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05-102697
• y w City of Federal Way Electrical Permit #: 05 - 102697 - 00 - EL I, Community Development Services P.O.Box 9718 Federal Way,WA 98063-9718 t Ph:(253)835-7000 Fix:(253)835-2609 Inspection request line: (253) 835-3050 Project Name: ADELAIDE PWSF(CINGULAR#WA462-03) Project Address: 31119 21ST SW PI 5 I Parcel Number: 122103 9025 Project Description: Provide 200-amp service for new PWSF site. Owner Applicant Contractor FEDERAL WAY SELF STORAGE EXPERT ELECTRIC*KENNETH BAARD* EXPERT ELECTRIC*KENNETH BAARD* 63 KENDRICK ST 1 CHARLE 4619 PACIFIC AVE 4619 PACIFIC AVE NEEDHAM MA FEDERAL WAY WA 98408 FEDERAL WAY WA 98408 02494 (253)471-1009 Electrical Fixtures Description 'Quantity Description Quantity Description Quant Service/Feeder:101-200 amps-Comr 1 PERMIT EXPIRES December 6,2005. Permit issued on June 9,2005 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: ie 4/. /Z---e - Date: ' 9—060)1 -S`- U" THIS CARD IS TO REMAIN ON-SITE . CITY OF A Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-102697-00-EL Owner: Address: 31119 21ST PL SW 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) #❑ Ditch cover(4030) ❑ Pool Bonding(4195) Approved to place concrete Approved Approved By Date - - By je j Date (,iZA.-fj�j By Date ❑ Temporary Power(4275) Int Service(4235) / ❑ Feeders/Sub-panels(4045) Approved Approved Approved By Date By , ''�,� Date IK., By Date El Rough Electrical(4225) #❑ Ceiling Cover(4020) Final-Electrical (4055) Approved Approved Approved By Date By Date B `�� Date ri c .5,4ko, ❑ Under-slab groundwork(4295) Approved By Date 1 crrr Federal Way PE . cz1 - .z� : . I o� RM COMMUNITY DEVELOPMENT SERWCRS I T JV A' SF MF CO M D a•L DE EN FP 33325 lint AVENUE SOUTH•PO BOX 9718 /Y O 9 +:� FEDERAL WAY,WA 98063-9718 A P P LI C AT 11 4 253435-2607•FAX 253.835-4609 ynuw.dtwITederalway.00nt F FEDER BUILDING,,D ______________ The ollowi • is • ired in ormation-an Inco •fete . ••Uication will not be acce tell, Please •rint le• , n or IIIPROPERTY INFORMATION SITE ADDRESS 3 1©3( -- Z/Sy` Pick C e- 5 td SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf) LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1) (Mach a 1papefor&Mail Iga1dea�W.W • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL 0 DEMOLITION ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM PROJECT DESCRIPTION(Provide detailed description of work included(et permit only) Neu/ 2o04 5 (v.rce. -Cof cel/ s , -ee , - i PROJECT NAME(Name of Business or Owner Last Name) • PEOPLE INFORMATION 1 PROPERTY Q NAME (� �[ PRIMARY PHONE OWNER red- Way JQ/7 (`O ►"OtG� (�/z�) 6'(3 - .8900 MAILING ADDRESS IC17Y,STATE,ZIP /yloo SE 361'1' S-1. 0Zoo Bellevue ed4 9?o06 CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE Ely e,--t �lecel c- ieet4 gokavd (2$'3 )'I7( -/oo 9 MAILINO ADDCITY,SPATE,ZIP CELL PHONE 116/9 l,c..xic Ace- coo,. u1 ii 999/Og (253)LidS -9'630 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE - FAX NUMBER _-u 4 -1. v q a/ -B k / i 3/ / os ( ) CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application( EXPIRATION DATE Ex PElZ :170 v 9L 1: 06106 / • APPLICANT COMPANY NAME APPLICANT NAME OFFICE PHONE 5,1,,,e_ c. o-bo v ( ) - MAILING ADDRESS CITY,STATE,ZIP — CELL PHONE RELATIONSHIP TO PROJECT FAX NUMBER a Architect o Tenant o Agent a Other(Describe) ( ) - CONTACTNAMEy� _/ PRIMARY PHONE 11 e!/� (B o c C (257 ) 471 - 1009E-MAIL ADDRESS (253 ) x(71 - /0 0 9 e>c ..ti(Pc-if.,_LJ6 4.AI.A k LENDER o., I. ,._, .a,.r,` La LJrnr.i4{,�, , NAME 6 f .,.•r,' .1 ,�C-. ..{,t_ ten({.F.• .au,_ MAILING ADDRESS CITY,STATE,ZIP ■ DETAILED BUILDING INFORMATION EXISTING USE PROPOSED USE EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $ SPRINKLERZD BUILDING? a YES a NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? a YES a NO WATER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE o TACOMA a PRIVATE(WELL) SEWER SERVICE PROVIDER a LAKEHAVEN a HIGHLINE a 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 susrsro PROPOSED torn **NEW HOMES ONLY'" NUMBER OF BEDROOMS ESTIMATED SELLING PRICE $ FIXTURES Indicate number of each type offxture 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(commerdnq 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(roueq MISC(Describe) DISHWASHERS SINKS DRINKING FOUNTAINS GAS PIPE OUTLETS SUMPS RAINWATER SYST WASHING MACHINES URINALS HOSE BIBBS WVS(Bath,o.m 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 authorised 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 11 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. f �j Q L /h q NAME/TITLE Gi` !'`-� _ fres f d e,-T DATE — ( — f'� r (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner ❑Agent )(Contractor ❑Architect ❑ Other kP.NYP c)L)ir`(e)`f Wr,0.5i-4,4‘10(i);( •; •ttt }. ,t?D)\1,\10+1 irepi,cic;Pc, ;:c E,r_ c)4c,*(') nom; Jia . -.. . :y:+ f(c e{) vc_ rA-640) . .--- 1,L,.41 ,':4 tc' ,`!r;l -i14-**i j oaie;» 7 '47,k1 - *!o d;� '�JfK(sw:' ,. c')' 1 a;} 4-0 r 7:.1 1 I Bulletin#100—January 7,2005 Page 2 of 4 lalandouts\Permit Application ELECTRICAL PERMIT INFORMATION RESIDENTIAL COMMERCIAL NEW RESIDENTIAL SERVICE NEW COMMERCIAL/INDUSTRIAL SERVICE Service or Feeder Each Add'n ❑ Single Family Square Feet (First 1300 ft2-$104.50;Each add'n 500 ft2-$33.50) ❑ 0 to 100 amp $113.50 $69.50 ❑ Detached outbuilding or garage X101-200 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 0 801- 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 ❑ 0 to 200 amp $113.50 I ALTERED SINGLE/MULTI FAMILY 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;Addh 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 Residentia ❑ #of service or feeders 1�uitt-Family $61.00 (First service/feeder-$69.50;each add'n-$45.00) Commercial/lndustrial 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 U #of Thermostats ❑ #of Signs (First-$52.00;addh-$16.00/ea) (First sign-$52.00;addh sign$24.50/ea) O 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 ❑ Yard Pole meter loops $104.50 ❑ Security Alarm System ❑ Additional Plan Review $104.50/hour ❑ Voice Cabling (for modified submittals) ❑ Data Cabling ❑ Automation Fee on all Permits .. $5.00 (Per System(s) 1u 2500 fta-$61.00; Each add'n 2500 ft2-16.00)•Per WAC 29646 910(SJ b)(i k ig it , Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Pennit Application