10-100482 • Electricil
City of Federal Way Permit #: 10-100482-00-EL
Community Development Services ���
P.O.Box 9718
Stt
Federal Way,WA 98063-9718 Inspection Request Line: (253)835-3050
Ph (253)835-2607 Fax:(253)835-2609
Project Name: HSBC BANK USA NA
Project Address: 33410 25TH AVE SW Parcel Number: 932090 0240
Project Description: Adding/altering 0-200 amp service
Owner Applicant Contractor
HSBC BANK USA NA AA AMERICAN ELECTRIC INC AA AMERICAN ELECTRIC INC
1575 PALM BEACH LAKES 5619 MILWAUKEE AVE E AAAMEAE913DC(3/2/11)
WEST PALM BEACH FL 33401 PUYALLUP WA 98372 5619 MILWAUKEE AVE E
PUYALLUP WA 98372
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Is Use Educational or Institutional9 No
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Alt. Serv./,Feeder: 0 to 200 amps(F I
PERMIT EXPIRES Thursday, February 3, 24)11
Permit Issued on: esday, February 3, 2010
I hereby certify that the above information is correct and that the constructionon the above described property and
the occupancyand the use will be in accordance with the laws, rules and regulations of the'State of.Washington
sand the City of Federal Way.
Owner or agent:
Date: a" -- C7 k 6
CC
CO
K57 Pit14,
��- �O 075/10
THIS CARD IS TO REMAIN ON-SITE .
`SOF 0 Construction I ESection Record
Federal Way INSPECTION REQUTS: (253)835-3050
PERMIT#: 10-100482-00-EL Address: 33410 25TH AVE SW
Owner: HSBC BANK USA NA FEDERAL WAY, WA 98023-2811
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.
El UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
o Pool Bonding(4195) 0 Temporary Power(4275) 0Service(4235)
Approved Approved Approved
By Date By Date By Date
•
o Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) El Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
o Final-Electrical(4055)
Approved
Bk17 Date 0.---„5-7--2(0
LI Rough Electrical Final Electrical El Right of Way
Approved Approved Approved
By Date By Date By Date
• 4
`�`� ,:, r`T' , PERMIT SMF Co ME L L DE EN FP
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Conmmtnvrrrnsvrsao>3►mvrSERVICES
APPLICATION
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NAME OF PROJECTf� sz G g1 V( i" f S� NA-
0
or Homeowner Name) � � �/~ v
,
❑BUILDING 0 PLUMBING 0 MECHANICAL.
TYPE OF PERMIT ❑ DEMOLITION __ ELLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
rep\ctiia. s40o e-\e c.-kttcc 1 \
PROJECT DESCRIPTION
Detailed description of work to
re... a a � 1r •�; ,v-cp.J'r.A ti o_cli”'S
be included on this permit only Ilya. k
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NAMEPRIMARY PHONE
PROPERTY OWNER 'fir ` .L.--C k i(/ !N l d ( )
MAILING ADDRESS,CITY,STATE,ZIP E-MAIL
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
(`n/�Iv AA OA t cc-n eke_C - �'e r c- ( -6)'tick -3Gl e 'c i
�/u • .” . CTOR MAILING ADDRESS,CITY,STATE,ZIP FAX c'l
' WA STATE CONTRACTOR'S LICENSE# EXPIRATION DATE FEDERAL WAY BUSINESS LICENSE•
NV;(ASA 6.a1/43 UC 3 / 3 /t 1
NAME PRIMARY PHONE
APPLICANT " Z.;-k.-tan ( )&3)`III--q- - cji
MAILING ADDRESS,CITY,STATE,ZIP (1L 533-1-2 FAX
'4 (c\ +M\. lcr- ./A-t, _C -, `t v e�,t, Ck.x._1 l t)Cc. ( )
PROJECT CONTACT NAME r PRIMARY PHONE
_(The_individuaLto receive and _ _- ( )
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIP FAX
concerning this application) ( ) -
ALTERNATE CONTACT NAME: PRIMARY PHONE E-MAIL
( )
PROJECT FINANCING NAME
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(CW 19.27.095) ( ) -
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner.I certify that to the best
of my knowledge,the information:submitted in support of this permit application is true and correct.I certify that I will comply with
all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that the
issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
!further agree to hold harmless the City of Federal Way as to any claim(including costs,expenses, and attorneys'fees incurred
in the investigation and defense of such claim), which may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises out of the reliance of the city, including its officers and employees, upon the accuracy of the
information supplied/ieto the city as a part of this application.
SIGNATURE: ` 1 �,�6--\ DATE - C`�1
PRINT NAME: CxNke- %4V€C A-1
Bulletin#100-January 1,2010 Page 1 of 4 k:\Handouts\Permit Application
.,.
