07-105139City
ityDeFederal
lopmentS Electrical Permit #• 07 -105139 -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
Project Name: WORLD VISION::.,
Project Address: 3450 S 344TH WAY Suite 200 "' -=' Parcel Number: 222104 9040
Project Description: Low -voltage wiring for fire alarm modifications.
Owner
Applicant
Contractor
WORLD VISION INC
EVERGREEN FIRE ALARMS
EVERGREEN FIRE ALARMS
PO BOX 9716
3215 S 12TH ST
EVERGFAOOOLG (6/8/08)
FEDERAL WAY WA 98063-9716
TACOMA WA 98405
3215 S 12TH ST
TACOMA WA 98405
Additional Permit Information
Service greater than 1000 Amps?...........................No
ElectricalIzttrres
Low Voltage Fire Alarm - Comme: 2,500
PERMIT EXPIRES Sunday, September 7, 2008
Permit Issued on Thursday, September 13, 2007
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
d the ity of Federal Way.
Owner ora agent:8L�7 --- Date: I
8 � _
THIS CARD IS TO REMAIN QN-SITE
CITY OF Community Development Inspection Record '
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105139 -00 -EL
Owner: WORLD VISION INC
Address: 3450 S 344TH WAY Suite 200
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.
❑
Slab/Concrete Floor (4255)
❑
Ditch cover (4030)
❑
Pool Bonding (4195)
Approved to place concrete
Approved
Approved
By
Date
By
Date
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 5
❑
UFER Ground (4295)
Approved
By
Date
_ For in_pector reference only
O Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
T Building Division
CITY OF ' $3325 Eighth Avenue South
Federal Way • Fe Box 9718
Federal Way 98063-9718
Phone 253-835-2607
Fax 253-835-2609
INSPECTION NOTICE
ADDRE�S/3 44 Sia S #:��
IF YOU HAVE ANY QUESTIONS CALL
Call for reinspection before cover
(253) 835- 2.1,-s ��
I
WHEN CORRECTIONS HAVE BEEN MADE, CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD
FOR DETAILS.
ATE .. INSPECTOR
DO NOT REMOVE THIS NOTICE
Page of
MY or RECEIVED _ S L 3
�
Federal way PERMIT
COMMUNI7YDEVELOPMENT SERVICES SEP 1 3 lou SF MF CO MEOL DE EN FP
33325 8TM AVENUE SOUlrH • PO BOX 9718
FEDERAL 07 -WAY, WAFAX 98063-9 O F F E DE ARP LI CATI O N
253-835-2607• FAX 853-835-
__,=iii.=,:,li„q=,_ BUILDING DEPT.
The following is required irtformation - an incomplete application will not be accepted. Please print legibly rn ink) or type.
PROPERTY INFORMATION
SITE ADDRESS .-.S y 5ci Sou J- 6 i�tj -)'h Lic,&: SUITEMNIT #
ASSESSOR'S TAR/PARCEL # a a a -L- a –1 - o 11 -ca LOT SIZE (Sp
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attmh separate aqgef� I Wft 1�gW d-1pmN
■ PROJECT INFORMATION
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL --tt --
❑ DEMOLITION ❑ ELECTRICAL ❑ ENGINEERING (IFIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of uJork included on this oermit onlu)
r
PROJECT NAME (Name of Business or Owner Last Namel l ��� r LJ C 1 Cf >n
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
E PEOPLE INFORMATION 1
NAME
PRIMARY PHONE
L13 A -
OFFICE PHONE
(953 )6Z)7 - J3 ci'1
MAILING ADDRESS
CITY. STATE, ZIP
E-MAILADDRESS
/
IP n G 6
�1
A
-
COMPANY NAME
APPLICANT NAME
APPLICANT NAME
Le �Y-kc
OFFICE PHONE
(953 )6Z)7 - J3 ci'1
YG cc
ire A m
n A
CRY. STATE. ZIP
MAILING AD RESS
-
CITY, STATE. ZIP
CELL PHONE
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
( 853)Ga7 - 7 0-7
CONTRACTOR'S RBGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
Ev K &
A o L 6
o, �; A 8'
I SLChMox
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
ame G. ✓
PHONE
( ) -
MAILING ADDRESS
CRY. STATE. ZIP
CELL PHONE
RELATIONSHIP TO PROJECT/'
C' �k
FAX NUMBER
( ) -
❑ Architect ❑ Tenant ❑ Agent L�ther a r
.CA �2
N PRIMARY PHONE E-MAIL, DRESS
NAS
C�1Z4h (ai ) - l C r 11 C
.mow'
NAME
Per RCW 19.27.095:
Lender iriformadon is required (f 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 ❑ MGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
IV
AREA DESCRIPTION
EXISTING
SQ.FT.
