05-102593 Pist
City of Federal Way Electrical Permit #: 05 - 102593 - 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)835-305C
Project Name: CHRISTINE ALEXANDER
Project Address: 34210 9TH=MEM& A-V S $TQ. 1 O o Parcel Number: 926480 0090
Project Description: Provide 200-amp panel on NE wall of extended tenant area.
Owner Applicant Contractor
GRAMOR DEVELOPMENT WASHINGTON, FORBES ELECTRICAL CONSTRUCTION CC FORBES ELECTRICAL CONSTRUCTION CC
1133 164TH ST SW SUITE 107 1502 S BROOKSIDE TERRACE 1502 S BROOKSIDE TERRACE
LYNNWOOD WA 98037-8121 TACOMA WA 98465 TACOMA WA 98465
(253)564-3949
Electrical Fixtures
Description —Quantity Description Quantity Description Quantity
Alt.Serv./Feeder up to 200 amps-
PERMIT EXPIRES November 29,2005.
Permit issued on June 2,2005
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: '-) Y �'�-' .- Date: 41i/2/TY
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THIS CARD IS TO REMAIN ON-SITE
CITY OF 410A Community Development Inspection Record
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-102593-00-EL
Owner: PAUL OPIE
Address: 34210 9TH AVE S Suite 100
FEDERAL WAY, WA 98063
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) ❑ Ditch cover(4030) ❑ Pool Bonding(4195)
Approved to place concrete Approved Approved
. By - - - - Date 1 - - - By Date - By - - Date
❑ Temporary Power(4275) ❑ Service(4235) 0 Feeders/Sub-panels(4045)
Approved Approved Approved
By Date By Date By Date
❑ Rough Electrical(4225) ❑ Ceiling Cover(4020) Final-Electrical(4055)
Approved Approved Approved
Io.
By Date By Date By Nog Date
❑ Under-slab groundwork(4295)
Approved
By Date
- Lock i�Bo Code F P co.tALI,1 8It
u., A. �-
pERMIT - � 9 3Federal Way
COMMUNITY DEVELOPMENT SERVICES JUN 0 2 2005 SF MF CO ME EL PL DE EN FP
33325 AVENUE,WA 98063-9718
8•PO B 97I8 A p p L I C A' ig
FEDERAL WAY,FAX
533 TD / /
253-835-2607.PAX 253-835-2609
I DERAL WAY
www.dtuofYederalway.eom
BUILDING
DEPT.
0 The ollowi • is re•wired in ormation-an Inco •tete • ••lication will not be acce•ted. Please •rint le•ibi in or
• PROPERTY INFORMATION
SITE ADDRESS 3 "2.-/V CI, i A-ve -- /0e
SUITE/UNIT# en.r'/4.1 SPrpi
ASSESSOR'S TAX/PARCEL# - LOT SIZE(s)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal desaiotio,)
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDINGPLUMBING 0 MECHANICAL
0 DEMOLITION�LECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTIONProvide detailed description cription of work included on this permit onlu)
14S � .& /OU Ain p 4' 9 V si•(.0 fie.!/ rit+rvl exls-� ic
vi 1 s 'v te- L�
r' Ljc iZrki
5Kb-feeder-s ivt iv iter.,) tvece . /ri -411 ieeet,.,, 'I St)v ri 7S---K
/
/�1/f' is � �C� .�K �'r'I x �j's<i '-Z.'lC 1
x060, /2c21Zl;7z3r 490-we 1- i, >4'dvet f LfihTivi exi71SI sl S arae/ d/'l,/ heq ,tsic- cE
i1'i(Z) t/ s.• -✓'✓cCJ- . /� L �,r .1
PROJECT NAME(Name of Business or Owner Last Name) C.,Rr/ %'e _4({�krunhv 4 (pad S aY1
• PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER 04 CY be tf/" ( ) -
MAILING ADDRESS CITY,STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
FerieS 2 d- ( (c t5/-C , R' /2 /dr b_5 t��3 )52,4 -3V'7
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
I Sz Z 5 e cz* s,d4 rev,,4 ce . c vim1 '( 4Jc, ' ' (-2` 4�( - at)
3-'
CITY OF LFEDERAAL,,WAY BUSINESS LICENSENUMBERr EXPIRATION DATE FAX NUMBER
-L> L--� t) LI 41 5-31 -B L /4 /pp / 05- (,,,;--- ) 7,-.-4,4, - /CSI .
