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07-104445City ity of Development nt S Electrical Permit #: 07 -104445 -00 -EL t 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: WASHINGTON STATE LOTTERY OFFICE : 3 Project Address: 33701 9TH AVE S Parcel Number: 926480 0180 Project Description: Installation of wiring for a tenant improvement. Owner Applicant Contractor SIMON & JOHNSON D F ELECTRIC INC D F ELECTRIC INC HERB SIMON & THEODORE JOHNSON PO BOX 7205 ST DFELEI*OIOD9 3/31/09 1019 PACIFIC AVE S SUITE 1119 TACOMA WA 98417 PO BOX 7205 ST TACOMA WA 98402 CJCOT� TACOMA WA 98417 Addiddlitil Par it, J' City of Federal Way Community Develq�ment Services P.O 6ox 9718 Federal Way, WA 98063-9718 Ph: (253) 835-2607 Fax: (253) 835-2609 Electrical Permit #: 07 -104445 -00 -EL Inspection Request Line: (253) 835-3050 Project Name: WASHINGTON STATE LOTTERY OFFICE Project Address: 9TH AVE S parcel Number: 926480 0190 337x.1 Project Description: Installation of wiring for a tenant improvement. Owner Applicant Contractor SIMON & JOHNSON D F ELECTRIC INC D F ELECTRIC INC HERB SIMON & THEODORE JOHNSON PO BOX 7205 ST DFELEI*OIOD9 3/31/09 1019 PACIFIC AVE S SUITE 1119 TACOMA WA 98417 PO BOX 7205 ST TACOMA WA 98402 TACOMA WA 98417 Additional Permit Information Electrical Fixtures 1 .10 00 THIS CARD IS TO REMAIN ON-SITE , . CITY CR Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT #: 07 -104445 -00 -EL Owner: HERB SIMON & THEODORE JOHNSON Address: 33>7o/ 9TH AVE S 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 For inspector reference onl O Rough Electrical ❑ FINAL - Electrical Approved Approved By DateBy Date //, `J'— 6 ❑ ❑ ❑ Slab/Concrete Floor (4255) Ditch cover (4030) Pool Bonding (4195) Approved to place concrete Approved Approved By Date By Date By Date ❑ Service (4235) ❑ Feeders/Sub-panels (4045) ❑ Temporary Power (4275) Approved Approved Approved By Date By Date By Date ❑ Rough Electrical (4225) ❑ Ceiling Cover (4020) ❑ Final - Electrical (4055) Approved Approved Approved By Date ' Q By Date//- - ` ' CS By Date S ❑ UFER Ground (4295) Approved By Date For inspector reference onl O Rough Electrical ❑ FINAL - Electrical Approved Approved By DateBy Date //, `J'— 6 41k 4� Federal Way Building Division 33325 Eighth Avenue South • e Box 971 Federal Way 98063-9718 Phone 253-835-2607 Fax 253-835-2609 INSPECTION NOTICE ADDRESS: 3-3 %6/ V /?X SUE s #;-E�- /VEe7/Qic/ �/ 5'% ���� i �•q� IF YOU HAVE ANY QUESTIONS CALLS/Y (253) 835- 2�?J Call for reinspection before cover WHEN CORRECTIONS HAVE BEEN MADE CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of MY OF Building Division ` 33325 5+ghth Avenue South P ViZAL Federal Way • decalBox Federal Way 98063-9718 Way Phone 253-835-2607 Fax 253-835-2609 INSPECTION NOTICE ADDRESS: -:�37a( #:677-/a`f4Jr-Uo-E�-- WA--- 24' 4�, - `746 f - �vdc7 -a t r �'y/oPa/z7- t/1/i,V 4r S 17 `f7 41?e ��tSTENE 0 To T� IN IF YOU HAVE ANY QUESTIONS CALL Call for reinspection before cover ✓." (253) 835- Z-<- ,3<-1 WHEN CORRECTIONS HAVE BEEN MADE CALL (253) 835-3050 FOR RE -INSPECTION. SEE BACK OF CARD FOR DETAILS. DATE INSPECTOR DO NOT REMOVE THIS NOTICE Page of CITY OF — Federal Way RECENEDPERMIT COMMUNITY DEVELOPMENT SERVICES SF MF CO MF® PL DE EN FP 33325 8TH AVENUE SOUTH • PO DOX 9718 2FEERAL WAY, WA 9809718 53-D835-2607- PAX 253 83b 2609 AUG 0 9 20A P P L I C AT I O N T° unnw.cJtuofrederulumli om DE L WAY The following is r ci�r- an incomplete application will not be accepted. Please print legibly (in ink) or type. SITE ADDRESS 3 ?iJ I1�� SUU 1 r7 SUITE/UNIT # ASSESSOR'S TAX/PARCEL # O - LOT SIZE (sj LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1) (Attach aep—te page for lengthy lege! desalpHonf PROJECT INFORMATION TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING ❑ MECHANICAL ❑ DEMOLITION?!rELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM PROJEC DTCRIPTION (Provide detailed description of work included on this permit only) 1 PROJECT NAME (Name of Business or Owner Last Name)' L�0�� �T�► �-`eS PEOPLE•- • PROPERTY NAME�1t+ Tf �.