07-105358City of Federal y
Community Developmentpment Services • Electrical Permit #• 07 -105358 -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: WASHINGTON STATE LOTTERY OFFICE 7 - P r
Project Address: 33701 9TH AVE S k Fi QP=cel Number: 926480 0180
Project Description: Installation of IN Voice/data cabling.
Owner
Applicant
Contractor
SIMON & JOHNSON
OLYMPIC TELEPHONE INC
OLYMPIC TELEPHONE INC
HERB SIMON & THEODORE JOHNSON
2803 29TH AVE SW
OLYMPTIO063H 06/08/2008
1019 PACIFIC AVE S SUITE 1119
TUMWATER WA 98512
2803 29TH AVE SW
TACOMA WA 98402
TUMWATER WA 98512
Additional Permit Information
Service greater than 1000 Amps?...........................No
Electrical Fixtures
Low Voltage - Other Commercial.. 5,000
PERMIT EXPIRES Saturday, September 20, 2008
Pelrlmit Issued on Wednesday, September 26, 2007
I hereby certify that the above information is correct and that the construction on the above described property and
the occupancy and the uft will be in ppcordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
Owner or agent: Date:
&//9 (-07
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 07 -105358 -00 -EL
Owner: HERB SIMON & THEODORE JOHNSON
Address: 33701 9TH AVE S
FEDERAL WAY, WA 98003-6762
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)
Approved to place concrete
By Date
❑ Ditch cover (4030)
Approved
By Date
❑ Pool Bonding (4195)
Approved
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 2 a
By
Date `f 2 a
By
Da -�
❑ UFER Ground (4295)
Approved
By Date
For inspector reference only
❑ Rough Electrical ❑ FINAL - Electrical
Approved Approved
By Date By Date
RECEIVED PERMIT -� - - - - -
C0"uMIYDSFBLOFMW3ERWC6s SF MF CO .ME E PL DE EN FP
3Mz==WAr, u>x.�9718 2 s ZAIPPLICATION
FEDERAL WAY, WA 98063.971d
253-d3S7607-,T,U2 -83d•?609
ITY ()F PEOERAL WAY
The following is . -ju- - -- f9 an incomplete application wtll not be accepted. please print.legibiy ({n "or type.
PROPERTY• •
SITE ADDRESS v �-/ _ SUITE/UNI'P #
ASSES8OR18 TAR/PARCEL O - �� a _ o LOT SIZE (s�
LEGAL DESCRIPTION (e.g. Acme Estates, Lot 1)
puma 1, d•arawwwraoo l
PROJECT• •
'TYPE OF PERMIT O BUII.DING O PLUMBING . O MECHANICAL
O DEMOLITION FmECTRICAL O ENGIITEERING O FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION (Provide detailed description of work included on this hermit onivl
PROJECT- NAME (Name of ess or Owner Last Nam_)e , 1 n n h (nn 1 r .3t l G " 1otf?( j
PROPERTY
OWNER
CONTRACTOR
,CAPPLICANT
PROJECT
JJ CONTACT
LENDER
EMOTING USE
NAME
PRIMARY PHONE
N /
CITY, STATE, ZIP CELL PHONE -
TU-MWOtef, A(
MA LINO ADDRESS 0 CITY, STATE,
E-MAIL ADDRESS
COMPANY NAME
APPLICANT NAME OFFICE PHONE
( _
N /
CITY, STATE, ZIP CELL PHONE -
TU-MWOtef, A(
CITY OF FEDERAL WAY BUSINE89 LIC&NSE NUMBER
EXPIRATION DATE FAX NUMBER
MAILING RESS Cr17, STATE, ZIP
REGISTRATION
EXPIRATION 7ATE1 E-MAIL ADDRESS
L7:OTOR'e
y rn PT X, niz� ' ` vt
'b
COMPANY NAME APPLICANT NAME
OFFICB PHONE
_
MAILING RESS Cr17, STATE, ZIP
CE LL
RELATIONSHIP TO PROJECT
FAX NUMBER
O Architect enant O Agent 13 Other
( _
EXISTING ASSESSED/APPRAISED VALUE i$
SPRINKLERED BUILDING? D;:j6"
O F PI
VIATER SERVICE PROVIDER 0 HIGHLINE
SEWER SERVICE PROVIDER O 13HIG1B NE
USE
VALUE OF PROPOSED WORK $
SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
0 PRIVATE (WELL)
PROJECT ••.
APUAS
EXISTING PROPOSED
SQ. FT. SQ. FT.
TOTAL
SQ. FT.
