05-102335 4 �
City of Federal Way Electrical Permit#: 05 - 102335 - 00 - EL
Community Development Services
P O.Box 9718
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Federal Way,WA 98063-9718
Ph:(253)835-7000 Fax:(253)835-2609 Inspection re i 'st line: :35-3050
Project Name: THREE TREE YOGA
Project Address: 204 S 348TH=PM SI U h i t.3 Parcel Number: •104 9134
Project Description: Altering(1)circuit for radiant heating
Owner Applicant Contractor
BRIGHTON PROPERTIES LLC AFFORDA INC ABLE EXTRAS IN•
204 S 348TH ST#2 1515 CE 1 -L AVE CENTRAL AVE S
FEDERAL WAY WA KENT WA 132 KE A 98032
98003-7041 3) . 1111
Electri• Fixtures
:DeSCCl:l1i' " �l l� X Qua ,Mrftrclinr . � Quantit)t
circui Aiiii01111MIL
'ERMIT EXPI' ova,be4
(113.
Pe...• ' .n M: 1
co -,I hereby c- that the above information is con-, d that t c LQ the above described property and
the occupan • the use will be in accordance wi h the laws, I a r _i lations of the State of Washington and
the City of Fe• .1 Wa
Owner or agent: 411/l1Ut1L( /n/ Date: 5/i ?/2 S
NIL THIS CARD IS TO REMAIN ON-SITE
CITY OF 10111 Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT#: 05-102335-00-EL
Owner:
Address: 204 S 348TH ST SUITE 1
FEDERAL WAY, WA 98003-7002
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) ❑ 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) 0 Final-Electrical(4055)
Approved Approved Approved
By Date By Date By Date
❑ Under-slab groundwork(4295)
Approved
By Date
�,��
A RECEIVEDO _a _ / D r- 3 3 3
Federal way PERMIT — — — —
COMMUNITY DEVELOPMENT SERVICES MAY 1 $ c, ,,aSF MF CO EL P DE EN FP
3332E D AVENUE LWAY, A17f•Ib�97I8 APPLICATION
FEDERAL WAY,FAX
53.898063-9718-260 TD / /
253-835-2607•FAX253-835-2609 FEDERAL WAY
wwiuriloODedcra1wouc,n' BUILDING DEPT.
The ollowi • is re• ired in ormation-an inco •fete a••Iication will not be acce•ted. Please •rint Ie•ibl n or '
• PROPERTY INFORMATION f�
SITE ADDRESS 204 5 - y8 'g-,� w L J 7 SUITE/UNIT# c9-
ASSESSOR'S TAX/PARCEL# .2.. sl a 1 o - ci 1 ' a_ LI LOT SIZE s
),
Ani 'LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1J
(Attach , ,tepc eta lengthy
� �. ,�
)
■ PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING MECHANICAL
0 DEMOLITION P ELECTRICAL T❑ ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide detailed description of work included on this permit only)
6[taIY e) C ()C<(OJA.i1.-
J
PROJECT NAME(Name of Business or Owner Last Name) itt ire-e ( fees y,,k, "I
• PEOPLE INFORMATION
PROPERTY NAME
PRIMARY PHONE
OWNER \� �n/+I/ ,� �
MAILING A >1.43. `r 1 C17Y STATE,ZIP us., ( ) _
c
2c 34$14'' '-1 - carat Nou[i V J4- ct$003
CONTRACTOR COMANY NAME ^���(.� AAPPLICANT NAME OFFICE
{PHONE
�
iet)10iDeliaS E x(rV c t' Clvt j C l/J 11121 C#7' (CR53)3) U`�X -/11 '
/ S CITY ATE, IP CELL PHONEQ
C14 3.7'SERALCall7V LICENS MBER r � E7(F�(RATION DAI71– FAX N MBER�/ �
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) / EXPIRATION DATE
Ac2g- -A1 42 C3 $ ( / 2— iO
APPLICANT CO PANY APPLICANT NAhg
OFFICE PHONE
.6rt
c7 tees\1y/JJJvvvyyyyyy���c_4.
,�v►z1 v�d✓1ch� (? s 7 (i
MALI G ADDR ! 1 çZIP - CELLPHONE
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RELATIONSHIP TO3OJECT �i`1lJlA ��� iFAXER iy
0 Architect 'Tenant o Agent 0 Other(Describe) ( ) _
CONTACT NAME SA
CV&ditJ PRIMARY PHONE
E-MAIL ADDRESS
LENDER ;{. _ - -- NAME — .. r -
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION ?T...
