04-105171 City of Federal Way Electrical Permit#: 04 - 105171 - 00 - EL
Community Development Services
P.O.Box 9718
Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection request line: (253) 835-305(1
Project Name: CAMPUS SQUARE-BUILDING B
Project Address: 30453 10TH S. ASS Parcel Number: 091900 0055
Project Description: Inspect electrical systems for building B.
Owner Applicant Contractor
COLUMBIA WEST PROPERTIES NORTH STAR ELECTRIC NORTH STAR ELECTRIC
12951 BELRED RD SUITE 150 1905 S JACKSON ST 1905 S JACKSON ST
BELLEVUE WA 98005 SEATTLE WA 98144 SEATTLE WA 98144
(206)329-1596
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Circuits- Commercial 4
CONDITIONS:
This parcel Is located within a Wellhead Protection Area(Capture Zone 5)and must comply with FWCC,Chapter 22,
Article XIV"Critical Areas" and fill out a Hazardous Materials Inventory Statement,if applicable.
PERMIT EXPIRES June 20,2005.
Permit issued on December 22,2004
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 aws,rules and regulations of the State of Washington and
the City of Federal Way. /.2
Owner or agent: �" Date: 2-oc7'
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THIS CARD IS TO REMAIN ON-SITE '
Cal OF Community Development Inspection ReCOT'd
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105171-00-EL
Owner: COLUMBIA WEST PROPERTIES
Address: 30453 10TH AVE S
FEDERAL WAY, WA 98003-4118
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.
O 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) 0 Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) 0 Ceiling Cover(4020) 11 . inal-Electrical(4055)
Approved Approved t-k Approv d
ilihBy Date By Date By t��/ t ate
•
❑ Under-slab groundwork(4295)
Approved
By Date
CY- RECEIVEDa V- / D 5 i t
Federal Way PERMIT f
COMMUNITY DEVELOPMENT SERV CES SF MF CO ME �PL DE EN FP
333253 NUlYS 35-2607.FAX 98•0P063_97
� 2 2 2oo4APPLI CATION TD
www.dt iof(ederalwrei�-83.5-2609
/ /
R ser FEDERAL WAY
The following is re ANGf3. on-an incomplete a••lication will not be acce•ted. Please •rint legibly(in in or type.
I. PROPERTY INFORMATIONice
/�
SITE ADDRESS.-33 3( c) /5-7-- (,
- iS SUITE/UNI ' a
ASSESSOR'S TAX/PARCEL# 1 al 5 0 6 - O z S`o L 4 SS (si)
LEGAL DESCRIPTION(e.g.Acm� CQ Estates,Lot 1) '\. 1
411P_
(Attach separate page for lengthy legal desenpeon)
A
- i IN PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHAV 11
0 DEMOLITION 36.ELECTRICAL 0 EN ^• NG 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit on
C A4I-y e.- L. I3
Var,; 5 , 1-r-,-s , e _e Loci " ia
PROJECT NAME(Name of Business or Owner Last Name) C Q OU r St U at r
- . . U PEO 'a E INFGRMATION
PROPERTY NAME l �- PRIMARYL/ PHONE
OWNER �v CLINGQ !v/�f RESS Jlt q • e_, Pro ?�C/ ire- S (Taj) 415-,./C�Jr
ITY,STATE,ZIP
e 1v ?5, , a....%74,- .o ca'ell�Yv-e_ i4 `�e� S _
CONTRACTOR COMPANY NAME , APPLICANT NAME OFFICE PHONE
��� S�arz ��� ‘<.-- (ao4 ) 7 ? -fSV
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
CITY OFr0 Y B le ..LICif ENSE NUMBER c iLi Seo � �J/EXPIRATIONFAX DATE ( )
NUMBER
a o o -< i<. L I E- B L / (��6) ��p - ?y3
CONTRA 'S REA . -•'ION NUMBER(copy of card required with each application) EXPIRATION DATE
ltQ r /SC L 34. ,:; / /
APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE
NO 7 J 72;i2 /ce 7`ri'c ( )
MAILING ADD r S CITY,STATE,ZIP CELL PHONE
( ) -
RELATIO .HIP TO PROJECT • mac.. FAX NUMBER
a Ar . tect 0 Tenant a Agent t ether(Describe) C 0 h// ✓a c_7 VZ ( )
CONTACT NA / PRIMARY PHONE E-MAIL ADDRESS
I cif.elre_L CC/ON 1 ( ) -
LENDER :-PW erRC19.274095i,•Lender information is NAME
.,requ/cd ifproject value exceeds$5,000 ,
MAILING ADDRESS CITY,STATE,ZIP
.■ DETAILED BUILDING INFORMATION -
EXISTIN' USE PROPOSED USE
•
• EXIS • G ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SP•-4 I ERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES ❑ NO
tWATER SERVICE PROVIDER ❑ LAKEHAVEN ❑HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWiiR SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
• PROJECT FLOOR AREAS - •
AREA DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
k . „
DECK(COVERED?) ,,:ems
GARAGE/CARPORT b
HOW MANY FLOORS?
TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING MD PROPOSED
y ,
"NEW HOMES ONLY" NUMBER OF 13EPROOMS ESTIMATED SELLING PRICE $
Indicate number of each type offixture to=re 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(comm<rdal) W OO DSTOV ES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or TDb/sho..<rcombo SHOWERS i f WATER CLOSETS(Toile) MISC(Describe)
DISHWASHERS SINKS -- DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS t RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) VACUUM BREAKERS ELECTRIC WATER HEATERS
-:-.-_-s;_-;.-2:::::-:•.'.::::,..-5.1-4.
.--.:. -:= _:''- . - -, = DISCLAIMER/SIGNATURE BLOCK = - = . - -
I-certify under penalty of perjury that the information furnished by me is true ai}E'orrect to the best of my knowledge, and further, that I
ant authorized by the owner of the above premises to perform the work for which rmit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and atton4 s'fees incurred in the investigation and defense of
such claim),which may be made by any person,including the undersigned,and filed aga tCity of Federal Way,but only where such claim
arises out of the reliance of the city,including i s officers and employees, upon the accuracy the information supplied to the city as a part of
this application. .
fil NAME/TITLE ._ DATE /c;7r `' /C/
-
(Signature) (Title)
i RELATIONSHIP T ROJECT ❑ Owner 0 Agent 'Contractor ❑ Architect 0 Other
I
s
I
( 'FOR OFFICE USE ONLY
a NEW o ADDITION o ALTERATION o REPAIR a TENANT IMPROVEMENT
1 BUILDING SHELL ONLY? o YES ❑NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? o YES a NO
t. NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES ❑NO
PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? o YES a NO
F
Handouts-Rcviscd\Pcrmit Application
i
Bulletin 11 100-March 30,2004 - Page 2 of 4 k\
- ELECTRICAL PERMIT INFORMATION
r
RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
Service or Feeder Each Add'n
❑ Single Family Square Feet
(First 1300 ft2-$87.00,Each add'n 500 ft2-$28.00) ❑ 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 ❑ 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 ❑ 601-800 amp 332.00 140.50
NEW MULTI-FAMILY(three units or more) ❑ 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
❑ 201 -400 amp 117.50 58.00 ❑ Over 600 volts surcharge $74.00
❑ 401 -600 amp 161.00 80.00 ❑ Mast or meter repair $80.00
❑ 601 -800 amp 206.00 110.00 ALTERED COMMERCIAL_/INDUSTRIAL
❑ Over 800 amp 294.50 220.50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY ❑ 0 to 200 amp $ 94.50
❑ 201 -600 amp 220.50
Service or Feeder ❑ 601 - 1000 amp 332.00
❑ 0 to 200 amp $ 72.50 ❑ over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ 7 #of circuits to be added/altered
(1-5 circuits-$74.00;Add'n circuits,$6.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$58.00;Add'n circuits$6.00/ea)
$74.00 plus 35%of Permit Fee
❑ Mast or meter repair $43.50 ❑ Service over 200 amps
❑ Medical/Educational/Institutional Facility
SINGLE/MULTI FAMILY PLAN REVIEW
❑ Service Over 400 amps
$74.00 plus 35%of Permit Fee
MOBILE HOMES
❑ Service or feeder only $58.00 TEMPORARY SERVICE
❑ Service and feeder $94.50
Commercial Residential
MOBILE HOME/RV PARK 0 0- 100 $58.00 $51.00
❑ #of service or feeders 0 101 -200 74.00 51.00
(First service/feeder-$58.00;each add'n-$37.50) 0 201 -400 87.00 n/a
❑ 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ of of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage ❑ Swimming pool/hot tub $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System 0 Yard Pole meter loops $58.00
❑ Security Alarm System ❑ Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) 1•,2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 29646.910(5)(b)(i&it)
•
Bulletin#100-March 30,2004 Page 3 of 4 , k\Handouts-Reviscd omit Application