ,,. ..`771/Z(1*� .,, E , ....,°,,,,,,
+,.
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
x � .0',A, i Itil cM\ �'✓ �x sa izx �: � /i z 41 ; ); E1e ncat F x "
Low Voltage-Other(Commercial I
PERMIT EXPIRES Tuesday, April 27, 2010
Permit Issued on Monday,April 27, 2009
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 actor•_-. with the laws, rules and regulations of the State of Washington
- : the City of Federal Way.
cie__N Date: l'J • l 2
Owner or agent:
FINALED
THIS CARD IS TO•MAIN ON-SITE
art OF 4Itommuni Development Inspection Record
tY p p
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 09-101544-00-EL
Owner:
Address: 27400 PACIFIC HWY S Suite D
FEDERAL WAY, WA 98003
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.
0 UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— ❑ Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
0 Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By5 -$ Date -3.0-
Final
-3o-Final-Electrical(4055)
Approved
Date ,c_l
•
For inspector reference only _
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
. A
EIVE - \ \ s-,c
AE
deral
PERMIT SF MF CO ME CPL DE EN FP
33�?28"'AVENUE SOUTH•PO BOX
" ;APR 27 2019
FEDERAL WAY,WA 98063-9718 APP I CAT I O N -_+
253-8352607•FAX 253-8352609
w ".c`u°` ^`OF FEDERAL WA
The following is required e ation-an incomplete application will not be accepted. Please print legibly(in ink)or type.
�^v7 • PROPERTY INFORMATION
)(SITE ADDRESS_ —1 L'1 U� Pic i C"�L 1-V,,.)--1 CZ117-Z61fit `'A'( Wild G -IIITE/UNIT#
ASSESSOR'S TAX/PARCEL# - __ _ LOT SIZE(sf
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
titiach=Para*Pogo fir!MOW kW,demiPtion)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING -
O DEMOLITION TI,BLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
NI 02.t-) '1'A CX1_.3 a--)tr
•
PROJECT NAME(Name of Business or Owner Last Name) -A -z-ez:c. c i-v '.1'4l��.ti-1 :L g11 c"'C C
® PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY,STATE,ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
ti>- ;ST (rp t-14NS `.1 (461 'S3<- °
MAILING ADDRESS CITY,STATE,ZIP CELL PHON
142,IZ Ar,»_ c>Ti .f �- 1.A.. cr& a80Z- (9eS) 7$- 017 )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
N tsi3S7 - oS2z
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
C-U).-::-'1-</N CSP -tom- ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL.PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect 0 Tenant 0 Agent 0 Other ( ) -
PROJECT PRIMARY PHONE E-MAIL I'
CONTACT �( ) _
LENDERE / Per RCW 19.2 95:
Lender info n is ifpro value exceeds$5,''
NG ADDRESS CITY,STAT ' PHONE
( )
• DETAILED BUILDING INFORMATION
EXISTING USE ,:u POSED USE
EXISTING ASSESS.N'/APPRAISED ALUE$ VAL' . OF PROPOSED ' •RK $
SPRINKLERED BUIL'LNG? o YES a NO FIRE=u -, ON = ' ' A,'� PROPO •P1'/REQUIRED? 0 YES 0 '0
WATER SERVICE PRO ii A- : a LAKEHAVEN a :: . :I 1; - 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
■_ PROJECT FLOOR AREAS
AREA DESCRIPTION ` EXISTING 1 PROPOSED TOTAL
BASEMENT \ SQ.FT. SQ.FT. SQ.FT.
FIRST
SECOND
.---71"4-
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
7---
GARAGE 0 CARPORT 0
NUMBER OF FLOORS 7V
O TOTAL Tons s:anaoer TOTAL rsovaeeoat TOTALS?
**NEW HOMES ONLY** NUMBER OF BED"
ED OMS ESTIMATED SELLING PRICE $
a FLYTURES
Indicate number of each type offixture to be ins or relocated as part of this project. Do not include existing fixtures to remain..
