07-104634City of Federal Way
Community Development Services
P.O. Box 9716
Federal Way, WA 98063-9718
Ph: (25Z) 635-2607 Fax. (253) 835-2609
s �
Electrical Permit #: 07-104634-00-P.L
Project Name: WA STATE DEPARTMENT OF
Project Address: 501 S 336TH ST
Request Line: (253) 835-3050
Parcel Number: 926480 0240
Project Description: Altering 9 circuits to relocate 19 light fixtures, install 7 switches, 7 power drops, 19
double -duplex receptacles, (1) L6-30 receptacle, (1) 30 amp, 208 V dedicated circuit, and 20
phone data drops (just mud ring & pull string)
Owner
Applicant
Contractor
FSP FEDERAL WAY CORP
NORTH STAR ELECTRIC
NORTH STAR ELECTRIC
401 EDGEWATER PL SUITE 200
1905 S JACKSON ST
NORTHSE13608 9/28/07
WAKFIELD MA 01880-6207
SEATTLE WA 98144
1905 S JACKSON ST
SEATTLE WA 98144
Additional Permit Information
Ftecal Fixtures
Circuits - Commercial ................... 9 Low Voltage - Other Commercial.. 5,352
PERMIT EXPIRES Saturday, August 16 2008
Permit Issued on Wednesday, August 22, 2007'
1 hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and a will be in accordance with tkp laws, rules and regulations of the State of gton
d the y o Federal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE -
CITY OF I& Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104634 -00 -EL
Owner: FSP FEDERAL WAY CORP
Address: 501 S 336TH ST
FEDERAL WAY, WA 98003-6328
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.
❑ Service (4235) ❑ Feeders/Sub-panels (4045) ❑ Rough Electrical (4225)
Approved Approved Approved
By Date By Date By Date i3 -,0, ( 7
-U'
❑ Ceiling Cover (4020) ❑ Final - Electrical (4055)
Approved ,[ n) Approved
By Date ' `S By (� Date A0
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date 1C) • % -
RECEIVED _
Federal Way -
-MmL Ymmo-,Era-m c.EAUG 2 2 2007 PERMIT SF MF CO PL DE EN FP
33325DERM.W1ESOUliI•PO97X9'18 APPLICATION _
FEDERaLwaY,wa ssoss-sne
ass'e 2so7•FAXz as yp%Y OF FSU€RAL WAY
mu�u�.dt4a((ederaivau.mm BUILDING DEPT.
The folhxving is required irtformation - an incomplete application will not be accepted. Please print legibly an inV or type.
QQPROPERTY INFORMATION
SITE ADDRESS _ S'O / CJ 3 �� sUITE/UNIT * Z
ASSESSOR'S TAX/PARCEL # — — — — /— — LOT SIZE (sfi
LEGAL DESCRIPTION (e.g. Acane Estates, Lot 1)/C/�
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑=LECTRICAL
G ❑ MECHANICAL
El DEMOLITION IR ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed descripaon of work indyded on this permit only)
PROJECT NAME (Name of Business or Owner
PROPERTY
OWNER
CONTRACTO*
yCO
COR or card required
dfb each d�
PROJECT
CONTACT
LENDER.
--4 fF: '
Corr
PRIMARY PHONE
G D p p � /� %
V12 �/ 1 1 ti' 1
E-MAIL ADDRESS
COMPANY NAME
NORTH 9TAR EI.rcTmtc
APPLICANT NAME
OFFICE PHONE
(206) 321 - 1 6
MAHING ADDRESS
OV+H T CKSON T.
190 S
CnY. STATE. ZIP
,S SATTL E WA. 991.'
CELL PHONE
( ) -
CnY OF FEDERAL WAY BUSINESS LICENSE NUMBER N DATE
-10819-00-SL I.Oi 2001
a0- 2
FAX NUMBER
(a06)3a9 -gY37
CONTRACTORS REGISTRATION NUMBER TION D
E-MAIL ADDRESS
/' ��—/1s?�i'e�
D•CITi�SE` /T1o08� Ol Z o
.co
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
CITY, STATE. ZIP
CnY. STATE. 21P
CELLPHONE
_
1 ) -
RELATIONSHIP TO PRO.JECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( ) -
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender ir}formation is required }f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE. ZIP
/PHONE
t ) -
EXISTING ASSESSED/APPRAISED V $ VALUE OF PROPOSED WORK $ �(C
SPRIm BUILDING? ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES 01NO
WATER SERVICE PROVIDER, ❑ LAKEHAVEN ❑ BIGEMINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAHEHAVEN ❑ HIGEaZfE 13 PRIVATE (SEPTIC)
r.