CONTRACTOR'S REGISTRATION NUMBER(copy of cud required with each application) EXPIRATION DATE
FOR-e&—&—e0 ' . 0r 6' / z'7 / [? S
APPLICANT COMPANY NAME APPLICANT NAME
S 1/� / S J, OFFICE PHONE
( ) -
\ LING ADDRESS CITY,STATE,ZIP
CELL PHONE
RELATIONSHIP TO PROJECT FAX NUMB ER
6.1,-(7/146,--
�
0 Architect 0 Tenant 0 Agent 0 Other(Describe)Mx' 1, t.c-6,✓ ( ) -
CONTACTNAM i & T PRIMARY HONE 1,/ E-MAIL ADDRESS
LENDER v:: ;1.3, °>',,;:,, fi{:-�, refier,it✓_;x{717 K; NAME
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE PROPOSED USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? ❑ YES 0 NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? ❑YES 0 NO
WATER SERVICE PROVIDER ❑ LAKEHAVEN ❑ HIGHLINE ❑TACOMA ❑ PRIVATE(WELL)
SEWER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 PRIVATE(SEPTIC)
•
PROJECT FLOOR AREAS
AREA DESCRIPTION EXISTING PROPOSED TOTAL
SQ.FT. SQ.FT. SQ.FT.
BASEMENT
FIRST
SECOND
THIRD
FOURTH •
ADDITIONAL FLOORS(DESCRIBE)
DECK(COVERED?)
GARAGE 0 CARPORT 0
NUMBER OF FLOORS =mum PROPOSED TOTAL Tor dCi T" "r ACfaorossoCr>, ..:„ ALsr'M
**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 OAS LOGS REFRIG.SYSTEMS
BBQS FANS HOODS(commercial) 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(Toilet) MISC(Describe)
DISHWASHERS SINKS DRINKING FOUNTAINS
GAS PIPE OUTLETS SUMPS RAINWATER SYST
WASHING MACHINES URINALS HOSE BIBBS
LAVS(Bathroom Sinks) 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.
T-)
NAME/TITLE / ,, v V`� DATE6(„vlas---
' (Signature) (Title)
RELATIONSHIP TO PROJECT ❑ Owner 0 Agent 0 Contractor 0 Architect 0 Other
LD),'.'I tit0 4eNf '1D-) Y • .:i•/* �ti• •', v =FD �• c � Q!'»`
7i ¢' +.•
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Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
ERMIT INFORMATION
I 1
RESIDENTIAL COMMERCIAL
1` 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 COMMERCIAL/INDUSTRIAL
0 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
to200amp $113.50
ALTERED SINGLE/MULTI FAMILY
5-1(0
❑ 201 -600 amp 264.50
❑ 601 - 1000 amp 398.50
Service or Feeder ❑ over 1000 amp 443.50
❑ 0 to 200 amp $87.00
❑ 201 -600 amp 141.00 ❑ #of circuits to be added/altered
❑ over 600 amp 212.50 (1-5 circuits-$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
1 MOBILE HOME/RV PARK
Residential/Multi-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 ❑ #of Signs
(First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/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 $104.50
❑ Security Alarm System ❑ Additional Plan Review $104.50/hour
I ❑ Voice Cabling (for modified submittals)
❑ Data Cabling
0 ❑ Automation Fee on all Permits .. $5.00
(Per System(s) 1•"2500 ft2-$61.00;
Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(Sgb/6&ii)
I,
Bulletin#100-January 7,2005 Page 3 of 4 k\landoutaermit Application
• i