MBCUANICAL
Value of Mechanical Work$ (A COPY OF= . OR ESTIMATE MUST BE IN 'ED WITH APPLICATION)
•
AIR HANDLING UNITS EVAPORATIVE COO t.z-r' OUTLETS WOODSTOVES
)
BBQS FANS 'GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commercial)
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
•
PLUMBING
BATHTUBS(or Tub/Shower Comb* LAVS MOO URINALS MISC(Describe)
DISHWASHERS ATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS OWERS WATER CLOSETS(cos*
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SIGNATURE
I cartib under penalty of perjury that I am the property owner or authorised agent of theproperty I
knowledge,the deformation submitted in support of this permit application is true and correct. that Ghat Ir.will complyCert thatto the
with all appbestlicable cCity of Pederal Wag
my
does not remove the reger'tns pertaining to the work authorised by the lemmata*of a permit.I understand that the issuance this permit
responsibility for compliance with local,state,or fedencl 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 of this appli
SIGNATURE: � -���
. ��- 3
Property Owner and/or Authorized Agent DATE / t'
a NEW a ADDITION a ALTERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? o YES a NO IIP/SEPA/SII? a YES a NO
PLATTED LOT? a YES o NO _ DEMO PERMIT REQUIRED? a YES a NO
-Bulletin#100-January 1,2009 Page 2 of 4 k\Handouts\Permit Application
a • 4 '
ELECTRICAL PERMIT INFORMATION
*NOTE:an automation fee of$6.00 will be charged for all permits.
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMBERCIAL/INDUSTRIAL SERVICE
U Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ftz$121.00;Each add'n 500 52-$39.00) ❑ 0 to 100 amp $131.50 $80.00
U Detached outbuildingor U 101-200 amp 163.00 103.00
(w/ ) $51.00
0 201-400 amp 305.50 120.50
U Detached outbuilding or garage(iinspected separately) $80.00
(] S U 401-600 amp 356.00 142.50
U wimming pool(w/service) $80.00
0 601-800 amp 460.50 195.00
Swimming pool(inspected separately) $120.50
0 801- 1000 amp 562.50 235.50
GI
Hot tub/spa/sauna(w/service) $51.00
El Over 1000 amp 613.00 327.00
U Hot tub/spa/sauna(inspected separately) $80.00U Septic
pumping system(w/service) $51.00
U Over 600 volts surcharge $103.00
❑ Septic pumping system(inspeCted 8eParately) $80.00 ❑ Mast or meter repair $111.00
NEW MULTI-FAMILY(three units or more) ALTERED COMMERCIAL/INDUSTRIAL
ServiceF�der
(Does not include circuits.)
Ca Up 200 Service or Feeders
to amp $131.50 $39.00
U 0 to 200 amp $131.50
❑ 201 -400 amp 163.00 80.00
U 201-600 amp 305.50
0 401-600 amp 223.00 111.00
U 601- 1000 amp 460.50
❑ 601-800 amp 285.50 152.50
U Over 800 amp 408.50 305.50 El over 1000 amp 513.00
❑ #of circuits to be added/altered
ALTERED SINGLE/MULTI FAMILY (1-5 circuits-$103.00;Add'n circuits,$8.00/ea)
Service or Feeder COMMERCIAL/INDUSTRIAL PLAN REVIEW •
U 0 to 200 amp $100.50 $103.00 plus 35%of Permit Fee
❑ 201 -600 amp 163.00 ❑ Service 1,000 amps or greater
Elover
amp 245.50 ElMedical/Educational/Institutional Facility
❑ Additional plan review for
El of circuits to be added/altered modified submittals $115.00/per hour
(1-4 circuits-$80.00;Add'n circuits$8.00/ea)
U Mast or meter repair $60.50 TEMPORARY SERVICE
MANUFACTURED HOMES Service or Feeder Each Add'n
U Service or feeder only $80.00 ❑ 0 to 60 amp $ 71.00 $32.00
El and feeder $131.50 El 61-100 amp 80.00 39.00
0 101-200 amp 103.50 51.00
❑ 201-400 amp 120.00 60.50
MOBILE HOME/RV PARK U 401-600 amp 163.50 80.00
U #of service or feeders ❑ Over 600 amp 183.00 92.00
(First service/feeder-$80.00;each add'n-$52.50)
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats
'4(First-$60.50;add'n-$18.50/ea) ❑ #of Signs
Low Voltage J (First sign-$60.50;add'n sign$28.50/ea)
care Feet to be served by system(s) ( ' Z 3 ❑ Yard Pole/meter loops/pedestal $80.00
0
Fire Alarm System
U Portable Generatortransfer
❑ Security Alarm system ( equipment) $100.50
Voice Cabling U Ditch cover/inspection only $120.50
Data Cabling
1"2500 fn-$71.00; For fees not listed,contact the Permit Center at
Each add'n 2500 m-$18.50) 253-835-2607
Bulletin#100-January 1,2009 Page 3 of 4 k\Handouts\Permit Application