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"Value of Mechanical Work$ : . ' (A-COPY OF BID OR ESTIMATE MUST BE PROVIDED)
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
. . AIR HANDLING UNITS FANS . : . GAS PIPE OUTLETS OTHER(Dciscribe)
• -. - AIR CONDITIONER . FIREPLACE INSERTS HOODS pe....‘ici4
_____
BOILERS • FURNACES HOT WATER TANKS
____ (G.)
COMPRESSORS GAS LOG SETS REFRIGERATION SYST
DUCTING GAS PIPING _ WOODSTOVES
... ...................... .................... .....................„............. .................................„................ ....................„,......:„......„....:.,.........,...,.......................„,,..,...'„,........,.„...........,..................„...................................:....,...,...................,...„..,..........:....„„....„,...............:,................,..............,..........,..,.....:......„„:„.....„....„......
Indicate number of each type Offixture to be installed or relocated as part of this project Do not", dude existing fixtures to remain. -
BATHTUBS(or Tub/Shovrer Combo) LAVS(Hand Sinks) TOILETS • WATER PIPING
____ ___
DISHWASHERS RAINWATER SYSTEMS . URINALS OTHER(Describe) -
___ DRAINS SHOWERS VACUUM ;-EAKERS
____ DRINKING FOUNTAINS • . SINKS(ICrtchen/TELlity) WATE 7 EATERS(Electric)
HOSE BIBBS ' ' SUMPS - • WA ' NG MACHINES ',•:.,i--.-1,.:i:i.Mn:-.7:110TAV,7:71‘7.7fM1r.0-iii-i.: ::..g:-..
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PROJECT VALUATION : WATER PURVEYOR . : SEWER•.- OR VALDE OF EXISTING IMPROVEMENTS
LL'Y-F--D77:1. - ' " $
EXISTING/PREVIOUS USE LOT SIZE(1*-ScPuire Filk.. ma-:• .:,-FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
o YeS 0 No • ,' - .0 Yes- o No
AREA DESCRIPTION(in square feet) • EICISTIN c • PROPOSED TOTAL "
FOR OFFICE USE
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FIRST FLOOR(or Mobile Home)
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• COVERED ENTRY • '
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GARAGE 0 CARPORT 0
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EXISTING PROPOSED TOTAL
Area Totals.
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ESTIMATED SELLING PRI . $ #OF BEDROOMS -
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AREA DESCRIPTIO' • Area Construction #of
Occupancy Group(S) Additional Information
In Square Feet Type Stories
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ADDITIO
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AREA DES'RIPTION ": • Area Construction '• #of : • -
Occupancy Group(s) : : Additional Information
in Square Feet Type -- Stories - •
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TEN- T AREA ONLY
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Bulletin#100-January 1,2010 Page 2 of 4 k:\Handouts\Pe.rmit Application
ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet
(including attached garage): 1"Servicae/Feeder AddtttonaiFeeders
100 amp x$182 50 x$ 80 50
FEES: First 1300 ft2-$122.00; 101.--200:amp x$164:A)l •x:$103.:50
Each additional 500 ft2-$39.00
2fk1 41X0 mug �$3t)'F€1{3 x$i21:OQ
NEW MULTIFAMILY (3 units or more)
401—•600:amp x-$358.00- x:$14&50
Pi Additional Feeders 601 :800:amp. x:$46300,; x 196:.110
1Service/Feeder
0 . ::anal. : X::$1,3 50 x $,390i 801.-.1000,,m" p x:$565:00 x:$236::50
201 -400:amp x.::$16400 x $ 80 5O
pvet1iI00'a:q�p ; ;: x$stsrf�: ,::: ��325<.5Q
Flo .600 a up x $22+.OQ x: l x 2.5f3
601 .800 amp x::$287.00 x $153:50 atter 600:Volts:surcharge. . . x:$103.50
.......................................................................................................................
.......................................................................................................................
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1't Service/Feeder Additional Feeders 1"Service/Feeder. Additional Feeders
0 .200 amp x$132 50 x;$103:50
201-600:amp x::$164;00 x $f10:50 201.--600amp .x$307;00 .x:$121::00
601 ,#:000 amp x:$463£11X:: x:$196.00
Over::1000:amp x:$51550 x:$328::50
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
Service or feeder:only ...... .x $ 80 50 0
$103.50 plus 35%of Permit Fee;Plan Review required for:
Sege aad i'eeder x :>$132:so
.................................................................
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $105.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System Pe Service/Feeder Additional Feeders
❑ Security Alarm System
❑ Voice/Data Cabling > 0 60amp :: x $'7`:100 ......................................
:$200
❑ Other 61 1011 amp .. . x $ 80 50...................... $ 39 00
Area to be served by system:
1.t 2,500 ft2-$71.00;each additional 2,500 ft2-$18.50
101 200 amp x $1 350 x $ 510E)
201- 400 amp HHHHA $121.00 HHHHic:$ 60:50
#of Thermostats
First$60.50;each additional$18.50
OV'er:600 amp:::::: x.:$:1:84.50 sx $:::92:00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.50
Portable Generator(transfer equipment) x$101.00 For futures or fees not listed contact the Permit Center at
Ditch cover/inspection.only x$121.00 253-835-2607
Bulletin#100-January 1,2010 Page 3 of 4 k:\Handouts\Permit Application