07-104858` City of Federal Way
ComMunity Development Services Electrical Permit #: 07 -104858 -00 -EL
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: WA STATE DEPARTMENT OF REVENUE
Project Address: 501 S 336TH ST Parcel Number: 926480 0240
Project Description: Adding 200A panel&
'L- I
Owner
Applicant
Contractor
FSP FEDERAL WAY CORP
NORTH STAR ELECTRIC
NORTH STAR ELECTRIC
401 EDGEWATER PL SUITE 200
1905 S JACKSON ST
NORTHSE13608 9/28/07
WAKFIELD MA 01880-6207
SEATTLE WA 98144
1905 S JACKSON ST
SEATTLE WA 98144
Additional Permit InformAtion
Service greater than 1000 Amps?...........................No
! Electrical FIxtureS
Alt. Serv./Feeder up to 200 amps - 1
PERMIT EXPIRES Friday, August 29, 2008
Permit Issued on Tuesday, September 4, 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 pin actor with Ws, rules and regulations of the State of Washington
d t of Federal Way.
Owner or agent: !!! Date: ��
THIS CARD IS TO REMAIN ON-SITE ,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104858 -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 in sequence. On-going inspections
are logged on the back of this card.
❑ Slab/Concrete Floor (4255)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
-
❑
Temporary Power (4275)
Approved
❑
Service (4235)
❑
Feeders/Sub-panels (4045)
Approved
Approved
By
Approved
❑
By
Date
Approved
By
Date
❑
Rough Electrical (4225)
❑
Ceiling Cover (4020)
Approved
Approved
By
Date
By
Date
❑ UFER Ground (4295)
Approved
By Date
❑
Pool Bonding (4195)
Approved
By
Date
❑
Feeders/Sub-panels (4045)
Approved
By
Date?-LL62
❑
Final - Electrical (4055)
Approved
By
Dateg';�67
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date 1" U
-
Rade ral ala
PERMIT
COMWfflIYDEYELOPNWSERVI p 4 2007 SF MF CO ME(EL)PL DE EN FP
zs•wAY ,AI,t•Po9718 PLICATION
FEDERAL WAY, X 98095.266
X59-d9SZ607• FAX ?53.435.1609
tOtnu.dhroAEdemhueu.�l Ty OF Fr.OeRA
Py
@UILDING DEPT. 7
The following is required information -an incomplete application will not be accepted. Please print. legibly (in ink) or type.
2 PROPERTY• •
SITE ADDRESS _ 6 ( J T SUITE/UNIT #
ASSESSOR'S TAX/PARCEL * V - LOT'SIZE (sn
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
TYPE OF PERMIT
PROJECT DESCRIPTION (Provide
■ PROJECT INFORMATION
❑ BUILDING ❑ PLUMBING.
❑ DEMOLITION 51 ELECTRICAL
description of work included on this De
I _ r
PROJECT. NAME (Name of Business or Owner Last Namel _W A
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
PEOPLE INFORMATION
❑ MECHANICAL
❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
NAME
PRIMARY PHONE
W
�C3KTR U f I
MAILING ADDRESS
CITY, STATE, ZIP
E-MAIL ADDRESS
1
l S Z _3 T)
CLL PHONE
tIt
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
�C3KTR U f I
J,
.3. 0(
MAILING ADDRESS
, STAT ZIP
CLL PHONE
tIt
57t - 1w, Tq
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER
EXPIRATION DATE
FAX NUMBER
G(-ag-O 7
ONTRA R'E REOIBTRATIOR ER
r
EXPIRATION DATE
3 -MAIL ADDRESS
�
N( 0 1 13 C.Qj
C( .cyl
COMPANY NAME
APPLICANT NAME
OFFICE PHONE
MAILINO ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
❑ Architect ❑ Tenant ❑ Agent ❑ Other
FAX NUMBER
( _
NAMEPRIMARY PHONE EMAIL ADDRESS
NAME
Per RCW 19.27.095t
Lender information is required ifproject 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
VfATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
PROJECT •••
AREA DESCRIPTION
BASEMENT
AREAS
EXISTING,
SO.; FT.
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
—FIRST---
IRSSECOND
o YES. o NO
BASIC PLAN?
o YES
SECOND
ZONING, DESIGNATION
CHANGE OF USE?
THIRD .
o NO
NEW ADDRESS REQUIRED?
o YES o NO
ADDITIONAL FLOORS (DESCRIBE)
o YES
o NO
PLATTED LOT?
DECK (❑ COVERED OR ❑ UNCOVERED?)
