08-105165 Elec'trica'l
City of Federal Way •
11, ' '
Q
Community Development Services Permit #: 08-105165-01-E L
P.O.Box 9718 ik
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax:(253)835-2609 Law Inspection Request Line: (253)835-3050
Project Name: CAMPUS GROVE-POOLHOUSE
Project Address: 1300 SW CAMPUS DR Parcel Number: 182104 9025
Project Description: Adding/altering(2)circuits for hvac wiring& can lights ***Revised 11/4/08 to add(1)
T-stat****
Owner Applicant Contractor `
CAMPUS GROVE LLC&BORN L CITY ELECTRIC INC OF TACOMA CITY ELECTRIC INC OF TACOMA
PO BOX 178 2919 S ALASKA CITYEIT461BA (5/1/10)
BOW WA 98232-0178 TACOMA WA 98409 2919 S ALASKA
TACOMA WA 98409
Service greater than 1000 Amps9 No
Circuits-Multi-family 2 Thermostat 1
PERMIT EXPIRES Thursday, November 5, 2009
Permit Issued on Wednesday, November 5, 2008
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and th use will be in accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: G Date: ( VO cc's
FIN; LED z '
//7
. , _ 0 �
THIS CARD IS TO EMAIN ON-SITE • ' •
CITY OF �- Community Developn nt Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 08-105165-00-EL
Owner: CAMPUS GROVE LLC & BORN L
Address: 1300 SW CAMPUS DR
FEDERAL WAY, WA 98023-5363
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 (L)--' Dateh.?/,e'jt, By Date
- 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date ,
❑ Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020)
Approved Approved Approved
By Date By 0_ 3 Date `k_ is rx—et By Date
❑ Final-Electrical(4055)
Approved
By Date 3 •4,'07
For inspector reference only --.--0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
� / •
I &17Y QF . adq e„ De / 03 O M
Federall ►a3jCT 3.0 2008 PERMIT — -- !!!
COMMUNRYDEVELOPMENT••SERVICES SF' MF CO ME EL L DE EN FP
33325 8n1AVENUE SOUTH•0P�O3tBOX'9718
=telly=pg&�^E�`D� ERAL APLICATION /
www.cdtioffederalwau.am CDS IW
/
The following is required information-an incomplete applicationI
p will not be accepted PIease print
legibly(in ink)or type.
C r:'PROPERTY INFORMATION
S
SITE ADDRESS 1300 W c,A1--PU S ) " IE s
2 / O ,y - 7D SUITE/UNIT
SIZE
T fl
ASSESSOR'S TAX/PARCEL# / gr- Cr(�
LOT SIZE W)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(ALtuch separate page,for lengthy logo(rleseriptfoo)
■ PRt)JECt t1VF}3RMAtIbl ,;
TYPE OF PERMIT ❑BUILDING 0 PLUMBING ❑ MECHANICAL
❑ DEMOLITION %ELECTRICAL 0 ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onlu)
k}vArr kith efili& CA.O LIG'+T4 )1‘) SoFFi r poet, Rol)
.1L C fj ,.y *I 1 Pi 11/ i ..
PROJECT NAME(Name of Business or Owner Last Name) C.� `•�M !)S &gOVES row olio &E LLC
II PEOPLE.tNllORMATICh1V.
PROPERTY NAME
OWNER CA..f)S & 0V jr `LC PRIMARY PHONE
MAILING ADDRESS v I CITY,STATE,ZIP ( )
E-MAIL ADDRESS
CONT•:,CTOR COMPANY NAME
G l,'y EXECMIC... APPLICANT NAMF. OFFICE PHONE
INC.tip
N �� � Bfo�N s til (zL 3)4Z? 25S'l
MAILING ADDRESS CITY,STATE,ZIP
2919 S 11 LAS 14�A T A c.op.A W It 9r L/07 CELL PITONS
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER (�S3 )Wit - 017/0
Il EXPIRATION DA'I-E FAX NUMBER
1 `1 -c��S - 103`�-'j-3- ob -16L 2 J �1 )0� (Zs )4Z7 2570
CONTRACTOR'S REGISTRATIO NUMBER
PIRATION DATE - E-MAIL ADDRESS
C.-1:1•-1�:1•-1
E .
Gri/TLIttorb4 gI '.uk)
APPLICANT COMPANY NAME
Gt,�„y L I.T�+ 1 C /At
`C APPLICANT`j7� NAM�EA}( OFFICE PHONE
MAILING ADDRESS /V �CY^-Y • `s 8 J oiatis iu (2c3)0.7 --Is's-/
Zq/9 S ������ CITY,S'1'A'fE,ZIP CELL PHONE
Tr+co'"A W A 'jg yo 9 (253 ) 2.78 - 17 Y 0
RELATIONSHIP TO PROJECT EL
`'
❑Architect a Tenant a Agent o Other e 4L CO JTi2I9aeZ (2X5N
ELIA.M ..UMBER
PROJECT C ZI E-MAIL ADDRESS INVVA� I R&1MARY)PHO7NE - !gob
LENDER NAME
Per RCW 19.27.095;
Lender information is required if project value exceeds$5,000
MAILING ADDRESS
CITY,SPATE,ZIP PHONE
r"DEfiAtLEt)$UILDi1�tG ntroRNfA
fihpN
r.
