06-103420 o , S
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City of Federal Way Electrical Permit #: 06-103420-00-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
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Project Name: STAUSS OFFICE
Project Address: 33516 9TH AVE S Unit 6 Parcel Number: 926925 0060
Project Description: ALT- alt up to 5 circuits.
Owner Applicant Contractor
RONALD E NOWICKI SHORELINE ELECTRIC SHORELINE ELECTRIC
BONITA NOWICKI PO BOX 41 AURORA AVE N SUITE 4 SHOREEI953ME 07/05/2007
29012 7TH PLS SHORELINE WA 98133 PO BOX 41 AURORA AVE N SUITE 4
FEDERAL WAY WA SHORELINE WA 98133
98003-3607
Additional Permit Information
Electrical Fixtures
Circuits- Commercial 5.00
PERMIT EXPIRES Monday, January 8, 2007
Permit Issued on Wednesday, July 12, 2006
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 be in accordance with the laws, rules and regulations of the State of Washington
and the City of F-deral Way.
Owner or agent . j Date:•
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THIS CARD IS TO REMAIN ON-SITE •-
CITY of A Community Development Inspection Record.
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 06-103420-00-EL
Owner: RONALD E NOWICKI
Address: 33516 9TH AVE S Unit 6
FEDERAL WAY, WA 98003-6322
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) 0 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) a Final-Electrical(4055)
Approved Approved Approved
By/ 5 Date 7_polo
By Date By ��\. Date �,% �c
❑ Under-slab groundwork(4295)
Approved
By Date
•
i
urroF$ RECEIVED 0 6 — c 31( 7 0
Federal Way SF MF CO MES; PL DE EN FP
COMMUNITY DEVELOPMENT'SERVICES J U I 1 2 200 5
333258TMAVENUE SOUTH•lOBOX 9718 RAP P LI C AT I O N To .......i f--------
FEDERAL WAY,WA 98063-9718
253-035.2607•FAX 253435.461111.-�O F FED E
p,ww.dtuoffederolwau.eom w
BUILDING DEPT.
The ollowi • is -- fired t ormation-an Inco 'fete a••fication will not be accepted. Please •rint le•ably n in or 1• .
■ PROPERTY INFORMATION0_
SITE ADDRESS 3 3516 . tq✓e So , Rab-�Qi�9a..-, WA 41300...E SUITE/UNIT# 6
ASSESSOR'S TAX/PARCEL# 9 Z .5 ` Z — -1 L0 J O LOT SIZE(si)
(.......L LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Mach& Page far lent", daraiptlanl
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION XELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit onGi)
df�s t91�ite g, Jleis
PROJECT NAME(Name of Business or Owner Last Name) S7741-(3S
• PEOPLE INFORMATION
PROPERTY NAME C , PRIMARY PHONE
OWNER & l' , _.Sa is (23-3) 838 -$zz e
MAILING ADDRESS CITY,STATE,ZIP
324.34 742' ,4 <S 4.) ceaftfr.-Q G,.2 L./4 S fro z-
CONTRACTOR COMPANY NAME APPUCANT NAME OFFICE PHONE
SL'1or-eVI-,.€ El ec4-r;i- (2-06) 9/5 -i2i../1
MAILINO ADDRESS CITY,STATE,ZIP CELL PHONE
po Li l 41,.rare, tlat,N. ' 1-1 S1ioet 1;..ic 'm33 (z0G) sis - '2'//
CITY OF FEDERAL WAY BUSINESS UCENSE NUMBER EXPIRATION DATE FAX NUMBER
CONTRACTOR'S REGISTRATION NUMBER -.137 of card rognirod with witch applcationD EXPIRATION DATE
SR- ecL5E. 1rmt / /
APPLICANT COMPANY NAME APPUCANT NAME OFFICE PHONE
,s ).c-_ Freees.9,-, • (2.)-- ) 4C r rnevv
MAID ADDRESS CITY,STATE,ZIP CELL PHONE
33,4.t+b 4."'N 4 vP�-� u/ 0 4 (..( q0 e?L'3 ( ?'ei6)9 yo -'7 T ri
RELATIONSHIP TO PROJECT FAX NUMBER
o Architect 0 Tenant Jargient 0 Other(Describe) (Z S A g3 f? -pew
CONTACT NAME PRIMARY PHONEMAIL ADDRESS
S-1e,ke,, R-peo,-_. (704.) al Lea - ?LI YL \-rtto••,lawe 4wr)4,4l
LENDER r NAME
MAILING ADDRESS CITY,STATE,ZIP PHONE
( ) -
■ DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED I :
•
EXISTING ASSESSED/APPRAISED VALUE $ V • OF PROPOSED WORK $ •
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPP; = •N SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO
WATER SERVICE PROVIDER O LAKEHAVEN 0 HIG I E a TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 • ATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ. ' . SQ.FT.
