06-103552 / f t t
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�" City of Federal Way Electrical Permit #: 06-103552-00-EL
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: LOWE'S OF FEDERAL WAY PHASE 1 & 2
Project Address: 35425 16TH AVE S Parcel Number: 292104 9077
Project Description: All electrical work for new building.
,
Owner Applicant Con' ctor
KEN BROWN PRAIRIE ELECTRIC PRAI' LECTRIC
LOWES PROPERTY MANAGEMENT 6000 NE 88TH ST P 4.. IRZ(05-31-07)
PO BOX 1111 VANCOUVER WA 98665 /NE 88 ST
NORTH WILKESBORO NC 28656 .'COUVER W 98665
IP
Additional Perm nformation
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Elec al Fixtures 11/4
Service/Feeder: 0-100 amps-C013 Service/Fee 01-200 -Cc 7 %Feeder:201-400 amps-Cc 6
Service/Feeder:401-600 amps-0 - - ice/Feeder: am
-MIT • R - . :�.nesday, Mar , 2007
erm ed on Fri/ay,September 22,2006 -
I hereby certify that = - - 'nf• ' ation correct and that the construction on the above described property and
thc ancy and t se accordance with the laws, rules and regulations of the State of Washington
and the City of Federal Way.
caner or age % "" Date: I- A2--Dd'
y
THIS CARD IS TO REMAIN ON-SITE
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103552-00-EL
Owner: KEN BROWN
Address: 35425 16TH AVE S
FEDERAL WAY, WA 98023
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.
0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
By Date By Date By Date
0 Temporary Power(4275) e J2:1 Service(4235) M! Feeders/Sub-panels(4045)
Approved Approved Approved 1
By Date B r ill,;/ Date �I Z Oc By KO Date I 1 ZC,' 0�j
❑ Rough Electrical(4225) #❑ Ceiling Cover(4020) . ❑ Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
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EMERSON.. Electrical Reliability Services
Process Manaaernent Ground Fault System Test Report
CLIENT PIMA►iiIC eLELTC ENGINEER 7 'l...(W►S JOB NO. 30612,3
LOCATION Laa;aS Fe0Er2AL, i)AL, LVA WITNESS Ki 1!\ DATE 1 { J Z /0(7
SWITCHGEAR DESIGNATION TEST EQUIP.ASSET# CALIBRATION DATE
OA) " ;c' &.T2,AtaCC 30 Gi\Z 9 10 i Li 06
FIELD DATA
SWITCHBOARD MANUFACTURER SHOP ORDER NO. UL NO.
-SOLA ma o zZ \ 2 9 -o0 \ 1=- 16034 '1
MAIN OVERCURRENT DEVICE MFGR.
fg*-'1RCUIT BREAKER ❑ FUSED SWITCH SOLAA(>L q
TYPE MODEL/CAT.NO. CURRENT RATING VOLTAGE VOLTAGE RATING
`R j ZOOD P�►=362cX>��% 4A ZcKQA 1SYSTEM
tigo! Z-77 600
GROUND FAULT SYSTEM MFGR.
❑ NEUTRAL-GROUND STRAP
❑ ZERO-SEQUENCE ; QEs%t,,,A4_ . c)vN.;2 •D ,
MODEL NO. PICK-UP RANGE TIME RANGE SENSOR/C.T.
T1t(.RoLot- C. !CAT.
