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05-102348 • City of Federal Way Electrical Permit #: 05 - 102348 - 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: WEYERHAEUSER EMPLOYEES CREDIT UNION Project Address: 33616 PACIFIC S Parcel Number: 212104 9058 Project Description: Install low-voltage voice and data cabling Owner Applicant Contractor WEYERHAEUSER EMPLOYEES CR CUPERTINO ELECTRIC DBA CEITRONICS I CUPERTINO ELECTRIC DBA CEITRONICS I PO Box 869 27350 SW 95TH AVE SUITE 3032 27350 SW 95TH AVE SUITE 3032 WILSONVILLE OR 97070 WILSONVILLE OR 97070 PO Box 869 !Longview,WA 98632-7538 (503)570-8510 Electrical Fixtures _ Description- - - - - -Quantity - - - - - -Description Quantity Description Quantity Low Voltage-Other Commercial I 6200 PERMIT EXPIRES November 15,2005. Permit issued on May 19,2005 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 i t of a\hington and the City of Federal Way. CtlIVIN U `��"! l., r Y Owner or agent: See Application Date: MAY LOOS 7-77 7-; SNA 7":. f THIS CARD IS TO REMAIN ON-SITE CITY OF Community Development Inspection Record Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050 PERMIT#: 05-102348-00-EL Owner: Address: 33616 PACIFIC HWY S FEDERAL WAY, WA 98003-6810 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. 0 Slab/Concrete Floor(4255) 0 Ditch cover(4030) 0 Pool Bonding(4195) Approved to place concrete Approved Approved By - - _Date- - - - - - - - - - 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) 0 Ceiling Cover(4020) ❑ Final-Electrical(4055) Approved Approved Approved By Date By<Com Date G -( �6� /� Date‘,-(6)-- 0 ateee-(6—❑ Under-slab groundwork(4295) Approved By Date r corer A IW� i .- ,, root (/. - / 0 g 3 ) Fe►�lerai'WaY �, 1Y1 P E R 1� 1 �- COMMUM7Y DEVELOPMENT SERVICES �, 1 v� SF MF CO ME EL PL DE EN FP 3332E R /7N•PO BOX 9718 APPLICATION TD FEDERAL WAY,WA 98063-9718 / / 253-835.2607 FAX 253-835-2609 - www.dtuoffedemlwau•com The ollowi , is re•aired in ormation-an inco •lete • • •lication will not be acce-ted. Please •rint le! •1_ in in or • . �j� ,fit' • PROPERTY,����r� INFORMATION SITE ADDRESS 7 7S I(, 14i4/y 5eu SUITE/UNIT# ASSESSOR'S TAX/PARCEL# - _ _ _ _ LOT SIZE(sf) LEGAL DESCRIPTION (e.g.Acme Estates,Lot 1) (Attach separate page for lengthy legal description) • PROJECT INFORMATION TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL ❑ DEMOLITION %ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM ------------------- PROJECT DESCRIPTION (Protide detailed des"ription of work included on this Hermit milli) -- Lata! iler414S COP411Jer — IID 4 t:Irr1a- PROJECT NAME(Name of Business or Owner Last Name) 011er414E0007-.0 gp44Coygrs ( Lu%T LIoIOtJ • PEOPLE INFORMATION PROPERTY NAME PRIMARY PHONE OWNER ie�'. - -(L 51'V(N-D E Gtc-Er>CT vikho►J ( ) MAILING ADDRESS CITY,STATE,ZIP 3%4L. 14(4y qR j - 4 F. i— vVAk/, t(J4 . CONTRACTOR COMPANY NAME ((__ APPLICANT NAME OFFICE PHONE ri/oD �i-EG LL•llsi 4.Kr eildr. 7 -g MAILING ADDRESS ‘.44r• . CITY,STATE,ZIP CELL PHONE 275:9 !ad %5T'rAilE 3o3z- wi L4oA)v/U pe 97070 (503ISM -3553 CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER / / (5',,93)57o -8562.- - - B L CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE Gu FERE t ooza7 / / APPLICANT COMP t I'iv olio 0-10-4„ Air�.- APPLICANT NAME OFFICE PHONE W"ra•._ Ce'MOW 1CS.,TP-1 L -JOA.1 ei -F' (503) X70•-- $ <D MAILING ADDRESS soira CITY,STATE,ZIP CELL PHONE 27350 *c1 6l'0�A, -149.5%, wru.oiclvru.E,oe 9707o ( 503 ) B/1 - 3553 RELATIONSHIP TO PROJECT FAX NUMBER 8lriCo Architect 0 Tenant ❑Agent 0 Other(Describe) ( ,r,6 3) 57o -if. /7.--- CONTACT ONTACT NAM PRIMARY PHONE 5 E-MAIL ADDRESS t� (SD 3 ) �j70 - 0 / 1 Joni_h 4RP LENDER - ` - Per RCW 19.27.095: Lender information is NAME c,, ,rgiun Ls. Coni 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? 0 YES ❑ NO FIRE SUPPRESSION SYSTEM PROPOSED/REQUIRED? 0 YES 0 NO WATER SERVICE PROVIDER 0 LAKEHAVEN 0 HIGHLINE 0 TACOMA 0 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 / n co O ! ZOO SECOND to(� THIRD FOURTH ADDITIONAL FLOORS(DESCRIBE) DECK(COVERED?) GARAGE 0 CARPORT 0 -------------- ---------------- NUMBER OF FLOORS nn8TISO 7RD7O/LD I TOTAL TOTALsL=TJXOer TOTAL PROPOSED SF TOTAL SF "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(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 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 officers and employees,upon the accuracy of the information supplied to the city as a part of this application. NAME/TITLE DATE (Signature) (Title) RELATIONSHIP TO PROJECT ❑ Owner 0 Agent o Contractor ❑ Architect 0 Other FOR OFFICE USE ONLY o NEW o ADDITION a ALTERATION o REPAIR o TENANT IMPROVEMENT BUILDING SHELL ONLY? o YES o NO BASIC PLAN? o YES ❑NO ZONING DESIGNATION CHANGE OF USE? ❑YES o NO NEW ADDRESS REQUIRED? a YES o NO UP/SEPA/SU? o YES o NO PLATTED LOT? o YES o NO DEMO PERMIT REQUIRED? ❑YES ❑NO Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\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 ❑ 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 CI Mast or meter repair $96.00--- ----- -1:1 401 401 -600 amp 193.00 96.00 ALTERED COMMERCIAL/INDUSTRIAL U 601 -800 amp 247.00 132.00 U 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 Service or Feeder [CI 601 - 1000 amp 398.50 ❑ 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 U Medical/Educational/Institutional Facility MOBILE HOMES U Service or feeder only $69.50 U Service and feeder $113.50 TEMPORARY SERVICE MOBILE HOME/RV PARK Residential 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 U #of Signs (First-$52.00;add'n-$16.00/ea) (First sign-$52.00;add'n sign$24.50/ea) WILow Voltage �j� ❑ Swimming pool/hot tub $87.00 Square Feet to be served by system(s) f4 (2 s (Includes additional circuit,if required) ❑ Fire Alarm System ,��I el,1Zdoe ��00 U Yard Pole meter loops $104.50 ❑ Security Alarm System 77 U Additional Plan Review $104.50/hour RI Voice Cabling a dQ (for modified submittals) cit Data Cabling 5 �p 0 `P1 Automation Fee on all Permits .. $5.00 (Per System(s) 1•t 2500 ft2-$61.00; pi Each add'n 2500 ft2-16.00) •Per WAC 296-46-910(5)(b)(i&ii) Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application