07-104486s
)City of Federal Way
Con)m *nity Development Services
P.O. Box 9718
Federal Way, WA 98063-9718
Ph: (253) 835-2507 Fax: (253) 835-2609
Electrical Permit #: 07 -104486 -00 -EL
Project Name: WA STATE DEPARTMENT OF REVENUE
Project Address: 501 S 336TH ST
Project Description: Low voltage wiring for fire alarm system.
Inspection Request Line: (253) 835-3050
Parcel Number: 926480 0240
Owner
Applicant
Contractor
FSP FEDERAL WAY CORP
SMITH FIRE SYSTEMS INC
SMITH FIRE SYSTEMS INC
401 EDGEWATER PL UNIT 200
1106 54TH AVE E
SMITHFS1360T (11/2/08)
WAKFIELD MA 01880-6207
TACOMA WA 98424
1106 54TH AVE E
TACOMA WA 98424
Additional Permit Information
Electrical Fixtures
Low Voltage Fire Alarm - Com=18,16,
PERMIT EXPIRES Thursday, August 7, 2008
Permit Issued on Monday, August 13, 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 laws, rules and regulations of the State of Washington
no the City of Federal Way.
Owner or agent: ti— Date: -3,(Q %
y # THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104486 -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.
❑
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 ` l (�%" •
By
Date g �l3.�
By
g /
Date
❑
UFER Ground (4295)
Approved
By
Date
For inspector reference only __ _
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date '�
RECEIVED
CITY OF AUG 1 3 2007— 1 0
Federal way PERMIT
COMMUNr/YDEVELOPMENTSERVICQn'yOF FEDE SF MF CO ME L L DE EN FP
333258ERALW Y _A 9 063 971 9718 BuIIDING ' ,I CATI O N
FEDERAL 07 -FAX 98083-9718 /
253.835-2607• FAX 253-835-2609
www.c0uolrederdwau mm
The following is required irtformation - an incomplete application will not be accepted. print legibly (in ink) or type.
PROPERTY•, •
SITE ADDRESS _ S70 1 S 3(C7 U SUITE/UNIT #
ASSESSOR'S TAX/PARCEL k (s Q b - o Z �Y O 1l LOT SIZE (S,�
r l�r
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (� ��1�d �� a-7 C� �l c�.l a - -T
(Attach separate page for Ierg ft IWW desaVdorJ
PROJECT INFORMATION
TYPE OF PERMIT ❑ BUMDING ❑ UMBING ❑ MECHANICAL
❑ DEMOLITIONS LECTRICAL ❑ ENGINEERING FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this permit onlul
Rd eac�c n -r c e_i�1 •�� "�..G ,n o� ~� ,
isen�,21,LC�
PROJECT NAME (Name of Business or Owner Last Nam elyv�'COt /� [ l�2 -1 ,\)4 CA- k,P—y efA V -t -
PEOPLE INFORMATION
PROPERTY
OWNER
CONTRACTOR
COPY of card required
with Ink opplicatiou
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME •� - p
C V trtXe�0.� t t� or? -
PRIMARY PHONE
( ) -
MAILING ADDRESS
rI - STAIJ, ZIP
E-MAIL ADDRESS
so 5 -
MAILING ADDRESS
CITY. STATE, ZIP
COMPANY
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
r�-� T
L t?G.r'0-
MAILING ADDRESS
CITY. STATE, ZIP
CELL PHONE
r> u 5� .rc .IV.1
w _ f'(2- If
(0 )
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRA ON DATE
FAX NUMBER
11121 - 7t? - 000C> L /-016 r.
('J'3 )124
CONTRACTOR'S REGISTRATION NUMBER
EXPIRATION DATE
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
- ' r�
PHONE
2.3) ,� y - �2c� z
MAILING ADDRESS
CITY. STATE. ZIP
CELL PHONE
tcf, b S
-roc .C3$42 L#
( Zs3)toot? - gzzr 7
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant b Agent rOther
Q5 k
(x5,> ) q�4 - 0'22 4 1
NAME PRIMARY PHONE E-MAIL ADDRESS
(zs) )2148- - ?&Oz
NAME
Per RCW 19.27.095:
Lender irtforrrtation is required (f project value exceeds $5,000
MAILING ADDRESS
CITY. STATE. ZIP
PHONE
EXISTING ASSESSED/APPRAISED VALUE
PROPOSED USE
VALUE OF PROPOSED WORK $ ( (p, 070-C>
SPRINKLERED BUILDING? ❑.YES YNO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES I CNO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE/TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE (SEPTIC)
3
PROJECT•••
AREA DESCRIPTION
AREAS
EXISTING
SQ. FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
❑ YES ❑ NO
BASIC PLAN?
❑ YES
FIRST
ZONING DESIGNATION
CHANGE OF USE?
SECOND
6
NEW ADDRESS REQUIRED?
❑ YES ❑ NO
THIRD
❑ YES
❑ NO
PLATTED LOT?
ADDITIONAL FLOORS (DESCRIBE)
DEMO PERMIT REQUIRED?
❑ YES
❑ NO
DECK (❑ COVERED OR ❑ UNCOVERED?)
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
et®roo
rnoroaea
rota.
rxoroesosr
TOTAL Air
"NEW HOMES ONLY" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
N FIXTURES
Indicate number of each type offtxture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
Value of Mechanical Work $ (ACOP OF BID OR ESTIMATE MUST BE INCLUDED WITH APPLICATION)
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS )or lib/shower Combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAYS (Bathroom Sinks)
RAINWATER SYST
SHOWERS
SINKS
SUMPS
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS (commerd4
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS rrot(eq
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
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, 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 4f the information supplied to the city as a part of
this application.
NAME/TITLE :Wn l3,¢.rFAAQ-4 DATE S -//(/O?
(Signature) Mde)
RELATIONSHIP TO PROJECT ❑ Owner ❑ Agent contractor ❑ Architect ❑ Other
❑ NEW ❑ ADDITION
❑ ALTERATION
❑ 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
❑ 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-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 COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.50 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMELY
❑ 201 - 600 amp 280.50
Ll 601 - 1000 amp 423.00
Service or Feeder
Ll 0 to 200 amp $ 92.50
❑over 1000 amp 471.00
❑ 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 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)
- I.ow Voltage
❑ Swimming pool/hot tub ................ $111.00
I Square Feet to be served by system(s) i�6 ((p E
(Includes additional circuit, if required)
e 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
Pt 2500 ft2-$65.00;
Each add'n 2500 W-17.00) • Per WAC 296-46-910(5)(b)(i &. u)
Bulletin #100 -April 2, 2007 Page 3 of 4 k\Handouts\Permit Application