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04-105230
e• ' ` 1. p , City of Federal Way Electrical Permit #: 04 - 105230 - 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: BROADCOM Ave, Project Address: 32001 32NDrS Suite410 Parcel Number: 162104 9001 Project Description: Low voltage DDC control wiring of 4 new VAV terminals&1 existing VAV terminal-5 sensors&4 VAV controllers. Owner Applicant Contractor FOSS REDEVELOPMENT MACDONALD MILLER CO MACDONALD MILLER CO PO BOX 94449 7717 DETROIT AVE SW 7717 DETROIT AVE SW SEATTLE WA 98124 SEATTLE WA 98106 SEATTLE WA 98106 (206)763-9400 Electrical Fixtures Description 1Quantity Description Quantity Description Quantity Circuits- Commercial N 5 Low Voltage-Other Commercial 4 PERMIT EXPIRES June 26,2005. Permit issued on December 28,2004 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 laws,rules and regulations of the State of Washington and the City of Federadr" ay. \ - ) v Owner or agent: diik VI ,04 %� , Date: I 4 , <, ©) / 1 THIS CARD IS TO REMAIN ON-SITE , CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 04-105230-00-EL Owner: FOSS REDEVELOPMENT Address: 32001 32ND AVE S Suite 410 FEDERAL WAY, WA 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) 0 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 ❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) 0 Final-Electrical(4055) Approved Approved Approved By Date By Date By Date ❑ Under-slab groundwork(4295) Approved By Date 1,ALCOMMUNITY DEVELOPMENT SERVICES 33530 FIRST WAY SOU771•PO BOX 9718 crry OF Federal� p . �v�PERMIT APPLICATION FEDERAL WAY,ww �WAn19d063-wati 9714 WayG+� 253fi6J�175•FAx253-661- 129 For Office Use Only- g _ L - s2 3v - v IgA To. � e umber: � 0 V 'C..l. / / QERA`im4t The oilowin• is beI Tai_.•Elyy;-%'t,-art Inco •lete a.•lication will not be acce.ted. Please •rint le.ibl (in ink)or • . 2 ,r ■ PROPERTY INFORMATION �� SITE ADDRESS: 3 Z Co' 3 2-t 61E_,. C 1 „3i1Z'�'�APT# %iO ASSESSOR'S TAX/PARCEL#: I (02. 109_ - 900J SQUARE FOOTAGE OF LOT: LEGAL DESCRIPTION (e.g.:Acme Estates,Lot 1) (Attach separate page for lengthy legal description) ■ PROJECT INFORMATION TYPE OF PERMIT(This application): ❑ BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION refLECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included on this permit only): Low '/0 LI-A&a I -OD CON na.53L vDk(_\IJG ©F- like.)..) Viet- T R_NtI Ni6LS I,. ( ((S7'l1JC-, \/A-V T M( N t4 l- 6- SEIVSO IZS i 4 1/l4 I CSN i- us PROJECT NAME(Name of Business/Owner Last Name): ( tz_ " B IQO/47 C p M • PEOPLE INFORMATION PROPERTY NAME: PRIMARY PHONE: OWNER Foss DF.A/�-wPmEr / (2-go) -I 3810k, MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP 200 W Mtc-ti 16Mi Sui7L3cb 5 -rr-a1 IJf4, 9Fsio4 CONTRACTOR NAME COMPANY OFFICE PHONE: MaL bna(d Mit-Lea. FAe-iwr f SoL n o►J 5 ( 200) ?(vt - q/64 MAILING ADDRESS(STREET ADDR SS; •CITY,STATE,ZIP CELL PHONE: 111? DE 2o(r S W S - -ri'1.-ff wF1-. 7 .-/ol, ( ) '?