04-105170 •
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City of Federal Way Electrical Permit #: 04 - 105170 - 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)835-3050
Project Name: CAMPUS SQUARE-BUILDING C
Project Address: 181 S 333RD 1111111111110 VAG Parcel Number: 926500 0258
Project Description: Inspect electrical systems for building C.
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 INA 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 .ws,rules and regulations of the State of Washington and
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the City of Federal Way. ./
12_ IOwner or agent: { Date: —2 2—0
0 0�
X15k',
_ THIS CARD IS TO REMAIN ON-SITE :,
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 04-105170-00-EL
Owner: COLUMBIA WEST PROPERTIES
Address: 181 S 333RD ST 1111111111111
FEDERAL WAY, WA 98003-4544
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) 0 Service(4235) ❑ Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
0 Rough Electrical(4225) ❑ Ceiling Cover(4020) 112L Final-Electrical(4055)
Approved Approved /it Approved
e.
By Date By Date By Op: ) ate •
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVED _ / . /yam .
0 4 — L o 6! i 7 O
CITY OF 40111 •
Federal WayPERMIT ��
COMMUNTIY DEVELOPMENT SERVICES SF MF CO ME �L)PL DE EN FP
33325 V'AVENUE FEDERAL WAY,WA9d063-97 d971d D E(; 2 2 AiPLI C AT I O N TD `J
253-835-2607•FAX 253-835-2609 / /
www.ciUlofederalu.aucone CITY OF FEDERAL WAY
WADING DEPT,
The following is required tnformation-an incomplete a••lication will not be acce•ted. Please •rint legibly(in ink)or type.
- • • PROPERTY INFORMATION
SITE ADDRESS e( 533rd 5 ? SUITE/UNIT N C-
ASSESSOR'S TAX/PARCEL Z°O1 ? „r07) _CI)CEJ LOT SIZE(
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
/Attach separate page for lengthy legal description)
■ PROJECT INFORMATION •
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MEC • 1 • •
0 DEMOLITION .ELECTRICAL 0 ENG 4, G • FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
.�vpporT /y/ C_
C h e_.k /11Ci,4-) Amyl/, J U , + ,�- 7
�G�-; R/ `tom s E( O - . 4÷-}
PROJECT NAME(Name of Business or Owner Last Name) C t"^Yh _ S S V G t✓
- - - - N PEOPLE INFOFAATION
PROPERTY NAME C�-� G/ y�- ,r� PRIMARY PHONE �s 02
OWNER _P C) V/LI /a r Pro l r /�L (Zoz5) '5� 8
-7 5.
MAILING ADDRESS I CITY,STATE,ZIP
/02 957 geL-te .SJ' s lgege_Vue C0‘) 7gdO0 j
CONTRACTOR COMPANY NAME \ APPLICANT NAME OFFICE PHONE
No/2 rn S . ;%c7`/.'c ( ) 7 / 5' 74
MAILING ADDRESS w CITY,STATE,ZIP CELL PHONE
?oc S J. 3..3 S&c,t'l# wA ? '4"( ( ) -
CITY OF FEDERAL WAY BU` CENSE NUMBER EXPIRATION DATE FAX NUMBER
tg Q Z. .A i ►" 1 L e-B L / / ( )
CONTRA, OR'S R NUMBER(copy of card required with each application) EXPIRATION DATE
/ la
APPLICANT COMPANY E APPLICANT NAME OFFICE PHONE
NO 27-' / 7 E' 4C f/,r ( ) -
MAILING ADDR'.S CITY,STATE,ZIP CELL PHONE
( ) -
RELATION' IP TO PROJECT - A, FAX NUMBER
❑Arc• ect 0 Tenant 0 Agent 0 Other(Describe) (._d a 14-rQc_7U 2 ( ) -
CONTACT NA / , PRIMARY PHONE E-MAIL ADDRESS
6Lh6i 't_L_ Lc-I. 1N'S ( )
-
LENDER �RCW 9. 7•.095:'-Lenderinformationis . NAME
•i,, ,regurred if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
■ DETAILED BUILDING INFORMATION
EXISTIN •SE PROPOSED USE
EXIST 'G ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? O YES O NO
1 - WATER SERVICE PROVIDER 0 LAKEHAVEN O BIGHLINE 0 TACOMA O PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN o BIGHLINE 0 PRIVATE(SEPTIC)
_.-.- ----- _.____.___–__ --
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AREA PROJECT FLOOR AREAS
DESCRIPTION EXISTING SQ.FT. PROPOSED SQ.FT. TOTAL
BASEMENT
FIRST
SECOND
THIRD
FOURTH
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
e _ —
GARAGE/CARPORT '"!"
