09-104901 cm or f Q 4_ _ IOL
ftderallivaRECENE,1115ERMIT SF MF CO MEC-. ., 3L DE EN FP
COMMUNITY DEVELOPMENT SERVICES
33325 81 AVENUE SOUTH•PO BOX 9718 �'
FEDERAL
607FAX253 2609DEC l PLICATION / /
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The foiiowinc a aiQgFir f�rl gbailL l,L lete application will not be accepted. Please print legibly(in ink)or type.
is
/ • PROPERTY INFORMATION
SITE ADDRESS 35 !q , I b 1 /4-lie So SUITE/UNIT#
/
ASSESSOR'S TAX/PARCEL# 2 / 0 i - 67° LOT SIZE(s
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach seParateN W for length®al dell
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION,%ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
Pctrk.4 y l,of 1.-y4ls /ZtteuJfeist t-Lii•✓`e 1-o L.:5,/,Js ha L:94aLS
PROJECT NAME(Name of Business or Owner Last Name) Te;C'^ Se 4"..er` //7 9 4 S c4O D l
NI PEOPLE INFORMATION
NAME PHONE
OWNER Fe c.�eral (,✓et,y Scli.00/ 0:54 (153) Ci -?f '/
MAILING ADDRESS CITY,STATE,ZIPE-MAIL ADDRESS
J o 6 6 S. 3.1-0+1N Fe_d o.ra.I(;Jcs.y(-Jig 9 03
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
F..l/ee E(e c,�r.`c z, <, Pwt�Y Fu./ler (�s3 ) G6 f 1/�/
MAILING ADDRESS CITY,STATE, CELL PHONE
,Q 37/o7 f241" Ave, so Fed L (-14"'Poo) (106 ) '1L3 -839Y
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ION D TE FAX NUMBER
!?-93 ..14336y .•pv-,�G. ZofO ( 2.53) 641 6s6
co
REGISTRATION NUMBER EXPIRATION DATE E-MAIL ADDRESS
FF.11ee,o2.7 3k 1-12.-09 Pwtfy &Fk//e.-ekc.eo t
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
( ) _
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMBER
❑Architect ❑Tenant ❑Agent ❑ Other ( ) -
PROJECT NAME PRIMARY PHONE E-MAIL ADDRESS
CONTACT ( ) -
LENDER NAME Per RCW 19.27.095:
Lender information is required if project value exceeds 55,000
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE$ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑-YES ❑NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
II PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST •
SECOND' •
THIRD
ADDITIONAL FLOORS(DESCRIBE) •
•
DECK(0 COVERED OR 0 UNCOVERED?)
GARAGE 0 CARPORT 0
IMTB10 PROPOSED - TOTAL TOTAL WBITTO ST TOTAL PROPOSED at TOTAL BT
NUMBER OF FLOORS •
*"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
•
• 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..
MECHANICAL •
Value of Mechanical Work$ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLINGIJNITS EVAPORATIVE COOLERS GAS PIPE OUTLETS WOODSTOVES
BBQS FANS GAS WATER HEATERS MISC(Describe)
BOILERS FIREPLACE INSERTS HOODS(Commetd q
COMPRESSORS FURNACES RANGES
DUCTS • GAS LOG SETS REFRIG.SYSTEMS
•
PLUMB1]V(i 5
BATHTUBS(erTab/shover Combo) LAVS(Bathroom smkaf URINALS MISC(Describe)
• DISHWASHERS RAINWATER SYST VACUUM BREAKERS
• DI INKING FOUNTAINS SHOWERS ' WATER CLOSETS moues •
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
`HOSE BIBBS SUMPS •
•
. .