EXISTING USE
PROPOSED USE _
EXISTING ASSESSED/APPRAISED VALUE$
VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES o NO `
WATER SERVICE PROVIDER a LAKEHAVEN 0 HIGHLINE
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE 0 PRIVATE(SEPTIC)C (WELL)
3
110
•
,_�, .. _. , ro .:, ,.m -. ' ..,. w, ..,,,. „ r, ' , - amt
AREA DESCRIPTION EXISTING PROPOSED
TOTAL
BASEMENT SQ.FT. SQ.FT. SQ.FT.
FIRST
SECOND
TIIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT ❑
NUMBER OF FLOORS I Exrsrvo I PROPOSEDTDTnt
TOTAL EXISTING SF TOTAL PROPOSED SF rA
Tot sr
**NEW HOMES ONLY*" NUMBER OF BEDROOMS
ESTIMATED SELLING PRICE $
, ucTl,.
Indicate number of each type offixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL V
561
r�
Value of Mechanical Work$ V 1 (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WTTII APPLICATION)
PCAIR HANDLING UNITS EVAPORATIVE COOLERS
BBQS GAS PIPE OUTLETS WOODSTOVFS
FANS GAS WATER HEATERS
BOILERS FIREPLACE INSERTS MIST(Describe)
COMPRESSORS HOODS(Commw"Ciel(
FURNACES RANGES
DUCTS GAS LOG SETS
REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Shower Combo)
LAYS(Bathroom Sini<s1 URINALS
DISHWASHERS RAINWATER SYST MISC(Describe)
DRINKING FOUNTAINS VACUUM BREAKERS
SHOWERS WATER CLOSETS noilo
ELECTRIC WATER HEATERS SINKS
HOSE BIBBS WASHING MACHINES
SUMPS
, SI 'rITATU
Icertify underena[t � � """"""' "°"' """""'^*"`�°•�«
P y o f 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 p is a plication.
SIGNATURE: 10--- 0'O�
Property Owner and/or Authorized Agent DATEi
1
FOR OFFICE,,UsE,ONLL% s it t
3 \ A >z c k. :. i
❑NEW ❑ADDITION a ALTERATION
__•,. -- ❑REPAIR o TENANT IMPROVEMENT
- E ❑NO
BUILDING SHELL ONLY? a YES o NO -
BASIC PLAN?
�.. ❑YS
ZONING DESIGNATION _,
CHANGE OF USE? a YES a NO
NEW ADDRESS REQUIRED? a YES ❑NO
"" UP/SEPA/SU? ❑YES oNO
PLATTED LOT? ❑YES a NO
REQUIRED?
" _a L' DEMO PERMIT
❑YES o NO
Bulletin#100-August 16.2007 Page 2 of 4
k\HandoutsWermit Application
0
S
r
E t&CTRICA a PERMIT:
w
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$111.00;Each add'n 500 ft2-835.50) ❑ 0 to 100 amp $120.50 $74.00
❑ Detached outbuilding or garage ❑ 101-200 amp 149.50 94.50
(Inspected with service) $47.00 U 201-400 amp 280.00 111.00
❑ Detached outbuilding or garage
(Ins ected se arate) ❑ 401-600 amp 327.00 131.00
P P y) $74.00
U 601-800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.00
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50 $35.50 ❑ Over 600 volts surcharge $94.50
❑ 201 -400 amp 149.50 74.00 ❑ Mast or meter repair $102.00
❑ 401 -600 amp 205.00 102.00
U 601 -800 amp 262.00 140.50 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 280.50
Service or Feeder ❑ 601 - 1000 amp 423.00
❑ 0 to 200 amp $92.50 ❑ over 1000 amp 471.00
❑ 201 -600 amp 149.50
LI #of circuits to be added/altered
❑ over 600 amp 225.50
0-5 circuits-$94.50;Add'n circuits,$7.00/ea)
❑ I. 4 of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-974,00;Add'n circuits$7.00/ea) $94.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $74.00
❑ Service and feeder $120.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Residential/Multi-Family $65.00
❑ #of service or feeders
(First service/feeder-$74.00;each add'n-$48.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps $74.00
❑ 101-200 amps 94.50
❑ 201-400 amps 111.00
❑ 401-600 amps 149.50
U over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
LI #of Thermostats
U it of Signs
(First-$55.00;add'n-$17.00/ea) (First sign-$55.00;add'n sign$26.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub
Square Feet to be served by system(s) (Includes $111.00
additional circuit,if required)
❑ Fire Alarm System
CI Security Alarm System
❑ Yard Pole meter loops $74.00
❑ Voice Cabling E-.1Additional Plan Review $111.00/hour . j
❑ Data Cabling (for modified submittals)
0 C3Automation Fee on all Permits $5.00
•
1t 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) .'Per WAC 29G-46-910(5)(W&ii) t
Bulletin#100-August 16.2007 Page 3 of 4
k\Handouts\Permit Application