05-101927 s .
" City of Aderal Way Electrical Permit #: 05 - 101927 - 00 - Ei
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: FARMERS INSURANCE
Project Address: 33310 1ST‘S 1t I)&15 Parcel Number: 926500 0255
WaAJ
Project Description: Low-voltage wiring for relocation of 1 horn/strobe in existing fire alarm system.
Owner Applicant Contractor
FARMERS INSURANCE NORTH STAR ELECTRIC NORTH STAR ELECTRIC
33310 1ST WY S BLDG B 1905 S JACKSON ST 1905 S JACKSON ST
FEDERAL WAY WA SEATTLE WA 98144 SEATTLE WA 98144
(206)329-1596
Electrical Fixtures
Description Quantity Description Quantity Description Quantity
Low Voltage Fire Alarm-Commercia 1
PERMIT EXPIRES October 23,2005.
Permit issued on April 26,2005
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 oi
Owner or agent: wail A _ . 1 I Date: '�-� o�
• A
THIS CARD IS TO REMAIN ON-SITE ar" ,
CITY OF Community Development Inspection Record -
Federal Way IVR INSPECTION REQUEST PHONE # (253) 835-3050
PERMIT #: 05-101927-00-EL
Owner: FARMERS INSURANCE
Address: 33310 1ST WY S BLD B
FEDERAL WAY, WA
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) 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
O Rough Electrical (4225) 0 Ceiling Cover(4020) 1: Final-Electrical(4055)
Approved Approved Approved
,1
By Date By Date By N.si1_ 2 Date , 1 ib.
❑ Under-slab groundwork(4295)
Approved
By Date
RECEIVE[
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0 .s- I L gh
Federal Way APR 2 6 zoPERMIT
COMMUNITYDEVELOPMENFSERVICES
SF MF r ...,CO ME EL L DE EN FP
3332E D AVENUE LWA,WAIN•PO99718 P ,I CATI ON
FEDERAL WAY,WA 98063-9718 CITY OF F / / _
253-835-2607•FAX 253-835-2609 BUILD E PT.
www cituoRederaWrau.com
The ollowi , is re,uired ' ormation-an incom•tete a,,lication will not be acc r ted. Please •rint le!ibi (in ink)or -
• PROPERTY INFORMATION
•
SITE ADDRESS 3 3 3/0 /5 i w n.y 5 SUITE/UNIT# /0 0
ASSESSOR'S TAX/PARCEL# / - LOT SIZE(4)
LEGAL DESCRIPTION(e.g.Acme Estates,Lot 1)
(Attach separate page for lengthy legal descrfphoN
• PROJECT INFORMATION
TYPE OF PERMIT 0 BUILDING 0 PLUMBING 0 MECHANICAL
0 DEMOLITION CRC-ELECTRICAL 0 ENGINEERING 0 FIRE PREVENTION SYSTEM
PROJECT DESCRIPTION(Provide:. ."•. • • . - - ... • .r.•. • • A. .r- l • q
/ I f
=-rm.ai.es e. Kfillk. _"........-a/flArC i 411M D< T:✓at- -P' ,
/ / II iiitotIN e PA. 61...- • '
..s4ryiair/ 1
PROJECT NAME(Name of Business or Owner Last Name) ! ---,e3,---/17€./ ,S
NI PEOPLE INFORMATION
PROPERTY NAME PRIMARY PHONE
OWNER ( ) -
MAILING ADDRESS CITY.STATE,ZIP
CONTRACTOR COMPANY NAME APPLICANT NAME OFFICE PHONE
Aka ,57a4 //.c7'r�'c icii2-eL t'G1', ,J 6704 ) 302?/S'?4,
MAILING ADDRESS CITY,STATE,ZIP CELL PHONE
/ 903-' 5 Jac saii -S€a.lic & \ Re/VV ("206 )5'71 - W$o
CITY OF FEDERAL WAY BUSINESS LICENSE NUMBER EXPIRATION DATE FAX NUMBER
a 0- 0-L 0 10 c 1 z( -B L /a / 31 /03' (0,704 )/,2? - 14`37
CONTRACTOR'S REGISTRATION NUMBER(copy of card required with each application) EXPIRATION DATE
NN Q g rb sG L 3 0 8' ? / ze05-
APPLICANT COMPANY NAME APPLIC"F''NAME OFFICE PHONE
it/o.27-4 5far- 4—/e 1c /4chceL 67//N 1' 47201.) 302Q-/5F4,
MAILING ADDRESS CITY,STATE IP CELL PHONE
/905' $ .�.e<sj Sea,'t��,te 9&9V (,/c56) _o?ys"o
RELATIONSHIP TO PROJECT �. FAX NUMBER/ q q,`
o Architect 0 Tenant 0 Agent Other(Describe) Lr/s�lJl Q C f 2 (i(o)7 ( -! 5 3 7
CONTACTN •
PRIMARY PHONE E-MAIL ADDRESS
LENDER IWRCW 10414,041 LaMar intimation to NAME
• ,tr *tilt/emce+ed*04000
MAILING ADDRESS CITY,STATE,ZIP
• DETAILED BUILDING INFORMATION
EXISTING USE ' ' • •• El)USE
EXISTING ASSESSED/APPRAISED VALUE $ VALUE OF PROPOSED WORK $
SPRINKLERED BUILDING? 0 YES ■ • F 4' ' SUPPRESSION SYSTEM PROPOSED/REQUIRED? o YES ❑ NO
WATER SERVICE PROVIDER w 'HAVEN ❑ HIGHL I -' ❑ TACOMA 0 PRIVATE(WELL)
SEWER SERVICE PROVED'R ❑ LAKEHAVEN 0 HIGHLINE o PRIVATE(SEPTIC)
•
O5--- foO57Q - bo - co
or- looyza - mac.
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 =ATM PROM= TOTAL TOTAL=WINO RiF TOTAt.seo Gllm! TOMS&
**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
Vnh,a 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(rose) 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 m 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 rel' f the city,including its ond employees,upon the accuracy of the information supplied to the city as a part of
this application.
4
NAME/TITLE lJL DATE s -f/ 5-
(Signature)
(Title)
RELATIONSFIIP TO PROJECT 0 Owner 0 Agent o Contractor ❑Architect 0 Other
0=V a ApDmON cr ALTERATION o REPAIR o TENANT IMPROVEMENT
BUILDIlDiE# ONLY? o YES to NO BASIC PAN? o YES o NO
ZONING DESIGNATION CHANGE OF USE? C'!YES a NO
NEW ADDRESS REQUIRED? D YES a NO UUP/SEPA/SII? ra TES a NO
PLATTED LOT? a YES a NO DEMO PERMIT REWIRED? a YES a NO
Bulletin#100—January 7,2005 Page 2 of 4 k\Handouts\Permit Application
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r '
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-$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
O 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
❑ 601 -800 amp 247.00 132.00
❑ Over 800 amp 353.50 264.50 Service or Feeders
❑ 0 to 200 amp $113.50
ALTERED SINGLE/MULTI FAMILY ❑ 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
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
U 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)
I.Low Voltage ❑ Swimming pool/hot tub $87.00
ware Feet to be served b system(s) (Includes additional circuit,if required)
Fire Alarm System RelOCO.te ( Rog-�/ El Yard Pole meter loops $104.50
❑ Security Alarm System ^(7 ❑ Additional Plan Review $104.50/hour
❑ Voice Cabling Sr rob 6 (for modified submittals)
O Data Cabling
CI 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(51(bl(i&iQ
Bulletin#100-January 7,2005 Page 3 of 4 k\Handouts\Permit Application