04-102112 r r , ,4
City u ty Development Services eveWay
CommunityComElectrical Permit #:04 - 102112 - 00 - EL
33530 1st Way S
Federal Way,WA 98003-6210
Ph:253 661 4000 Fax:253 661.4129 Inspection request line: 253.835.3050
Project Name: THE UPS STORE
Project Address: 1911 SW CAMPUS iitote105 Parcel Number: 192104 9004
Project Description: Relocate six circuits an7 add 36'of track lighting.
Owner Applicant Contractor
THE UPS STORE•ATTN:BUSINESS OWNER KIRBY ELECTRIC INC KIRBY ELECTRIC INC
THE UPS STORE 4826 B ST NW SUITE 101 4826 B ST NW SUITE 101
1911 SW CAMPUS DR AUBURN WA 98001 AUBURN WA 98001
FEDERAL WAY WA 98023 (253)859-2000
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
L Circuits- Commercial 6
PERMIT EXPIRES November 23,2004.
• Permit issued on May 27,2004
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 Federal Way.
Owner or agent: �j '' Date: S:
fz((Q bk.\
0050b Oo
THIS CARD IS TO REMAIN ON-SITE ,,
. A
CITY OF Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 04-102112-00-EL
Owner: KIRBY ELECTRIC INC
Address: 1911 SW CAMPUS DR Suite 105
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.
❑ Slab/Concrete Floor(4255) 1❑ 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
0❑ Rough Electrical(4225) 1 11:1 Ceiling Cover(4020) ID
Final-Electrical(4055)
Approved Approved Approved
t'3y Dail. By Date By Date
i
❑ Under-slab groundwork(4295)
Approved
By Date
o,.•r t E I V'gpf - z G /
/ ;_.
Federal Way PERMIT ��
CDM FIRST WAY
Ili
AY 2 ,� ���MF CO MFS'-EL PL DE EN FP
33530 FIRST WAY SOUTH•PO BOX 9718
APPLICATION
FEDERAL WAY,WA 98063-9718 D
253-667 175•FAX 253-661-4129 //
unyw.dttp/rederdwaVmm CITY OF FEDERAL i`��
(BUILDING DIF,
The ollourin. is re•aired in ormation-an inco .lete a..iicatiorz aril not be acce•ted Please .rint Ie.ihl (in ink)or
/c� PROPERTY INFORMATION
1ITE ADDRESS 1 11 5t&) CO,Ccs;vrt Q v' C L (-I i/P /- 4 o C',✓Ct� 1�Qf,}t1 l 7, SUITE/UNIT# /0 C'
ASSESSOR'S TAX/PARCEL# ! _- _ I LOT SIZE(sf)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate pave for lengthy legal deco peon)
PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING ❑ P�L MING 0 MECHANICAL
0 DEMOLITION ®'ELECTRICAL ❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of w r included on this permit only)
IN eo C Q (• I •J' - cif p 1
l ac) 3�` fytF CSC /:I ,1 i
PROJECT NAME(Name of Business or Owner Last Name) C� r(.---, - /e_
PEOPLE INFORMATION
PROPERTY NAME
OWNER * n 'i (BINARY;HONE
MAILING ADDRESS CITY,STATE,ZIP
f RI, SLI,( Cart/tell-S.' Dock, -�. kiJ CSI nj .tALA. y56Z Z
1
CONTRACTOR COMPANY NAME ++ rr 1 APPLICANT NAME
y/�y`.� K- 1 ��.�/' OFFICE+ PHONE ,,,R,,.�
i Cruse C ; �t J-1,,,,, a.0-ri. t:r.� .) Z
MAILING� ADDRESS 1 / CITY,STATE,ZIP 1 )�j \ CELL PHONE
�f'S2 1. l.`3 `- )J NJ 5T-q-/t) 1b✓f" , k/� /6c.-til,, (25a ) !vc'c, - 3cv..J J
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER ))EXPIRATION DATE FAX NUMBER
-- --f ° - -` _7 - B L /' / ( / GC/ ( )
CONTRACTOR'S REGISTRATION NUMBER(coPy of card required with each application) EXPIRATION DATE
/ /
APPLICANT COM ANY NAME APPLICANT NAME OFFICE PHONE
ii b 1 `:�i� ( ) -
MAILING ADDRESS- CITY,STATE,ZIP CELL PHONE
( ) -
RELATIONSHIP TO PROJECT FAX NUMBER
❑ Architect 0 Tenant ❑Agent ❑ Other(Describe) ( )
CONTACT NAME PRIMARY PHONE
E
E-MAIL ADDRESSVJ J.Ll.In cUvr AS(' (ic3) r,cIC' - 3o
LENDER Per RCW 19.27.095: Lender information is NAME
required if project value exceeds$5,000
MAILING ADDRESS CITY,STATE,ZIP
DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES ❑ NO
WATER SERVICE PROVIDER o LAKEHAVEN ❑ HIGHLINE ❑ TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑ 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 TOTAL EXISTING AND PROPOSED
"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(comm«c,at) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES MISC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) _ SHOWERS WATER CLOSETS(roarq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom smks) 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 officers and employees,upon the accuracy of the information supplied to the city as a part of
this application. ,
NAME/TITLE f9 DATE -Z7 7
(Signature) ) (Title)
RELATIONSHIP TO PROJECT 0 Owner ❑ Agent ❑ Contractor ❑ Architect [l1 Other .J0 ✓t:=c.J i�•tl/t✓)
FOR OFFICE USE ONLY
o NEW o ADDITION o ALTERATION o REPAIR ❑TENANT IMPROVEMENT
BUILDING SHELL ONLY? ❑YES ❑NO BASIC PLAN? ❑YES o 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? o YES o NO DEMO PERMIT REQUIRED? o YES o NO
Bulletin#100—March 30,2004 Page 2 of 4 k\l landouts—Revised\Permit Application
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 ft,-$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) LI 801 1000 amp 405.50 169.50
Service Feeder ❑ Over 1000 amp 442.00 236.00
❑ Up to 200 amp $ 94.50 $ 28.00
LI
-400 amp 117.50 58 00 LI Over 600 volts surcharge $74.00
LI
- 600 amp 161.00 80.00
LIMast or meter repair $80.00
LI 601 -800 amp 206.00 110 00 ALTERED COMMERCIAL/INDUSTRIAL
❑ Over 800 amp 294.50 220 50
Service or Feeders
ALTERED SINGLE/MULTI FAMILY U 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 /
LI over 600 amp 177.00 L-) #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/Instrtutjonal 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- 100 $58.00 $51.00
❑ # of service or feeders ❑ 101 -200 74.00 51.00
(First service/feeder-$58 00,each add'n-$37 50) ❑ 201 -400 87.00 n/a
❑ 401 -600 117 50 n/a
U over 600 127.00 n/a
MISCELLANEOUS SERVICE/EQUIPMENT
❑ #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 ❑ Swimming pool/hot tub - $87.00
Square Feet to be served by system(s) (Includes additional circuit,if required)
❑ Fire Alarm System ❑ Yard Pole meter loops.- .. $58.00
❑ Security Alarm System
U Additional Plan Review $87.00/hour
❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0
(Per System(s) lsi 2500 ft2-$51 00,
Each add'n 2500 ft2-13 50) •Pe.WAC 296-46-910(5)(W&ii)
•
Bulletin#100-March 30,2004 Page 3 of 4 k\I landouts-Revised\Permit Application