EXISTING USE C(P C.R. 'c-a PROPOSED USE Se
EXISTING ASSESSED/APPRAISED VALUE $ 575,b`x) VALUE OF PROPOSED WORK $ /501)
SPRINKLERED BUILDING? 0 YES ,'NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO -
WATER SERVICE PROVIDER )'LAKEBAVEN Ci HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER y1 LAKEHAVEN ❑HIGHLINE 0 PRIVATE(SEPTIC)
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
-BASEMENT
FIRST
1160I 2
I2
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
=WINO PROPOSED TOTAL zF-:Y j, j
"" z.•
.tt: oroseo lr .!' ar
NUMBER OF FLOORS R' ? • `4+,11,1 • ' (' - r._,
4,:t-
"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 6V)
Value of Mechanical Work $ 5CD.
•
AIR HANDLING UNITS EVAPORATIVE COOLERS GAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) WOODSTOVES
BOILERS FIREPLACE INSERTS RANGES M1SC(Describe)
COMPRESSORS FURNACES GAS WATER HEATERS
DUCTS GAS PIPE OUTLETS
PLUMBING
BATHTUBS(or Tub/Shower Combo) SHOWERS WATER CLOSETS(roiieq MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
I.AVS(Bathroom sista[ 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
ant 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,in ing the undersigned,and filed against the City of Federal Way,but only where such claim
arises out of the reliance of the city,including t fficers and employees,upon the accuracy of the information supplied to the city as a part of
this application.
NAME/TITLE Aie�3?'SAO"- DATE
ire/ (Title)
6
RELATIONSHIP PROJECT ❑ Owner ❑Agent #Contractor ❑Architect 0 Other
•
•
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ELECTRICAL PERMIT INFORMATION
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RESIDENTIAL COMMERCIAL
NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE
❑ Single Family Square Feet Service or Feeder Each Add n
(First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50
❑ Detached outbuilding or garage ❑ 101-200 amp 141.00 89.00
(Inspected with service) $44.00 ❑ 201-400 amp 264.50 104.00
❑ Detached outbuilding or garage ❑ 401-600 amp 308.00 123.50
(Inspected separately) $69.50 ❑ 601-800 amp 398.50 168.50
❑ 801 - 1000 amp 486.50 203.50
NEW MULTI-FAMILY(three units or more) ❑ Over 1000 amp 530.50 283.00
Service Feeder
❑ Up to 200 amp $113.50 $33.50 ❑ Over 600 volts surcharge $89.00
❑ 201 -400 amp 141.00 69.50 ❑ Mast or meter repair $96.00
❑ 401 -600 amp 193.00 96.00 ALTERED MMERCIAL/INDUSTRIAL
❑ 601 -800 snip 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY U 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ ove ;i c amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ /%1 .f circuits to be added/altered
❑ over 600 amp 212.50 II-cults-$89.00;Add'n circuits,$7.00/ea)
❑ #of circuits to be added/altered COMMERCIAL/INDUSTRIAL PLAN REVIEW
(1-4 circuits-$69.50;Add'n circuits$7.00/ea) $89.00 plus 35%of Permit Fee
❑ Service- 1,000 amps or greater
❑ Mast or meter repair $52.00 ❑ Medical/Educational/Institutional Facility
MOBILE HOMES
❑ Service or feeder only $69.50
❑ Service and feeder $113.50
TEMPORARY SERVICE
MOBILE HOME/RV PARK
Resfdent4al/MuItt-Family $61.00
❑ #of service or feeders
(First service/feeder-$69.50;each add'n-$45.00) Commercial/Industrial Service or Feeder Ampacity
❑ 0- 100 amps _ $69.50
❑ 101-200 amps 89.00
❑ 201-400 amps 104.50
❑ 401-600 amps - 141.00
❑ over 600 amps 152.50
MISCELLANEOUS SERVICE/EQUIPMENT
\ .
❑ #of Thermostats 1 21 I #of Signs
(Fir -$52.00;add'n-$16.00/ea) / (First sign-$52.00;add'n sign$24.50/ea)
jit Low o •ge ❑ Swimming pool/hot tub $87.00
• e Fe to be served by system (Includes additional circuit,if required)
• Alarm S . em El Yard Pole meter loops $104.50
❑ Security Alarm 3 - em�//
El Voice Cablin ❑ Additional Plan Review $104.50/hour
(for modified submittals)
❑ Da g ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•t 2500 ft2-$61.00;
Each add'n 2500 ft2-16.00)•Per WAC 296-169]0(5 6 ii)
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application
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