( - 2440 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER: EXPIRATION DATE: FAX NUMBER: 0—0 '3- ( 0 O 3 7 Z-Db 13 F / / (20GTJ - '//(D S CONTRACTOR'S REGISTRATION NUMBER: A �j EXPIRATION DATE: , (copy of card required with each application)M 4 C D 0 ,v` & �l} 7 2 47 F /2 / 5 ( / 0V LENDER NAME: DAYTIME PHONE: (If proposed Value>$5,000) ( ) — MAILING ADDRESS(STREET ADDRESS;): CITY,STATE,ZIP APPLICANT: NAME: COMPANY OFFICE PHONE: ( ) MAILING ADDRESS(STREET ADDRESS): CITY,STATE,ZIP EVENING PHONE: ( ) • RELATIONSHIP TO PROJECT: FAX NUMBER: 0 Architect ❑Tenant ❑ Other(Describe): ( ) - CONTACT PERSON FOR THIS PROJECT: 0 Property Owner leContractor 0 Applicant E-MAIL ADDRESS: ■ DETAILED BUILDING INFORMATION EXISTING USE: O PPt C E PROPOSED USE: ©c c 1. EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK: $ SPRINKLERED BUILDING? a YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED?: 0 YES 0 NO WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE 0 TACOMA ❑ PRIVATE(WELL) SEWER SERVICE PROVIDER a 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) DECK(COVERED?) GARAGE/CARPORT HOW MANY FLOORS? TOTAL EXISTING TOTAL PROPOSED TOTAR.EXISTING AND PROPOSED **NEW HOMES ONLY** NUMBER OF BEDROOMS: ESTIMATED SELLING PRICE: $ ■ FIXTURES Indicate number of each type of fixture that is 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(commemnll WOODSTOVES BOILERS FIREPLACE INSERTS RANGES MISC(Describe) COMPRESSORS FURNACES GAS WATER HEATERS DUCTS GAS PIPE OUTLETS PLUMBING BATHTUBS(or Thb/Shomr Combo) SHOWERS WATER CLOSETS(Toile) MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYS WASHING MACHINES URINALS HOSE BIBBS LAVS(Bathroom sink 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 reliance of the city, including its o ers and emplo `•es,upon the accuracy of the information supplied to the city as a part of this application. T 1 t i (24271 C/ NAME/TITLE: . DATE: (Signature) / (Title) RELATIONSHIP TO PROJECT: 0 Property Owner El Applicant /Contractor ❑ Architect ❑ ,FOR OFFICE,USE ONLY:: • o NEW - a ADDITION ❑ALTERATION ❑REPAIR ❑TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES a NO BASIC PLAN? o YES ❑NO • _ZONING DESIGNATION: CHANGE OF USE? o YES o NO NEW ADDRESS REQUIRED? o YES o NO UP/SEPA/SU? o YES o NO PLATTED.LOT? a YES a NO DEMO PERMIT REQUIRED? o YES- o NO Page 2 • ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE ❑ Single Family Square Feet: Service or Feeder Each Add'n (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 (Inspected separately from service) ❑ 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 ❑ #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) • ❑ Service over 200 amps Medical/Educational/Institutional Facility ❑ Mast or meter repair $43.50 ❑ $74.00 plus 35%of Permit Fee SINGLE/MULTI FAMILY PLAN REVIEW ❑ Service Over 400 amps $74.00 plus 35%of Permit Fee MOBILE HOMES TEMPORARY SERVICE ❑ Service or feeder only $58.00 ❑ Service and feeder $94.50 Commercial Residential ❑ 0- 100 $58.00 $51.00 MOBILE HOME/RV PARK ❑ 101 -200 74.00 51.00 ❑ #of service or feeders ❑ 201 -400 87.00 n/a (First service/feeder-$58.00;each add'n-$37.50) . ❑ 401 -600 117.50 n/a ❑ over 600 127.00 n/a MISCELLANEOUS SERVICE/EQUIPMENT J #of Thermostats U #of Signs first-$43.50;add'n-$13.50/ea) (First sign-$43.50;add'n sign$20.50/ea) Low Voltage B�n�V"f ❑ Swimming pool/hot tub $87.00 uare Feet to be served by system(s): � ) (Includes additional circuit,if required) • Fire Alarm System ; •�;-ii j', ❑ Yard Pole meter loops $58.00 ❑ ., urity Alarm S - em ❑ Additional Plan Review $87.00/hour ❑ Voi Cabling (for modified submittals) g❑..Data. •bli a v E} (D(J1 0[,s (Per System ): •t 2500 ft2-$51.00; Each ad. 251• ft2-13.50) •Per WAC 296-46-910(5)(b)6&u) i _ . 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