09-104202 Z(‘)3 7 7Electrical
City of Federal Way
Community Development Services Permit #: 09-104202-00-EL
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609F I E Inspection Request Line: (253)835-3050
Project Name: HERITAGE BANK
Project Address: 32303 PACIFIC HWY S Parcel Number: 150050 0090
Project Description: Installation of low voltage security system,including lockdown mechanism.
Owner Applicant Contractor
HERITAGE BANK DIEBOLD INC DIEBOLD INC
32303 PACIFIC HWY S 3315 S 116TH ST SUITE 149 DIEBOI*17975(6/30/10)
FEDERAL WAY WA 98003 SEATTLE WA 98168 3315 S 116TH ST SUITE 149
SEATTLE WA 98168
... .....<,, r xa`�.Vii;• '': . 3 - c,c. .:.... ... ..>...,. ..«,:..\., .;,,.,, ? 3rd : a?
Is Use Educational or Institutional? No Service greater than 1000 Amps'? No
/ is�x F 'kms $ \Z� y 40A k
Low Voltage-Other(Commercial 2,80C
CONDITIONS:
This parcel is located within a Wellhead Protection Area(Capture Zone 10) and mustcomply with FWRC
Chapter 19.185 and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES Wed esday, October 27, 2010
Permit Issued on Tue•day, October 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 a ordance wit - -ws, rules and regulations of the State of Washington
and the ity ii -deral Way.
Owner or agent: , Date: /0 _ 2 7 -- 2,07
FINPkirsE'
® I o m
....-iiiii:
• THIS CARD IS T•EMAIN ON-SITE ,
CITY OFConstruction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 09-104202-00-EL Address: 32303 PACIFIC HWY S
Owner: HERITAGE BANK 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.
0 UFER Ground (4295) ❑ Ditch cover(4030) El Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
•
CI Pool Bonding(4195) ❑ Temporary Power(4275) 0 Service(4235)
Approved Approved Approved
By Date By Date By Date
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
CI Final-Electrical(4055)
Approved
By )(5 Date (6i- Tz7
Li Rough Electrical Final Electrical Right of Way
Approved Approved1:1 Approved
.By Date By Date By Date
At
riri _____
CITY or ECEIVIERMIT ASF CO M 'L DE EN FP
COMMUNITY DEVELOPMEIVT SERVICES OCT 2 7A, :� PLICATION
253-835.2607•FAX 253-835-2609
www.cituoffederalwati.com
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SITE ADDRESS P
3 23 0 3 I 74` s .
sum/um# ING ASSESSOR'S TAX/PARCEL#
/ s a _ 0
NAME OF PROJECT /��k/ efr„k--.
(Tenant or Homeowner Name) .e--s'),�
0 BUILDING 0 PLUMBING 0 MECHANICAL
TYPE OF PERMIT
0 DEMOLITION tICACECTRICAL 0 ENGINEERING 0 FIRE PREVENTION
L-ov✓ 1/417(14.../A-... — C4461- 74 iofr-&-i --
PROJECT DESCRIPTIONr ' P cu,‘.,-° Z-04- ,�j� ,i1/4/ Sr f� `
Detailed description of work to
be included on this permit only
i ,Azoz -,
NAMEI `_ V ' \ PRIMARY PHONE
PROPERTY OWNER r ( )
MAILING ADDRESS,CITY E-MAIL
.c.c±c.„
OWNER IS ALSO: 0 CONTRACTOR 0 APPLICANT 0 PROJECT CONTACT
NAME PRIMARY PHONE
CONTRACTOR MAILIItG ADDRESS,CITY,STATE,ZIP,IL FAX
WA STATE CONTRACTOR'S LICENSE#
IRATION DATE FEDERAL WAY BUSINESS LICENS
PieAor 44 /79/S �9 -/a733�
NAME / .,�.�• PRIMARY PHONE
APPLICANT / p�r/`'.�1 /- (�(� ) 570- -S�/Z-/
MAILING ADDRESS,CITY,STATE,ZIP FAR
3?,S— S_ //4- - /r //'5 ( ) -
PROJECT CONTACT NAMEPRIMARY PHONT
(The individual to receive and /lG S /Z 2 ✓ (26) 2(i-
respond to all correspondence MAILING ADDRESS,CITY,STATE,ZIPFAR
concerning this application) .. '3 f3 S- f/ / i', ( ) -
ALTERNATE CONTACT NAME: PRIMAR PHO E-MAIL
PROJECT FINANCING NAME ❑
OWNER-FINANCED
Required for projects with
value of$5,000 or more MAILING ADDRESS,CITY,STATE,ZIP PRIMARY PHONE
(RCW 19.27.095)
I certify under penalty of perjury that 1 am the property owner or authorized agent of the property owner.I certify that to the
best of my knowledge, the information submitted in support of this permit application is true and correct I certify that I will comply
with all applicable City of Federal Way regulations pertaining to the work authorized by the issuance of a permit.I understand that
the issuance of this permit does not remove the owner's responsibility for compliance with local, state, or federal laws regulating
construction or environmental laws.
I further agree to hold harmless the City o Federal Way as to any claim(including costs,expenses,and attorneys'fees incurred
in the investigation and defense of such cl , w h may be made by any person, including the undersigned, and filed against the
city, but only where such claim arises ou of the re once of the city, including its officers and employees, upon the accuracy of the
information supplied to,t ty as a part o his ap cation. ]
SIGNATURE: / r,/2_o DATE /0 -Z 7 /
PRINT NAME: a✓r a1
Bulletin#100-4/17/2009 Page 1 of 4 k:\Handouts\Permit Application
46.