SIGNATURE •
- • I certifyi under Penalty of perjury property agent of. propertyof mg
that I am the ro owner or authorised � thi � owner.I certify that to the best
knowledge,the information submitted in support of this permit application is true and correct.I certify that I with comply with all applicable
City of Federal Wag 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• r���� d DATE
Property Owner and/or Authorized Agent
•
o NEW a ADDITION o ALTERATION a REPAIR a_TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES o NO BASIC PLAN? o.YES i NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES a NO
PLATTED LOT? o YES a NO DEMO PERMIT REQUIRED? a YES a NO
Bulletin#100—January 1,2008 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n
(First 1300 ft2-$115.50;Each add'n 500 ft2-$37.00) 0 0 to 100 amp $125.50 $76.50
❑ Detached outbuilding or garage - 0 101-200 amp 155.50 98.00
(Inspected with service) $48.50 ‘ 0 201-400 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
O 801- 1000 amp 536.50 224.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 584.50 311.50
Service Feeder
❑ Up to 200 amp $125.50 $37.00 ❑ Over 600 volts surcharge $98.00
❑ 201-400 amp 155.50 76.50 ❑ Mast or meter repair $106.00
❑ 401-600 amp 212.50 106.00 ALTERED COMMERCIAL/INDUSTRIAL
0"601-800 amp 272.00 145.50
❑ Over 800 amp 389:50 291.00 Service or Feeders
❑ 0 to 200 amp $125.50
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 291.00
❑ 601 - 1000 amp 439.00
Service or Feeder ❑ over 1000 amp 489.00
❑ 0 to 200 amp $96.00
❑ 201 -600 amp 155.50 0 3 #of circuits to be added/altered 1 o 3
Liover 600 amp 234.00 (1-5 circuits".94q
0;Add'n circuits,$7.50/ea) r �C'�°q
Ca #of circuits to be added/altered COMMERCIAL/INDUSTRIALPLAN REVIEW b 0 t
(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 ❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ Service or feeder only $76.50
❑ Service and feeder $125.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK ResidentiaVMuiti-Family $67.50
❑ #of service or feeders
(First service/feeder-$76.50;each add'n-$50.00) CommerciaVlndustriai Service or Feeder Arnpacity
❑ 0-100 amps $76.50 ' f
❑ 101-200 amps 98.00
❑ 201-400 amps 115.00
❑ 401-600 amps 155.50
O over 600 amps 168.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$57.50;add'n-$17.50/ea) (First sign-$57.50;add'n sign$27.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $115.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Mann System 0 Yard Pole meter loops $76.50
❑ Security Alarm System ❑ Additional Plan Review $115.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling 0 Automation Fee on all Permits .. $5.50
Cl
let 2500 ft2-$67.50;
Each add'n 2500 ft2-$17.50)•Per WAC 29646-910(5)(b)4 &ii)
A
Bulletin#100-January 1,2008 Page 3 of 4 k\Handouts\Permit Application
Electrical
City of Federal Way
Community Development Services Permit #: 09-104901-00-E L
P.O.Box 9718 FILE
Federal Way,WA 98063-9718 Inspection Request Line: 253 835-3050
Ph:(253)835-2607 Fax:(253)835-2609 p q
Project Name: TODD BEAMER HIGH SCHOOL
Project Address: 35999 16TH AVE S Parcel Number: 292104 9025
Project Description: Adding/altering(3)circuits for parking lot lights
Owner Applicant Contractor ,
SID WHITE FULLER ELECTRIC(ELECTRICAL) FULLER ELECTRIC(ELECTRICAL)
FEDERAL WAY SCHOOL DISTRICT 1220 S 356TH ST SUITE A-5 FULLEEI027BK (1/12/10)
31405 18TH AVE S FEDERAL WAY WA 98003 1220 S 356TH ST SUITE A-5
FEDERAL WAY WA 98003-5433 FEDERAL WAY WA 98003
wa. Fk
.�: .., ��� ., ,sN< .,,h� :� :ai �... ; .,r,',c,
Is Use Educational or Institutional? No Service greater than 1000 Amps? No
Circuits-Commercial 3
PERMIT EXPIRES Thursday, December 16, 2010
Permit Issued on Wednesday, December 16,2009
I hereby certify that the above information is correct and teat 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
? a and the City of Federal Way. /
Owner or agent: Date: )).../ I(c / 0 61
THIS CARD IS TO REMAIN ON-SITE
CITY OF Construction Inspection Record
Federal Way INSPECTION REQUESTS: (253)835-3050
PERMIT#: 09-104901-00-EL Address: 35999 16TH AVE S
Owner: SID WHITE FEDERAL WAY, WA 98003-7416
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
El Feeders/Sub-panels(4045) ❑ Rough Electrical(4225) Ceiling Cover(4020)
Approved Approved Approved
By Date By Date By Date
Final-Electrical(4055)
Approved
By 0_44,\A Date I -
Rough ElectricalEl Final Electrical CI Right of Way
Approved Approved Approved
By Date By Date By Date