(c,,oA A-s (Soo-izco\ ICo,I-c, 4010 0/0 ,i-IO elf: eats.nt-iii.L
AS FOUND SETTING C AS LEFT SETTING SETTINGS SUPPLIED BY
PICKUP CURRENT L ` /z0) PICKUP CURRENT L C 7 20\
TIME O. 2 orrr TIME o.lo F
l'.AL'c5 i ► S:n APC I C fJ JE 77 1 S
INSPECTION
SERVICE ENTRANCE CONDUCTORS MAIN BONDING JUMPER GROUND ELECTRODE CONDUCTOR
(Ll `0- 114\-14Z a,As PER PHASE I 1 3/4 x ►14 \ Imo) 3 10 Lam' AWG ❑ MCM
NEUT L-GROUND LOCATION CONTROL POWER TRANSFORMER
OW CORRECT ❑ INCORRECT
❑ CORRECTED BY CONTRACTOR 1..? IA VA
MONITOR/TEST PANEL OPERATION OTHER
Na'CORRECT ❑ INCORRECT ❑ CORRECTED hJ
ELECTRICAL TESTS
BREAKER/SWITCH REACTION TIME (RT) REDUCED VOLTAGE TEST(55% RATED VOLTAGE)
❑ SECONDS ❑ CYCLES ai"I Pit ❑ CORRECT ❑ INCORRECT tif vj f A
PICK-UP CURRENT PICK-UP CURRENT MINUS 25% ( `375 AMPS)
18 S AMPS ANO TRIP (CORRECT ❑ TRIP (INCORRECT)
SYSTEM NEUTRAL INSULATION RESISTANCE TO GROUND OTHER
)%KA x- o r . MEGOHMS 1 -r1:=3 e 500A I O.2cY cal--rix1(,
PRIMARY CURRENT PERCENT TOTAL TIME REACTION TIME RELAY MFGR
TIME -CURRENT AMPERE-TURNS PICK-UP TIME TOLERANCE
CALIBRATION 600 izo% 0,ici >,)1A Q1A t }C -Z .
TESTS -75C r col 0.20 Nips N\A )40 ?co,nsec
REMARKS
1) LOA,ll ►J&,AT A1. 4c1.30LACTOQS rzal CCS .a-:- &O G Ti M a z,.7 t as-ri,K:.-
21
JC;21 Pet.AV)t; C1.=" At't-f Nii.ti aAL, - pexASi c.-i- iJA,J? = (os:,7 —.
Form#01-Field200
Ground Fault System Test Report PAGE I OF I Rev.07/23/2004
RECEIVED
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06 _ 103Ss
Fe �
t~�t:.�•..�.. JUL 1 9 2QQ6
deral Way PERMIT
SF MF CO M EL PL DE EN FP
COMMUNITYNUE SOUTH
!OPLICATION
C FEDERAL
33325 Sat AVENUE SOUTH•PO App FEDERAL WAY.WA 98063-253-835-2607•FAX 253-8359Lti //*
www.cauoffederalwau.com
The ollowin• is r"•aired ' ormation-an incom•lete a• •lication will not be acc"•ted. Please •rint le•ibl (in ink)or .
j� / •�P/ROPERTY INFORMATION
SITE ADDRESS 35-I Z$' / (' AVC C 6-0 0774-`' SUITE/UNIT#
ASSESSOR'S TAX/PARCEL# a 42., I tp_4 - . () 2 7 LOT SIZE(sj)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
l (Attach uparafe page for lengthy legal description)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
�2L EZ-EC-TX./ Al - WO g //4 / eew_$7zv# 77B.v---
PROJECT NAME(Name of Business or Owner Last Name) _oa w€IS ee . / *--A 6 0
17
• PEOPLE INFORMATION
PROPERTY NAME _ ��ff r��- /,, PRIMARY PHONE
OWNER �� e-�/✓�' f�-E C J�OC ( ) -
rP�1i' imp
o Cvihs. brill a Cr� c010re A/C Zg6/ 7--
CONTRACTOR COMPANY NAME y APPI�C `NAME OFFICE PHONE
T'x/gw it- b c v4.1' w / 'i 1 x79' 1 4 o (Too)Sw3- Z750
MAILING ADDRESS C STATE,ZIP CELL PHONE
4oOO /VC g��s 7mvcroi''`, Wi ?W4T?D) &'g -Z9z,
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
'MP 20 - Oc 1 0 0 7 2A- (Z / .,( /bco geO )573 1b34& 6
CONTRACTORS REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
PR6Zg.. 1- 2s0g z S /31 /ZOO 7-
APPLICANT COMPANY NAME APPLE OFFICE PHONE
p2nieiE t€ rczArc. / P (g00)c
- l
c PHONE
bOOo /V 8B'`' -Z- ura, t1�/ 3bo) 6,q
- z9 2-' -'
RELATIONSHIP TO PROJECT - FAX NUMBER
❑Architect ❑Tenant 0 Agent Other(Describe) j_ 7 'c 1, ( ) 3-1 8'z�i
CONTACT N P YPHONE E-MAIL ADDRESS
iii/Aopt
o ( )S13- Z-7S-40 a imiyefiairie 40172e,
LENDER Per RCW 19.27.095: Lender information is N ce _
required If project value exceeds$5,000 wV'"�r