NIECIA'§TICAL FIXTURE
Value of Mechanical Work$ (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(Describe)
AIR CONDITIONER FIREPLACE INSERTS HOODS(commercial)
BOILERS FURNACES HOT WATER TANKS(can)
COMPRESSORS GAS LAG SETS REFRIGERATION SYST
DUCTING GAS PIPING WOODSTOVES
PLUMBING 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.
BATHTUBS(or Tub/Shower Combo) LAVS(Hand Sinks TOILETS WATER PIPING
DISHWASHERS RAINWATER SYSTEMS URINALS OTHER(Describe)
DRAINS SHOWERS VACUUM BREAKERS
DRINKING FOUNTAINS SINKS(Kitchen/Undity) WATER HEATERS(Electric)
HOSE BIBBS SUMPS WASHING MACHINES TOTAL FIXTURES
GENERAL INFORMATION
PROJECT VALUATION WATER PURVEYOR SEWER PURVEYOR VALUE OF EXISTING IMPROVEMENTS
EXISTING/PREVIOUS USE LOT SIZE(Ia Square Feet) EXISTING FIRE SPRINKLER SYSTEM? PROPOSED FIRE SUPPRESSION SYSTEM?
❑Yes❑ No ❑Yes ❑ No
RESIDENTIAL
AREA DESCRIPTION(in square feet) EXISTING PROPOSED TOTAL
FOR OFFICE USE
BASEMENT ---------....__-----------____.._.___..---��--
FIRST FLOOR(or Mobile Home)
SECOND FLOOR
COVERED ENTRY
DECK
GARAGE 0 CARPORT 0
OTHER(describe)
=STING PROPOSED TOTAL
Area Totals
*"NEW Homs OXY**
ESTIMATED SELLING PRICE$ #OF BEDROOMS
COMMERCIAL-NEW/ADDITION
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
NEW BUILDING
ADDITION
COMMERCIAL--REMODEL/TENANT IMPROVEMENTS
AREA DESCRIPTION Area Construction #of
in Square Feet Occupancy Group(s) Type Stories Additional Information
TOTAL BUILDING
TENANT AREA ONLY
PROJECT AREA ONLY
Bulletin#100—4/17/2009 Page 2 of 4 k:\Handouts\Permit Application
0 ELECTRICAL •
RESIDENTIAL COMMERCIAL
NEW SINGLE FAMILY RESIDENCE NEW COMMERCIAL
Total Square Feet 1st Service/Feeder Additional Feeders
(including attached garage): 0- 100 amp x$131.50 x$ 80.00
FEES: First 1300 ft2-$121.00; 101- 200 amp x$163.00' x$103.00
Each additional 500 ft2-$39.00 201 400 amp x$305.50 x$120.50
NEW MULTIFAMILY (3 units or more) 401 600 amp x$356.00 x$142.50
1st Service/Feeder Additional Feeders 601- 800 amp x$460.50 x$195.00
0- 200 amp __ x $131.50 x $ 39.00 801- 1000 amp x$562.50 x$235.50
201 -400 amp x $163.00, x $ 80.00 Over 1000 amp x$613.00 x$327.00
401 -600 amp x $223.00 x $111.00
601 -800 amp x $285.50 x $152.50 Over 600 volts surcharge x$103.00
Over 800 amp x $408.50 x $305.50
ALTERED SINGLE or MULTI FAMILY ALTERED COMMERCIAL
1st Service/Feeder Additional Feeders 1st Service/Feeder Additional Feeders
0- 200 amp x $100.50 x $ 39.00 0- 200 amp x$131.50 x$103.00
201 -600 amp x $163.001x- $ 80.00 201 600 amp x$305.50 x$142.50
Over 600 amp x $245.50 x $111.00 601-1000 amp x$460.50:' x$235.50
Over 1000 amp x$513.00 x$327.00
Added or Altered Circuits
1-4 circuits$80.00;each additional$8.00 Added or Altered Circuits
1-5 circuits$103.00;each additional$8.00
Mast or meter repair $60.50
Mast or meter repair $111.00
MANUFACTURED HOMES PLAN REVIEW FEES
Service or feeder only x $ 80.00 $103.00 plus 35%of Permit Fee;Plan Review required for:
Service and feeder x $131.50
❑ New,or alteration to,service of 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
Plan review for modified submittals $120.50/hour
MISCELLANEOUS SERVICE/EQUIPMENT
LOW VOLTAGE TEMPORARY SERVICE
❑ Fire Alarm System 1st Service/Feeder Additional Feeders
errNSecurity Alarm System
❑ Voice/Data Cabling 0- 60 amp x $ 71.00 x $ 32.00
❑ Other61-100 amp x $ 80.00 x $ 39.00
Area to be served by system: '21-0.0 f ,gr-
101-200 amp x $103.50 x $ 51.00
1=t 2,500 ft2-$71.00;each additional 2,500 ft2-$1810
201-400 amp x $120.00 x $ 60.50
#of Thermostats 401-600 amp x $163.50 x $ 80.00
First$60.50;each additional$18.50
Over 600 amp x $183.00 x $ 92.00
#of Signs **NOTE: an automation fee of$6.00 will be charged
First$60.50;each additional$28.50 on all permits**
Yard Pole/meter loops/pedestal x$ 80.00
Portable Generator(transfer equipment) x$100.50 For fixtures or fees not listed contact the Permit Center at
Ditch cover/inspection only x$120.50 253-835-2607
a
Bulletin#100-4/21/2009 Page 3 of 4 k:\Handouts\Permit Application .