07-104979City of Federal way
Community Development Services Electrical Permit #• 07 -104979 -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
i
e
Project Name: SORENSON COMMUNICATION
Project Address: 33301 9TH AVE S Suite 120 is E Parcel Number: 926501 0130
Project Description: Installation of (70) vioice and data cabling.
Owner
Applicant
Contractor
SHELBY CO LLC
ROADS WEST CONSTRUCTION INC
ROADS WEST CONSTRUCTION INC
1201 PACIFIC AVE UNIT 1400
PO BOX 263
ROADSWC933JE 4/5/09
TACOMA WA 98402-4322
ARLINGTON WA 98223
PO BOX 263
ARLINGTON WA 98223
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Low Voltage - Other Commercial., 3,020
PERMIT EXPIRES Thursday, September 4, 2008
Permit Issued on Monday, September 10, 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
and the City of Federal Way.
Owner or agent: Date: 9 j 0.1 f -7
V
THIS CARD IS TO REMAIN ON-STi
Cin OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -104979 -00 -EL
Owner: SHELBY CO LLC
Address: 33301 9TH AVE S Suite.120
FEDERAL WAY, WA 98003-2602
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
❑
UFER Ground (4295)
Approved
By
Date
For ins ector reference only
❑ Rough Electrical O FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED
Fe&ralWhy I PERMIT
Oom wR11YDj;v=,PM8RrsERVIcj&EP I 0 2007
3332S ATM AV&= SOOT71 • PO BOX 9718
YRDBM6 ; PAX2S343 719 �,,�PLI CATI O N
-��Y dF FaoE6 1f
BUILDING DEPT.
a2- - _L .c--�- _a 2(!�-
SF MF CO ME r6L PL DE EN FP
The following is required information - an incomplete application will not be accepted. Please print. legibly (in" or type.
PROPERTY INFORAIATION
SITE ADDRESS '1 ll- 4p'4 e 4a SUITE/UMT # 11p
r --
ASSESSOR'S TAX/PARCEL # O - r ® LOT SIZE (s,)
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
("a -d` ePvwlbr UngftIvaldawWoN
PROJECT•• •
TYPE OF PERMIT ❑ BUILDING ❑ PLUMBING. ❑ MECiiANICAL
❑ DEMOLITION Al ELECTRICAL ❑ ENGINEERING ❑ FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of Mork included on this permit onto)
• �YlS�iY? ` � ( btu � ' �LtszZ'� Ar1l� 1s �1� 1z_S
PROJECT NAME (Name of Business or Owner Last Nam el S!'YPA-sn- t—i'
PEOPLE•• •
PROPERTY
OWNER
CONTRACTOR
APPLICANT
PROJECT
CONTACT
LENDER
EXISTING USE
NAME PRIMARY PHONE
—QVA1.1 LLCI ( _
MAILING ADD , , E-MAIL ADDRESS
COMPANY NAME
PPLICANT NAME
.-O
OFFICE PHONE
MAIWNG ADDRESS
+'�t.
CELL PHONE
,<,k
('Nor-) L4cn
- (&-76z—
MAKING ADDRESS
CITY, STATE,
ZIP
CELL PHONE�-}.
7Ue?
- N5_2>
CITY O FEDE WAY AUSIN S LICENSE NUMBER
EXPIRAT ON DATE
FAX NUMBER
'�W(vc-d - 10-0-7
(_Zk0) y74
-nLi4
CONTRACTOR'S REGISTRATION NUMRRRwe
TION DATE
EMAIL ADDRESS
Q 33 t
��Y r
/ S / 2 -crani
t.xai'c
F�Di-:co
COMPANY AME1
'r`ra CA -Q r
APPLICANT NAME
OFFICE PHONE
( -
MAIWNG ADDRESS
CITY, STATE, ZIP
CELL PHONE
RELATIONSHIP TO PROJECT
FAX NUMBER
❑ Architect ❑ Tenant ❑ Agent ❑ Other
( _
NAME PRIMARY PHONE - EMAIL ADDRESS
ti�
NAME Per RCW 19.2.7.095:
eAar information is required if project value exceeds $5,000
MAILING ADDRESS ITY, STATE, ZIP
PRONE
PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $---VALUE OF PROPOSED WORK $_ /(7 Mc>
SPRINKLERED BUILDING? ❑ YES ❑ NO F PRESSION SYSTEM PROPOSED/REQUIRED? ❑ YES ❑ NO
VfATER SERVICE PROVIDER ❑ LAKEHAVE ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE (WELL)
SEWER SERVICE PROVIDER ❑ LAKE N ❑ HIGHLINE ❑ PRIVATE (SEPTIC)
W
PROJECT ••• AREAS
AREA DESCRIPTION .EXISTING
S . FT.