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■��DpETTAILED BUILDING INFORMATION
EXISTING USE e� 'S�I- C L PROPOSED USE • —"
/�7�/ �-���
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ _C )j ll V o 1t"�0. V
SPRINKLERED BUILDING? ES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 1:1 �]
YES If0
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE ❑ PRIVATE(SEPTIC)
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PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE ❑ CARPORT❑
NUMBER OF FLOORS IX/STING PROPOSEDTOTAL TOTAL=ATM It TOTALPROPOSIDM TOTAL!
"NEW HOMES ONLY** NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $
FIXTURES
Indicate number of each type of fixture to be installed or relocated as part of this project. Do not include existing fixtures to remain.
MECHANICAL
Value of Mechanical Work $
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(Comn.relol) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCIb GAS PIPE OUTLEIb
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSED,(tune) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
DISCLAIMER/SIGNATURE BLOCK
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 rel of the city,including its officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. , I
NAME/TITLE �1 S V PV. DATE l i/ "1 CO(p
(Signature) ('fide)
RELATIONSHIP TO PROJECT ❑ Owner ❑Agent Pr Contractor ❑Architect ❑ Other
FOR OFFICE USE ONLY
a NEW a ADDITION a ALTEERATION a REPAIR a TENANT IMPROVEMENT
BUILDING SHELL ONLY? a YES a NO BASIC PLAN? a YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES o NO
NEW ADDRESS REQUIRED? a YES a NO UP/SEPA/SU? a YES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? o YES ❑NO
Bulletin#100-January 1,2006 Page 2 of 4 k Handouts\Permit Application
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ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add'n D-1 q{
(First 1300 fta-$107.50;Each add'n 500 ft2-$34.50) -`�S❑ 0 to 100 amp $117.00 $71.50 3=
❑ Detached outbuilding or garage 7 ❑ 101.-200 amp 145.00 91.50 '- = 040•'0
(Inspected with service) $45.50 (p ❑ 201-400 amp 272.00 107.50 (p - ( 4S•
❑ Detached outbuilding or garage 5j❑ 401-600 amp 317.00 127.00 5. ll, ,
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50 }
❑ 801 -1000,amp 500.50 209.50 ``__ 11
a 3 S i
NEW MULTI-FAMILY(three units or more) I ❑ Over 1000 amp 546.00 291.00 3(o
Service Feeder 2ca � _-----'-
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50 -----------
0
/ J❑ 201 -400 amp 145.00 71.50 ❑ Mast or meter repair $99.00
❑ 401 -600 amp 198.50 99.00 ALTERED COMMERCIAL/INDUSTRIAL
0 601 -800 amp 254.00 136.00
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❑ Over 800 amp 364.00 272.00 Service or Feeders
❑ 0to200amp $117.00
ALTERED SINGLE/MULTI FAMILY ❑ 201 -600 amp 272.00
❑ 601- 1000 amp 410.00
Service or Feeder ❑ over 1000 amp 456.50
❑ 0 to 200 amp $89.50
❑ 201 -600 amp 145.00 ❑ 4 of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
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❑ #of circuits to be added/altered COMMERCIALJINDUSTRIAL PLAN REVIEW ''313.3 5
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $ lus 35%of Permit Fee C(( . 5c)ce- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility \l_fal. i--.)