FLOORS? - v. TOTAL EXISTING TOTAL PROPOSED TOTAL EXISTING AND PROPOSED
HOW MANY ~r
"NEW HOMES ONLY" NUMBER 0-BF4PROOMS ESTIMATED SELLING PRICE $
-_ _ • - .--,---. _-FIXTURES = _. -_
Indicate number of each type offacture tol*4 ..
installed or relocated as part of this project. Do not include existing factures to remain
• MECHANICAL j"40
Value of Mechanical Work $ e5,+*
AIR HANDLING UNITS EV R.TIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS)commsrcioil W OODSTOV ES
' BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(Toilet) MISC(Describe)
DISHWASHERS SINKSDRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS iy RAINWATER SYST
WASHING MACHINES URINALS _ HOSE BIBBS
LAYS(Bathroom Sinks) VACUUM BREAKERS *� ELECTRIC WATER HEATERS
. ‘:-.'z...---:''..1"1::::;'::-,-.::.::..!-=-::- .....-----11-; - --- = :'--DISCLAIMER/SIGNATUE BLOCK - .. = ---, • ----_ . -
/.certify under penalty of perjury that the information furnished by me is trtte and correct to the best of my knowledge, and further, that I
ant authorized by the owner of the above premises to perform the work for whithiOhe permit application is made. I further agree to hold
harmless the City of Federal Way as to any claim(including costs, expenses, and aortteys'fees incurred in the investigation and defense of
such claim), which may be made by any person,including the undersigned,and filed&otirtst the Citybf Federal Way,but only where such claim
arises out of the reliance of the city,including it officers and employees,upon the accur4 ofkhe iAforrnation supplied to the city as a part of
this application.
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NAME/TITLE i� � - DATE /p2---- 2-.2– 0
t (Signature) (Title)
I RELATIONSHIP T ROJECT 0 Owner 0 Agent ❑ Contractor ❑ Architect 'O Other
S
I
(
,FOR,OFFICE USE ONLY
o NEW a ADDITION o ALTERATION a REPAIR o TENANT IMPROVEMENT
1 BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES a NO
ZONING DESIGNATION CHANGE OF USE? a YES a NO
t NEW ADDRESS REQUIRED? o YES a NO UP/SEPA/SU? a YES o NO
PLATTED LOT? a YES a NO DEMO PERMIT REQUIRED? a YES ❑NO
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t – k\Handouts–Revised\Permit Application
[Bulletin#100–March 30,2004
Page 2 of 4
ELECTRICAL PERMIT INFORMATION
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RESIDENTIAL
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 0 to 100 amp $ 94.50 $ 58.00
❑ Detached outbuilding or garage ❑ 101 -200 amp 117.50 74.00
(Inspected with service) $36.50 0 201 -400 amp 220.50 87.00
❑ Detached outbuilding or garage ❑ 401-600 amp 256.50 103.00
(Inspected separately) $58.00 0 601-800 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 0 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
O 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 0 over 1000 amp 369.50
❑ 201 -600 amp 117.50
❑ over 600 amp 177.00 ❑ if #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
O 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- 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) ❑ 201 -400 87.00 n/a
O 401 -600 117.50 n/a
❑ over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #of Thermostats ❑ #of Signs
(First-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea)
❑ Low Voltage 0 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 0 Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
O Data Cabling
0
(Per System(s) 1= 2500 ft2-$51.00,
Each add'n 2500 ft2-13.50) •Per WAC 296-46-910(5)N4&(il
Bulletin#100-March 30,2004 Page 3 of 4 k\Handouts-ReviscdU'ennit Application
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