07-105629City of Federal Way
Community Development Services
P.O. Box 9718
` Federal Way, WA 98063-9718
Ph: (253) 835-2607 Fax: (253) 835-2609
V#
Electrical Permit #: 07 -105629 -00 -EL
Inspection Request Line: (253) 835-3050
Project Name: LA MADERA APARTMENTS Fk
Project Address: 28620 PACIFIC HWY S Bldg C Parcel Number: 332204 9042
Project Description: Repair to up to 4 circuits in laundry room after fire damaged wiring
Owner
Applicant
Contractor
ALLIED GROUP, INC.
THOMPSON ELECTRICAL CONSTRUCTORS,
THOMPSON ELECTRICAL
221 WELLS AVE S SUITE 100
INC.
CONSTRUCTORS, INC.
RENTON WA 98055
PO BOX 45260
THOMPECO08CW 2/16/08
TACOMA WA 98445
PO BOX 45260
TACOMA WA 98445
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Circuits - Multi; Family ................... 4
PERMIT EXPIRES Monday, October 6, 2008
Permit Issued on Friday, October 12, 2007
1 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 taws, rules and regulations of the State of Washington
and the City of Federal Way. /
Owner or agent: Date: �� / i Z �O �4
F11'r'ALED
4%LTHIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105629 -00 -EL
Owner: ALLIED GROUP, INC.
Address: 28620 PACIFIC HWY S Bldg C
FEDERAL WAY, WA 98003-9231
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.
Rough Electrical (4225) Ceiling Cover (4020) Final - Electrical (4055)
Approved Approved Approved
By Date d. j!j •0By Date ,P l d By G Date // 9'ZV7
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date /p • b By Date
CITY OF RECEIVED L2 -h - L a 5;1 L I
Federal way PERMIT
COMMUNITY DEVELOPMENT SERVICES 0 C T 12 2007 SF MF COM EL PL DE EN FP
�TD
2� 3� SOUTH3°�96897o,T� �� F� C �WCATION
www.citiiofrederalwati.com -' BUILDING DEPT,
The following is required i.rtformation - an incomplete application will not be accepted. Please print legibly (in in/) or type.
PROPERTY INFORMATION
SITE ADDRESS 0 �P Z O �Q C % Q% -C- 44Wy J SUITE/UNIT #
ASSESSOR'S TAX/PARCEL # _ - LOT SIZE (sfl
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
(Attach separate page for lengthy legal descnptioN
PROJECT• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL
❑ DEMOLITION )� ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of uiork included on this perinitAnitjr
PROJECT NAME (Name of Business or Owner Last Name)
r•-1
PROPERTY
W6"
COrNNTTR.ACUOR
1
COPY of card required
with each application
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
OMPANY NAME
Comtruc+irs
APPLICANT NAME
%an
OFFICE PHONE
( -
ectric-d
M n
S3
A4+j-ALLING ADDR � v
C . STATE, ZIP P W F
`ELL PHONE 57 - 21
IFAX
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
NUMBER
Zoo X02 r (3c.
tz-3r- Zoo7
("7 ;) sw- o/o/
CONTRACTOR'S REGISTRATION NUMBER
�NZO -41
�/ EXPIRATION DATE
Z' `' a'O C
E-MAIL ADDRESS
d�nve ® c psonco
,bO$G W
#
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILING AD
CITY, STATE, ZIP
CELL PHONE
RELATIONSH ROJ
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
NAME PRIMARY PHONE E-MAIL ADDRESS
NAME
Per RCW 19.27.095:
Lender iq{forofation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY, STATE. ZIP
PHONE
ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK
BUILDING? ❑ YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHIdNE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
6%
- 4
0 PROJECT .••
AREA DESCRIPTION
AREAS
EXISTING
89. FT.
PROPOSED
89. FT.
TOTAL
SQ. FT.
BASEMENT
HOODS (Com—datl
FURNACES
RANGES
IRST
REFRIG. SYSTEMS
o ALTERATION
o REPAIR ❑ TENANT E IPROVEMENT
SECOND
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
THIRD
❑ NO
ZONING DESIGNATION
ADDITIONAL FLOORS (DESCRIBE)
❑ YES
o NO
NEW ADDRESS REQUIRED?
DECK (❑ COVERED OR ❑ UNCOVERED?)
UP/SEPA/SU?
o YES
❑ NO
GARAGE ❑ CARPORT ❑
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
NUMBER OF FLOORS
s111ruc
rR«rosED
rarwL
rvrar rusrnvo se
rornc rraarosry sr
rornc sr
"NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixlure 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 APPLICATIOM
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
PL fdBING
BATHTUBS (or Tub/Shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
GAS PIPE OUTLETS WOODSTOVES
FANS
GAS WATER HEATERS MISC (Describe)
FIREPLACE INSERTS
HOODS (Com—datl
FURNACES
RANGES
GAS LOG SETS
REFRIG. SYSTEMS
LAVS (Bathroom sinks) URINALS MISC (Describe)
RAINWATER SYST VACUUM BREAKERS
SHOWERS WATER CLOSETS Ironot)
SINKS WASHING MACHINES
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 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, andfiled iled against the City ofFederal Way, but only where such claim
arises out of the reliance of the city, including officers and employees,' upon the accuracy of the irlformation supplied to the city as a part of
this application. //)I
(SignatureT- /
RELATION HIP TO PROJECT ❑ Owner ❑ Agent
(Title)
YContractor ❑ Architect ❑ Other
FOR OFFICE USE ONLY
❑ NEW ❑ ADDITION
o ALTERATION
o REPAIR ❑ TENANT E IPROVEMENT
BUILDING SHELL ONLY?
❑ YES ❑ NO
BASIC PLAN?
❑ YES
❑ NO
ZONING DESIGNATION
CHANGE OF USE?
❑ YES
o NO
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
UP/SEPA/SU?
o YES
❑ NO
PLATTED LOT?
❑ YES ❑ NO
DEMO PERMIT REQUIRED?
❑ YES
c NO
•
Bulletin #100 — January 1, 2007
Page 2 of 4
MHandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
0
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-FAMII Y (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 COMMERCIAI./II�iDUSTRIAI.
❑ 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
LJ 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)
1--4# 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
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
❑ Automation Fee on all Permits .. $5.00
1 11
1st 2500 ft2-$65.00;
Each add'n 2500 ft2-17.00) * Per WAC 296-46-910(5)(b)li a. iQ
Bulletin #100 - January 1, 2007 Page 3 of 4 k\Handouts\Pennit Application