DEMO PERMIT REQUIRED?
o YES
o NO
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
n° O
ra°ro•e°
rar"►
r°raismrawu
torumaroerosr
"Mar
"NEW HOMES ONLY**.. NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
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
BATHTUBS (urTub/sho combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
(A COPY OFBID OR ESTIMATE MUST •BE INCLUDED WITHAPPLIC'ATIONJ
EVAPORATIVE COOLERS
FANS
FIREPLACE INSERTS
FURNACES
GAS LOG SETS
LAVS (Beau = sw l
RAINWATER SYST
SHOWERS
SINKS
SUMPS
%rVTTE
GAS PIPE OUTLETS
GAS WATER HEATERS
HOODS �cmme.d.q
RANGES
REFRIG. SYSTEMS
URINALS
VACUUM BREAKERS
WATER CLOSETS Roa.q
WASHING MACHINES
WOODSTOVES
MISC (Describe)
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorized agent of the property owner. I certify that to the best of my
knowledge, the iyVormation submitted in support of this permit application is true and correct. I eat* 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 of Fedsra as to any claim (including costs, expenses, and attorneys' fees incurred in the
investigation and defense of such ctaing, w eh mo ado by y person, including the undersigned, and jitsd against the city, but only
where such claim arises out of the reit of th , inclu officers and employees, upon -the accuracy of the information supplied to
the city as apart of this application
SrGNATURE: DATE
er end/or Authorized Agent
o NEW o ADDITION
o. ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING, SHELL ONLY?
o YES. o NO
BASIC PLAN?
o YES
o NO
ZONING, DESIGNATION
CHANGE OF USE?
o YES
o NO
NEW ADDRESS REQUIRED?
o YES o NO
UP/8EPA/8U?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
o NO
Bulletin #100 "August 16, 2007 Page 2 of 4 . MandoutsTermit Application
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
NEW RESIDENTIAL SERVICE
❑ Single Family Square Feet
(First 1300 ft2- $111.00; Each add% 500 ft2 - $35.50)
❑ Detached outbuilding or garage
(Inspected with service) $47.00
❑ Detached outbuilding or garage
(Inspected separately) $74.00
NEW MULTI -FAMILY (three units or more)
Service or Feeder
Service
Feeder
❑ Up to 200 amp
$120.50
$ 35.50
13 201 - 400 amp
149.50
74.00
❑ 401 - 600 amp
205.00
102.00
13 601 - 800 amp
262.00
140.50
❑ Over 800 amp
375.50
280.50
ALTERED SINGLE/MULTI FAMILY
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMER
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50. $ 74.00
❑ 101- 200 amp 149.50 94.56
❑ 201- 400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
❑ 601- 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
0 to 200 amp $120.50
A 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ * of circuits to be added/altered
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/o of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
L3#
Service or Feeder
❑ 0 to 200 amp
$92.50.
❑ 201 -'600 amp
149.50
❑ over 600 amp
225.50
❑ # of circuits to be added/altered
(1-4 circuits -$74.00; Add'n circuits $7.00/ea)
❑ Mast or meter repair $55.00
MANUFACTURED HOMER
❑ Service or feeder only $74.00
❑ Service and feeder $120.50
COMMERCIAL
NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ 0 to 100 amp $120.50. $ 74.00
❑ 101- 200 amp 149.50 94.56
❑ 201- 400 amp 280.00 111.00
❑ 401- 600 amp 327.00 131.00
❑ 601- 800 amp 423.00 179.00
❑ 801 - 1000 amp 516.50 216.06
❑ Over 1000 amp 563.00 300.00
❑ Over 600 volts surcharge $94.50
❑ Mast or meter repair $102.00
ALTERED COMMERCIAL/INDUSTRIAL
Service or Feeders
0 to 200 amp $120.50
A 201 - 600 amp 280.50
❑ 601 - 1000 amp 423.00
0 over 1000 amp 471.00
❑ * of circuits to be added/altered
(1-5 circuits - $94.50; Add'n circuits, $7.00/ea)
COMMERCIAL/INDUSTRIAL PLAN REVIEW
$94.50 plus 350/o of Permit Fee
❑ Service - 1,000 amps or greater
❑ Medical/Educational/Institutional Facility
TEMPORARY SERVICE
MOBILE HOME/RV PARK
L3#
Rasideittiaj/l U1fl Famiby $65.00
of service or feeders
(First aervice/feeder-$74.00; each add'n -$48.00)
CommerclaWndustriab Service or Feeder Ampacity
'
❑ 0 - 100 amps $ 74.00
❑ 1.01- 200 amps 94.50
❑ 201- 400 amps 111.00
❑ 401-.600 amps 149.50
❑ over 600 amps 162.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ 4 of Thermostats ❑ # of Signs
(First -$55.00; add-h-$17.00/ca) (First sign -$55.00; addh 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 ❑ Additional Plan Review
13 Voice Cabling $111.00/hour
❑ Data Cabling (for modified submittals)
❑ ❑ Automation Fee on all Permits .. $5.00
I It 2500 ft2-$65.00;
Each add'n 2500 112-17.00) • aer WAC 29646.91 o(5Hbffl a a)
Bulletin #100 -August 16, 2007 Page 3 of 4 kUlandoutslPermit Application