08-103403 Ci�ofFederal
lopmentS Electrical Permi : 08-103403-00-EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-2607 Fax (253)835-2609 Inspection Request Line: (253)835-3050
f
Project Name: BRADY NELSON STATE FARM
Project Address: 33434 8TH AVE S SUITE 105 Ltia °Number: 609430 0010
Project Description: Installation of low voltage wiring for data & cabling ' '
Owner Applicant Contractor l
8TH&9TH LLC HENKELS&MCCOY INC HENKELS&MCCOY INC
600 UNIVERSITY ST UNIT 1515 19219 WEST VALLEY HWY SUITE M-109 HENKEM1984PM(10/14/08)
SEATTLE WA 98101-4155 KENT WA 98032 19219 WEST VALLEY HWY SUITE M-109
KENT WA 98032
Additional Permit Information
Service greater than 1000 Amps? No
Electrical Fixtures
Low Voltage-Other(Commercial 2,000
PERMIT EXPIRES Sunday, January 11, 2009
Permit Issued on Tuesday, July 15, 2008
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 accordance with'the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: vi Date: -1-r 15 -C €)
F'/ .fq 1
• SCO
THIS CARD IS T EMAIN ON-SITE
CITY OF °� Community Developn ent Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 08-103403-00-EL
Owner: BRADY NELSON INSURANCE AGENCY INC
Address: 33434 8TH AVE S SUITE 105
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.
•
O UFER Ground (4295) ❑ Ditch cover(4030) ❑ Slab/Concrete Floor(4255)
Approved Approved Approved to place concrete
By Date By Date By Date
— 0 Pool Bonding(4195) ❑ Temporary Power(4275) ❑ Service(4235)
Approved Approved Approved
By Date By Date By Date
O Feeders/Sub-panels(4045) 0 Rough Electrical(4225) s 0
Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By J Date 11— ' _67y
O Final-Electrical(4055)
Approved
13<-7. Date 1-7---a
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For inspector reference only
0 Rough Electrical 0 FINAL-Electrical
Approved Approved
By Date By Date
RECEI\ D
JUL 1 5 2008 U gi - L 6 y 0 3
prf Of way
PERMIT SF MF CO M' 'L DE EN FP
33OTMMPM DEVE f ill✓3 F FED r„,m/iiiiimo,__ ____
I
FEDERAL253-835-2607*F CD , CATION
The following is r'equil1ed information-an incomplete application will not be accepted. Please print legibly(in ink)or type.
• PROPERTY INFORMATION
SITE ADDRESS 3')'--1 '5L( g-i-hAve_. S v %_ SUITE/UNIT ii ii 5
(t2
ASSESSOR'S TAX/PARCEL# 0 g7 3 /�® - v 0 r t.s`�) LOT SIZE(s,) _
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach pr ate page for lengthy legal descrpterrt)
MI PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
0 DEMOLITION *I ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
PROJECT NAME(Name of Business or Owner Last Name) 51 OA e. Tvot,t yv, ;r 5 ur G,Nvc.
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY.STATE.ZIP E-MAIL ADDRESS
CONTRACTOR COMPANY NAME APPLICANT NAME o OFFICE PHONE
Vi&V" i m(,Gvy iltiir :v... �r406cie.\(J� 0-06) a5 i - 1°(03
MAILING ADDRESS CITY.STATE.ZIP CELL PHONE
iC 21(4 web{ WIhpy 1k-wl'1-tvci V..rh wA. W032 (49.S) 63t- i1,23
FM
CITY OF FEDERAL WAY BUSINLICENSENUMBER EXPIRATION DATE FAX NUMBER
to t uu t v 0000 (i.. 1 -31- t (L4,5) 2,5% - 6c,(5 4
CONTRACTOR'S REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
1 r\tlhi..ei$yclh j( 'ty-08 Jth- stic.- i Oven ist , ►1
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
(-CAN fir4LIGr' ( ) -
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
❑ Architect 0 Tenant ❑Agent 0 Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT .N7'..y►1, )f' ç ) ('it, ) 63 i - i19i-
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE.ZIP PHONE
( )
I 01tLvILl I) BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? r� YES NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? i 7 YES ❑ NO
WATER SERVICE PROVIDER r 1 LAKEHAVEN r HIGHLINE ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER !_: LAKEHAVEN " HIGHLINE J PRIVATE(SEPTIC)
•
• •
• PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
BASEMENT SQ.FT. SQ.FT. SQ.FT.
FIRST
SECOND
THIRD
ADDITIONAL FLOORS(DESCRIBE)
DECK(❑COVERED OR ❑UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS ETmvG PROPOS® TOTAL MB'EXESTBGSP TO`"L PROPOSED SP TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
■ FIXTURES
Indicate number of each type of f fixture to be installed or relocated as part of this project. Do not Include existing Jbctures to remain.
MECHANICAL
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSEKIS HOODS tco.....mn
COMPRESSORS FURNACES RANGES
DUCTS GAS LOG SETS REFRIG.SYSTEMS
PLUMBING
BATHTUBS(or Tub/Showercombol LAVS maw...situURINALS MISC(Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS crone)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
•
SI(.s\,"1TURF
I certify y under penalty of perjury that I am the property owner or authorised 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 authorised 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 of this application.
SIGNATURE: E'if/-- DATE -1 " 16-0 Q✓
•. er and/or Authorized Agent
7
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES o NO BASIC PLAN? n YES o NO
ZONING DESIGNATION CHANGE OF USE? o YES o NO
NEW ADDRESS REQUIRED? o YES o NO IIP/SEPA/SIJ? ❑YES o NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Pemit Application
M
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
LI Family Square Feet Service or Feeder Each Add'n
(First 1300f12.$115.50;Each add'n 500 ft2-$37.00) ❑ Oto 100 amp $125.50 $76.50
❑ Detached outbuilding or garage ❑ 101 -200 amp 155.50 98.00
(Inspected with service) $48.50 U 201 -400 amp 291.00 115.00
❑ Detached outbuilding or garage ❑ 401-600 amp 339.50 136.00
(Inspected separately) $76.50 ❑ 601-800 amp 439.00 186.00
❑ 801 - 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) U Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
U 201 -400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
O 401 -600 amp 212.50 106.00
U 601 -800 amp 272.00 145.50
ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 389.50 291.00 Service or Feeders
❑ Oto 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder
LI 200 amp $96.0(j LI over 1000 amp 489.00
❑ 201 -600 amp 155.50 ❑ #of circuits to be added/altered
❑ over 600 amp 234.00 (1-5 circuits-$98.00;Add'n circuits,$7.50/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$76.50;Add'n circuits$7.50/ea) $98.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $57.50 U. Medical/Educational/Institutional Facility
MANUFACTURED HOMES
U Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARE Residentiat/Multi-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) CommerciaifIndustrial Service or Feeder Ampacity
❑ 0- 100 amps $76.50
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
❑ over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats U #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
U Low Voltage 1 U Swimming pool/hot tub $115.00
Square Feet to be served by systems) ).000D r (includes additional circuit,if required)
0 Fire Alarm System U Yard Pole meter loops $76.50
n Security Alarm System
U Additional Plan Review $115.00/hour
Voice Cabling
(for modified submittals)
19 Data Cabling
U Automation Fee on all Permits
❑ $5.50
1st 2500 ft2-$67.50;
Each add'n 2500 1t2-$17.50)•Per WAC 296 46-910(5)0*i&i0
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application