AREA DESCRIPTION
BASEMENT
AIR HANDLING UNITS
AP RA COOLERS
FIRST
BBQS
F
SECOND
BOILERS
FIREP E INSERTS
THIRD
COMPRESSORS
FURNAC
ADDITIONAL FLOORS (DESCRIBE)
DUCTS
GAS LOG S
DECK (❑ COVEREDOR ❑ UNCOVERED?)
o YES o NO
DEMO PERMIT REQUIRED?
GARAGE •❑ CARPORT ❑
n NO.
NUMBER OF FLOORS
Memo t11OP9610
M"''.
.ILsmn7wsF ronar&orossosi
TOM." AF
•'NEW HOMES ONLY".. NUMB16 OF BEDROOMS _ ESTIMATE SELLING PRICE $
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not,0&de existing furfures to remain.
MECUANICAL
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
Value of Mechanical Work $
(A COPY OF BID OR ESTASATE MUST BE IN FD WITH APPLICA77017
AIR HANDLING UNITS
AP RA COOLERS
PIPE OUTLETS WOODSTOVES
BBQS
F
GAS WATER HEATERS MISC (Describe)
BOILERS
FIREP E INSERTS
HOODS �commerdaq
COMPRESSORS
FURNAC
RANGES
DUCTS
GAS LOG S
REFRIG. SYSTEMS*
BATHTUBS (*r T -/mw wcna,4
DISHWASHERS
DRINKING FOUNTAINS
ELECTRIC WATER HEAW
HOSE BIBBS
'LAVE remv-m saw URINALS
RAINWATER SYST VACWM
SHOWERS WATER
BREAKERS
CLOSETS rrossq
SINKS WASHING MACHINES
SUMPS
MISC (Describe)
I certVy under penalty of perjury that l am the property owner or authorised agent of the property owner. I cert(* that to the best of my
knowledge, the information submitted in support of this permit application is true and correeL ! eertVy 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'& 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 claimb which may be made by any person, including the undersigned, and flied 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
the city as a part of this application. �
SIGNATURE: L nXJ `I W 1 ,�—� !-� DATE
a NEW a ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING BHELL ONLY?
a YES. o NO
o YES
MISC (Describe)
I certVy under penalty of perjury that l am the property owner or authorised agent of the property owner. I cert(* that to the best of my
knowledge, the information submitted in support of this permit application is true and correeL ! eertVy 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'& 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 claimb which may be made by any person, including the undersigned, and flied 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
the city as a part of this application. �
SIGNATURE: L nXJ `I W 1 ,�—� !-� DATE
a NEW a ADDITION
o ALTERATION
a REPAIR o TENANT IMPROVEMENT
BUILDING BHELL ONLY?
a 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/$EPA/$U?
o YES
o NO
PLATTED LOT?
o YES o NO
DEMO PERMIT REQUIRED?
o YES
n NO.
Bulletin 11100 = August 16, 2007 Page 2 of 4 . MHandoutsTennit Application
e
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL
COMMERCIAL
NEW RESIDENTIAL SERVICE
NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder F.achAdd%
(First 1300 ft2- $111.00; Each addh 500 R2- $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
13 601- 800 amp 423.00 179.00
❑ 801-1000 amp 516.50 216.06
NEW MULTI -FAMILY (three units or more)
L3Over 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
13 401 - 600 amp 205.00 102.00
❑ 601 - 800 amp 262.00 140.50
ALTBRED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 375.60 280.50
Service or Feeders
❑ 0 to 200 amp $120.50
ALTERED SINGLE/MULTI FAMILY
❑ 201 - 600 amp 280.50
Service or Feeder
❑ 601 - 1000 amp 423.00
❑ 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; 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 350/o 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
❑
ResidentiaVAfuitt-Fr m11y $65.00
# of service or feeders
(First servke/feeder-$74.00; each addh -$48.00)
Commereiat4ndustrial 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
❑ # of Thermostats
❑ # of signs
st-$55-.00; add n-$17.00/ea)
(First sign -$55.00; add'n sign $26.00/ea)
Low o e
U. Swimming pool/hot tub. ................ $111.00
Square Feet t0 be serve7bytem (3) -
(Includes additional circuit, if required)
❑ Ayre Alarm system
❑Yard Pole meter loops .......:........... $74.00
❑ Security Alarm System
Vce Ca
❑ Additional Plan Review $111.00/hour
(for modified submittals)
SDO.it.ling
Cabling
Automation Fee on all Permits
Pt 2500 ft1-$65.00;
Each add% 2500 ft2-17.0064fr9r0(5)i6NPhN)
Bulletin 11100 August 16, 2007 Page 3 of 4 k\HandoutslPennit Application