BASEMENT
FIRST
•
SECOND
THIRD
FOURTH
•
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?) •
GARAGE 0 CARPORT 0
NUMBER OF FLOORS ssunso 111.01001111 TOTAL
"NEW HOMES ONLY"" NUMBER OF BEDROOMS ESTIMATED SE e''G PRICE $
FIXTURES
Indicate number of each type of fudwe to be installed or relocated as part of this project. Do not% de existing fixtures to remain.
MECHANICAL �
Value of Mechanical Work $
AIR HANDLING UNITS Eil4 ORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS'. HOODS(Commercial) WOODSTOVES
BOILERS FIREPLAa' INSERTS _ RANGES MISC(Describe)
COMPRESSORS • FURNACES � GAS WATER HEATERS
DUCTS GAS PIPE OUTL
PLUMBING •
BATHTUBS(or Tub/Shower Combo) OWERS WATER CLOSETS gam) MISC(Describe)
DISHWASHERS - SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS OSE BIBBS
• LAVS(Bathroom ab iccJ VACUUM BREAKERS RIC 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 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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. G' �j,
NAME/TITLE C cx.�(/+� / 't i*ItcdDATE -7/9/0 6
(Signature) Mae)RELATIONSHIP TO PROJECT 1 Owner 0 Agent 0 Contractor 0 Architect ci Other •
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Ar AAifW A LUJa„A....FAD....,if Arun inotinn
ELECTRICAL PERMIT INFORMATION
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet
Service or Feeder Each Add'n
(First 1300 ftp-$107.50;Each add'n 500 tt2-$34.50) ❑ 0 to 100 amp $117.00 $71.50
❑ Detached outbuilding or garage ❑ 101.-200 amp 145.00 91.50
(Inspected with service) $45.50 ❑ 201-400 amp 272.00 107.50
❑ Detached outbuilding or garage ❑ 401-600 amp 317.00 127.00
(Inspected separately) $71.50 ❑ 601-800 amp 410.00 173.50
❑ 801 - 1000.amp 500.50 209.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 546.00 291.00
Service Feeder
❑ Up to 200 amp $117.00 $34.50 ❑ Over 600 volts surcharge $91.50
O 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
❑ Over 800 amp 364.00 . 272.00 Service or Feeders
❑ Oto 200 amp $117.00
ALTERED SINGLE/MULTI FAMILY 0 201-600 amp 272.00
❑ 601 - 1000 amp 410.00
Service or Feeder • ❑ o er 1000 am 456.50
❑ Oto 200 amp $89.50
O 201-600 amp 145.00 S #of circuits to be added/altered
❑ over 600 amp 218.50 (1-5 circuits-$91.50;Add'n circuits,$7.00/ea)
•
❑ #of circuits to be added/altered COMMERCIALJINDIISTRIAt.
(1-4 circuits-$71.50;Add'n circuits$7.00/ea) $91.50 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $53.50 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $71.50
❑ Service and feeder $117.00
TEMPORARY SERVICE
MOBILE HOME/RV PARK Residential/Multi-Family $63.00
❑ #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'n sign$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)
0 Data Cabling
0 Automation Fee on all Permits .. $5.00
(Per Systeni(s)1st 2500 ft2-$63.00; l
Each add'n 2500 ft2-16.50) •Per WAC 296.46910(5J(b)(i&u) 96