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
PROPOSED
SQ. FT.
TOTAL
SQ. FT.
BASEMENT
BASIC PLAN?
a YES
FIRST
ZONING DESIGNATION
SECOND
o YES
ONO
THIRD
a YES o NO
IIP/SEPA/SU?
ADDITIONAL FLOORS (DESCRIBE)
o NO
PLATTED LOT?
DECK (❑ COVERED OR D UNCOVERED?)
DEMO PERMIT REQUIRED?
a YES
GARAGE ❑ CARPORT ❑
NUMBER OF FLOORS
m°T°fO
n�waseso
"VAL MAL SAIraVee?
TOTAL u
Toreasr
"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 $ (A
AIR HANDLING UNITS
BBQS
BOILERS
COMPRESSORS
DUCTS
BATHTUBS (or rub/shoow combo)
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEATERS
HOSE BIBBS
OF BID OR ESTIMATE MUST BE INCLUD WITH APPLICATI017
rvnry COOLERS GAS OUTLETS WOODSTOVE3
FAN3 S WATER HEATERS M1SC (Describe)
FIREPLACE INS HOODS (commo i.A
FURNACES RANOES
GAS LOG SE73 REMO. SYSTEMS
LAVS mswo
RAINWATER SYST
SHOWERS
SINKS
SUMPS
URINALS
VACUUM BREAKERS
WATER`CLO.iET3 R i q
WASHING MACHINES
MISC (Describe)
I certify under penalty of perjury that I am the property owner or authorised agent of the property owner. I certVy that to the best of my
knowledge, the info, mat ton submitted in support of this permit application is true and correct. I cert(& that I will comply
City of Federal Way regulations pertaining to the work authorised by the issuance o a ce all his permit
f 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 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, 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 i
the city as a part of4hisApplication.
SIGNATURE:
or Authorized
o NEW o ADDITION
a ALTERATION
a REPAIR a TENANT IMPROVEMENT
BUILDING SBELL ONLY?
a YES. a NO
BASIC PLAN?
a YES
o NO
ZONING DESIGNATION
CE[ANGE OF USE?
o YES
ONO
NEW ADDRESS REQUIRED?
a YES o NO
IIP/SEPA/SU?
a YES
o NO
PLATTED LOT?
a YES ONO
DEMO PERMIT REQUIRED?
a YES
a NO
1
Bulletin # 100 _ August 16, 2007 Page 2 of 4 . fc HandoutsTennit Application .
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/1NDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder EarAAdd1h
(First 1300 ft2- $111.00; Each addb 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 516.50 216.06
NEW MULTI-FAMII.Y (three units or more)
❑ Over 1000 amp 563.00 300.00
Service Feeder
❑ Up to 200 amp $120.50
L3Over 600 volts surcharge $94.50
'$35.50
L3201 - 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 FAMILY
❑ 201 - 600 amp 280.50
Service or Feeder
13601 - 1000 amp 423.00
L30 to 200 amp $ 92.50
over 1000 amp 471.00
❑ 201 - 600 amp 149.50
❑ over 600 amp 225.50
❑ # of circuits to be kidded/altered
(1-5 circuits - $94.50; Addh 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
ResidentfaV Kulti-Family $65.00
L3# of service or feeders
(First service/feeder-$74.00; each add% -$48.00)
CommerctaWndustriai Service or Feeder Ampacfty
❑ 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
r MISCELLANEOUS SERVICE/EQUIPMENT
❑ # of Thermostats
❑ # of Signs
(First -$55.00; add'h-$17.00/ea),����
Low Voltage
(First sign -$55.00; add'n sign $26.00/ea)
❑.Swimming pool/hot tub. ................ $111.00
Square Feet to be served by systems) .
Viicludes additional circuit, if required)
❑ Fire Alarm system
(3 Yard Pole meter loops ..................... $74.00
❑ Security Alarm system
❑ Voice Cabling
❑ Additional Plan Review $111.00/hour
113 Data Cabling13
(for modified submittals)
❑ Automation Fee on all Permits $5.00
In 2500 it2465.00;
Each add ri 2500 ftp -17.00) 'Per WACM-46.910(5)(bW & ii)
Bulletin #100 -August 16, 2007 Page 3 of 4 k\Handouts\Permit Application