F625-052-000 (8/97)
Detach And Display Certificate
FLICENSED
AS PROVIDED
BY LAW AS
ELEC-- CONTR GENERAL
Please Remove
LICENSE #
EXP. DATE
And Sign
EC01NORTHSE13608
09/28/2007
Identification
EFFECTIVE DATE
09/28/1987
Card Before
r
NORTH STAR ELECTRIC
INC
Placing In
1905 S JACKSON ST =
Billfold
SEATTLE 'WA 98144
Signature
Issued by DEPARTMENT OF LABOR AND INDUSTRIES
f
PROJECT •••
AREAS
GAS PIPE OUTLETS WOODSTOVES
TOTAL
SQ. FT.
AREA DESCRIPTION
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
BASEMENT
HOODS (Commercial)
COMPRESSORS
FURNACES
FIRST
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
SECOND
UP/SEPA/SU? ❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
THIRD
❑ NO
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
EXISTING
PROPOSED
TOTAL
TOTAL F-XMnVG SF
TOTAL PROPOSED 9P`
TOTAL SF
**NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (A COPY OF BID OR ES7FUA7E MUST BE INCLUDED WrM APPLICATION)
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Commercial)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub/Shower Combo) LAVS (BathrmmSinks) URINALS MISC (Describe)
DISHWASHERS RAINWATER SYST VACUUM BREAKERS
DRINKING FOUNTAINS SHOWERS WATER CLOSETS (Toilet)
ELECTRIC WATER HEATERS SINKS WASHING MACHINES
HOSE BIBBS SUMPS
I certify under penalty of perjury that the information furnished by me is true and correct to the best of my knowledge, and further, that I
am authorized by the owner of the above premises to perform the work for which the permit application is made. I further agree to hold
harmless the City of Federal Way to any claim (including costs, expenses, and attorneys' fees incurred in the investigation and defense of
such claim), which may be made ny person, including the undersigned, and filed against the City of Federal Way, but only where such claim
of the
arises out of the relianceuding its officers and employees, upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE
❑ Owner ❑ Agent
DATE Z OD
('title)
❑ Architect ❑ Other
FOR UFFICE USE'ONLY,. "
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN? ❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE? ❑ YES
❑ NO
NEW ADDRESS REgUIRED? ❑ YES ❑ NO
UP/SEPA/SU? ❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REgUIRED? ❑ YES
❑ NO
J
d
Bulletin #100 April 2, 2007 Page 2 of 4 MandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIALMMUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ft2- $111.00; Each add'n 500 ft2 - $35.50)
❑ 0 to 100 amp $120.50 $ 74.00
❑ Detached outbuilding or garage
❑ 101 - 200 amp 149.50 94.50
(Inspected with service) $47.00
❑ 201 - 400 amp 280.00 111.00
❑ Detached outbuilding or garage
❑ 401 - 600 amp 327.00 131.00
(Inspected separately) $74.00
❑ 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
❑ 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 4,
ALTERED SINGLE/MULTI FAMILY
4
❑ 201 - 600 amp '280 50 q C (-5
❑ 601 - 1000 amp 423.00 c"Y-
Service or Feeder
❑ over 1000 amp 471.00
❑ 0 to 200 amp $ 92.50
❑ 201 - 600 amp 149.50
❑ # of circuits to be added/altered G� 1V
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
20 -
❑ # of circuits to be added/altered
COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
$94.50 plus 35% of Permit Fee
❑ Service - 1,000 amps or greater 122
❑ Mast or meter repair $55.00
❑ Medical/Educational/Institutional Facility
MANUFACTURED HOMES
❑ 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 I
❑ over 600 amps 162.00 l'
MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
❑ Low Voltage❑
Square Feet to be served by system(s) v J�
Swimming pool/hot tub ................ $111.00
(Includes additional circuit, if required)
❑ Fire Alarm system
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm system
❑ Additional Plan Review $111.00/hour
113 ice Cabling
ild Data Cabling
❑
(for modified submittals)
Automation Fee on all Permits .. $5.00
lat 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 296-46-9100)i O & W
R
Bulletin #100 - April 2, 2007 Page 3 of 4 k\Handouts\Permit Application _