� PRIMARY PHONE OWNER r �t �—+�O��r vtZn -4461 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ADDRESS FAX NUMBER CITY, STATE, ZIP E-MAIL ADDRESS 3S7-� CONTRACTDIVS R GISTRATION N BER EXPIRATION DATE L AbDREkS �H CONTRACTOR COPY of card regalrad with each applicauon APPLICANT PROJECT CONTACT LENDER COMPANY NAME A LI T NAME OFFICE PHONE (2 �Z -3;W MAILING ADDRESS -zo C TY, STATE, ZIP CELL PHONE Z & -;143 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER -"4 r,61 3S7-� CONTRACTDIVS R GISTRATION N BER EXPIRATION DATE L AbDREkS �H COMPANY NAME A5 "Dve APPLICANT NAME OFFICE PHONE MAILING ADDRESS CITY, STATE, ZIP CELL PHONE RELATIONSHIP TO PROJECT ❑ Architect ❑ Tenant ❑ Agent )i( Other FAX NUMBER N�E PRIMARY PHONE -MAI AD9RESS �wh cL�f�'; AME Per RCW 19.27.095: Lender information is required ifproject value exceeds $5,000 MAILING ADDRESS CITY, STATE, ZIP PHONE EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERED BUILDING? ❑YES ONO PRESSION SYSTEM PROPOSED/ REQUIRED? ❑YES ONO WATER SERVICE PROVIDER ❑ LAKEHA ❑ HIGHLINE O TACOMA ❑ PRIVATE (WELL) SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC) AREA DESCRIPTION EXISTING SQ. FT. PROPOSED S • . FT. TOTAL SO. FT. BASEMENT BUILDING SHELL ONLY? o YES o NO . FIRST o YES n NO .SECOND CHANGE OF .USE? THIRD o NO NEW ADDRESS REQUIRED? ADDITIONAL FLOORS (DESCRIBE) UP/SEPA/SU? o YES DECK -(0 COVERED OR O UNCOVERED?)- NCOVERED?)GARAGE PLATTED LOT? o YES o NO GARAGE❑ CARPORT ❑ o YES o NO NUMBER OF FLOORS suanso FsoFosso T rornL sr roreL rA10rasso sr Toni, sr "NEW HOMES ONLY" NUMBER OF BEDROO ESTIMATED SELLING CE $ 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 $' AIR HANDLING UNITS BBQS. BOILERS COMPRESSORS DUCTS PLUMBING BATHTUBS (w Tub/Shover Combo) DISHWASHERS DRINKING FOUNTAINS ELECTRIC WATER HEATERS HOSE BIBBS (A COPY OF BI OR EVAPORATIVE COO FANS FIREPI,,ACE INSERTS FURNACES GAS LOG SETS LAV.S is sb*.) RAINWA R SYST ESTIMATE MUST BE INCLUDED WITH APPLICATION) RS AS PIPE OUTLETS WOODSTOVES GAS WATER•HEATERS MISC (Describe) HOODS (commerdeq . RANGES REFRIG. SYSTEMS NALS MISC (Describe) VAC M BREAKERS WATE 1.0SETS (roueq WASHING MACHINES I certify under penalty of perjury that the i4ormation furnished by me is true and correct to the best -of-my knowledge, and further, that I am authorised 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 o fj ears and employees, upon the accuracy of the ir4/'ormation supplied to the city as a part of this application. NAME/TITLE&�� I r-- 1 DATE igrnature RELATIONSHIP TO PROJECT ❑ Owner Agent f Contractor o Architect ❑ Other o NEW o ADDITION o ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO . BASIC PLAN? o YES n NO ZONING DESIGNATION CHANGE OF .USE? o. YES o NO NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO IIEMO PERMIT REQUIRED? o YES o NO Bulletin #100—April 2, 2007. Page 2 of MHandouts\Permit Application ELECTRICAL PERMIT rINFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRUL SERVICE •❑ Single Family. Square Feet Service or 'Feeder Each Add'n (Fust 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'separateiy) $74.00 ❑ 601 - 800 amp 423.00 179.00 13 801 - 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 0 401. _ 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 FAMILY ❑ 201 - 600 amp 280.50 ❑ 601 - 1000 amp 423.00 Service or Feeder ❑ 0 to 200 amp $ 92.50 ❑ over 1000 amp 471.00 ❑ 201 - 600 amp 149.50 ❑ over 600 amp 225.50 of circuits to be added/altered (1-5 circuits - $94.50; Add'n circuits, $7.00/ea) ❑ # of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW 11-4 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 $I20.50 TEMPORARY SERVICE MOBILE.HOME/RV PARK Residential/Multi-Family $65.00 El -# of service or feeders (First service/feeder-$74.00; each add n -$48.00) Commerciat4ndustrial Service or Feeder Ampacity ❑ 0 - 100 amps $ 74:00 101-200 amps 94.50 0 201 - 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 systems) (includes additional circuit, if required) ❑ Fire Alarm System ❑ Yard Pole meter loops ................. $74.00 ❑ Security Alarm System Q Additional Plan Review $111.00/hour ❑ Voice Cabling L7 Data Cabling (for modified submittals) automation Fee on all Permits .. $5.00 la 2500 ft2-$65.00; Each add'n.2500 ft2-•17.00) • Per WAC 296-46-910(5)(b)(i & ii) Bulletin 17100- April 2, 2007 Page 3 of 4 k\HandoutsTermit Application