PROPOSED
SQ.FT.
TOTAL
SQ. FT.
BASEMENT
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
FIRST
COMPRESSORS
FURNACES
RANGES
SECOND v
GAS LOG SETS
REFRIG. SYSTEMS
NEW ADDRESS REQUIRED? a YES ❑ NO
THIRD
❑ NO
PLATTED LOT? ❑ YES ❑ NO
o1 SUU
ADDITIONAL FLOORS (DESCRIBE)
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
rtosrnaa
"tOMIrn
TOTAL
rorwcIIIWarosF
rorwcraaaeoseosr
TOTAL"
**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.
Value of Mechanical Work $ (A COPY OF BID OR ESTIMATE MUST BE INCLUDED WNH APPLICA770M
AIR HANDLING UNITS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
BBgS
FANS
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREPLACE INSERTS
HOODS (Cummer w)
COMPRESSORS
FURNACES
RANGES
DUCTS
GAS LOG SETS
REFRIG. SYSTEMS
BATHTUBS (orlub/Shower Combo)
LAVS (Bathmom Shis)
URINALS MISC (Describe)
DISHWASHERS
RAINWATER SYST
VACUUM BREAKERS
DRINKING FOUNTAINS
SHOWERS
WATER CLOSETS (roue)
ELECTRIC WATER HEATERS
SINKS
WASHING MACHINES
HOSE BIBBS
SUMPS
o NO
SIGNATURE
I cert(fy under penalty gfperjury that I am the property owner or authorized agent of the property owner. I certM that to the best of my
knowledge, the information submitted in support of this permit application is true and correct. I certLfy 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 gfFlederal 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 q j this licat{on.
SIGNATURE:DATE O
7-1- Owner and/o Authorized Agent
FOR OFFICE USE ONLY
a NEW o ADDITION
o ALTERATION
❑ REPAIR o TENANT IMPROVEMENT
BUILDING SHELL ONLY? o YES a NO
BASIC PLAN? a YES
o NO
ZONING DESIGNATION
CHANGE OF USE? a YES
o NO
NEW ADDRESS REQUIRED? a YES ❑ NO
UP/SEPA/SU? a YES
❑ NO
PLATTED LOT? ❑ YES ❑ NO
DEMO PERMIT REQUIRED? a YES
❑ NO
Bulletin #100 — August 16, 2007 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/RMUSTRIAL 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-FANMY (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
ALTERED COMMERCIAL/IIIiDUSTRIAL
Ll 601 - 800 amp 262.00 140.50
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 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
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
❑ 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 PARR
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
Sq Feet to be served by system(s) 1500
=Alarm
(includes additional circuit, if required)
Alarm System
❑ Yard Pole meter loops ..................... $74.00
❑ Security Alarm System
❑ Additional Plan Review $111.00/hour
❑ voice Cabling
(for modified submittals)
Cabling
❑ Data Cabl
LJ Automation Fee on all Permits .. $5.00
❑
tat 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) • Per WAC 296-46-910(5)(b)(i &. i)
Bulletin #100 - August 16, 2007 Page 3 of 4 k\Handouts\Permit Application