07-104643e
4 City of Federal Way
Community Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
Project Name: S C I NFRASTRUCTURE
Project Address: 28850 PACIFIC HWY S
Project Description: Alter 125 AMP service
r �
Electrical Permit #: 07 -104643 -00 -EL
Inspection Request Line: (253) 835-3050
a<:
Parcel Number: 042104 9081
Owner
Applicant
Contractor
BALDWIN FAMILY LP
TOTEM ELECTRIC OF TACOMA, INC.
TOTEM ELECTRIC OF TACOMA, INC.
34801 37TH AVE S
PO BOX 1093
TOTEMET315BS (9/30/07)
AUBURN WA 98002
TACOMA WA 98401
PO BOX 1093
TACOMA WA 98401
Additional Permit Information
Electrical Fixtures
Alt. Serv./Feeder up to 200 amps - 1
PERMIT EXPIRES Sunday, August 17, 2008
Permit Issued on Thursday, August 23, 2007
1 hereby certify that the above information is correct and that the construction on the; above described property and
the occupancy and the" wi8ib in accordan laws, rules and regulations of the State of Washington
ederal Way.
Owner or agent: Date:
THIS CARD IS TO REMAIN ON-SITE
CITY OF AWCommunity Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104643 -00 -EL
Owner: BALDWIN FAMILY LP
Address: 28850 PACIFIC HWY S .
FEDERAL WAY, WA 98003-3802
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.
❑ Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑ Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By Date
By
Date .O
By Date
❑ Temporary Power (4275)
❑
Service (4235)
❑ Feeders/Sub-panels (4045)
Approved
Approved
Approved
By Date
By
Date
By Date
❑ Rough Electrical (4225)
❑ Ceiling Cover (4020)
❑ Final - Electrical (4055)
Approved
Approved
Approved
By Date
By
Date
By Date
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
Y
s �
RECEIVED
C"
Federal way PERMIT — — — — — —
h.�)G2�41W SF MF CO ME. LDEENFP
COMMUNITY DEVELOPMENT SERVICES ` "
33325 8m
FEDERAL
WA SOUTH • 63 971 9718 D D L I CATION
FEDERAL WAY, WA 98063-9718 44ddYY�l TL
253-835-2607• FAX 253-835-24gT Y OF F E D E A
www.cituo((ederalu+au.com BUILDING DEPT.
The following is required information - an incomplete application will not be accepted. Please print legibly (in ink) or type.
PROPERTY•• •
SITE ADDRESS :Z $ S 5 O PAG l Ft L ,AJ E S. SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # 0-42-1 - !0 YL v LOT SIZE (gfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Att ch separate page for lengthy Legal descriptioN
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION XELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlu)
A %,T E-2 l a 5 A -^A0 S&P -V «E
PROJECT NAME (Name of Business or Oumer Last Name1 Q1 �5 j I/��' � � Cl /J� /� "� - �`"�
PEOPLE•• •
PROPERTY
OWNER
COPY or card mywrea
with each applicatlon
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME
APPLICANT NAME
PRIMARY PHONE
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
TOTEM ELECTraiC- of IAGOMA
nlc..
(;t5'3) 383
MAILING ADDRESS
CITY, STATE, ZIP
-IrA ql?4o
CELL PHONE
P.O. da)c 1 0 43
w PA& wA 1
( ) _
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
)q-99 - lOG-11 30 -00 -r3L
12131/0-7
( ) -
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAILADDRESS
TOTEM t'T 3%S a5
q/3c0/0-7
COMPANY NAME
-mTEM EL.E—CTRlt` OF TAWM
APPLICANT NAME
zW4.
OFFICE PHONE
(QS3) 383
MAILING ADDRESS
Cn'Y, STATE, ZIP
CELL PHONE
F?o.�3a� r093
T-AC,Onn,A wa-
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent K Other
Co rj MAr C.-ry _
(Q S 3) .2-7-a - 5 a 1 t.(
NAME PRIMARY PHONE E-MAIL ADDRESS
Ric�iAa� STMA)N 4 ( 253) 383 - so ca
NAME
Per RCW 19.27.095:
Lender irtformation is required if project value exceeds $5,000
MAILING ADDRESS
CITY, STATE, ZIP
PHONE
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 ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
AREAS
GAS PIPE OUTLETS WOODSTOVES
BBQS
EXISTING
FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
HOODS (commemial)
COMPRESSORS
FURNACES
FIRST
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
SECOND
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
THIRD
❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
METING
PROPOSED
TOTAL
TOTAL ESBTIRG SF
TOTAL PROPOSED Sr
TOTAL Sr
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture 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 HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBQS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (commemial)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (or Tub/Shower combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
LAVS (Bathroom Sinks)
URINALS MISC (Describe)
RAINWATER SYST
VACUUM BREAKERS
SHOWERS
WATER CLOSETS (Toilet)
SINKS
WASHING MACHINES
SUMPS
BUILDING SHELL ONLY? ❑ YES ❑ NO
I certify under penalty of perjury that the irtformation 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 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 of Federal Way, but only where such claim
arises out of the reliance of the city, including its officers and employees, upon the accuracy of the irtformation supplied to the city as a part of
this application.
NAME/TITLE
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent WIContractor
t',P.
(title)
❑ Architect
❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
❑ ALTERATION
o REPAIR ❑ TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
❑ NO
NEW ADDRESS REQUIRED? ❑ YES ❑ NO
UP/SEPA/SU?
❑ YES
o NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
Bulletin #100 — April 2, 2007
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- $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
A 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
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
❑ over 600 amp 225.50
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
❑ # of circuits to be added/altered
COMMERC114LANDUSTRIAL 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
❑ 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
❑ over 600 amps 162.00
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
❑ Swimming pool/hot tub ................ $111.00
Square Feet to be served by system(s)
(Includes additional circuit, if required)
❑ Fire Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ Voice Cabling
(for modified submittals)
❑ Data Cabling
kAutomation Fee on all Permits $5.00
❑
..
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910(5)(b)(i & ti)
Bulletin #100 - April 2, 2007 Page 3 of 4 k\liandouts\Pemut Application