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residentia
i/Multi Family $63.00
❑ S of service or feeders
(First service/feeder-$71.50;each add'n-$46.50) Commercial/Industrial Service or Feeder Ampacity
❑ 0-100 amps $71.50
❑ 101-200 amps 91.50
❑ 201-400 amps 107.50
❑ 401-600 amps 145.00
❑ over 600 amps 157.00
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$53.50;add'n-$16.50/ea) (First sign-$53.50;add'nsign$25.00/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $107.50
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops $71.50
❑ Security Alarm System ❑ Additional Plan Review $107.50/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0 0 Automation Fee on all Permits $5.00
(Per Systeni(s)1K 2500 ft2-$63.00;
Each add'n 2500 ft2-16.50) `Per WAC 296-46910(44i&ii)
n..11.r;ndAlAA_T...........1 9AA4 n......1 ..e• ._..._ �_ _.�..- -•
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FEES
This is an overview of possible fees associated with the issuance of permits and is not intended to be inclusive.
PERMIT FEES
Building,mechanical,and fire prevention system fees are based on the following schedule.
"Electrical and plumbing fees are calculated separately"
TOTAL PROJECT VALUATION INCREMENTAL FEE FACTOR
-(1)$1.00 to$500.00 (1)$32.00
(2)$501.00 to$2,000.00 (2)$32.00 for the first$500.00 plus$4.00 for each additional$100.00 fraction thereof,to and
including $2,000.00
(3)$2,001.00 to$25,000.00 (3)$92.00 for the first$2,000.00 plus$19.00 for each addition, •1,000.00 or fraction thereof,to and
including$25,000.00
(4)$25,001.00 to$50,000.00 (4)$529.00 for the first$25,000.00 plus$13.50 for each •ditional$1.000.00 or fraction thereof,to
and including$50,000.00
(5)$50,001.00 to$100,000.00 (5)$866.50 for the first$50,000.00 plus$9.50 for-• additional$1,000.00 or fraction thereof,to
and including$100,000.00
(6)$100,001.00 to$500,000.00 (6)$1,341.50 for the first$100,000.00 plus .50 for each additional$1.000.00 or fraction thereof,
to and including$500,000.00 •
(7)$500,001.00 to$1,000,000.00 (7)$4,341.60 for the fist$500,000.00 us$6.50 for each additional$1.000.00 or fraction thereof,to
and including$1,000,000.00
' (8)$1,000,001.00 and up (8)$7,691.50 for the first$1,0. '0.00 plus$5.00 for each additional$1.000.00 or fraction thereof.
able A
PLAN REVIEW FEES
• Building Permit 65%of Building Permit Fees
• Mechanical Permit 25% of Mechanical Permit Fees
• Plumbing Permit 65%of Plumbing Permit Fees
• Additional Building Division •eview $65.50/hour
PLUMBING PERMIT FEES
• $27.50 Permit Fee plu- '.9.50 per fixture
OTHER FEES (Vary acco r i• g to project type and scope)
• WA State Buildin,e Code Council (SBCC) Surcharge $4.50/issued permit
• Fire District#39 eview fees (commercial only) 15%of building permit fees
• • Public Works view fees Hourly/varies by project
• School Distri' impact fees (new residential only) $3,526.50/single-family residence
•
$940.00/multi-family unit
• Automat .n fee on all permits $5.00
• Demoliti,n permit fees
• Requir:: bond(s)/deposits
If you'rreed assistance completing the permit application form, or have questions
concerning the application process, please contact:
Community Development Customer Service Counter at (253) 835-2607
8:00 am to 5:00 pm, Monday through Friday
Bulletin#100—January 1,2006 Page 4 of 4 k\Handouts\Perrnit Application